Presumptive Diagnosis and Treatment of malaria in endemic areas has been a subject of intense debate. The effectiveness of this strategy is hindered by the prevalence of other febrile illnesses with symptoms that overlap with that of malaria. Despite, the World Health Organization's (WHO) recent recommendation that malaria should be confirmed with specific tests before treatment, the practice is still very common. This short communication discusses the current situation considering the WHO guidelines with recommendations on its optimization and sustainability.
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