Global experts press for eradication of malaria

CONTRADICTING THE WHO::A review commissioned by ‘The Lancet’ said the disease ‘can and should be stamped out within a generation,’ but a lot more money is needed

Reuters, LONDON

Tue, Sep 10, 2019 - Page 6

Malaria can be eradicated within a generation, global health experts have said.

In a major report on Sunday, 41 specialists said a future free of malaria — one of the world’s oldest and deadliest diseases — can be achieved as early as 2050.

This contradicted the conclusions last month of a malaria review by the WHO and the experts urged the WHO not to shy away from this “goal of epic proportions.”

However, to meet that target, governments, scientists and public health leaders need to inject more money and innovation into fighting the disease and the mosquitoes that carry it, the report said — something that would require “ambition, commitment and partnership like never before.”

“For too long, malaria eradication has been a distant dream, but now we have evidence that malaria can and should be eradicated by 2050,” said Richard Feachem, director of the Global Health Group at the University of California, San Francisco, who co-chaired a review of malaria eradication commissioned by The Lancet journal.

“We must ... challenge ourselves with ambitious targets and commit to the bold action needed to meet them,” he added.

The Lancet Commission’s view comes a few weeks after the WHO published its own report on whether malaria can be wiped out, concluding that eradication cannot be achieved soon, and that setting unrealistic goals with unknown costs and endpoints could lead to “frustration and backlashes.”

In contrast to the Lancet Commission, the WHO report said the priority now should be to lay the groundwork for future eradication “while guarding against the risk of failure that would lead to the waste of huge sums of money [and] frustrate all those involved.”

The Lancet report said that rather than slogging on with steadily reducing malaria cases — all the time under the threat of resurgence — global health authorities could “instead choose to commit to a time-bound eradication goal that will bring purpose, urgency and dedication” to the fight.

Malaria infected about 219 million people in 2017 and killed about 435,000 of them — the vast majority babies and children in the poorest parts of Africa. Half the world’s population is still at risk of contracting malaria, and globally, it kills a child every two minutes.

Martin Edlund, head of the campaign group Malaria No More, said the world should do everything possible to eradicate the disease.

“If we double down on ending malaria now, the world will reap massive social, humanitarian and economic benefits and save millions of people from needlessly dying from mosquito bites,” he said.

Tanzanian doctor Winnie Mpanju-Shumbusho, who co-chaired the commission, said malaria eradication was “a public health and equity imperative.”

To stamp out the disease by 2050, the report’s authors made three suggestions: Existing malaria-fighting tools such as bednets, medicines and insecticides should be used more smartly; new tools such as vaccines should be developed; and governments in malaria-affected and malaria-free countries need to boost investment by about US$2 billion a year to accelerate progress.