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Malaria: A Devastating Public Heath Concern

Malaria: The Controversy

Failure of malaria eradication efforts abroad
Economics of battling malaria
More devastating effects
Are Insecticide Treated Bed Nets enough?
Solutions to come: The Assault
"Data released in August 2001 show that there are now between 700 000 and 2.7 million deaths each year from malaria, 75% of which are African children. According to the Multilateral Initiative on Malaria, this is a higher mortality rate than the yearly toll of AIDS in Africa." [2]

Devastating effects

            The vast majority of regions that are affected by malaria also have high levels of poverty, malnutrition, and other disease such as AIDS.  They have year-round transmission of malaria, with the mosquitoes breeding in such small bodies of water as a cattle footprint in the rainy season.  The areas are also not urbanized, meaning that not all people sleep in houses, let alone in beds, making indoor residual spraying and bed nets effective only in areas where they can be used.  Malaria is not a simple disease, and it will take more than a simple solution to rid ourselves of it.  In spite of these complications, over the years, with the eradication of malaria in the United States and many other countries, effective strategies have been developed.  Some groups, like Roll Back Malaria are advocating open access for artemisinin-based therapies for all, saying that the most effective treatments are a human right, where others fear that more widespread use will lead to drug resistance at a quicker pace as more of the parasites are exposed to the drug and those that are resistant and survive are able to infect new hosts and multiply.[1]  

The use of DDT has been mentioned numerous times in the New York Times as a potential miracle drug to combat malaria based on its success in eradicating malaria in the US.  DDT has had a very controversial existence since the first mosquitoes become resistant to it in the early ‘60s, it became stigmatized after Rachel Carson’s Silent Spring, yet at the Stockholm Convention on POP’s, it was not banned for everyone.  Its use is still legal against vector borne diseases, such as malaria.  Its use is legal, but the stigma surrounding it makes its use nearly impossible.  The Global Fund, nor the CDC, nor the Gates Foundation fund its use.  Potentially aggravating those who give funds also leads nations to shy away from its use. 

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 [3] http://www.malaria-vaccines.org.uk/1.shtml figure of boy with cerebral malaria accessed on 4/23/06


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