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Mandy Moore

Mandy Moore

Posted: November 30, 2010 05:24 PM

It's hard to believe that the holiday season is coming up so soon. It's my favorite time of year; when I can stop, put work on hold and celebrate the important people in my life. As usual, I have plenty of gifts to buy for close friends and family. But this year I'm rethinking my holiday shopping list.

I recently traveled to the Central African Republic. Many people have never heard of CAR. I didn't know much about it either. It's a little smaller than Texas, with a population of about 5 million people. Just to put that in perspective -- more than 20 million people live in Texas.

CAR is landlocked in the center of the continent. The minister of health called his country "the heart of Africa" when I met him. I felt that in the people I spent time with.

I was in CAR to help distribute insecticide-treated mosquito nets with the United Nations Foundation's Nothing But Nets campaign and the global health organization PSI. Malaria is the leading killer of children under the age of five in the Central African Republic and is responsible for about half of all hospital visits.

The United Nations identified an urgent need for mosquito nets in CAR, due to its vulnerability to flooding, location, proximity to conflict-ridden countries, like Sudan and the Democratic Republic of Congo, and the fact that malaria is an issue pretty much year round.

Our goal was to launch the second of three phases of a distribution campaign to cover the entire country, providing a net to every family to protect them from malaria. Even though a net sounds so simple, insecticide-treated nets can prevent malaria transmission by up to 90% if used consistently and correctly.

My experience was life-changing, and the many special moments and people from my trip are always on my mind. I can't forget one family in particular.

One of the most-heartbreaking moments I experienced was when I visited a small clinic outside of Bangui, the capital city. The clinic staff sees an average of 40 patients with malaria every day. One of the patients I met was a beautiful baby girl. Her father, Remi, held her tight in his arms. You could barely hear him as he talked. At this point he was overcome with desperation. He was so scared and his face showed signs of many sleepless nights, worrying about how he would make his daughter well again. Her tiny body was limp and she was hot to the touch with a high fever and chills. Her malaria was in the advanced stages and she needed treatment urgently, but her parents couldn't afford it. This was the second time they had come to the clinic. The first time they came was when they found out their daughter was sick. They came back after the pediatric hospital turned them away because they couldn't pay. Remi had purchased a set of cheap syringes on their way back to the clinic, hoping doctors there would give him some medicine, which he would try to administer himself.

After my time with them, I broke off from the group to find a quiet corner and try to make sense of what I just witnessed. The love of these parents for their daughter was profound, matched only by their fear. I couldn't decide if I was more angry or sad. The reality is that there are countless families who find themselves in Remi's nightmare. And something as simple as $10 for a net could prevent this illness.

As I left, I was told that Remi's daughter would receive treatment. I only hope it wasn't too late.

Ten dollars may not sound like much, but the cost is too high for most people at risk of getting malaria, many of whom live on less than $1 a day. That $10 goes to Nothing But Nets to purchase a net, deliver it to a family, and educate communities on its importance and use. I'm trying to help them get a net to every family in the country by the end of the year -- and you can help, too. We're already more than half-way there.

As I said, the holidays are right around the corner. Join me in taking a minute, going to www.NothingButNets.net and donating $10 to send a net to the Central African Republic. You will be saving a life.

 
 
 
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06:35 PM on 12/05/2010
Excellent work Mandy, thanks for letting us know more about this important issue. Here is a link to some interesting research into disease preventation at UC Riverside http://olfactorlabs.com/videos.html
01:14 AM on 12/05/2010
Can we imagine what a wonderful world this would be if more folks were to take the opportunity, to travel outside of their save environmental milieu, to see what others are experiencing. I have been a witness to some of the most intriguing, life saving gestures ,and call to action, by fellow human beings, whose eyes were finally opened to global realities, often due to the ghastly actions of their own government, and business leaders.
12:48 AM on 12/04/2010
Mandy,

I know you mean well...but do you have any idea what happens to the nets there are sent over there?
They are used for everything ----- except preventing malaria.
Most commonly they are used for fishing.
People need to eat.
Then the chemicals leech into the water from the nets and as a result...poison the drinking supply.
This is happening all over Africa.
Happy Holidays.
09:13 AM on 12/05/2010
Interesting point about the leeching chemicals-------a big chunk of the rational for sending nets in the first place was the ban on the most effective chemical known for killing mosquitoes, DDT. Eco-Chondriacs---------------they never learn.
08:54 PM on 12/01/2010
I am not qualified to judge the DDT debate, but unmentioned here so far is another strategy which has been reportedly used successfully for a long time various places-- THE EUCALYPTUS TREE. Sometimes referred to as the "mosquito tree", it has an aggeressive root sywstem which, when numbers are planted, sucks up humongous amounts of water thus eliminating the standing pools and ponds which breed mosquitoes!

