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Recent comments

  • Reply to: Mind the gaps - the epidemiology of poor-quality anti-malarials in the malarious world - analysis of the WorldWide Antimalarial Resistance Network database   2 days 15 hours ago
    We now are using Artemisia annua tea or capsules in 12 countries with 20 partners. The cure rate for malaria is generally > 95% and we never heard about a sample of Artemisia annua of inferior quality failing in clinical trials. There are many reasons: 1.With locally grown tea it is hard to make a lot of money, thus it does not make sense to falsify it. 2. Artemisia annua is a true polytherapy, contains more than a dozen molecules active against malaria. 3. Dried Artemisia herb keeps its properties for more than 3 years if stored in a ventilated place. Artemisinin derivatives and ACTs degrade after a few months in tropical climate.
  • Reply to: Mind the gaps - the epidemiology of poor-quality anti-malarials in the malarious world - analysis of the WorldWide Antimalarial Resistance Network database   2 days 18 hours ago
    When will we begin to See public listing of these" bad" anti malarials ?
  • Reply to: Last week at MalariaWorld: MalariaWorld has been a free service for 5 years. Would you be willing to pay 10 USD per year for it? Let us know.   3 days 17 hours ago

    Hi Bart

    First of all thanks to you and all the MalariaWorld team for all the work you do in developing this valuable and engaging platform.
    While charging is a reasonable model to subsidize running costs, I wondered if it might be very valuable to keep a wide door open for other non-monetary ways for MalariaWorld members to contribute.
    For instance, could members contributing their time be an alternative to cash payment for some e.g. writing 5 comments over the period of a year or posting a blog entry be promoted as an equivalent to a cash payment?

    To offset non-monetary contributions, maybe a non-credit-card way to pay a subscription can be found so grant holders could be encouraged to easily contribute at a much higher rate?

    Thanks

    Guy

  • Reply to: Column: Social values & beliefs: the key to successful malaria prevention?   3 days 19 hours ago

    I think it is clear from the article and Kate's follow up what she is saying about the value of adaptability, asking and listening

    I know it is a bit nerdy but I see a number of parallels with this and what is called 'agile software development'. This is a very current method, developed in response to large technology projects which have a high fail rate in part due to their tendency to become inflexible (often resulting in massive waste of resources and time).
    Agile programing even has a manifesto which includes

    Individuals and interactions over Processes and tools
    Customer collaboration over Contract negotiation
    Responding to change over Following a plan

    I am sure that the same sentiments have probably been represented in many past and present buzzwords and that some of the wording is not exactly applicable to disease control, but I am curious if anybody sees anything interesting here?

    If anybody is interested you can read more about the philosophy behind agile programs at
    http://en.wikipedia.org/wiki/Agile_software_development#Philosophy

    I wonder if what i described as "rolling wave " planning is a form of what Kate advocates.

    By the way, in the village Kate mentioned in the article that expressed a preference for triangular nets, did everything workout once they were provide?

    Thanks
    Guy

  • Reply to: Column: Where do you hang a mosquito net in the bush?   5 days 11 hours ago

    Prevent malaria or prevent war?

    The issue you raise Marit is very important, and poses serious ethical choices for those of us who are concerned with the fight against malaria in Africa. I have no easy answer, but maybe can think of one. However the ethical dilemma it poses then troubles me.

    How do we protect children from malaria in a war zone? The easy answer is that we can’t, so we should use our limited resources to fight malaria in stable areas where our efforts will endure. Efforts we make in war zones will be blown away in the violence of the conflict. From a public health perspective we realize that we can protect more people by working in stable areas. That is the easy answer from a conventional public health approach in which we count the number of lives saved for each dollar of effort.
    But what about the people: the families and children who are in those war zones? Can we just cross them off – throw them away because they are in the wrong place? Obviously for people like you Marit, with humanitarian spirits, we can’t throw those people away; in fact they seem to be the ones who need us the most. We must admire and appreciate people like you and others in MSF who go to these dangerous places and minister to those in greatest need. We can see that they are motivated by a loving concern for people unprotected by their own societies.
    But perhaps the reason for our dilemma is that we are mixing our concern for fighting this one specific disease – malaria – with our more basic concern for the well-being of people and their children caught in war. If malaria is our focus, then we might search for special medical or technical interventions against malaria. But what if our focus is simply to meet the most pressing need for these people in the war zone? Is malaria their greatest problem? Or is it an end to the violence? If our concern is for the people, why are we wasting our time fighting malaria when what they really need is Peace? Within their world, at this time, although malaria is important, it has a low priority in comparison with an end to the violence. Malaria has a high priority for us because we know so much about it, but perhaps Peace is more important for our friends caught in the war.
    So perhaps what we should be doing is seeking help from the UN to send a Peace-Keeping Force, and when the violence is ended, and then we can work on the issues next in priority, such as malaria. In reality however, the dilemma remains. We know that the UN is weak, and establishing Peace will take a long time. It might never even happen. The wars and violence in Afghanistan and Iraq have been going on for more than a dozen years. What should we do in the meantime; prevent malaria or prevent war? I am sorry Marit, I am afraid I really haven’t answered your question. Maybe some of our other readers can help us?

    Bill