In April the US PMI issued their 8th Annual Report to the US Congress on their malaria suppression operations in Africa. In the first table of the Appendix One of this report they gave their total expenditures for Africa, and also the coverage they had in each country with their spray operations. Adjusting these figures to reflect only their African operations, it appears that there have been two sudden jumps in their per capita costs.
From annual per capita costs of about $10 in 2007-9, their expenditures jumped to about $20 per capita in 2010-12. And in 2013 there was another jump to almost $30 per capita. Although they do not explain these sudden cost increases, it is likely due to resistance developing to the pyrethroids they spray and use on bed nets. I have heard that they are switching to the more expensive and dangerous carbamates.
The first Malaria Eradication Program of USAID and WHO collapsed in 1970 after 10 years, due to resistance developing to their biocides. The US PMI is now in its 8th or 9th year. How long can it last with these kind of cost increases?
Bill, keeping a count