Further should be mentioned the GUPPY (in tropical climates) or the GAMBUSIA (in colder climates), small live-bearers known for eating mosquitoes ("mosquito fish"). Into thousands of watery areas identified by satellite photo, drop little "bubbles" (water, in golf-ball-sized globes of quickly biodegradable cellophane-like material, each containing a pregnant mother guppy, etc.) which when released will take care of the problem in a few months.
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sabelmouse
i love to tumble , ask me why .
06:47 AM on 12/04/2010
interesting. i'd like to find out more. any links?
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ambrecel
09:49 AM on 12/05/2010
What about the enviromental impact of using a tree not from the region. Australia has a bit of a frog problem because of using frogs for a problem australia had.
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pjlim
04:17 PM on 12/01/2010
Dear Mandy, Maybe you haven't heard or read the latest reports concerning the mosquito net program, but, it has been a dismal failure. The people receiving the nets tend not to use them as netting, but rather use the material to make wedding garments and fishing nets. What is needed in these areas to control the mosquito population in these at risk African nations is for the release of previously effective and now banned pesticides which were very successful in controlling the problem. Their use must be extremely regulated and used cautiously . Without this, there will be no end to the devastation and disease caused by these mosquitoes. Thanks for trying, Mandy.
12:27 PM on 12/07/2010
Totally agree.
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04:09 PM on 12/01/2010
MANDY:
This link will work:

http://www­.nothingbu­tnets.net/
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VanessaFas
03:53 PM on 12/01/2010
Some readers bring up good points. If it existed, could a vaccine prevent and/or limit malaria? I know we have the varicella (chickenpox) vaccine here, but you can still get chickenpox with it. The difference is the severity of the disease, and the outcome on overall health. Besides nets, is there anything else we can do? Could new irrigation and farming techniques limit the spread of malaria by limiting the number of mosquitos? We need more angles, we need more tools. How do we get them?
12:29 PM on 12/07/2010
Google:

Ted talk lasers

You will see the first video at the very top left.
Nathan Myhrvold: Could this laser zap malaria?
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Max Shaw
My micro-bio is no longer empty.
02:29 PM on 12/01/2010
This is great, Thanks Mandy for all your hard work. I would still like to see more work in the way of finding a malaria vaccine.
01:20 PM on 12/01/2010
It's great to see (for once) an intelligent, worthwhile and non-partisan article for a great cause here on Huffington Post.

(but of course someone had to resort to insults towards the author)
12:53 AM on 12/04/2010
What are you talking about?
The nets don't work.
You think Mandy is the first to try this?
It's been done for many years...and it fails miserably EVERY TIME.
The people use them for fishing, for clothing, for everything except protecting them from malaria.
I find it ignorant to keep trying the same thing over and over again and expect different results.
Some would call that insanity.
12:55 PM on 12/01/2010
The nets are a good thing but what the Africans really need is the permission to use DDT. Spraying DDT will wipe out the mosquitoes that carry the bug. DDT is safe and effective and amazingly cheap. "Silent Spring" was based on very dubious science and leading scientists will tell you that the methodology was poor. This is the best, cheapest and most effective way to end the malaria scourge in Africa and we should stop denying them the right to use it. Their children are literally dying for the sake of political correctness/Gaia.
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Bugboy
My micro-bio is empty, have I been vaccinated?
01:25 PM on 12/01/2010
"DDT is safe and effective and amazingly cheap."

This is why it is being kept out of Africa,,,the chemical companies won't make much money selling DDT to Africa, they have some nice shiny new product to sell. They want international aid spent on their products, so they are twisting arms.

I also caught wind of an initiative by some Bush stooges a few years ago to undermine the bednet program from within in favor of some kind of mass production program for a vaccine. When it exists. LOL. A little digging found there was ownership of a Chinese pharmaceutical firm involved by the major player involved. Fortunately the effort went nowhere, not that I am aware of anyway.
12:56 AM on 12/04/2010
I heard of lasers might be used.
I am not kidding.
It was during one of those TED conferences.
Google it.
Crazy stuff.
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JustMeinNJ
01:41 AM on 12/05/2010
I thought it was environmentalists that stopped the use of DDT.
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Rowsdower
For extra fun, read my posts in Igniknokt's voice.
02:06 PM on 12/01/2010
There's always someone who insists that you can just DDT 100% of an insect population into submission. That works great for a year or two, until the DDT-resistant mosquitos have had a chance to breed. Then, as assorted third world nations have discovered, you've got as many mosquitos as before but fewer options to deal with them.

