, Volume 6, Issue 1, pp 71–87 | Cite as

Neglected malarias: The frontlines and back alleys of global health

  • Ann H KellyEmail author
  • Uli Beisel
Original Article


Among the public health community, ‘all except malaria’ is often shorthand for neglected tropical diseases. The Bill and Melinda Gates Foundation's cause célèbre, malaria receives a tremendous amount of funding, as well as scientific and policy attention. Malaria has, however, divergent biological, behavioural and socio-political guises; it is multiply implicated in the environments we inhabit and in the ways in which we inhabit them. The malaria that focuses our attention crops up in the back alleys of Dar es Salaam, brought into being by local labour and municipal governance – a version of malaria that, we argue, is increasingly excluded in current eradication campaigns. This article considers the cycles of public health amnesia, memory and neglect that construe the parasitological exchange between man and mosquito. It begins by exploring the political concerns and technical capacities that have transformed malaria into a global enemy. Combining these historical accounts with ethnographic material, we suggest how malaria is disentangled from or conflated with particular places. Ultimately, our aim is to reflect upon the relationship between scale of malaria control and its social consequence, attending to the actors and relations that fall outside of contemporary global public health policy.


malaria sub-Saharan Africa medical research neglect co-existence 



Our first thanks go to Gerry Killeen, Prosper Chaki, Stefan Dongus and the public health entomology team at IHI, Dar es Salaam. This article benefited greatly from the overwhelmingly generous attention of the blind reviewers. For their inspiration, we would also like to thank Rene Gerrets, Javier Lezaun, Steve Lindsay and Annemarie Mol. The research from which this article draws was conducted with a Wellcome Trust Bioethics Grant grant (#2173) and written during a fellowship at the Brocher Foundation.


