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Fights Malaria
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with Dispersible Artemether/Lumefantrine (AL)
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Tatu loves playing with her brother Juma
every day when they come home from school.
One night, when Tatu is sleeping,
she is bitten by a sneaky mosquito
because her foot is outside of the
bed net. She does not know it, but
the mosquito has infected her with
small malaria parasites!
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The mosquitoes that carry malaria breed in standing water like puddles, and after the rains there
are many mosquitoes that can transmit malaria.1
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Oh Tatu, I think you may have
malaria. You must have been bitten
by a mosquito. We must take you to
the clinic straight away.
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A week later, Tatu wakes up in the morning
feeling unwell. Mama is worried.
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Tatu does not want to go to school because her head
hurts, she feels very cold, and does not want to eat.
Mama checks for a fever and Tatu feels very hot.
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Malaria is a serious disease caused by parasites called Plasmodia. Plasmodium falciparum
causes the most dangerous kind of malaria and is common in many parts of Africa.1 The first
signs of malaria are usually feeling sick with fever, headache, and chills.1
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Mama knows that if Tatu does
not get the right medicine soon,
she will get worse.
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The nurse will help to
make Tatu better.
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If a child with malaria does not get the right medicine within 24 hours, they can become very
sick and even die.1
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The nurse at the clinic thinks that Tatu has malaria,
but she decides to test her blood to be sure. The test
shows the nurse that Tatu does have malaria.
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When the mosquito bit Tatu,
it passed on some malaria parasites
into her blood that made her sick.
There are many mosquitoes now that we
are in the rainy season.
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It is important to test a patient’s blood to make sure that they have malaria.2 It is important to do
this before they are given malaria treatment.1 Artemisinin-based combination therapy (ACT) is the
recommended treatment for uncomplicated Plasmodium falciparum malaria.1
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The nurse finds out how heavy Tatu is to
give her the correct amount of medicine
for her weight.
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Tatu weighs 17 kg,
so I will give Tatu
2 dispersible AL right away
to make her feel better.
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When I was small,
I had malaria, and the
medicine made me
well again.
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Artemether-Lumefantrine (AL) was the first ACT approved by the World Health Organization for the
treatment of malaria.3
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These are similar to the
AL tablets that Juma took, but
sweet tasting and especially made
for smaller children.
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The nurse shows Mama some
dispersible AL for Tatu to take.
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Tatu will need to take the 2 dispersible AL 2 times a day for 3 days.
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Tatu does not want to take the medicine, but the nurse says she must take it
to get well. The nurse puts 2 dispersible AL in water and Tatu is surprised to
see it turn yellow. Tatu is more surprised because it tastes sweet, and she
drinks it all.
Give Tatu 2 more dispersible
AL before she goes to bed. Tomorrow and
the next day, give Tatu 2 more in the morning and
in the evening. I know Tatu does not feel hungry,
but try and give her some food when she takes
her medicine – it will help the medicine
to work better.
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Dispersible AL was especially made for children and becomes a sweet-tasting yellow liquid
when combined with a small amount of water.
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That night, Mama makes
sure that Tatu takes 2 more
dispersible AL as the nurse
said. Tatu watches Mama
pop the 2 dispersible AL
directly into the water –
it goes yellow.
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Oh yes, I took AL tablets for
3 days, but they did not go in
water or taste sweet!
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The medicine works better if you eat some food or drink some milk at the same time.2
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Later, Esther comes to visit – she is the
Community Health Worker in the village.
And every
night when Tatu is
sleeping, make sure that
she is fully covered
by a bed net.
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The medicine kills the
parasites, but Tatu must finish all
of the dispersible AL over 3 days to make
sure that there are no parasites left.
If Tatu does not finish all of the medicine,
the parasites will come back and
Does Tatu need to
she will be sick again...
finish the medicine? She is
feeling better already.
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The mosquitoes that transmit malaria bite people mostly at night.1 If you sleep under a bed net at
night, it will help protect you from mosquitoes and prevent malaria.1
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The next day Tatu is feeling well,
but Mama still gives her the last two
dispersible AL.
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This is good medicine.
It works well, like the medicine
I took when I had malaria.
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Tatu is happy she can go to school
today. She will be ready to play with
Juma and their friends again when
she comes home.
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Each dose of dispersible AL kills many malaria parasites. You must take the dispersible AL two times a day for 3
days2 and finish the full pack to kill all of the malaria parasites.2
Please take malaria treatment as directed by your doctor, nurse or community health worker. If you still feel sick after
completing your treatment course, or if you feel worse at any point, please go back to see the health worker.
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Choose someone to
tell the story.
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Children can act out the story
of how Tatu fights malaria with
dispersible AL.
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Juma
Tatu
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The others can pretend to be Mama, Tatu, Juma, the Nurse and Esther
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Nurse
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Is there anyone who would
like to be the mosquito?
Esther
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1.
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Try to spot the 7 differences between these two pictures. SA
Answers on page 18.
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2.
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Which children are more at risk from malaria and why?
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Quiz
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3. What colour does the
water go when I drop
dispersible AL in it?
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2. Why was it important
to take Tatu to the clinic
straight away?
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1. Why did I think that
Tatu had malaria?
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4. How does
dispersible
AL taste?
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5. How many times a day
and for how many days
did I need to take the
dispersible AL?
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Answers on page 19.
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8. Why is Tatu eating
some food when she takes
the dispersible AL?
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6. Why did I test
Tatu’s blood?
7. How did the
dispersible AL make
Tatu better?
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10. Where do
mosquitoes breed?
11. When do
mosquitoes mostly
bite people?
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9. What might happen if
Tatu did not take all of
the dispersible AL?
12. How can you stop
mosquitoes from biting you
while you are sleeping?
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Answers to Spot the Difference
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• Puddles of water
• Pail of water
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• Cooking pots and pans on the left hand side
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• Lid on drum
• Tyres
• Basin on the right hand side
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• Child sleeping under a bed net
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The children in picture 1 are more at risk from malaria than the children in picture 2.
Mosquitoes carry the parasites which cause malaria.1 They breed in water that gathers in
containers or puddles.1 People can get malaria if they are bitten by a mosquito.1 A bed net
protects people from being bitten at night.1
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Quiz Answers
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1. Because she felt hot, she had a headache, she was tired and she did not want to
eat anything.
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2. Because if Tatu did not get the right malaria medicine quickly, she could become more
sick and she could even die!
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3.Yellow.
4. It tastes sweet.
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5. 2 times a day for 3 days.
6. To be sure that she had malaria before giving her the dispersible AL.
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7. The dispersible AL killed the malaria parasites in Tatu’s blood, which were making
her sick.
8. It helps the dispersible AL work better.
9. The malaria might come back and Tatu would be sick again.
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10.In standing water.
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11.At night.
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12.Sleep completely under a bed net every night. Remove standing water like puddles from
around the house.
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References
1. WHO Malaria Fact Sheet No.94 Reviewed March 2013
2. WHO Guidelines for the Treatment of Malaria: Second Edition (2010)
3. WHO List of Prequalified Medicinal Products. Available at: http://apps.who.int/prequal/
For further information: www.malaria.novartis.com
©Novartis Pharma AG 2013 12/13 NP4 Nr. 197167
NOV3278/V1/DEC2013
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Novartis Pharma AG
Basel, Switzerland