Archive for the ‘Malaria’ Category

Malaria Vaccine Shows Promise in Children: Worldwide Fight Gaining Ground

Wednesday, November 30th, 2011 by

A multi-year investment of $500 million USD by the Gates Foundation, GlaxoSmithKline and the U.S. government has yielded partial success in the search for a malaria vaccine. A recent report in the Wall Street Journal relays the results of a clinical trial published in the New England Journal of Medicine indicating that three doses of the vaccine can cut the risk of developing malaria in half for African children ages five to seventeen months. Researchers are encouraged to see a vaccine protect against the malaria parasite, but say further work is needed to establish its true efficacy. The Gates Foundation has spent $1.75 billion so far in its quest to eradicate the disease and continues to pursue a parallel approach—a “transmission blocking” vaccine—that is believed to be the key to ultimate success.

The worldwide fight against malaria appears to be gaining ground. According to the World Health Organization, malaria killed 781,000 people in 2009, down 20% from 2000, and an analysis by the University of California, San Francisco indicates that some twenty countries are in the process of eliminating malaria (map below). For those planning to travel to subtropics, The Centers for Disease Control has published an interactive map of malaria risk that is the most detailed and useful I have seen to date.

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Today is World Malaria Day – A Day to Act

Monday, April 25th, 2011 by

As stated by the Roll Back Malaria (RBM) Parternship, the theme of the fourth World Malaria Day – Achieving Progress and Impact – heralds the international community’s renewed efforts to make progress towards zero malaria deaths by 2015. To learn more, click on the graphic below.

Roll Back Malaria World Malaria Day 2009
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A World Working to Diminish Measles, Malaria and Other Preventable Diseases

Saturday, April 23rd, 2011 by

Earlier this week the World Health Organization (WHO) reported that 6,500 measles cases have been reported in Europe.  As noted in our earlier post, France is reporting much higher numbers than other countries, but Spain and the former Yugoslav Republic of Macedonia are in a distant second and third.

As with so many infectious diseases, there is a vaccine available to minimize the risk of contracting or spreading the infection.  This is one of the many reasons that 180 countries will be recognizing World Immunization Week starting on April 23rd under the auspices of the World Health Organization. Some of the WHO regions will be focusing on general messaging, such as Europe’s focus on “shared solutions to common threats”, while some will be more specific — Africa will focus on vaccinating for polio.  

Another commemorative day on the global health calendar is World Malaria Day, Monday, April 25th. The event serves as an opportunity for the Roll Back Malaria (RMB) Partnership to check progress and renew efforts towards their aggressive goal to eliminate malarial deaths by 2015.

Do you follow or support any of these (or other) disease elimination campaigns? We’d like to hear about them.

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Malaria: If it can happen to George Clooney – it can happen to you.

Tuesday, January 25th, 2011 by

The news in Hollywood over the weekend was George Clooney’s recent bout with malaria.  After a visit to the Sudan, he contracted this illness for the second time.  His bad fortune (or was it negligence?) serves as a reminder to us all. Even experienced travelers, taking precautions to avoid this illness (and other mosquito borne illnesses) are not guaranteed protection from it.  As we recently shared, a survey of international airline passengers at Boston’s Logan Airport shows that many are unprepared for the health risks they can encounter in their destination country.  According to the survey, only 20% of those traveling to countries where malaria is endemic were carrying a prescription anti-malarial drug.

If you are interested in protecting yourself from a disease that claims approximately one million lives a year, view this advice from Frank Gillingham, MD or check out the malaria page on the Centers for Disease Control and Prevention website.

Photo by United Nations Photo.

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Ask the Author – The Fever’s Sonia Shah takes your questions

Friday, August 27th, 2010 by

As a follow up to Mike’s post earlier this month on The Fever: How Malaria Has Ruled Humankind for 500,000 Years, Sonia Shah’s recent book on malaria, we noticed that the Freakonomics blog will pass your questions onto Shah and post her answers.

I once had a question on copyright law answered by Laurence Tribe in this way.  It is very cool to get this sort of personal response, so check it out at Battling Malaria:  Bring Your Questions for Sonia Shah.

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New Book Chronicles Malaria’s Chokehold on Human Progress

Wednesday, August 4th, 2010 by

Journalist Sonia Shah brings us an important new account of how malaria has impeded human progress for half a million years and counting. Her book, The Fever: How Malaria Has Ruled Humankind for 500,000 Years (Farrar, Straus, Giroux) ranges across history, geography vast numbers of victims and the many modern-day players who are pursuing its eradication.  World travelers and anyone with an interest in how one disease can subjugate a wide swath of humanity will want to delve into Shah’s reporting.