For every problem, there is a solution that is simple, neat, and wrong.

I can't personally speak to whether the science behind "Silent Spring" was dodgy, but if you don't get how pesticide resistance works and why it's important to not overdo it, I'm not confident about the rest of what you're selling.
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Bugboy
My micro-bio is empty, have I been vaccinated?
12:35 PM on 12/01/2010
The argument that bed nets don't work is being promoted almost exclusively by the insecticide companies and services that the bednets take business away from. It's big business and has a lot of power, bednets are a decentralised solution and holds little profit for big business.
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cheo
better a bleeding heart than none at all
04:28 PM on 12/01/2010
That is hogwash because (as you would know if you had read my earlier post, or did some research) the nets are impregnated with one, sometimes two types of pesticides. The nets, (if actually used) provide a physical barrier to keep an uninfected person from being bitten, the pesticide kills the mosquito so that it won't go on to bite another person. This helps break the chain of infection as well as reduce the mosquito population. They are working to create nets which don't need to be re-impregnated so often.
Most groups which distribute nets also use complementary methods of eradication such as indoor residual spraying.
Since the pesticide companies are already in the net distribution loop, your claim would seem to be unfounded.
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Bugboy
My micro-bio is empty, have I been vaccinated?
01:55 PM on 12/02/2010
Hogwash? Do the math on decentralized, home based treatments vs. broadcast spraying the African governments are being pressed into...they (the chemical companies) make less money on bednets and indoor wall sprays than broadcast spraying. They also make less money selling cheap to manufacture products like DDT as opposed to high tech new products. I don't know where you get your information but I've been in the mosquito control business for nearly 30 years. The bednet initiative is truly grassroots supported, and works. But it doesn't line the pockets of the wealthy.
12:16 PM on 12/01/2010
Despite the simple truth of the proposition, I am forced to ask once again: Why is the vapid, shallow, uneducated, vacuous blithering yammering "opinion" of some vague second rate Hollywood sort-of-almost-wannabe worthy of a byline?
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VanessaFas
03:49 PM on 12/01/2010
Because she has the time to travel, and we don't. Because her name, face, husband made you click on the link to read the story. Because she may actually live what she is writing. Any way it was done, it got you to read the story. And that might be the important part.
04:52 PM on 12/05/2010
Don't be such a downer!

I wish I could do more for people. She may not be Bono, but she isn't some silly girl like many of these so called "celebrities".
If i wouldn't have read this- I wouldn't have donated, and now I am.
Lighten Up. =)
12:05 PM on 12/01/2010
I lived in Nigeria in the 70s and we lived under the best circumstances--airconditioned house, great medical care, and well-nourished, and yet my mother still contracted malaria. It's that prevalent. Something as simple as a net goes a long way for a family who didn't have the benefits my family did. My heart goes out to all of Africa. Great program Nothing But Nets.
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VanessaFas
03:50 PM on 12/01/2010
I wish more people understood that. It is that simple, it is that prevalent. Malaria is hard to treat when money is an issue. We should focus on preventive medicine whenever we can. So nets it is. I hope we find better ways to irrigate and farm that will help, too.
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cheo
better a bleeding heart than none at all
02:24 AM on 12/01/2010
This is a great program, but I notice that there is an argument going on here about nets vs. insecticides.
The nets are in fact treated with insecticides--usually a pyrethroid--sometimes in combination with a carbamate, which may cause some headache/dizziness. These nets do help prevent malaria because mosquitoes which cause malaria are night biting. (those which cause yellow fever, dengue and encephalitis bite in the daytime). All the organizations I have read about use impregnated nets in combination with indoor spraying.
It isn't enough just to prevent a bite. Malaria is spread by a mosquito biting an infected person, THEN biting a uninfected person, so the pesticide not only keeps the bite from happening, it kills the insect before it can bite someone else and breaks the chain of infection.
The results vary from area to area depending on the type of mosquito prevalent in the area. They would be more even more effective, but many of the people who get them won't use them.
Other means of reducing malaria are treating standing water, improving hygiene and overcrowding. Probably the reason I survived a number of malaria attacks when I was young was because I was well-nourished, lived in a clean house and had access to modern medical care AND it was before mosquitoes had become so aggressively infectious due to pesticide overuse.
Even so, it was a horrid, scary disease to get. I will be sending my contribution to this important effort.
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cheo
better a bleeding heart than none at all
03:11 AM on 12/01/2010
correction: it was before the PARASITE the mosquitoes carry had become so aggressively...etc.
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mlkx
occupy the overworld
12:43 AM on 12/01/2010
My 13 year old daughter gave all her allowance money to this organization last year.

Glad that you are helping more people know about it.

With simple steps people can make great strides.