Abstract
South Asia is a cohesive region and yet diverse, both in terms of physical and socio-cultural environments. This concluding chapter summarizes these similarities and variations in the context of malaria occurrence and specifically highlights common challenges such as the ever-conducive climate and the threat of climate change, cultural practices, socio-economic constraints, and political disruptions. It updates the malaria situation in South Asia into the twenty-first century and discusses the successes and failures of new drugs like ACTs and the return to old mainstays like DDT. Also addressed are the changing directions of global programs, the value of regional and multi-sectoral approaches, and the promise held by technological and scientific advances. In the end, the best course of action for now seems to be the use of effective and sustained surveillance, prophylaxes, prevention, control, and cure measures.
It is worth our time to suspend whatever ill feelings we may have for the mosquito and—for a moment—marvel at one of [hu]mankind’s most tenacious tormentors. Indeed, it’s in our best long-term interests to pay due respect to the mosquito as a formidable and potent adversary
Fitzpatrick (2006, p. 1)
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References
Agrawal, V.K. (2008), Plasmodium falciparum containment strategy. Medical Journal Armed Forces India, 64(1): 57–60.
Akhtar, R., Dutt, A.K. and Wadhwa, V. (1998), Health planning and the resurgence of malaria in urban India. In A. Noble, F. Costa, A.K. Dutt and R. Kent (eds.), Regional Development and Planning for the 21st Century: New Priorities, New Philosophies, Aldershot, England: Ashgate Publishing Ltd.
Alonso, P. et al. (2005), Duration of Protection with RTS,S/AS02A Malaria Vaccine in Prevention of Plasmodium falciparum Disease in Mozambican Children: Single-blind Extended Follow up of a Randomised Control Trial. Lancet, 366(9502): 2012–2018.
Arrow, K., Panosian, C.B. and Gelband, H. (eds) (2004), Saving lives, buying time: Economics of malaria drugs in an age of resistance, Committee on the Economics of Antimalarial Drugs, Board on Global Health, Washington DC: The National Academies Press. Retrieved June 5, 2006 from National Academies Press database.
Attaran, A. (2004), Malaria: Where did it all go wrong? Nature, 430(7002): 932–933.
Attaran, A. et al. (2006), The World Bank: False financial and statistical accounts and medical malpractice in malaria treatment. Lancet, 368(9531): 247–252.
Bate, R. (2006), para 11 USAID’s New Policy Reforms: Moving Past Rhetorical Comments to Real Changes. Testimony, Senate Committee on Homeland Security and Government Affairs DC, Jan 19 2006, American Enterprise Institute for Public Policy Research. Retrieved March 3, 2008 from AEI website http://www.aei.org/publications/pubID.23703,filter.all/pub_detail.asp
BBC News (2004), ‘Hopes of a malaria vaccine by 2010,’ BBC News, 15 October, 2004. Retrieved June 2, 2006 from BBC website http://news.bbc.co.uk/2/hi/health/3742876.stm
Biello, D. (2008), Self-Experimenters: Malaria Vaccine Maven Baits Irradiated Mosquitoes with His Own Arm. Scientific American, March 12, 2008. Retrieved April 8, 2008 from Scientific American website http://www.sciam.com/article.cfm?id=malaria-vaccine-researcher-lets-misquitos-bite-him
Bill & Melinda Gates Foundation (2009), Bill Gates Speaks at the TED conference 2009. Retrieved June 1, 2009 from Bill and Melinda Gates Foundation website http://www.gatesfoundation.org/speeches-commentary/Pages/bill-gates-ted-talk-2009.aspx
Bojang, K.A., Milligan, P.J.M., Pinder, M., Vigneron, L., Alloueche, A., et al. (2001), Efficacy of RTS,S/AS02 malaria vaccine against Plasmodium falciparum infection in semi-immune adult men in The Gambia: a randomised trial. Lancet, 358(9297): 1927–1934.
CDC n.d. Vaccine development and evaluation. Retrieved April 8, 2008 from CDC website http://www.cdc.gov/malaria/cdcactivities/research.htm#vaccine
Cheng, M. (2007), Malaria drugs could cut deaths in Africa, AP, March 1, 2007. Retrieved February 1, 2009 from The Washington Post websitehttp://http://www.washingtonpost.com/wp-dyn/content/article/2007/03/01/AR2007030100173.html
Couzin, J. (2006), The HapMap Gold Rush: Researchers Mine a Rich Deposit. Science, 312(5777): 1131.
Dutta, H,M. and Dutt, A.K. (1978), Malaria ecology: A global perspective, Social Science and Medicine, 12(2): 69–84.
Enserink, M. (2005). Mosquito Killing Fungi may join the battle against Malaria. Science, 308(5728): 1531–1532. 514a DOI: 10.1126/science.312.5773.514a
Finkel, M. (2007), Bedlam in the blood: Malaria, National Geographic, July 2007: 31–67.