Shah has previously tackled topics ranging from the story of crude oil to an account of pharmaceutical companies testing drugs on indigent patients. In The Fever she displays, according to one reviewer, “the same curiosity, eye for history, and anger on behalf of the oppressed.” Here are some other excerpts from recent reviews: 

From New Scientist, Martin de Smet

The Fever is a mine of information, drawing on diverse accounts from medical experts and field workers. This is an important book on the historical lessons we must not forget and the mistakes we are still making today in the battle against what remains a formidable killer.

Critically, The Fever exposes the growing threat posed by donors who want to see immediate results. The issue is all too familiar to field workers, who see aid flooding into countries where success is more or less guaranteed, but poor investment in chaotic post-conflict countries where the burden of the disease is often heaviest. Everyone – politicians, donors, research institutes, lobby groups and the pharmaceutical industry – has their own agenda when it comes to malaria. Shah’s examination explores them all.

From NPR, Michael Schaub

Malaria has been a global scourge since the Ice Age, and despite the fact that it’s treatable, it still kills about 1 million people a year. Scientists and physicians have worked for decades upon decades to eliminate the disease, but after tens of thousands of years, it’s beginning to look unkillable.

It’s a compelling account of a disease that remains out of sight — and thus out of mind — for most Americans, even as it slowly tightens its grip on other parts of the world. Despite Shah’s engaging prose and obvious enthusiasm, the subject matter means it’s far from an easy read — but it might well be an essential one.

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Mosquitoes — Delivering Dengue, Malaria and Chikungunya

Friday, June 18th, 2010 by

Mosquitoes continue to do the dirty work of spreading dengue fever, malaria and chikungunya virus to people in clustered areas around the world. The rainy seasons and the weather patterns of the past six months have enabled the mosquitoes to breed and spread the viruses that can leave the recipients extremely ill or even dead.

Venezuela seems to be the hardest hit country at this point. They reported 22,880 cases of malaria and 38,174 cases of dengue fever in the past five months.   

The dengue outbreak in Sri Lanka has been so severe that in the capital, Colombo, the Ministry of Health is inspecting homes and public buildings for possible mosquito breeding grounds and spraying pesticides in at-risk areas. 

Because of the monsoon rains that poured down throughout India’s summer (March to May), several cases of dengue and chikungunya are being reported from there.  Also, numerous cases of chikungunya are being reported from Malaysia, Thailand and the French island of Reunion.

If you are traveling to any of these areas, protect yourself from mosquitoes! For destination or disease specific information, there are plenty of resources available on the Centers for Disease Control and Prevention website.

Photo by Marshall Astor.

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Mosquitoes – A story of bad news, good news, beer and Malaria

Thursday, March 25th, 2010 by

Two stories concerning mosquitoes caught my attention recently.  In the age-old “bad news, good news” tradition, it goes like this:

“The bad news is that if you drink beer, mosquitoes are more attracted to you and may bite you and give you malaria.  The good news is that scientists have developed a mosquito that could, in theory, vaccinate you against malaria with each bite.”

The first study, Beer Consumption Increases Human Attractiveness to Malaria Mosquitoes, was conducted in Burkina Faso by a team of researchers led by Thierry Lefèvre from Emory University and published by PLoS ONE, an interactive open-access journal.  It concluded that “beer consumption consistently increased volunteers’ attractiveness to mosquitoes.”  The researchers believe that the alcohol in the local beer causes the increased attractiveness; however, further studies are necessary to eliminate other possibilities.  I saw that the local beer is fairly low in alcohol content and wondered what the curve would look like as the strength varied.  Is it a linear relationship, or would it yield an upside-down “U” shape?  If the latter, one could stick to more toxic drinks (although this flies in the face of the researchers who also noted that alcohol consumption has other negative health effects and can lower one’s ability to defend against parasites and other threats to the immune system).  I was lucky enough to learn about the African drink, dawa, from my wife (it was a huge hit on our wedding night).  Dawa means “medicine” or “magical potion” in Swahili and is a much stronger drink than the local beer in Burkina Faso, so perhaps they already know about the shape of the curve.

The second study, Flying vaccinator; a transgenic mosquito delivers a Leishmania vaccine via blood feeding, was published in the April 2010 issue of Insect Molecular Biology and conducted by Associate Professor Shigeto Yoshida and his research team from Jichi Medical University. Unfortunately, there are ethical issues with using wild mosquitoes (are there domesticated ones?) to transmit a vaccine.  How would the pharmas get paid for it, for example?  Oh, yeah, that is not an ethical issue so much as an economical one.  In all seriousness, it does sound like this idea may be years away if it ever gets off the ground (no pun intended).  The mere fact that they did successfully use the mosquito’s saliva to deliver the payload, however, does hold promise for other therapies in the future.

