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William Jobin's blog

Critique of WHO 2017 Malaria Report

December 11, 2017 - 17:21 -- William Jobin
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The 2017 WHO report on the status of malaria at the end of 2016 is a mixture of good news and bad news, with the bad news predominating. Although Dr. Tedros, the Director General of WHO and Prof. Alonso, the Director of the Global Malaria Program are to be commended for their frank presentation of the negative trends, they need to identify the reasons for these trends if we are to make the changes needed to reverse them.

Thus I will attempt herein to analyze some of the reasons for these negative trends, and suggest changes needed if we are to overcome them.

US Presidential Malaria Initiative is expanding

September 21, 2017 - 20:28 -- William Jobin

Today 21 September 2017, Administrator Mark Green announced that the U.S. President's Malaria Initiative (PMI), led by USAID and implemented together with the U.S. Centers for Disease Control and Prevention (CDC), will launch new country programs in Cameroon, Cote d'Ivoire, Niger, and Sierra Leone, and expand its existing program in Burkina Faso.

With the addition of five new focus countries in West and Central Africa, PMI will have programs in 24 countries in sub-Saharan Africa,

Village planning for intrinsic prevention of malaria transmission

March 25, 2017 - 19:51 -- William Jobin

The Eltahir group at MIT has recently published a pioneering study which makes it possible to plan resettlement and new villages in ways which will permanently minimize malaria transmission, because of ecological design. This is especially valuable for engineers planning resettlement communities related to large reservoirs and irrigation systems.

Such safe designs reduce the need for the ephemeral methods based on drugs, bednets and insecticides.

The report is:

What will become of the US Malaria Initiative now?

January 25, 2017 - 13:51 -- William Jobin
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Since the Trump administration came into office, there are real uncertainties about the long-standing US Presidential Malaria Initiaitive (the PMI), which I helped start in 2005. Firstly, the Administrator Tim Ziemer, who has given the Initiative real stability for 8 years, has resigned. Secondly it appears that the very conservative Newt Gingrich will take over USAID which funds the PMI within the US State Department. Gingrich is opposed to USAID and might dismantle it. Fortunately the new US Secty of State Rex Tillerson has gone on record as favoring the health programs of USAID.

More people caught in the Immunity Trap in 2016

December 20, 2016 - 21:15 -- William Jobin

The WHO Malaria Report for 2016 mentions an alarming increase in the number of people no longer receiving protection from indoor spraying, and thus an increase in the number of people in endemic areas who have lost their immunity, due to previous intense spraying. For Africa, 10.5% of the populations were covered in 2010, but this had dropped to 5.7% by end of 2016.

Eltahir Group predicts little adverse impact of climate change on malaria in West Africa

December 19, 2016 - 22:08 -- William Jobin

It is important to note a recent report on the predicted impact of climate change on malaria in West Africa, by Teresa K. Yamana, Arne Bomblies and Elfatih A. B. Eltahir. 2016 in the Journal Nature, entitled "Climate change unlikely to increase malaria burden in West Africa." doi:10.1038/nclimate3085

Eltahir research group at MIT on African malaria

December 7, 2016 - 21:21 -- William Jobin

I recommend the following recent publication for your reading on african malaria : Endo and Eltahir Malar J (2016) 15:578 DOI 10.1186/s12936-016-1633-7. The report is 'Environmental determinants of malaria transmission in African villages' by Noriko Endo and Elfatih A. B. Eltahir. You should also take a look at all the preceding publications of the Eltahir research group at MIT, which you can find if you look up the Eltahir research group on the web.

If malaria funding is so precarious, why not use permanent improvements in southern Africa ?

October 1, 2016 - 15:50 -- William Jobin

Malar J. 2016; 15: 419.
Published online 2016 Aug 18. doi: 10.1186/s12936-016-1470-8
PMCID: PMC4991067
Towards malaria elimination in the MOSASWA (Mozambique, South Africa and Swaziland) region
Authors:
Devanand Moonasar, Rajendra Maharaj, Simon Kunene, Baltazar Candrinho, Francisco Saute, Nyasatu Ntshalintshali, and Natashia Morris corresponding author.

When will we get off drugs and biocides ?

September 19, 2016 - 12:58 -- William Jobin

In a recent article about the spread of resistance to ACT in SE Asia, the authors recommend new drugs and better drug strategies:

'FEMS Microbiol Rev. 2016 Sep 8. pii: fuw037. [Epub ahead of print]
The clinical impact of artemisinin resistance in Southeast Asia and the potential for future spread.
Woodrow CJ1, White NJ2'.

Similarly, multiple resistance of Anopheline vectors is supposedly to be met with more careful selection of insecticides!

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