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World Malaria Day 2012: A Critical Moment for Reversing Spread of Malaria

Posted: 04/24/2012 8:32 pm

Charles Dickens' depiction of Magwitch grabbing Pip has stuck in my mind and, I suspect, in the mind of generations of scared school boys who watched or read "Great Expectations." The Kent churchyard, with its "lozenge shaped" tomb stones, in "marsh country down by the river," is now firmly on the literary tourist trail during the Dickens 200th anniversary. But few visitors will know that the "marsh ague" that filled these graves was none other than malaria.

The inscriptions tell a story familiar to millions of Africans: "Mary died in infancy, William 8 months, William 7 months, Francis, 17 months, James, 4 months, Elizabeth, 3 months, William, 8 months." Seven children under five dead in 12 years, all between 1767-1779. The family must have so much wanted a William to live but it was not to be. Malaria was then, as it is now, a child killer.

In contrast their illustrious contemporary, George Washington, survived his first bout of malaria in Virginia -- it was at the age of 17 -- but suffered periodic attacks until 1798. The fifth President of the United States, James Monroe, also caught malaria in "marsh country down by the river," by the Mississipi in 1795. Escaping death by malaria seemed almost to be a qualification for America's early Presidents.

The notion that malaria in the "West" was only a scourge of the 18th century is far from the truth. Abraham Lincoln survived attacks during childhood. War was a great ally of the disease and American Presidents remained notable victims until after J.F. Kennedy, who caught the disease during the Second World War. He followed in the footsteps of Andrew Jackson in the Seminole campaigns in the Florida swamps. The discovery of quinine began to change the picture in the 1840s, though it was only by the 1890s that the poorest could get access to the drug in significant numbers. That did not stop many hundreds of American troops in southern Italy dying from malaria during the Second World War. The malaria parasite remained a minor scourge for America into living memory.

So it always came as a surprise to me when, on both sides of the Atlantic, my Faith Foundation reported back about our interfaith campaign against malaria deaths that people sometimes said "but we don't get malaria here." True enough but memories are short. Teddy Roosevelt caught malaria in 1914, James Garfield, 20th President, caught malaria in Ohio in 1848 when he was 16 years old. The Pontine marshes around Rome were lethal until Mussolini drained them -- mainly for political effect. And Dickens' stomping ground around Rochester, Kent makes the point with great poignancy.

The real point is that malaria was eradicated in the USA and UK because people realized that it was utterly preventable and set about preventing it with adequate resources to hand. And there are no reasons it cannot be eradicated in Africa and other endemic malarial areas too. Or rather there are several reasons all of which can be overcome with sufficient political will and application. It remains an entirely preventable disease.

World Malaria Day this year comes at a critical juncture for the massive global effort at malaria eradication. It has made extraordinary gains under the impact of some extraordinary people. I am thinking of Ray Chambers, the UN special malaria envoy, and, of course, Bill Gates. But there are countless lesser known champions against malaria deaths like Sheikh Conteh in Sierra Leone, Bishop Dinis Sengulane in Mozambique, Bishop Sunday Onuoha in Nigeria who are leading faith communities in national campaigns against the disease.

Faith leaders through the authority they hold, and the outreach and networks of their communities, can be powerful influences for the good in public health. Giving health messages and training others, just five malaria dos and don'ts to protect families, can, and does, save lives. I have seen this collaboration with Ministries of Health in Sierra Leone and Nigeria. It takes so little to protect the under-fives, an impregnated bed net, the knowledge of how to use it properly and cleaning up stagnant water. Two visits to the health clinic can save the lives of pregnant women who are particularly vulnerable.

Yet intensive national campaigns that reduce deaths significantly and open up the possibility of eradication cost money. International donors, the Global Fund and the US Presidents' Fund, make them possible. Under the impact of economic crisis they are faltering. Pledges are not being fulfilled. There is foot dragging. This could set the clock back and break the momentum across the world.

So World Malaria Day on 25 April highlights a critical year for achieving the most achievable of the Millennium Development Goals, halting and reversing the spread of malaria. We owe it to the Marys, Williams, Francis, James and Elizabeths of Africa not to reduce funding to the Global Fund, not to falter in this great endeavor.

