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  • Reply to: Column: Propagating dangerous malaria ‘medicine’ in Africa - by Kate Dieringer   1 week 1 day ago

    As I mention in another reply Dr Weathers, my Gambian wife was fully ACT resistant after numerous attempts to use various versions. She thought she was going to die when the successful back up therapy of quinine and clindamycin failed. I gave her 9 mg Whole plant artemesia daily (3 grams every 8 hours in cold water) and 4.5 mg Curcurmin (3 x 1.5 grams every 8 hours) along with the WHO quinine/clindamycin treatment and she recovered. She would be dead today if she were kept on ACT therapy. I am very greatful for your efforts on developing more holistic strategies to malaria control. There is nothing more distressing than speaking with your life partner who fears she is going to die from drug resistance malaria medicines. I am an agricultural research scientist and did the science readings for alternative therapies and came across your work on whole plant artemesia and other scientists work on curcurmin. The ACT resistance reminds me very much of herbicide resistance in field crops that I experienced early in my agronomic career.

  • Reply to: Column: Propagating dangerous malaria ‘medicine’ in Africa - by Kate Dieringer   1 week 1 day ago

    My wife in Gambia has a weak immune system and has developed 8 malarias in the past 3 years. She rapidly developed resistance to ACT therapies and more recently quinine-clindimycin. The only thing that saved her was whole plant artemesia and curcurmin added to the quinine treatment. We need more complex chemistry working to stop resistance and that will only come through more whole plant medicines to complement conventional chemotherapy treatments.

  • Reply to: Challenges and opportunities for implementing an intersectoral approach in malaria control in Tanzania   1 week 4 days ago
    Congratulations to Dr. Malongo et al in their identification of the need for health professionals to reach out to other sectors in the planning of interventions in Tanzania for malaria control. Their perceptive article determined that the intersectoral activities which contribute to malaria transmission included farming systems, deforestation, fishing, nomadic pastoralism, household water storage, water resource development projects, road and house construction and mining. This article confirms the recent weblog from Australia by Solomon Kibret which called for a similar inter-sectoral collaboration for dam builders and malaria authorities.
  • Reply to: Effect of dams on malaria - rethinking   2 weeks 3 days ago

    You have touched on an important point being neglected by WHO and the US PMI in Africa. But there is a long history of dam design and operation to minimize malaria mosquito production, starting with the Tennessee Valley Authority in the southern US in the 1930's. It involves keeping the shoreline as straight and short as possible, and fluctuating the water level during the normal mosquito breeding season. I have recommended such modifications on several dams in Africa as they were being planned (See my book Dams and Disease published by Rutledge in 1999). And now engineers at MIT are evaluating such fluctuations for stranding anophelines around reservoirs in Africa, especially in Ethiopia. Some of their results are coming out soon in Parasites and Vectors, by Endo, Kiszewski and ElTahir.

    When an African country asks the World Bank for a loan to build a dam, if there is a risk of malaria or other water-associated diseases, a Health Impact Assessment is required which includes the exploration of alternative designs and operation plans to minimize the diseases. This doesn't always work as it should, but it is a logical way to avoid malaria in these new dams.

    But you are right, I think we need to broaden our vector control measures and get off the biocide and drugs kick. Can you suggest a broader venue for discussing this, besides this website?

    Bill

  • Reply to: Africans are following the new WHO traditional medicine strategy   3 weeks 5 days ago

    They are graphic and powerful images that you use to portray the battle over malaria in Africa, Marc. I think the lack of power of the portentous functionaries of WHO is like a flock of flamingoes who rise up with great noise and color, but soon settle down again into the swamp without effect.

    But stalking this garden of competing animals is a Pride of African Lions who will soon come into their own, as they take over their territory from intruders, and establish their dominance.

    Waiting for the Lion King