This is an urgent plea to you - the reader - to support strengthening of the strategy being used by the US Presidential Malaria Initiative of USAID in Africa. Please contact Tim Ziemer or his deputy Bernard Nahlen at USAID in Washington DC to support strengthening of their malaria strategy by broadening it to include all available control methods in the most cost-effective combination.
We propose that WHO should adopt a holistic Generalist Approach in their new malaria strategy.
W.Jobin of Blue Nile Associates and F.Snowden of Yale University
and including deliberations with many malariologists resulting in the Yale University Declaration on Malaria in 2006, and the Jerusalem Declaration on Malaria in 2013, both of which are available on this website.
8 August 2014
Cambodia is moving towards eliminating malaria. According to the WHO World Malaria Report, less than 100 deaths were attributable to malaria in 2012 (World Malaria Report 2013).
In the 1970s, there were only about nine countries where dengue fever existed but now the number is closer to 60. As of 2010 dengue fever is believed to infect 50 to 100 million people worldwide per year with 1/2 million life-threatening infections There is no cure and no real treatment.
We are all pleased with development and posting of the Jerusalem Declaration on Malaria of December 2013. It follows in the footsteps of a previous Declaration on Malaria issued at Yale University in November of 2008. Please compare the two, they show remarkable similarities.
Both Declarations came after several days of discussions by people with a passionate interest in suppressing malaria in Africa, motivated by the reminder that a million people die of malaria in Africa every year, and most of them are children.
Following publication of the Jerusalem declaration on malaria elimination in Africa that was published on MalariaWorld earlier this year (click here), we are now publishing the full conference report (see attachment).
Dear Friends with experience in malaria control in Africa,
On my previous blog I explained that WHO needs your comments,
but I left out the link. Try this:
And please give them your advice, they need it, and in fact are asking for it!
To their credit, WHO is proposing to revise their global malaria strategy, and have a 16 member Steering Committee who will take comments for the next few weeks.
However, I was devastated to read in the biographies of their Steering Committee that not one of them has field experience in fighting malaria in Africa!
So if you have ANY experience in fighting malaria in Africa, especially if you work for MOH malaria control programs, or perhaps with the US PMI, or with RBM, please comment on their proposed strategy. You are the people who know what is really needed.
At the 15th International Workshop on Clinical Pharmacology of HIV on May 19, 2014 at the University of Nebraska, FA Fehintola showed that nevirapine co-prescribed with artemether-lumefantrine may reduce the artemether concentration in blood by 70%.
At the time of writing, the World Cup is well underway and with the quarter-finals about to begin the competition is heating up. So too will any fans who’ve been unlucky enough to catch malaria! So what can the World Cup tell us about the global malaria picture?
One of the weaknesses in our fight against malaria is that we are missing the opportunity to attack other mosquito-transmitted diseases. It is the weakness of any "vertical" approach to disease control.
We are all aware of the Stinky Feet effect, in which human skin odors attract female anophelines in a dark bedroom. And to many of us, this suggests that we should wash our feet before going to bed.
Now, Mescher of ETH Zurich, De Moraes and others - in a recent article in Proc. of the National Academy - indicated that mice infected with Plasmodia are more attractive to anophelines than ordinary mice. SO
If this evolved as a durable trait in anopheline mosquitoes, it means it conferred either a survival advantage, or a reproductive advantage to the mosquito.
An additional element in the fight against mosquitoes has already been used in the tropics, both to flush out snails which transmit schistosomiasis, and to flush out certain species of anopheline mosquitoes which inhabit streams in SE Asia.
African Malaria Dialogue features 2013 Jerusalem Declaration about fighting Malaria in Africa
Dialogue on 18 June 2014
Our usual informal luncheon turned out even better than expected. We met in the outer courtyard of the restaurant ‘Au Bon Pain’ in Harvard Square of Cambridge, Massachusetts, on a beautiful summer day.
- A global elimination plan, supported by international health bodies.
- Thorough costings and tools to support the business case.
- An approach that is positioned within a development framework.
- Core elimination advocacy messages.
- Provision of advocacy tools for partners.
- Extensive and effective community engagement.
- Strong partnerships
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.
TWO INVESTMENT APPROACHES