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Malaria's Defeat, Africa's Future

Posted: 01/29/2012 10:54 am

Africa is taking command of its future by tackling an ancient plague: malaria.

Supported by the lessons learned from the decade to "roll back malaria," which produced a 33 percent decline in malaria deaths in Africa between 2000 and 2010, 41 African presidents have now signed on to end deaths from the disease in their home countries as part of the African Leaders Malaria Alliance (ALMA).

ALMA is a great illustration of President Barack Obama's pronouncement, made before the parliament in Ghana in 2009, that "Africa's future is up to Africans." The world's support is indispensable, but Africa is getting the job done through mutual accountability, innovation, and collaborative problem solving.

Recently, I committed to weaning Liberia off foreign aid in the next decade. For other African countries, it will take a bit longer, but with sound policies, genuine leadership, and reliable partnership from the world, I believe Africa can be free of the need for development assistance in a generation.

Until that day, we must commit ourselves to ensuring that foreign aid dollars are well spent. That's why African nations have agreed to publish their progress (and setbacks) in the fight against malaria via the ALMA Scorecard for Accountability and Action (updated quarterly at ALMA2015.org).

This week in Addis-Ababa, Ethiopia, I will assume the Chairmanship of ALMA, and I want to begin by thanking my predecessor, the founding chairman of ALMA, President Jakaya Kikwete of Tanzania, for his vision, leadership, and service.

During his two year tenure -- and thanks to the generous support of the American people and institutions they help fund like the World Bank and the Global Fund to Fight Aids, Tuberculosis, and Malaria -- Africa has witnessed an unprecedented increase in the delivery and use of life-saving tools in the fight against malaria: insecticide-treated mosquito nets, targeted spraying, rapid diagnostic tests, and effective treatments, including preventative care during pregnancy.

Despite this encouraging progress, much work remains to be done. So I want to make the case for why Africa's future depends on winning this fight -- and why it is should matter to all of us.

If you care about the health of mothers and children, you must care about malaria.

Malaria is one of the top three killers of children under the age of 5 in Africa, claiming a young life every minute. It is a nightmare for parents: in the morning, your child can be laughing and playing, seemingly healthy. By nightfall, she can be fevered and comatose, fighting for her life.

In this age of modern medical advances, it is simply unacceptable for a child to die from a mosquito bite, but help is on the way. In clinical trials, a new malaria vaccine protected over half the children who received it. If, as expected, the vaccine is licensed for use in a few years, it won't replace the need for bed nets, but it will mean that more mothers will be spared the horror of watching their child die from a preventable disease.

If you care about education, you must care about malaria.

Malaria alone accounts for 50 percent of preventable absenteeism in African schools, causing up to 10 million missed days each year. Severe cases in childhood can inflict permanent neurological damage, and babies born to pregnant women who contract malaria are at risk of low birth weight and lasting learning disabilities. Simply put, we cannot train Africa's next generation effectively if we do not protect them from malaria.

If you care about peace - and the prosperity of every woman, child and community -- you must care about malaria.

Just as deadly mosquitoes suck the blood from our children, malaria drains the lifeblood from our economies, and with it, hope and opportunity from our lives. Most adult cases of malaria don't end in death, but they do keep entrepreneurs from their businesses, farmers from their fields, and market traders from their stalls. The disease costs Africa an estimated $12 billion a year in lost productivity.

But to understand malaria's true impact, consider that the disease can rob individual families in poorer communities of as much as 25 percent of their disposable income. By controlling malaria we eliminate a major obstacle to sustainable economic development and stability in Africa.

Africa must demonstrate its own commitment to this outcome by expanding domestic funding of health. Innovative finance approaches -- such as pooled commodity procurement or airport surcharges -- will be a major topic of discussion at the ALMA meeting this week. We should also commit to using the resources in hand, including investments made in our countries by the World Bank, to fuel continued progress in the malaria fight.

