ABSTRACT
One hundred Malawian adults with diabetes mellitus were examined for complications of the disease and results were compared with those obtained in age and sex matched controls. Impotence; hypertension; postural hypotension; lower limb pulse deficit; lower limb reflex loss; cataract; retinopathy and urine proteinuria were significantly more common in diabetes compared with controls. Complications were related to duration of disease. Apart from cataract (treated surgically in severe cases) and proliferative retinopathy; none of the observed complications resulted in serious disability
Subject(s)
Diabetes MellitusABSTRACT
Questionnaires on various aspects of malaria prophylaxis were distributed to all British residents (adults and children) of Lilongwe and Kasungu districts; Malawi; and were completed and returned by 293 (response rate 89 percent ). Almost all residents used some measures to reduce mosquito contact; and 96 percent used chemoprophylaxis. Eight different chemoprophylactic regimens were used. Proguanil; alone or with chloroquine; was the most popular agent despite being associated with mouth ulcers in 25 percent of residents. Residents on this regimen had in general obtained their advice from a British source; and 75 percent considered they were adequately informed on the subject. This regimen was the most effective in preventing malaria attacks in the previous 12 months; even though over half those on proguanil alone were taking an inadequate dose. Residents on other chemoprophylactic regimens in general obtained their advice elsewhere; considered they were inadequately informed; and had a higher incidence of malaria. Whatever the regimen; 27 percent of adult residents would discontinue prophylaxis prematurely on return to the United Kingdom. Results suggest that more needs to be done to provide regular; precise and up-to-date information on malaria prophylaxis to British residents in malaria endemic areas