 
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HUFFPOST SUPER USER
Steamboater
Forget hope. Agitate.
03:13 PM on 04/30/2012
The nerve of Blair to speak about public health when he was George Bush's lapdog and helped spread the disease of war and a war that's till with us.
12:20 PM on 04/30/2012
What is in for your bank accounts and stock certificates, Tony? Be real and get lost... After killing hundreds of thousands chasing non-existent wmds in Iraq, you really want to convince us that you care about people dying? Get lost, I said.
03:01 AM on 04/30/2012
OK so which of the big mega rich pill companies has created a new cure all for maleria then. After all Tony "I see weapons of mass destruction" Blair is known like the rest of the Posh Boys brigade to support all these companies.Wonder whats in it for him ?.
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HUFFPOST SUPER USER
Ben Wilson
What's the story mourning Tories?
07:34 AM on 04/27/2012
The Dickens character Ms Jellyby comes to my mind.
08:30 AM on 04/26/2012
Tony Blair says "Faith leaders through the authority they hold, and the outreach and networks of their communities, can be powerful influences for the good in public health"
These same Faith leaders of the church, which the discredited Mr Blair joined, have been and still are responsible for devastating poverty and misery in the countries he mentions with their stance and preachings on Aids and Birth Control.
Please take time to listen to Melinda Gates on the Uncontroversial subject of birth control.
http://www.youtube.com/watch?v=S4M2JPOQPrA
05:00 AM on 04/26/2012
so why did you not do something about this when you were in power then???

Tony - people like you and your commitment to corporate fascism is the main reason why there is such a disparity between rich and poor in this world. - you could have ended world poverty with the amount of money you gave the banks - its clear where your priorities lie.
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HUFFPOST SUPER USER
Sheldon archer
Facebook name is Yuyun Archer
11:19 PM on 04/25/2012
Did you ever wonder why a supposed kind, benevolent God would create mosquitoes?
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HUFFPOST SUPER USER
MyResponsibility
Action over hope
09:57 PM on 04/25/2012
Bring back DDT. Problem solved.
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othel
I believe I don't believe
08:19 PM on 04/25/2012
I've read where some experts who study these kind of things, believe that half the people who have ever lived, died from some strain of malaria. Today's massacre continues in Africa where only a significant increase in the use of DDT will help. Education is the key, but in the mean time children are dying.

The US and Great Briton are different from remote Africa.
This user has chosen to opt out of the Badges program
06:23 PM on 04/25/2012
Dear Sir:

I wonder what Charles Dickens would've said if he'd seen this video of the children of Chernobyl who suffered the affects of radiation exposure from Chernobyl's nuclear meltdown.

http://www.slate.com/articles/arts/gallery/2011/04/the_legacy_of_chernobyl.html

And the children of Fukushima, Japan:

http://www.abc.net.au/news/2011-11-10/fukushima-crisis-27stunting-children27s-growth27/3658940

I hope you'll educate yourself further on Japan's nuclear crisis, and the dangers of nuclear energy, including reading the study from France that found higher incidences of leukemia in children living near nuclear power plants.

Thank you.
04:52 AM on 04/26/2012
or the children of Iraq & afghanistan - contaminated by radiological weapons used in Tony Blairs wars of choice
04:41 PM on 04/25/2012
Whatever do-gooding stuff Blair writes it will not alter history's opinion of him. He has the blood of thousands of innocent children on his hands. Are Iraqui children somehow different to African children?
HUFFPOST SUPER USER
mansterEZ
searching for secular humanist fact-based truth
04:10 PM on 04/25/2012
Mr PM Blair,

The world needs people of action, not rhetoric. The words I look for in any argument is the objective absolute (will) all the while discounting (can, could, might, would, should) as subjective painting over a previous picture. The fact is you supported a war based on lies that resulted in killing 100s of thousands of people for political expediency. Rhetoric is cheap now one you're out of the political spotlight. Continuing to promote religious idealism as a savior to cure societal ills is not going to work this time. Only decisive action will pierce the shield of human's inhumanity to other humans.

Your comment is purely transparent and self-serving.
07:41 PM on 04/26/2012
...Well said...... Manster EZ
Blair is a fugitive from Labor ..to Hegemonic Capitalism...in transparent disguise ..
...Tony ... can't fool us again...Not after being a lap-dog to GWB...and his warmongering cronies...
TB...fooled those who thought he was siding with the everyday-men ....only to defecate on them in the end...If mosquitos don't kill them,his choice of the Bushes and Murdochs of this world...will do so ....they... and he don't really give a damn...!...
HUFFPOST SUPER USER
lenguss
01:57 PM on 04/25/2012
Malaria spread? We caused it by banning DDT and as a result we have killed more than a hundred million people - not in the US of course, where we use it when needed.
HUFFPOST SUPER USER
Lance Manling
04:27 PM on 04/25/2012
But birds were dropping from the sky!! Proof that environmentalist do not care about human life.
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john frodo
armchair expert
11:58 AM on 04/25/2012
Tony did you know Dr, Kelly?
http://thinkingaboot.blogspot.ca/2011/06/dr-kelly-still-dead.html
HUFFPOST SUPER USER
Lance Manling
10:31 AM on 04/25/2012
Perhaps the environmentalist will give up on banning DDT. I somehow doubt that.