  1. Beadle, C. and Hoffman, S.L. (1993) History of malaria in the United States naval forces at war: World War I through the Vietnam conflict. Clinical Infectious Diseases 16: 320–329.CrossRefGoogle Scholar
  2. Birn, A-E. (2005) Gates’s grandest challenge: Transcending technology as public healthideology. Lancet 366: 514–519.CrossRefGoogle Scholar
  3. Bruce-Chwatt, L.J. (1977) Ronald Ross, William Gorgas, and malaria eradication. American Journal of Tropical Medicine & Hygiene 26: 1071–1079.Google Scholar
  4. Capanna, E. (2006) Grassi versus Ross: Who solved the riddle of malaria? International Microbiology 9: 69–74.Google Scholar
  5. Carson, R. (1962) Silent Spring. Boston: Houghton Mifflin Company.Google Scholar
  6. Carter, E.D. (2007) Development narratives and the uses of ecology: Malaria control in Northwest Argentina, 1890–1940. Journal of Historical Geography 33: 619–650.CrossRefGoogle Scholar
  7. Celli, A. (1900) Malaria According to New Researchers. New York: Longmans, Green.Google Scholar
  8. Cooper, M. (2008) Life as Surplus: Biotechnology and Capitalism in the Neoliberal Era. Seattle, WA: Washington University Press.Google Scholar
  9. Curtin, P.D. (1961) ‘The white man's grave:’ Image and reality, 1780–1850. The Journal of British Studies 1: 94–110.CrossRefGoogle Scholar
  10. Dayan, J. (1995) Haiti, History, and the Gods. Berkeley, CA: University of California Press.Google Scholar
  11. Dobson, M., Malowany, M. and Snow, R. (2000) Malaria control in East Africa: The Kampala Conference and the Pare-Taveta Scheme: A meeting of common and high ground. Parassitologia 42: 149–166.Google Scholar
  12. Dongus, S. et al (2007) Participatory mapping of target areas to enable operational larval source management to suppress malaria vector mosquitoes in Dar es Salaam, Tanzania. International Journal of Health Geographics 6: 37.CrossRefGoogle Scholar
  13. Enayati, A. and Hemingway, J. (2010) Malaria management: Past, present, and future. Annual Review of Entomology 55: 569–591.CrossRefGoogle Scholar
  14. Farley, J. (2003) To Cast Out Disease: A History of the International Health Division of the Rockefeller Foundation. Oxford, UK: Oxford University Press.Google Scholar
  15. Feachem, R and Sabot, O. (2008) A new global malaria eradication strategy. Lancet 371: 1633–1635.CrossRefGoogle Scholar
  16. Gallup, J and Sachs, J. (2001) The economic burden of malaria. American Journal of Tropical Medicine and Hygiene 64: 1410–1412.Google Scholar
  17. Gates, B (2008) How to fix capitalism. Time, 11 August.Google Scholar
  18. Gates, B. and Gates, M. (2007) Malaria forum keynote address: Bill Gates and Melinda French Gates,, accessed 12 May 2009.
  19. Geissbühler, Y. et al (2007) Interdependence of domestic malaria prevention measures and mosquito-human interactions in urban Dar es Salaam, Tanzania. Malaria Journal 6: e126.CrossRefGoogle Scholar
  20. Gieyrn, T. (2006) City as truth-spot. Social Studies of Science 36 (1): 5–38.CrossRefGoogle Scholar
  21. Gosh, A. (2001) The Calcutta Chromosome: A Novel of Fevers, Delirium & Discovery. New York: Harper Perennial.Google Scholar
  22. Greenwood, B., Bojang, K., Whitty, C. and Targett, G. (2005) Seminar: Malaria. Lancet 365: 1487–1498.CrossRefGoogle Scholar
  23. Harrison, G. (1978) Mosquitoes, Malaria and Man: A History of the Hostilities since 1880. London: John Murray.Google Scholar
  24. Henke, C.R. (2000) Making a place for science: The field trial. Social Studies of Science 30: 483–511.CrossRefGoogle Scholar
  25. Hinchliffe, S. and Bingham, N. (2008) Mapping the multiplicities of biosecurity. In R. Keil and H. Ali (eds.) Networked Disease. Oxford, UK: Blackwell.Google Scholar
  26. Hommel, M. (2008) Towards a research agenda for global malaria elimination. Malaria Journal 7 (Suppl 1): S1, 1–2.CrossRefGoogle Scholar
  27. Humphreys, M. (2001) Malaria: Poverty, Race and Public Health in the United States. Baltimore, MD: JHU Press.Google Scholar
  28. Kelly, A. (2011a, forthcoming) Will he be there? Mediating malaria immobilizing science. Journal of Cultural Economy.Google Scholar
  29. Kelly, A. (2011b) Towards an entomological anthropology model huts and fieldworks. In: J. Edwards and M. Petrovic-steger (eds.) Recombinant Knowledge: Or How Strathernian Concepts Travel. Cambridge, UK: Cambridge University Press.Google Scholar
  30. Kohler, R.E. (2002) Labscapes and Landscapes. Chicago: University of Chicago Press.CrossRefGoogle Scholar
  31. Langwick, S. (2007) Devils, parasites, and fierce needles: Healing and the politics of translation in Southern Tanzania. Science, Technology, and Human Values 32: 88–117.CrossRefGoogle Scholar
  32. Latour, B. (2004) Why has critique run out of steam? From matters of fact to matters of concern. Critical Inquiry 30: 225–248.CrossRefGoogle Scholar
  33. Law, J. (2004) After Method: Mess in Social Science Research. London: Routledge.Google Scholar
  34. Lines, J., Whitty, C.J.M. and Hanson, K. (2009) Prospects for eradication and elimination of malaria. A technical briefing for DFID,, accessed 6 July 2009.
  35. Litsios, S. (1996) The Tomorrow of Malaria. Wellington, New Zealand: Pacific Press.Google Scholar
  36. Mackinnon, M.J. and Marsh, K. (2010) The selection landscape of malaria parasites. Science 328: 866–871.CrossRefGoogle Scholar
  37. Mackinnon, M.J. and Read, A.F. (2004) Immunity promotes virulence evolution in a malaria model. PLoS Biology 2: e230.CrossRefGoogle Scholar