Of course, Africa's challenges don't end with malaria. That's why I look forward to working with my fellow African leaders to broaden ALMA's mission to other issues that affect maternal and child health.

Although President Obama was speaking to Africa that day in Ghana two years ago, he was speaking about all of us. "Your prosperity can expand America's," he said. "Your health and security can contribute to the world's. And the strength of your democracy can help advance human rights for people everywhere."

Africa's future is up to Africans, yet our mission belongs to the world.

Ellen Johnson Sirleaf, the president of Liberia, was a recipient of the 2011 Nobel Peace Prize.

 
Africa is taking command of its future by tackling an ancient plague: malaria. Supported by the lessons learned from the decade to "roll back malaria," which produced a 33 percent decline in malaria ...
Africa is taking command of its future by tackling an ancient plague: malaria. Supported by the lessons learned from the decade to "roll back malaria," which produced a 33 percent decline in malaria ...
 
 
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10:18 AM on 02/17/2012
Madam President,
I am pleased to announce that we have succeeded, after years of self-funded R&D, to produce a non-chemical complex mineral based liquid called Preventine MLC that is mixed with water 1:1000 to achieve a 100% killing rate of larvae after 24 hours, when diluted by heavy rainfall we still achieve a 100% killing rate at 1:25000.

I witnessed the suffering of Malaria in Ghana myself - we are now returning to Accra for the launch at our symposium held on the 20th April.

Each female mosquito is known to lay up to 1000+ eggs during her lifetime after a blood-feast
we will stop 1000+ new mosquitoes from ever taking flight. Natural prevention at its best.

Mosquito nets have made a remarkable difference in sub-Sahara Africa, I use one too, but I am exposed to bites if I leave the protective net space.

Preventine MLC comes in 100ml bottles, enough for 7 fillings of a 15 Ltr back-sprayer covering a vast area. It will come onto the market at the price of 4 bed-nets and can be delivered by Fedex/DHL overnight as it is non-hazardous, non- toxic.

US Scientist will be present who tested MLC with live mosquitoes, also reports from field tests around the world.

For further information or attendance at our symposium in Accra, kindly contact me at
peter@preventine-ltd.com or info@preventine-ltd.com

Respectfully,
Peter Troniseck
Preventine Ltd - Chairman
08:55 PM on 02/09/2012
Congratulation President Sirleaf.
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elgeezr
annoying Libs daily with orgasmic gusto
04:03 PM on 01/30/2012
Congratulations to you Madam President & to your people for recognizing the need to take responsibility. You will be successful in the end. It will take a long time & a lot of work but you will get it done.
10:47 AM on 01/30/2012
Thank you for writing this, Mrs. President.

I am just finishing the book "Merchants of Doubt" which tells of the use of DDT to eradicate malaria and yellow fever. I never knew about the history of the Panama Canal and how the first effort to build it failed because of disease, but a visionary US medical officer in 1904 showed that by draining ponds and removing stagnant water, and through targeted fumigation and oil treatments they reduced malaria and yf dramatically and allowed the canal to be completed.

DDT eventually became ineffective because of insect resistance and because it killed beneficial insects. Rachel Carson's book "Silent Spring" warned of the dangers to wildlife caused by DDT and it was eventually banned. But years later pseudo-scientists accused Rachel Carson of being responsible for millions of deaths worldwide because of the ban. Total rubbish. Insecticides should be used with the utmost understanding that overuse creates resistance. Proactive, yet tedious, measures to reduce stagnant water is essential.
12:39 AM on 01/30/2012
Every word she wrote is, sadly, all too true. It is heartbreaking to see your child fade, by the hour, dying from the bite of a malaria carrying mosquito. But there is not one word in this article about birth control. If the future of Africa depends upon knocking out malaria and AIDS, then it also depends on population control. Land is being turned intio desert from overcultivation and overgrazing. Gigantic slums are accumulating around cities, housing thousands of diplaced peole who are too numerous for their villages to support. Dictators and demagogues are looting impoverished countries and tribal conflicts are on the rise. War, famine and disease stalk the land. If money is being collected and spent to vanquish malaria, let the funds be divided so that half will be spent for birth control clinics.
09:22 AM on 01/30/2012
I'm not as optimistic about the efficacy and practicality of the latest vaccine technology. Another tool in the arsenal is welcome, but the expense, temporary nature of its protection and the practicality of administering multiple doses may limit its impact.