Malaria is a very serious problem worldwide, affecting hundreds of millions of people each year and killing millions, mostly sub-Saharan children.  If you took the time to read this, please think about helping to stop this disease and perhaps contributing to a worthy organization.  It is money well spent. Also, if you are traveling to areas where malaria is a risk, learn about which preventive medicine is right for you and make sure that you take it.

Photo info: http://www.flickr.com/photos/trebol_a/ / CC BY-NC 2.0
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Malaria Strikes in Haiti; Dengue in Puerto Rico

Friday, March 5th, 2010 by

The US military announced on February 27 that 6 soldiers involved in the Haiti earthquake relief have been diagnosed with malaria. One day later, health authorities declared a dengue fever epidemic in Puerto Rico, which reported 210 cases in January. These news stories are a reminder that relief workers and tourists in the Caribbean face dangerous threats.

Serving in Haiti can be very rewarding, but there are significant health and security risks which must be considered before jumping on the volunteer bandwagon. An increase in the incidence of malaria and other infectious diseases already endemic in Haiti has been widely expected since relief efforts began almost seven weeks ago.  Although the greatest risk is among the weak and those in poor health living in the streets or in severely cramped quarters, healthy volunteers are also susceptible.

Even before the earthquake hit, Haiti was considered by the World Health Organization as a “high risk” country for becoming infected with the malaria parasite and was ranked 34th in the Maplecroft Malaria Risk Index.  ”Overcrowding in the camps for the displaced, inadequate shelter and sanitation, overburdened medical facilities, ruptured sewer systems — all these factors provide favorable conditions for the breeding of malaria vectors,” said Fiona Place, a British researcher specializing in disease risk analysis.

The CDC has published “Guidance for Relief Workers and Others Traveling to Haiti for Earthquake Response” for anyone intending to assist in the relief effort.  Take the proper precautions or risk becoming a victim yourself

Dengue fever, a viral illness with symptoms of fever, muscle aches, headache and occasionally a faint rash on the trunk and back, is relatively new to Puerto Rico but common in Haiti.  There is no vaccination or treatment. Since the disease is transmitted by mosquitoes, the same precautions taken to prevent malaria will help to avoid infection with the Dengue virus. Bug sprays that contain DEET, picaridin or oil of lemon eucalyptus are effective.

Photo info: http://www.flickr.com/photos/teutoburg/ / CC BY-NC-SA 2.0
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The Long Arms of El Nino

Thursday, February 25th, 2010 by

Weather is enjoying celebrity-like status in the news this year.  The unusually warm weather in Vancouver has caused all kinds of problems with the outdoor Olympic events, but these abnormal conditions are not unique to British Columbia.  Many areas of Canada and the U.S. are experiencing unseasonable warmth and rain, or equally unusual cold and snow.  These strange patterns extend beyond North America as evidenced by floods and mud slides in Machu Picchu and Portugal.  The blame for this weather can be squarely attributed to El Nino once again.

El Nino emerges every 2 – 7 years and is caused by irregular warming and cooling of the Pacific Ocean west of South America.  This disturbance kicks up atmospheric conditions that give rise to unusual patterns of deluge and drought.  When El Nino delivers a large amount of rainfall to a desert area,   problems occur.  Likewise, El Nino can indirectly unleash freezing temperatures and precipitation that harm crops cultivated in areas used to a warm dry climate.

In addition to the immediate havoc caused by these weather patterns — floods, mudslides and crop failures, there are long-tem implications for public health.  As the World Health Organization (WHO) reports, flooding can cause pollution leading to food-borne illnesses that attack one’s digestive system.  Flooding also creates a moisture-rich environment ideal for mosquitoes to breed. More mosquitoes mean more carriers for vector-based diseases such as malaria, dengue fever and chikungunya

Recent reports from Environmental Research show how scientists are analyzing El Nino to predict some of these outbreaks.  Their insights can help determine which vaccines travelers will need to stay healthy.  As you plan your trip, don’t just look at the weather forecast.  Do some digging into recent weather trends to uncover any problems El Nino might be drumming up, whether it’s disease, digestion or the dislodging of entire mountainsides.

This map from Wikipedia (click to enlarge) shows the weather patterns created by El Nino. (http://upload.wikimedia.org/wikipedia/commons/5/53/El_Nino_regional_impacts.gif).

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