What can I do to help?

Insecticide treated bed nets (ITNs) can help save lives by keeping people safe from mosquito bites while they sleep. You can donate bed nets to people living in malaria-endemic countries to help keep them safe from this disease. The links below give you access to support charitable organizations fighting to eradicate malaria and/or send bed nets where they are needed most. Thank you for reading!

CDC Foundation (Choose Bed Nets for Children)

https://give.cdcfoundation.org/give/195963/#!/donation/checkout

Nothing but Nets

https://www.nothingbutnets.net/

Reference

Center for disease control and prevention. (2018). Malaria. Retrieved from https://www.cdc.gov/malaria/how_can_i_help.html

The Fight to Eradicate Malaria

Key Players:

Roll Back Malaria Partnership (RBM)– established in 1998 to coordinate donor’s efforts to fight malaria. Coordination of governments, UN agencies, international organizations, and affected countries.

The Global Fund to Fight AIDS, Tuberculosis (TB), and Malaria– created in 2001 as an independent, international institution which provides financing and grants to countries to combat AIDS, TB, and malaria.

United States Government– involved in efforts to eradicate malaria since the 1950’s expanded its efforts to fight malaria in 2000 and is the largest government donor.

The President’s Malaria Initiative (PMI)– began in 2005 and led by the U.S. Agency for International Development (USAID) is the leader in implementation of malaria eradication efforts for the U.S. The PMI has expanded efforts and increased funding for many of the hardest hit areas of Sub-Saharan Africa.  

Goals:

  • To reduce the incidence of malaria
  • To reduce the mortality rate by at least 90% by 2030
  • Eliminate malaria in at least 35 new countries
  • Prevent re-establishment of the disease in malaria-free countries

Actions:

Expanding access to these interventions:

  • Insecticide treated bed nets (ITNs)
  • Indoor residual spraying (IRS) with insecticides
  • Entomological monitoring
  • Intermittent preventative treatment in pregnancy (IPTp)
  • Diagnosis of malaria and treatment with artemisinin-based combination therapies
  • Seasonal malaria chemoprevention (SMC)

Existing Challenges:

  • Weak healthcare systems in affected countries
  • Limited access due to poor infrastructure
  • Combating counterfeit or substandard malarial treatments
  • Continuing research and development regarding insecticide resistance
  • U.S. reduction in funding from $984 billion dollars to a proposed $871 billion dollars in 2020

References:

Kaiser Family Foundation. (2019). Global health policy. Retrieved from https://www.kff.org/global-health-policy/fact-sheet/the-u-s-government-and-global-malaria/

USAID. (2019). U.S. president’s malaria initiative. Retrieved from https://www.pmi.gov/docs/default-source/default-document-library/malaria-operational-plans/fy19/fy-2019-nigeria-malaria-operational-plan.pdf?sfvrsn=3

Risk Factors and Costs of Malaria in Sub-Saharan Africa

I have decided to focus my blog on Malaria in Sub-Saharan Africa. More than one million people die from Malaria and between 300-600 million people suffer from the disease each year; 90% of these cases occur in Sub-Saharan Africa (UNICEF, n.d.). Because malaria is a vector-borne disease carried by mosquitos (Anopheles), the risk factors are related to both humans, mosquitos, and the environment. Human risk factors are health status (malnutrition & other illness), pregnancy, and age (older individuals have greater immunity) (Protopopoff et al., 2009). Risk factors related to mosquitos are insecticide resistance, rainfall (increased rain increases mosquito lifespan and breeding capabilities), and availability of breeding sites (Protopopoff et al., 2009). Environmental factors include poorly constructed housing, poor drainage, poor access to healthcare and temperature, 75-85 degrees is the optimal temperature for parasite development (Protopopoff et al., 2009).

Malaria and poverty are historically intertwined, in 1995 countries with high rates of malaria showed income levels 67% lower than those without malaria (Gallup & Sachs, 2001). Malaria also strikes at the development of economies by reducing the amount of children that can attend school, not only must they stay home due to illness but many children affected by malaria will develop lifelong physical and/or mental impairments (UNICEF, n.d.). This only contributes to the cycle of poverty in malaria endemic countries. Anti-malarial drugs are available but the most effective are artemisinin-containing treatments (ACTs) which cost $1-2 dollars per dose, this is ten times more expensive that other malarial medications (UNICEF, n.d.). Costs related directly to the disease such as testing, treatment, and premature death are estimated at $12 billion per year (Centers, 2019). Poor infrastructure in malaria endemic countries contributes to the propagation of the disease and makes it more difficult to control. All of these factors add up to 1.3% suppression of economic growth each year, many of these are already among the poorest countries in the world (Shah, 2013).

References:

Centers for disease control and prevention. (2019). Malaria. Retrieved from https://www.cdc.gov/parasites/malaria/index.html

Gallup, JL. & Sachs, JD. (2001). The economic burden of malaria. The American society of tropical medicine and hygiene. 64(1,2) pp. 85-96. Retrieved from https://www.ajtmh.org/content/journals/10.4269/ajtmh.2001.64.85

Protopopoff, N., Van Bortel, W., Speybroeck, N., Van Geertruyden, J. P., Baza, D., D’Alessandro, U., & Coosemans, M. (2009). Ranking malaria risk factors to guide malaria control efforts in African highlands. PloS one4(11), e8022. doi:10.1371/journal.pone.0008022.

Shah, S. (2013). 3 reasons we still haven’t gotten rid of malaria. Retrieved from https://www.ted.com/talks/sonia_shah_3_reasons_we_still_haven_t_gotten_rid_of_malaria?language=en

UNICEF. (n.d.). The reality of malaria. Retrieved from https://www.unicef.org/health/files/health_africamalaria.pdf

World Health Organization. (2019). Malaria. Retrieved from https://www.who.int/news-room/fact-sheets/detail/malaria

World Health Organization. (2014). WHO: Key facts about Malaria (updated). Retrieved from https://www.youtube.com/watch?v=gwYIyjwYluc

White, M., Conteh, L., Cibulskis, R., Ghani, A. (2011). Costs and cost-effectiveness of malaria control interventions – a systematic review. Malaria Journal 10:337. Retrieved from https://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-10-337

Blog Content

For this project I will be researching communicable diseases in Sub-Saharan Africa. My research will lead me to answer 4 questions regarding this topic:

  1. What are the leading burdens of disease in this region?
  2. What are the risk factors associated with this disease?
  3. What are the costs and consequences of this disease on this region?
  4. Who are the key players and what actions are being taken to address this disease?

First Time Blogger Here

Hello everyone! I am completely new to this scene and looking forward to learning from this experience! I am a global health science student looking to broaden my knowledge and perspective on the global health burden of communicable diseases. I’ll be adding information and my thoughts to this blog as I research my topic over the next several weeks.

The Journey Begins

Thanks for joining me!

Good company in a journey makes the way seem shorter. — Izaak Walton

post