Showing posts with label PMI. Show all posts
Showing posts with label PMI. Show all posts

Friday, February 27, 2015

The latest report on President’s Malaria Initiative

U.S. aid devoted to malaria increased from $149 million in 2000 to $1.2 billion in 2008.
In June 2005, President George W.Bush launched President’s Malaria Initiative PMI, “a major 5-year, $1.2 billion initiative to support a rapid scale-up of malaria prevention and treatment interventions in 15 high-burden countries in sub-Saharan Africa.The Initiative is led by the U.S.Agency for International Development (USAID) and implemented together with the U.S.Department of Health and Human Services’ Centers for Disease Control and Prevention (CDC).When it was launched, the goal of PMI was to reduce malaria-related mortality by 50 percent across the 15 PMI-supported countries through a rapid scale-up of four proven and highly effective malaria prevention and treatment measures: ITNs; IRS; accurate diagnosis and prompt treatment with ACTs; and IPTp. [insect treated nets; indoor residual spraying; artemisinin-based combination therapies;  intermittent preventive treatment of pregnant women . ] http://www.pmi.gov/docs/default-source/default-document-library/pmi-reports/president's-malaria-initiative-strategy-2015-2020.pdf

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But as you can see from this graph in 2012, the rates and deaths from malaria are still much higher than when DDT was allowed.  This chart starts with 1983, and DDT ended in the 1970s after Silent Sprint written by Rachel Carson, a non-scientist, became popular.     She may have killed more people than WWII.

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http://www.theguardian.com/society/2012/feb/03/malaria-deaths-research

 http://journalistsresource.org/studies/international/development/global-malaria-mortality-1980-2010-systematic-analysis#sthash.pTcujSy1.dpuf

  • Global malaria deaths increased from 995,000 in 1980 to a peak of 1,817,000 in 2004, and then decreased to 1,238,000 in 2010.
  • In Africa, malaria deaths increased from 493,000 in 1980 to 1,613,000 in 2004, and then decreased by about 30% in 2010 to 1,133,000. Outside of Africa, malaria deaths have steadily decreased, from 502,000 in 1980 to 104,000 in 2010.
  • The majority (65%) of all malaria deaths occur in children under age 15. Individuals ages 15-49 years, 50-69 years, and 70 years or older accounted for 20%, 9% and 6%, respectively, of malaria deaths in 2010.
  • Overall, 433,000 more deaths occurred worldwide in individuals aged 5 years or older in 2010 than was suggested by official WHO estimates In 2012 an important research report on malaria was published pointing out serious errors in the tracking of malaria deaths. (The Lancet, “Global Malaria Mortality Between 1980 and 2010: A Systematic Analysis,”) Their figure of 1.2 million deaths for 2010 is nearly double the 655,000 estimated in last year's World Malaria Report.

"You learn in medical school that people exposed to malaria as children develop immunity and rarely die from malaria as adults," said [Christopher] Murray, IHME director and the study's lead author. "What we have found in hospital records, death records, surveys and other sources shows that just is not the case."

Most deaths are still in children, but a fifth are among those aged 15 to 49, 9% are among 50- to 69-year-olds and 6% are in people over 70, so a third of all deaths are in adults. In countries outside sub-Saharan Africa, more than 40% of deaths were in adults.

In Africa, though, the contribution of malaria to children's deaths is higher than had been thought, causing 24% of their deaths in 2008 and not 16% as found by a report by Black and colleagues, whose methodology was used in the World Malaria Report.

The current PMI funding and goals ended with 2014.  The only budget information I found for post 2015 is a draft.  Don’t know if it was approved, but it does report a funding gap.  Since 2009 the funding definitely has not kept up with the initial push.

http://www.pmi.gov/docs/default-source/default-document-library/tools-curricula/pmi-strategy-2015-2020-draft-for-external-review.pdf?sfvrsn=6

http://reliefweb.int/report/world/president-s-malaria-initiative-strategy-2015-2020

http://www.fightingmalaria.org/

Friday, January 23, 2009

President Bush's malaria initiative

If you click on the link to the White House to learn about President Bush’s Malaria Initiative (PMI), a U.S. government initiative designed to cut malaria deaths in half in target countries in sub-Saharan Africa, you'll get the Obama White House and no information--or it is buried in another topic. It was announced on June 30, 2005, when President Bush pledged to increase U.S. funding of malaria prevention and treatment in sub-Saharan Africa by more than $1.2 billion over 5 years. The five years isn't up yet, so there's no telling where the money went. All White House links were changed by January 20, 2009, so if you linked there for information or data or speeches, I doubt that the links are archived. Worldwide, malaria causes around 350 to 500 million illnesses and more than one million deaths annually, but it is particularly devastating in Africa, where it kills an African child every 30 seconds.

Environmentalists in their eagerness to save bird eggs based on the tales (Silent Spring) of a non-scientist, have killed more Africans than Atlantic slave trade. Bush's efforts can't undo the hasty removal of DDT before an alternative could be found, but they can help. The money, our money, provides for technical and programmatic strategies, training and supervision of health workers, laboratories, communications, monitoring and evaluation, and surveillance systems as well as house spraying and bed nets. Of course, killing the mosquito eggs would have been better and cheaper, but lives will be saved--eventually.
    In Africa, at least one million children under-5 die each year from malaria. The President’s Malaria Initiative (PMI), a five-year, $1.2 billion program, announced by President George W. Bush in June 2005, aims to cut malaria deaths by 50 percent in 15 of the hardest-hit African countries. Photo gallery
I doubt that this link will be available long. Laura Bush's efforts for malaria victims are still on America.gov, but will probably disappear. Each first lady choses her own defining activity. Remember Lady Bird's beautification projects--and billboards just got larger? Digital history is very iffy--regardless of who's in power. It takes a long time to burn a library, but digital archives can be wiped out with a computer stroke. And even paper archives can be stuffed into socks and stolen. I wonder if President Bush will ever get the credit he deserves? Or if the program will be continued?