title: [Systematic chemotherapy of febrile attacks: an alternate strategy for the control of malaria in rural areas].
abstract: While the socio-economic development has generally improved malaria eradication in towns, this endemic disease remains of deep concern in the field of Public Health in the major part of the Intertropical African country side, despite the use of direct means of control (such as control of both anopheles and parasites, health education ...), of which the efficacy is, however, recognised. This fact is due to the present unfeasibility of the proposed strategies, which is the consequence of some economical, technical, logistic, and human difficulties. The authors suggest the use of a substitute strategy: the routine chemotherapy of feverish attacks by means of chloroquine, as long as either socio-economic development reaches a sufficient level to enforce an effective control of malaria in rural areas, or other reliable means of control are made available (vaccination e.g.). This strategy is able to provide an effective control of malaria death rate curve; it avoids some of the problems related to mass chemoprophylaxis, with a special mention to immunity. Its salient feature consists in its present large-scale operational feasibility within the framework of the Primary Health System.
mesh_terms: D000349:Africa; D000962:Antimalarials / Q000627:therapeutic use; D002738:Chloroquine / Q000627:therapeutic use*; D005334:Fever / Q000188:drug therapy; D006801:Humans; D006920:Hygiene; D008288:Malaria / Q000188:drug therapy* / Q000517:prevention & control; D009032:Mosquito Control; D012424:Rural Population; D012959:Socioeconomic Factors
chemical_list: D000962:Antimalarials; D002738:Chloroquine
vernacular_title: La chimiothérapie systématique des accès fébriles: une stratégie de relais dans la lutte contre le paludisme en milieu rural.