We need a more diversified approach to the problem, and a commitment to adapting tactics to stay ahead of the malaria parasites and vectors. I don't see this happening right now. There's a complacency that worries me, and if it doesn't change, the resources and efforts of recent years
may be wasted if not all for naught.
12:24 PM on 01/30/2012
GREAT POST! I certainly agree with you that throwing DDT at the landscape and vaccinating and revaccinating are temporary and environmentally costly solutions. The malaria parasite and its vector, the mosquito, have the advantage of time and rapid breeding and quickly select out individuals with genetic immunity, who then overwhelm our efforts. The fatalism of the adults surely part of the apathy and inertia that are the result of malarial infection, but most of the fatalities are children and there seems to be no way to know how long a vaccine will protect them, with so many other factors such as nutrition, frequency of exposure, and age affecting the outcome. But educating these people may help; I have read too many accounts of African villagers receiving mosquito nets, and then using them to catch fish.
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wakeup804
Choose peace and tolerance
11:20 AM on 01/30/2012
I have been donating money to Malaria No More since I saw Diddy speak about it some years ago. For a few dollars you can buy enough nets to save several families. Worth sacraficing a few downloads or cups of over priced coffee.
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elgeezr
annoying Libs daily with orgasmic gusto
04:04 PM on 01/30/2012
LInk?
04:47 PM on 01/30/2012
Oh, I am happy to hear from somebody who, like me, donates to provide mosquito nets! A net protecting several sleeping children costs only a couple of dollars. But, the nets are not a perfect solution. Female mosquitos want blood as protein to develop their eggs. They are attracted by the exhalations of humans and animals. Children get up to go to the bathroom in the night and even though mosquitos are active mainly at dusk and dawn and may perch to rest on walls and greenery , they can get get stirred up and start flying again when human activity and respiration increase. I think the best hope is for scientists to come up with a chemical attractant which will fool the mosquitos and lure them into traps. This worked very well with Japanese beetles. The bait was a sexual attractant, placed in a familiar green and yellow metal trap. Trouble was, many home gardeners did not know how to place the traps! They hung them too close to the infested shrubbery, so instead of flying over open lawns with no place to alight but on the vestibule of the trap, the beetles stayed on the shrubbery and gorged on foliage while enjoying the sexual titillation of the bait. I mention this to point out that lack of education often hampers efforts to get people in malarial regions to use the nets as directed. Ignorance is NOT confined to African villagers, as the Japanese beetle saga shows.
08:16 PM on 01/29/2012
Thank you for this article. I am glad to hear from a leader like Ms. Ellen Johnson Sirleaf. Liberia has reason to be proud of having the wisdom to elect her. I fully support her intention to have Liberia free of dependence on foreign aid within a generation. And she correctly attributes a great deal of that possibility to healthcare for children and child-bearing age women. Education also will be vital, but as she says, education is not possible without the health needed to attend school.
ThatsTheTheWayItIs
religion, ideology, partisanship are delusional
07:34 PM on 01/29/2012
"In 1914 ... malaria affected 30 percent of the population in the region where the TVA was incorporated. After implementing aggressive research and control operations, the disease was essentially eliminated in the TVA region by 1947." __ Malaria was here in the US, we eliminated it. This is not a pipe dream, it can be done in Africa too. __ http://www.malariapolicycenter.org/index.php/resources/a_history_of_malaria_in_the_united_states
08:59 AM on 01/30/2012
