A blog posted on www.malariaworld.org on June 21. 2014 « Aspirin and artemisinin, beware » and another one on July 8 of the same year « Antiretrovirals and antimalarials : a deadly mix » had already highlighted the fact that drugs sold on a large scale in Africa showed strong antagonism with several antimalarial drugs. ARVs reduce the concentration of artemether , quinine, malarone in the blood. Aspirin has an effect on the endothelium and platelet adherence.
A paper published twenty years ago should have attracted more attention (NM Anstey et al., J Exp Med 1996, 184, 557-567) : the suppression of NO synthesis in cerebral malaria appears to enhance pathogenesis and increased NO synthesis protects against clinical disease. The work was based on in vivo results obtained in Tanzanian children. Already five years earlier the killing of Plasmodium falciparum in vitro by nitric oxide derivatives (NO, nitrite, nitrate) had been demonstrated (KA Rockett et al., Infection and Immunity, 1991, 59, 3280-3283).
Save the Date for the 2017 Keystone Symposia - February 19-23, 2017, Kampala (Uganda) - conference on:
Malaria: From Innovation to Eradication
Organized in collaboration with MESA, this symposium provides a space for malaria eradication scientists to share new information and advance the scientific debate.
Plasmodium falciparum generates substantial amounts of ammonia as a metabolic by-product, but lacks detoxification mechanisms (S Kimoloi et al., Hypothesis and Theory, 2015, 9,article 234). It imports large amounts of glutamine from the host serum. Deamidation and deamination reactions generate two molecules of ammonia per glutamine molecule, particularly in the early trophozoite stages (T Zeuthen et al., Mol Microbiol 2006, 61, 1598-608).
The message below, from Dr. Pedro Alonso, the Director of WHO's Global Malaria Programme was circulated today, 24 October 2015.
Last month there was great news for the malaria world: A detailed analysis of the impact of insecticide-treated bednets (LLINs), ACTs, and indoor residual spraying (IRS), showed that some 6.2 million deaths and 700 million cases were averted between 2000-2015, mostly since 2005. Add up the contribution of the vector control components, and it shows that 78% of all the gains originated from just these two tools: LLINs and IRS. Is it safe to draw the conclusion from this that vector control is and shall remain the integral and critical component that will lead us to a world without malaria by 2040? I think the answer to that is 'yes, very much so'.
The 64th annual meeting of the American Society of Tropical Medicine and Hygiene (ASTMH) is taking place 25 – 29 October 2015 in Philadelphia, USA.
Partners from across the malaria community will be sharing updates of their work.
A review paper published by Frank van der Kooy in 2013 (Journal of Ethnopharmacology, 150, 1-13) revived our interest in the question why the solubility of artemisinin is higher in Artemisia annua infusions than for the pure substance in distilled water.
We need ways to improve the use of bednets because they are so hot to sleep under, and a group in Ghana is working on this. Peter Nardini and some friends from the US Peace Corps are testing a way to sleep comfortably under a bednet by installing small solar-powred fans inside the nets, along with lights and cell-phone battery chargers. Their website is 'Green World Health Net', and they are doing exciting things with these ideas, in a village on the coast of Ghana. You can contact them for info at;
Parasites are endowed with powerful and host-independant mechanisms which de novo synthesize or regenerate reduced glutathione (GSH) and protect the parasites from oxidative damage. GSH can penetrate from the extracellular space into the host cytosol but the parasite membrane is impermeable to peptides (H Atamna et al., Eur J Biochem 1997, 15, 670-9).. Glutathione is one of the most powerful anti-oxidants. It is a tripeptide formed by the amino acids glycine, cysteine and glutamic acid. It inhibits the action of arginine which produces NO and expels it from the food vacuole.
It is with profound sadness that we took notice today of the untimely death of Dr. Alan Magill, who headed the malaria programme at the Gates Foundation in Seattle. Below we copy the press release from the Gates Foundation.
I met Alan for the first time in Durban, South Africa, during the MIM meeting in 2013. This was not long after he had taken up his new position at the Gates Foundation. This was the man that everyone out of the 1500+ participants would like to talk to, and it was a great privilege that he took some time to sit down and chat with me. It struck me immediately how pleasant Alan was to interact with. Down-to-earth, direct, and above all with passion did he speak of his mission to free the world of malaria. And I vivdly remember his following words: 'Being with the Foundation now gives me the real opportunity to make a difference in this world'.
The second time we met was when I visited the Foundation in January this year. As ever, Alan was pleasant and at the same time razor sharp. He needed two words to understand your full story. Over lunch his passion got hold of him when he stood up and expressed his frustration that we were all going too slow - that we needed to get new technology to the field quicker. Every live mattered, and waiting would only lead to unnecessary waste of lives. So true.
The world has lost a great malariologist. It is now upon us to follow in his footsteps and end malaria.
Dear Friends and Colleagues,
On behalf of the MESA Alliance, we wanted to share our heartfelt condolences for the loss of Alan Magill.
Alan held a deep-rooted belief that humankind should and could defeat malaria. He made an extraordinary commitment towards realising this goal.
