Malaria Level 1 Awareness

1
Malaria Level 1 (Awareness)

• This is a subset of Health Hygiene Level 1
• The audience is all high mobility employees as
  defined in the Schlumberger Health standard
  (SLB-QHSE-S006)
• Pre-requisite All minimum training
• Carefully read this presentation, you then MUST
  take the online test on passing this test your
  QUEST certification will be updated accordingly
• If you have questions, contact your local QHSE
  support

2
What Is Malaria?

• It is a disease transmitted by a mosquito.
• The mosquito bites at NIGHT and injects the
  disease in the blood.
• It can be fatal 2,000,000 deaths/year!
• From the time one gets bitten to the time the
  symptoms starts to appear can take between 7 and
  60 days.
• No vaccination exists.
• Treatment is URGENT! THIS IS AN EMERGENCY!
• 4 Schlumberger employees died from malaria
  between 2000 and 2002!

3
Malaria in the World

• Countries of the world are divided into
• Low malaria risk
• Medium and high malaria risk
• Medium and high malaria risk countries are in
• Sub-Sahara Africa
• South East Asia
• Amazon Basin of South America

4
Malaria in the World
5
Symptoms of Malaria

• There are no specific symptoms.
• Symptoms of Malaria looks like those of the flu
• (The flu is also known as a common cold)
• Fever, Chills, Sweating
• Weaness
• Aches and Pains, including Abdominal Pain
• Diarrhea, Vomiting
• Any of the above symptoms
• During a stay in a malaria-infested country
• Within 6 weeks after having left a
  malaria-infested country
• See a Doctor !
• Get a blood test for Malaria!
• DO NOT LOSE TIME!

6
Malaria Prevention

• 1 - Insect bite prevention
• 2 - Preventive Anti-Malaria Medications

7
1 - Insect Bite Prevention

• INDOORS - CHECKLIST
• windows and doors are closed
• doors and windows are fitted with screens and
  regularly checked for holes
• where available air conditioning is working and
  on cold
• at night electric diffusers are plugged in and
  working, particularly in bedroom
• on verandas coils are burned
• when entering a room at night insecticide is
  sprayed
• chemically treated bed net is provided and
  regularly checked for holes and used
  correctly (tucked under the mattress all around
  the bed)
• OUTDOORS - CHECKLIST
• long sleeve shirts are worn prefer light
  colored clothing
• long pants are worn
• before going outdoors repellent is applied on
  uncovered parts of the body
• No company functions organized outdoors in the
  evening
• Stay indoors at night whenever possible

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2 - Preventive Medications

• In medium and high malaria risk countries it is
  highly recommended that preventive anti-malaria
  medication be taken during the entire stay.
• Preventive medication also needs to be continued
  for 4 weeks after having left the malaria
  country, except for Malarone which needs to be
  continued only for 7 days after leaving the
  country.
• Some medication are taken daily (Savarine,
  Doxycycline, Malarone) while others need to be
  taken weekly (Lariam or mefloquine)
• Risk of side effects exists with all medications
  but is small, and reversible when medication is
  stopped. The risk of side effects is always
  smaller than the risk of malaria which is DEATH!

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Beware!

• Although a preventive treatment taken regularly
  greatly reduces the risk of contracting the
  disease it does not protect 100.
• Therefore, even if you are taking a preventive
  treatment and come down with the symptoms of
  malaria gt See a Doctor URGENTLY!!

10
What to Do if Malaria Is suspected?

• See a doctor rapidly. Do a test for malaria.
• DO NOT LOSE TIME! THIS IS AN EMERGENCY!
• If more than 24 hours from a health care
  professional use your Schlumberger Malaria
  Curative Kit.
• Call the Schlumberger Malaria HOTLINE.
• 800 6252 7420 or 33 1 55 92 12 74 (HOTLINE
  is located in France)

11
Curative Malaria Treatment

• Company designated curative anti-malarial
  treatment is based on
• COARTEM
• A totally new medication
• 4 tablets morning and evening for 3 days. Total
  of 24 tablets.
• (Tablets should be taken with a little food
  containing fat or with a glass of milk)

This medication may also be found under the name
Riamet depending on the country where it is
commercialized.
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Malaria Conclusion

• A disease transmitted by a mosquito. Fatal if not
  treated rapidly!!!
• Prevention is based on insect-bite prevention and
  preventive medication.
• Symptoms resemble the flu fever, aches, pains,
  diarrhea, vomiting.
• All of the companys malaria fatalities have
  occurred on days-off or on another
  assignment,when awareness has dropped and risk
  therefore is highest!
• If you suspect malaria -see a doctor urgently.
• Malaria can be prevented and treated.
• For more info read the Schlumberger Guide to
  Malaria
• on the Schlumberger Health Hub at
  www.healthhub.slb.com