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Since the spring of 2007, the USAID | DELIVER PROJECT has procured enough bed nets to wrap around the world five times. But the demand for long-lasting insecticide-treated bed nets (LLINs) continues to rise as more countries increase their efforts to reduce their malaria burden. Learn more about tools and resources for malaria supply chains as we recognize World Malaria Day: http://j.mp/17YDJXf

 
Manuel Lluberas
Replied at 8:20 AM, 25 Apr 2013

These statistics are interesting. Thanks for sharing them. While the numbers are unquestionable significant and point to the effectiveness and efficiency of the supply chain, they do seem to point to the discrepancy between procurement and use. Having enough nets to wrap around the world so many times makes me wonder why is it that we still have malaria mortality equivalent to about two per minute.

Sophie Beauvais
Replied at 6:04 PM, 25 Apr 2013

Great thoughts Manuel. How did you all live and what did you all think on this World Malaria Day? Thanks to Johanna Daily, one of our moderators, for her piece in the Oxford University Press blog: http://blog.oup.com/2013/04/world-malaria-day-2013/

Here are a few excerpts for your thoughts:

"Educating local communities to apply sustainable interventions such as habitat modifications to limit vectors (housing modifications with screens, for example) could be important adjunctive approaches and have the benefit of long term sustainability, not requiring long-term donor dependence."

"World Malaria Day provides an opportunity to critically assess the state of the battle against malaria. Today should be a day to reflect on the approaches that are having a measurable impact, and those that are not. It is a day to reinforce the global and local commitments to control this preventable and curable infection."

Best, Sophie

Manuel Lluberas
Replied at 10:05 AM, 26 Apr 2013

Malaria is indeed curable and preventable. It has also been eradicated from a large number of countries. In almost every case, eradication was reached by combining active vector population suppression methods and techniques and involving the population to make their immediate environment less conducive to the proliferation of mosquito populations. More significantly, every country that acheived eradication did so more than two decades ago and without the benefit of a vaccine. In my very personal opinion, as long as active mosquito control methods continue to be left out of the global malaria control plan the disease will continue to claim lives.

Malaria Day should be one of reflection and evaluation. While much has been said about the amount of effort placed in malaria control and the funding shortfalls many malaria control programs face, there has been very little regarding the evaluation. Continuing to rely on passive methods like mosquito nets -purported to be a mosquito control intervention- without implementing active mosquito population suppression methods that include IRS, larviciding and adulticiding with ultra low volume sprays where appropriate will only guarantee that malaria will continue for years. Those of us in working in mosquito control can provide you with many examples where organized mosquito population suppression tools have been instrumental in eradicating or reducing malaria to a point where it does not overwhelm the available public health resources. I have voiced this opinion in a number of venues (see (http://www.malariaworld.org/blog/malaria-full-time-problem-addressed-part-tim...).

As we reflect on World Malaria Day well into the Twenty First Century, public health entomologists will continue to press the active mosquito control issue and wonder why these proven methods that eradicated malaria from so many countries -and has kept it out- continue to be overlooked and neglected by the agencies and organizations that promoted and implemented them so aptly early in the Twentieth Century.

Malaria has been eradicated or reduced to a point where it is no longer a serious health or economic burden to entire continents. What we need to do is get serious about eliminating malaria and implement active mosquito control methods along with good medical surveillance and treatment. Until we do, we will continue to have six or seven 747 Jumbo airliners full of children under five and pregnant women crashing every day.

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