Fitzpatrick, M. (2006), Retrieved June 28, 2009 from http://www.nd.edu/~nbesansk/Pages%20from%20Pathways06_Screen.pdf
Gallup, J.L. and Sachs, J.D. (2001), The economic burden of malaria. Am. J. Trop. Med. Hyg., 64(1,2)5:85–96.
Gardiner, D.L., McCarthy, J.S. and Trenholme, K.R. (2005), Malaria in the post-genomics era: light at the end of the tunnel or just another train? Postgraduate Medical Journal, 81: 505–509. Retrieved July 13, 2007 from PMJ Online Database
Hay, S.I. et al. (2009), A world malaria map: Plasmodium falciparum endemicity in 2007. PLoS Medicine, 6(6): e1000048. doi:10.1371/journal.pmed.1000048. Retrieved May 23, 2009, from Public Library of Science (PloS) database
Hoffman, S.L., Goh, L.M.L., Luke, T.C., Schneider, I. et al. (2002), Protection of humans against malaria by immunization with radiation attenuated Plasmodium falciparum sporozoites. Journal of Infectious Diseases, 185(8): 1155–1164.
Khanum, S. and Singh, A. (2007), Regional Health Forum, 11(1):33–44. Retrieved September 20, 2009, available at http://www.searo.who.int/LinkFiles/Regional_Health_Forum_Malaria_SEA_Region.pdf
Kleinschmidt, I. et al. (2006), Reduction in infection with Plasmodium falciparum one year after the introduction of malaria control interventions on Bioko Island, Equatorial Guinea. American Journal of Tropical Medicine & Hygiene, 74(6): 972–978.
LaFraniere, S. (2006), Business joins African effort to cut Malaria. New York Times, June 29: A9.
Lambert, P-H and Siegrist, C-A (1997), Science, medicine and the future: Vaccines and vaccination. British Journal of Medicine, 315(7122): 1595–1598. Retrieved April 8, 2008 from http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=2127980&blobtype=pdf PubMed Central Online Database PMCID: PMC2127980
Los Angeles Times (2005), Malaria: The Sting of Death–The Hope of Vaccine (editorial), June 30 2005. Retrieved June 5, 2006 from LA Times website http://www.latimes.com/news/printedition/opinion/la-ed-malhope30jun30,1,4524626.story
Malaria Consortium (2002), Achieving Impact: Roll Back Malaria in the Next Phase. External Evaluation of Roll Back Malaria. Retrieved January 13, 2007 from WHO website http://www.rollbackmalaria.org/cmc_upload/0/000/015/905/ee_toc.htm
MAP n.d. Malaria Atlas Project Home page. Retrieved June 1, 2009 from MAP website http://www.map.ox.ac.uk/
Marathon (2008), Social Responsibility: Equatorial Guinea Malaria Control Project. Marathon Facts, retrieved June 23, 2009 from Marathon official website http://www.marathon.com/content/documents/fact_sheets/fact_sheet_malaria_june_2008.pdf
McGivering, J. (2009), Fears for new malaria drug resistance, BBC News, BBC World Service Cambodia, 28 May. Retrieved May 29, 2009, from the BBC World News website, http://news.bbc.co.uk/2/hi/asia-pacific/8072742.stm
McNeil Jr., D.G. (2006), Mosquito isn’t a happy host for malaria, tests indicate, The New York Times, April 28, 2006: A12.
McNeil Jr., D.G. (2007), The Soul of a New Vaccine (corrections appended), The New York Times, December 11 2007. Retrieved March 3, 2008 from New York Times “Research” website http://www.nytimes.com/2007/12/11/health/research/11mala.html?_r=1&oref=slogin
Narain, J.P. (2008), Malaria in the South-East Asia Region: Myth & the reality. Indian Journal of Medical Research, 128(1): 1–3, Retrieved January 10, 2008 from WHO/SEARO website http://www.searo.who.int/LinkFiles/Malaria_editorial_Myth&reality.pdf
Newton, P. et al. (2008), A collaborative epidemiological investigation into the criminal fake artesunate trade in South East Asia. PLoS Medicine, 5(2): e32. doi:10.1371/journal.pmed.0050032. Retrieved June 23, 2009 from PLoS website http://www.plosmedicine.org/article/citationList.action;jsessionid=9149425C1656E1C4F36630E64E2AF4ED?articleURI=info%3Adoi%2F10.1371%2Fjournal.pmed.0050032
Riehle, M.M., Markianos, K., Niaré, O., Xu, J., Li, J., Touré, A.M. (2006), Natural malaria infection in anopheles gambiae is regulated by a single genomic control region. Science, 312(5773): 577–579. DOI: 10.1126/science.1124153
Rinaldi, A. (2004), Fighting malaria at the crossroads, European Molecular Biology Organization Reports, 5(9): 847–851. Retrieved April 9, 2008 from PubMed Central Online Database PMCID: PMC1299145 http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1299145.