Apples and Oranges. Africa poses a different problem altogether. Malaria vectors in the USA were limited to short transmission seasons truncated by winter, riverine habitats that could be disrupted by water level manipulations, and animal-focused feeding preferences that greatly reduced the efficiency of human transmission. It's a whole different story and a much greater challenge in Africa.
ThatsTheTheWayItIs
religion, ideology, partisanship are delusional
12:11 PM on 01/30/2012
Certainly weren't limited by winter in Florida, but they got rid of them there too. I posted it because most don't know that malaria was as common in this hemisphere, including the US. You are assuming that Africa is wilder or less-populated than here, but it's just the opposite. They just have poor infrastructure, like Haiti. We mostly eliminated malaria in Panama, that was just as hard.
07:22 PM on 01/29/2012
I once spent five months in Conakry, Guinea and fell ill with maleria while I was there. It was a life changing experience. I lost 1/4 of my body weight and it took me more than a month to fully recover. Not only did I personally experience malaria but I saw firsthand the impact it had on the people around me. Thank you, Madam President, for raising this issue.
Mochilero
Have backpack, will travel
07:01 PM on 01/29/2012
Good news, but until Africa comes to grips with its endemic culture of corruption the misery will continue.
08:54 PM on 02/09/2012
corruption?as if western countries do not have corruption.I have lived both sides of Atlantic and every country I have been has some extent of corruption do not get me started.
Mochilero
Have backpack, will travel
12:07 AM on 02/10/2012
There is corruption and there is corruption. It is bad everywhere, and we have no bragging rights in the US. i have also backpacked all around the world, and what happens to the common people in Nigeria, Ruwanda, the Congo whatever is unspeakable. At least here us cute liberal chicks and guys have a chance.
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john201
01:06 PM on 01/29/2012
There is only ONE way to defeat maliaria and end the needless deaths.
DDT was banned on the basis of a few environmentalists claiming it was harming birds
There has NEVER been any human illness or deaths in humans and that includes the people who manufactured DDT.
EXTREME Enviromentalists are responsible for the NEEDLESS DEATHS OF MILLIONS UPON MILLIONS OF CHILDREN AND BABYS around the world.
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Djinn NY
Duendecito.
01:31 PM on 01/29/2012
DDT is expensive! One mosquito net isn't!
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rlellis711
EMC(SW) Retired
02:21 PM on 01/29/2012
DDT takes care of the problem and mosquito net does NOT
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john201
02:50 PM on 01/29/2012
Has the mosquito stopped the millions upon millions of deaths?
Does it stop the bites when the children are walking to school or out playing?
What a thoughtless, uncaring, du#mb remark.
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Rowsdower
I'm Rowsdower. Zap Rowsdower.
03:10 PM on 01/29/2012
You and yours always act like DDT is a magic solution, but there's one thing you always neglect to mention: mosquitos quickly gain resistance to DDT, so within a year or two, the mosquito population rebounds and you don't have any way to control them. Go to places like Sri Lanka where they went with your "all DDT, all the time" approach, and now they're at a loss for bringing the mosquitos under control.

Exactly like environmentalists and other smart people said would happen.
08:55 AM on 01/30/2012
Ditto. A recent study in Ethiopia showed that DDT only killed 0.05% of the mosquitoes that were exposed to it. KDR resistance mutation in this mosquito population now exceeds 99% in Western Ethiopia and is widespread throughout the country (Yewhalaw et al. 2010, Abate and Hadis 2011) and many other countries in SubSaharan Africa.

The same thing is now happening to the pyrethroid insecticides used to treat bednets. The formerly 80% mosquito kill rate in Ethiopia fell to 55% last year and should continue to fall as long as selective pressure is maintained.

It's time to give this zombie DDT idea a well-deserved rest. We need new approaches (or to revisit older, non-insecticidal approaches like habitat removal and housing modification).