Malaria (Cambridge (CIE) IGCSE Environmental Management): Revision Note
Exam code: 0680
How is malaria spread?
Malaria is a serious disease caused by a parasite called Plasmodium
It is not spread by dirty water itself, but by mosquitoes that breed in stagnant water
The disease is transmitted through the bite of specific mosquitoes, making it a vector-borne disease
Female Anopheles mosquitoes as the vector
A vector is an organism that transmits a disease from one host to another
Malaria is spread by female Anopheles mosquitoes
They feed on blood to obtain protein for their eggs

Transmission from infected mosquito to human
When an infected female Anopheles mosquito bites a human, it passes the Plasmodium parasite into the person’s bloodstream
The parasite travels to the liver, where it multiplies
It then infects red blood cells, causing symptoms such as fever, chills and fatigue
Transmission from infected human to mosquito
If a mosquito bites a human who already has malaria, it takes in Plasmodium parasites along with the blood
The parasites develop inside the mosquito’s gut
After developing, the parasites move to the mosquito’s salivary glands
The mosquito can now infect the next person it bites
Examiner Tips and Tricks
Students often think, 'mosquitoes cause malaria,' but examiners want the wording that mosquitoes are just the vectors that carry the Plasmodium parasite. This distinction is crucial.
Strategies to control malaria
Malaria is controlled by breaking the cycle of mosquito-to-human transmission
Strategies focus on:
Protecting people and preventing bites
Reducing mosquito populations
Personal protection
Mosquito nets
Sleeping under insecticide-treated nets reduces bites during the night
Most Anopheles mosquitoes bite between dusk and dawn
Insect repellent
Repellent applied to skin or clothing keeps mosquitoes away
Reduces the chance of being bitten outdoors
Vaccination
Vaccines help the immune system recognise and fight the Plasmodium parasite
This can reduce the severity of malaria if someone gets infected
They do not give complete protection but can reduce infection rates and severe illness, especially in children
Antimalarial drugs
Drugs that prevent parasites from multiplying in the body
Can be used to protect people who live in high-risk areas or those visiting high-risk areas (e.g. tourists) if taken before or during travel
Vector control
Cover or drain breeding areas
Mosquitoes lay eggs in stagnant water, such as puddles, buckets or ponds
Draining or covering these areas reduces breeding
This can help keep population numbers under control
Clearing blocked drains or gutters helps remove water where mosquitoes could develop
Spraying insecticides
Large areas can be sprayed with insecticides to kill adult mosquitoes
This method reduces mosquito populations quickly
Indoor residual spraying involves coating walls with insecticide
This method kills mosquitoes that land on surfaces
Sterilising male mosquitoes
Releasing large numbers of sterile male mosquitoes reduces reproduction
Females that mate with sterile males produce no offspring
This helps reduce mosquito numbers over time
Biological control
Introducing natural predators to eat mosquito larvae can help reduce mosquito populations
Fish, such as guppies, can be added to ponds or water tanks
This method reduces mosquito populations without using chemicals
Examiner Tips and Tricks
Combining multiple methods (personal protection and vector control) gives the strongest protection—you may be able to gain extra marks in some exam questions for stating this.
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