  38. Malaria Consortium. (2009) Resistance to Malaria Drugs Spreading in SE Asia,, accessed 22 March 2010.
  39. McCoy, D., Kembhavi, G., Patel, J. and Luintel, A. (2009) The Bill and Melinda Gates Foundation′s grant-making programme for global health. Lancet 373: 1645–1653.CrossRefGoogle Scholar
  40. McGoey, L. (2009) Global Health, Philanthrocapitalism and the New Empire of Giving. paper given at 4S, Washington DC, October 2009.Google Scholar
  41. Melville, C.H. (1910) The prevention of malaria in war. In: R. Ross (ed.) The Prevention of Malaria by Ronald Ross, 2nd edn. London: John Murray, pp. 577–599.Google Scholar
  42. Mitchell, T. (2002) Rule of Experts. London: University of California Press.Google Scholar
  43. Mol, A. (1999) Ontological politics. A word and some questions. In: J. Law and J. Hassard (eds.) Actor Network Theory and After. Oxford, UK: Wiley-Blackwell, pp. 74–89.Google Scholar
  44. Mol, A. (2002) The Body Multiple: Ontology in Medical Practice. Durham, NC/London: Duke University Press.CrossRefGoogle Scholar
  45. Mukabana, W.R. et al (2006) Ecologists can enable communities to implement malaria vector control in Africa. Malaria Journal 5:9, doi:10.1186/1475-2875-5-9.CrossRefGoogle Scholar
  46. Nash, L. (2006) Inescapable Ecologies: A history of Environment, Disease, and Knowledge. Berkeley, CA: University of California Press.Google Scholar
  47. Noedl, H., Se, Y., Schaecher, K., Smith, B.L., Socheat, D. and Fukuda, M.M. (2008) Letter to the Editor: Evidence of artemisinin-resistant malaria in Western Cambodia. New England Journal of Medicine 359 (24): 2619–2620.CrossRefGoogle Scholar
  48. Owusu-Agyei, S. et al (2009) Epidemiology of malaria in the forest-savanna transitional zone of Ghana. Malaria Journal 8 (1): 220.CrossRefGoogle Scholar
  49. Packard, R. (2007) The Making of a Tropical Disease, a Short History of Malaria. Baltimore, MD: Johns Hopkins University Press.Google Scholar
  50. Rajan, K.S. (2006) Biocapital: The Constitution of Postgenomic Life. Durham, NC: Duke University Press.CrossRefGoogle Scholar
  51. Ross, R. (1910) The Prevention of Malaria. London: John Murray.Google Scholar
  52. Ross, R. (1902 [2009]) Mosquito Brigades and How to Organize Them. Milton Keynes, UK: General Books.Google Scholar
  53. Roll Back Malaria Partnership RBM. (2008) The Global Malaria Action Plan: For Amalaria Free World. Geneva, Switzerland: RBM.Google Scholar
  54. Roll Back Malaria Partnership RBM. (2010) Malaria Funding & Resource Utilization: The First Decade of Roll Back Malaria, Progress and Impact Series, Number 1. Geneva, Switzerland: RBM.Google Scholar
  55. Rusell, E. (2001) War and Nature. Cambridge, UK: Cambridge University Press.Google Scholar
  56. Russell, P.F. (1955) Man's Mastery of Malaria. London: Oxford University Press.Google Scholar
  57. Russell, P.F. (1963) Introduction, communicable diseases, malaria. In: J.B. Coates and E.C. Hoff (eds.) The Official History of the Medical Department, United States Army in World War II, Vol. VI. Washington DC: Office of the Surgeon General, USGPO, p. 2.Google Scholar
  58. Sartin, JS. (1993) Infectious diseases during the civil war: The triumph of the ‘third army’. Clinical Infectious Diseases 16: 580–584.CrossRefGoogle Scholar
  59. Schumaker, L. (2000) Malaria. In: R. Cooter and J. Pickstone (eds.) Companion to Medicine in the Twentieth Century. London: Routledge, pp. 703–718.Google Scholar
  60. Shaw, I.G.R., Robbins, P.F. and Jones, J.P. (2010) A bug's life and the spatial ontologies of mosquito management. Annals of the Association of American Geographers 100 (2): 339–373.CrossRefGoogle Scholar
  61. Snowden, F.M. (2006) The Conquest of Malaria. Italy: 1900–1962. New Haven, CT: Yale University Press.CrossRefGoogle Scholar
  62. Soper, F.L. (1962) ‘Eradication: To pluck up by the roots’, keynote address given to the Wisconsin Anti-Tuberculosis Association, published in the association's newsletter, June 1962, 4, The Crusader,
  63. Spielman, A. and D'Antonio, M. (2001) Mosquito: A Natural History of Our Most Persistent and Deadly Foe. New York: Hyperion.Google Scholar
  64. Tanner, M. and de Savigny, D. (2008) Malaria eradication back on the table. Bulletin of the World Health Organization 86 (2): 82.CrossRefGoogle Scholar
  65. Turnbull, D. (1989) The push for a malaria vaccine. Social Studies of Science 19 (2): 283–300.CrossRefGoogle Scholar
  66. Vanek, M. et al (2006) Community-based surveillance of malaria vector larval habitats: A baseline study in urban Dar es Salaam, Tanzania. BMC Public Health 2006, 6: 154. doi:10.1186/1471-2458-6-154.CrossRefGoogle Scholar
  67. Wilkinson, L. (2002) A J E Terzi and L W Sambon: Early Italian influences on Patrick Manson's ‘tropical medicine’, entomology, and the art of entomological illustration in London. Medical History 46: 569–579.Google Scholar
  68. Worboys, M. (2000) Colonial medicine. In R. Cooter and J. Pickstone (eds.) Medicine in the Twentieth Century. Harwood Academic Publishers, pp. 67–80.Google Scholar
  69. World Health Organization. (1974) Malaria Control Where Time-Limited Eradication is Not Practicable at Present. Technical Report Series No. 537. Geneva, Switzerland: WHO.Google Scholar

Copyright information

© The London School of Economics and Political Science 2011

Authors and Affiliations

  1. 1.Anthropologies of African Biosciences, Room 201, 15-17 Tavistock Place, London School of Hygiene and Tropical MedicineLondonUK

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