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  • Reply to: Brief histories of two contrasting strategies in the fight against malaria   15 hours 39 min ago

    I appreciate your historical perspective Socrates. Assuming that the best sequence is to start with the Environmental Approach for control of mosquitoes, how do we salvage the current approach of RBM and USPMI which have skipped it, and instead have started with the unsustainable Specialist Approach?

    One possibility is to work with the African Development Bank to insert Environmental Control Methods in all of their new water resource projects, to minimize transmission. This should include adequate drainage systems as well as housing with metallic screens. In populations thus protected, the introduction of the drugs and biocides of the Specialist Approach should then bring transmission to near zero.

    If these new water resource projects include hydro-electric dams, then electricity could also be supplied to the settlers, making it possible for them to sleep safely and comfortably under screens, with electric fans.

    Bill

  • Reply to: Toward a theory of economic development and malaria   2 days 9 hours ago

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  • Reply to: Injectable artesunate: cure or killer?   1 week 21 hours ago

    Further to the memberblog of Irene Teis, June 27, 2014 "Injectable artesunate, cure or killer" where several cases of haemolytic anemia are describeb in Belgium, Netherlands, Japan, Germany a paper published in Malaria Journal (2014, Oct 11:13) describes a similar case in France. An Ivoirian female developed severe haemolytic anemia after treatment with parenteral artesunate. Further investigations evidenced drug-induced antibodies related to artesunate. It was concluded a drug-mediated autoimmune haemolytic anemia.

  • Reply to: Column: Malaria in Shakespeare’s land   1 week 1 day ago

    In the 2nd world war era, locally transmitted vivax malaria was a problem even past the arctic circle, and certainly in Norway and Finland. The north dutch endemicity is mentioned by the comment.

  • Reply to: Brief histories of two contrasting strategies in the fight against malaria   1 week 1 day ago

    While I think that characterizing the environmental approach as being ‘holistic’ is a bit exaggerated, I think Jobin’s observation that this stage preceded the specialist approach where malaria was controlled and is still being controlled in more developed countries is very useful. The link between malaria control and environmental sanitation, which on paper was present in the early years of WHO, never materialized, not only because the malariologists associated with the specialist approach expressed little interest in it but also because the environmentalists who should have been pushing the environmental approach to malaria control were largely ignorant of the long history of success with efforts that focused on controlling malaria carrying vectors.
    I think that by promoting the environmental approach to precede that of the specialist approach makes not only good economic sense but it reduces the current tension between these two approaches. They should not be seen to be in opposition but complementary in a temporal sense – environment first, special control efforts to follow as soon as the first approach begins to demonstrate results.

    Socrates Litsios