Malaria remains one of the world’s most persistent public health challenges, with more than 200 million cases reported globally each year. In Nigeria, the burden is especially heavy, accounting for a substantial proportion of these infections and making malaria a familiar illness in many households.
While mosquito transmission is the primary cause of malaria, health experts warn that another overlooked factor contributes to repeated infections: the way the disease is often treated at the community level.
A common scenario illustrates the problem. An individual begins to feel feverish, weak, and chilled. Instead of visiting a clinic for a diagnostic test, they stop at a nearby chemist or patent medicine shop and request “something for malaria.” Within minutes, they are handed a small nylon bag containing a mixture of tablets, often without a confirmed diagnosis, detailed instructions, or professional supervision only brief directions such as “take morning and night.”
This informal approach to treatment is widespread across many communities. Although many drug vendors are well-meaning, medical professionals caution that the medications dispensed in such combinations are frequently not properly dosed or clinically appropriate. The consequences, they say, can be serious.
Incomplete Treatment and Recurring Infection
One of the most significant risks of unsupervised drug combinations is incomplete treatment. When antimalarial medicines are taken in insufficient doses or incorrect combinations, symptoms may temporarily subside, but the parasite may not be fully eliminated from the bloodstream. This allows the infection to resurface, leading many patients to believe their malaria “keeps coming back,” when in reality it was never completely treated.
Strain on Vital Organs
Health specialists also warn that taking multiple medications simultaneously without proper medical assessment can place unnecessary stress on the liver and kidneys. Repeated exposure to inappropriate drug mixtures throughout the year increases the likelihood of adverse effects, particularly among individuals with underlying health conditions.
Misdiagnosis and Mistreatment
Another major concern is that not every fever is caused by malaria. Illnesses such as typhoid fever, viral infections, exhaustion, or dehydration can produce symptoms similar to malaria. Without laboratory confirmation, patients may unknowingly treat the wrong condition, delaying accurate diagnosis and appropriate care while exposing themselves to potent medications they may not need.
A Call for Proper Testing and Guidance
Public health authorities continue to emphasize the importance of confirmed testing before treatment. Rapid diagnostic tests and laboratory screening remain the safest way to determine whether malaria parasites are present. Proper diagnosis ensures patients receive the correct medication, in the right dosage, for the appropriate duration.
As malaria continues to affect millions, experts stress that responsible treatment practices are just as critical as prevention measures. Avoiding self-medication and seeking professional medical guidance can significantly reduce recurring infections, protect vital organs, and improve overall health outcomes.
