The efforts put in by organizations all over the world to fight Malaria is highly appreciated, although the war is far from being won.In my view, this should go hand in hand with improvement of human habitat, poverty has a serious bearing on this in that, the poor sanitation set- up complicates the breeding control.
In most African countries bednets have become common and are contributing to saving countless lives of children. Scaling up of this intervention continues in the second decade of this millennium. Indoor residual spraying is widely practiced though a less common sight in many parts of Africa where spray teams do not reach far-off communities in rural settings.
No war is harder than when you have to face an enemy who gets a chance to regroup and rearm regulary hence coming back with more vigor each time. This is the kind of warfare Kenya has to encounter with malaria. The country is currently facing more than its fair share of problems with malaria. In recent times the war against malaria in Kenya has been hampered by multiple factors under which the disease reinvents itself.
FIRST LAW IN THE ATTACK ON MALARIA IN AFRICA
The attack on malaria will be like building a tall cathedral or a beautiful mosque, it will take generations.
I know this web site is MALARIA World. But the field of genetic control of vectors is so small that I hope you will indulge me in a blog that reaches into arbovirology and highlights the kind of technology we might anticipate against Plasmodia in Anopheles. Genetic control of vectors received another Christmas gift when a bonus remarkable phenotype due to Wolbachia infection - in addition to cytoplasmic incompatibility (CI) and life shortening - was reported in Cell.
Three Kenyan DJ’s from a local radio station based in Nairobi joined their Dutch colleagues for a worthy course. The DJ’s took part in the fight against malaria in a charitable campaign dubbed Serious Request.
While it might appear that the call for eradication will bring out lots of enthusiasm, it is hard to see how we can mount a global program, based on fantasy.
And let's admit that the Gates and Clinton Foundations mean well but are divorced from reality, USAID and the PMI are mired in decades of bureaurocratic tangles, and the UN and WHO left the scene a long time ago, so the attack on malaria in Africa will progress as Africa progresses.
Realism will work better than fantasy.
Let's take Africa, where most malaria deaths occur. A realistic strategy would be to start in the stable, most democratic countries, and gradually develop competent national programs, employing nationals who live in the malaria zone, who can progress upward in their civil service by making progress against malaria in small and carefully measured increments.
So they would reduce malaria prev in school kids by 10% each year, at a cost within the national budget realities. That gives us a solid foundation for progress. Forget the magic bullets and fantasy. Malaria control takes careful application of proven methods - all of them - in a rational strategy that reflects budget realities as well as the ecology of malaria.
Start with the solid countries, where investments will not be wasted on some dictator and his cronies. Start with Senegal, Mali and Ghana. With Tanzania and Mozambique, Malawi, Zambia, Botswana and blessed South Africa. Grow those programs slowly and carefully. Use them as training grounds for folks around them who speak the same language. Realize that we are dealing with Arabic, English, French, Portuguese and Swahili.
Final note: I think it is the third law of for attacking malaria in Africa - The dictators are as dangerous as the mosquitoes.
Targets for vector control have usually exploited serendipitous findings such as ion channels and hormonal control of development. However, the modern trend to search for specific targets for intervention is bearing fruit. Rogers et al.
Develop a mobile rapid data collection and referral systems and to update emergency and severity patients and also priority of disaster information’s on a server in real time has been recognized.
Recently, mobile devices such as PDA, Mobile Phones, GPS, which can be connected each other easily, are becoming available in the market. Internet connection through mobile phone is available (such as GPRS). The development of a WMS (Web Map Service) Server for geo-spatial information sharing is interesting.