VectorWorks is pleased to announce the release of a new report, Landscape of New Vector Control Products written by Michael MacDonald. The report covers the spectrum of new vector control products, highlighting descriptions of how each of the tools work; general timelines for their implementation; and limitations of each approach. While these tools are unlikely to be as widely scalable as IRS and ITNs, they are promising components of an Integrated Vector Management strategy.
The report is attached below.
What are the benefits of eradicating malaria, compared to suppressing it?
Eradication is a distant goal, perhaps one not attainable in our lifetime – perhaps never. Even its definition is somewhat vague, as there are so many forms of malaria. However suppression of malaria transmission is real and immediately attainable, something we are actually doing right now, in various degrees.
This month’s report by WHO/UNICEF on ‘Achieving the Malaria MDG Target’ indicated that over 50% of Congolese children sleep under bednets. However these overly optimistic assertions are contradicted by a careful malaria survey conducted in 2007 in 8,000 households in the Congo, which indicated a blood-slide positivity of 33.5% and only 7% of children sleeping under bednets (Molecular malaria epidemiology…… by Taylor et al DOI: 10.1371/journal.pone.0016420.
200 years ago, in 1830 the anthelmintic properties of santonin were discovered , simultaneously by Dr Kahler in Düsseldorf and Dr Alms in Mecklenburg in a plant from Turkestan, Artemisia cina. Its presence, although at lower concentrations, was later found in Artemisia maritima, Artemisia campesris, Artemisia gallica, Artemisia absinthium, Artemisia sieberi. (Berichte der Deutschen Chemischen Gesellschaft , 1867, Vol 6, 875-1670). Stanislao Cannizzaro is known widely for his , "Sunto di un corso di filosofia chimica", on santonin which he presented at the Karlsruhe Congress of 1860.
I fully support the conclusions of Solomon Kibret and colleagues about the health impact of dams in the tropics, especially regarding diseases transmitted by mosquitoes and aquatic snails.
REF just published in Malaria Journal - Malar J. 2015; 14: 339. Published online 2015 Sep 4. doi: 10.1186/s12936-015-0873-2 PMCID: PMC4560078
The title is : Malaria impact of large dams in sub-Saharan Africa: maps, estimates and predictions
by Solomon Kibret,corresponding author and Jonathan Lautze, Matthew McCartney, G. Glenn Wilson, and Luxon Nhamo.
In 1957 the University of London found that dietary cod liver oil suppressed the multiplication of Plasmodium berghei in mice (DG Godfrey, Experimental Parasitology, 1957, 6, 555-565), of Babesia rodhaini (DG Godfrey, Experimental Parasitology 1957, 6-5, 465-485) and of Trypanosoma congolense (D G Godfrey , Experimental Parasitology, 1958, 3, 255-268).
Once a scientific paper is published online and you can download a pdf of it, this addictive and magnificent feeling gets on to you. This is the fruit of all the hard work: first to get the funding to undertake the research, then the hard work to actually perform all the research, then the hard work to write up the manuscript, then the submission, the reviews, the rebuttal, and eventually acceptance followed by proof reading and then publication. The route from thinking up research to publishing about it is long, tedious, and really hard work. But why don't we ever talk about this route? Why do we publish our papers but don't tell our peers more about how we got there? The fun parts, the sweat and tears, or even the fights? This week we published an article in the Proceedings of the National Academy of Sciences USA (PNAS; attached below). And here's the story you don't know when you read the paper...
I invite you to help me imagine a solid and realistic approach to malaria control in Africa, rather than continuing our criticism of the current poorly focussed and unsustainable attempts by WHO, RBM and the US PMI. I think we need a permanent Institute where African malaria people can develop, implement and expand anti-malarial measures. Because the current emphasis on drugs, biocides and bednets is inherently unsustainable, let us take a more sensible and rational approach which utilizes ecological changes.
Bilharzia, schistosomiasis, snail fever, is a disease caused by parasitic worms of the Schistosoma type. It may infect the urinary tract or the intestines. Signs and symptoms may include abdominal pain, diarrhea, bloody stool, or blood in the urine. In those who have been infected for a long time, liver damage, kidney failure, infertility, or bladder cancer may occur. Schistosomiasis affects almost 210 million people worldwide, and an estimated 200,000 people die from it a year,
A team of medical doctors and traditional healers in the Eastern part of the DR Congo just completed the first part of clinical trials studying the efficacy of Artemisia annua against gametocytes. The trials were following a protocol based on the procedures recommended by WHO and are coordinated with a team of medical doctors from France.
Polyphenols are a large group of antioxidants naturally known for their protective effect against oxygen metabolites, acting as free radical scavengers. In contrast to the beneficial effects it has recently been reported that some polyphenols may promote oxidative damage. These harmful effects are suspected to result from a pro-oxidant action.
Although resistance is increasing at an exponential rate, synthetic pyrethroids remain the only recommended insecticides for mosquito nets. One may wonder what the reasons behind this monopoly are : incompetence or business ?