Malaria is a disease caused by plasmodium parasites, which are carried by anopheles mosquitoes. When a female mosquito bites a person who has malaria, it collects the person’s blood, which contains parasites. When the mosquito bites another person, it injects the parasites into that person. There are four kinds of malaria parasites that infect humans: Plasmodium falciparum, P. vivax, P. ovale, and P. malariae.
It is said to be one of the leading causes of morbidity and mortality in tropical and sub-tropical countries and the second most common disease in Pakistan, accounting for about 16.5% of the disease burden. The infection rate of malaria in Pakistan is about 1.6 million per annum. Nearly 0.3 million cases were reported in 2011. More than 80% cases of malaria were contributed by P. vivax and the remaining by P. falciparum. 
Malaria signs and symptoms typically begin within a few weeks after being bitten by an infected mosquito. A malaria infection is generally characterized by the following signs and symptoms :
- High grade fever of 104F
- Nausea and vomiting
- Muscle pain and fatigue
Some people who have malaria experience cycles of malaria "attacks." An attack usually starts with shivering and chills, followed by a high fever, followed by sweating and then the person returns to a normal state.
Taking antimalarials example Chloroquine, Mefloquine and Artemether.
Take steps to avoid mosquito bites. Mosquitoes are most active between dusk and dawn. To protect yourself from mosquito bites, one should:
- Cover your skin. Wear pants and long-sleeved shirts.
- Apply insect repellant to skin and clothing. Sprays containing DEET can be used on skin and sprays containing permethrin are safe to apply to clothing.
- Stick mosquito repellent patches. The active ingredient in mosquito repellent patch is added with vegetable oils, plus essential oils and citronella essential oils. The plant citronella formula does not use insecticides harmful to the human body.
- Sleep under a net. Bed nets, particularly those treated with insecticide, help prevent mosquito bites while you are sleeping.
A Middle aged patient came to me with complaints of 103F fever with chills and shivering. I asked the patient to get CBC, ESR, Blood culture and MP by ICT. The report showed platelets of 140,000 and MP by ICT positive for Plasmodium Falciparum. The patient was prescribed two tablets panadol every six hourly and Artemether- Lumefantrine one tablet twice a day for three days. Complaints of fever subsided and other symptoms diminished.
 Directorate of Malaria Control. [Online] [Cited 2017 Feb 12]. Available from: URL: http://dmc.gov.pk/index.php?option=com_ content&view=article&id=55&Itemid=