"WHAT CAN WE ADD TO THE WHO AND PMI STRATEGIES FOR AFRICA TO MAKE THEM MORE SUSTAINABLE AND COST-EFFECTIVE?
There is unprecedented public interest throughout the world in fighting malaria in Africa. Despite this interest, the efforts underway at present seem to be ephemeral, requiring annual infusions of large funds. Thus we invite you to suggest ways to make better use of this global enthusiasm in this Forum. We will also establish another Forum soon, on how we can better organize the fight in Africa.
By all calculations, despite its valiant efforts, WHO no longer has the funds or personnel to maintain a successful attack on malaria in Africa. Although a wide variety of control methods have been used in the past, the current WHO strategy, also adopted by the US Presidential Malaria Initiative, is very limited, and is only being implemented effectively in a few countries.
The WHO strategy is simply drugs, bednets and spraying of biocides inside homes. Unfortunately we know from experience that repeated application of drugs and biocides will inevitably lead to drug and chemical resistance, while usage of bednets is well below the level needed to interrupt transmission. However, I am not proposing that we replace the WHO strategy, but add to it.
With all of you malaria people reading MalariaWorld every day, we should be able to come up with some additional sustainable measures. Thus I am asking you to think of ways we can augment the current strategy, especially thinking of permanent or sustainable methods that Africa can afford. Many sustainable methods provided the basis of earlier attacks on malaria, but have been omitted by WHO in recent years. I summarized these in my recent book “A realistic strategy for fighting malaria in Africa,” by Blue Nile Publishers. We might need to revive some of the older methods, as well as come up with new approaches.
If you have suggestions, please develop them in some detail, and see if you can find published evidence of their cost-effectiveness in Africa or India or similar tropical environments, so that we might rank them. And then reply to this Forum. This is urgent; there are thousands of people dying every day from malaria in Africa. We need your help.
For a start, what do you think of:
Improved water resource developments ?
Bill, with high hopes