Roberts, D.R. and Andre, R.G. (1994), Insecticide resistance issues in vector borne disease control. The American Journal of Tropical Medicine and Hygiene, 50(6 suppl): 21–34.
Roberts, D.R., Manguin, S. and Mouchet, J. (2000), DDT house spraying and re-emerging malaria. Lancet, 356(9226): 330–332.
Roberts, L. and Enserink, M. (2007). Did they really say...Eradication? Science, 318(5856): 1544–1545.
Sharma, V.P. (1996a). Malaria: cost to India and future trends. Southeast Asian Journal of Topical Medicine and Public Health, 27: 4–14.
Sharma, V.P. (1996b), Re-emergence of malaria in India. India Journal of Medical Research, 103: 26–45.
The Seattle Times (2009), Bill Gates Unleashes Skeeters at Technology Conference. Long Beach, CA: Associated Press, February 6, 2009. Retrieved May 29, 2009 from http://seattletimes.nwsource.com/html/nationworld/2008713678_apbillgatesmalaria.html?syndication=rss
Tren, R. (2002), Malaria and Climate Change: Working Paper Series, Julian Simon Center for Policy Research. Retrieved July 2, 2008 from http://www.libertyindia.org/pdfs/malaria_climatechange2002.pdf
Tren, R. and Bate, R. (2000), When politics kills: malaria and the DDT story. Retrieved May 27, 2009 from http://cei.org/PDFs/malaria.pdf
UNEP (2005), Four new chemicals for phase out through stockholm convention. UNEP, Punta del Este, Uruguay, 6 May 2005. Retrieved January 13, 2007 from UNEP News Center at http://www.unep.org/Documents.Multilingual/Default.asp?DocumentID=433&ArticleID=4788&l=en
WHO/RBM n.d a What is the roll back malaria (RBM) partnership? ‘Mission,’ Retrieved March 31, 2008 from WHO RBM website http://www.rbm.who.int/aboutus.html
WHO (1999), Malaria Health Report 1999: Making a difference. Retrieved April 5, 2005 from WHO website http://www.who.int/whr/1999/en/
WHO (2003), WHO position on DDT use in disease vector control under the stockholm convention on persistent organic pollutants. Retrieved January 13, 2007 from WHO website http://apps.who.int/malaria/docs/WHOpositiononDDT.pdf
WHO (2005), Frequently asked questions on DDT use for disease vector control. Retrieved January 17, 2007 from WHO website http://www.who.int/malaria/docs/FAQonDDT.pdf
WHO (2006a), Indoor residual spraying: Use of indoor residual spraying for scaling up global malaria control and elimination, World Health Organization Position Paper. Retrieved January 13, 2007, from WHO website http://malaria.who.int/docs/IRS-position.pdf
WHO (2006b), Facts on ACTs (artimisinin based combination therapies), RBM infosheet #9 (n.d.), updated January 2006, Sec I. last para, Retrieved June 10, 2006 from WHO website http://www.rbm.who.int/cmc_upload/0/000/015/364/RBMInfosheet_9.htm
WHO (2007), Malaria, including proposal for establishment of World Malaria Day. Report by the Secretariat: Sixtieth World Health Assembly, A60/12. Retrieved June 14, 2009 from WHO website http://apps.who.int/gb/ebwha/pdf_files/WHA60/A60_R18-en.pdf
WHO (2008), World Malaria Report 2008. Retrieved June 25, 2009 from WHO website http://apps.who.int/malaria/wmr2008/malaria2008.pdf
WHO (2009), Drug resistance could set back malaria control success. WHO News Release, 25 February 2009. Retrieved June 26, 2009 from WHO website http://www.who.int/mediacentre/news/releases/2009/malaria_drug_resistance_20090225/en/index.html
WHO/SEARO n.d. a Malaria situation in SEAR countries. Retrieved November 8, 2007 from WHO/SEARO websites (respectively) 1. Bangladesh: http://www.searo.who.int/en/Section10/Section21/Section340_4015.htm 2. Bhutan: http://www.searo.who.int/en/Section10/Section21/Section340_4017.htm 3. India: http://www.searo.who.int/en/Section10/Section21/Section340_4021.htm 4. Maldives: http://www.searo.who.int/en/Section10/Section21/ Section 340_4023 5. Nepal: http://www.searo.who.int/en/Section10/Section21/Section340.htm 6. Sri Lanka: http://www.searo.who.int/en/Section10/Section21/Section340_4026.htm
WHO/SEARO n.d. b. Malaria: RBM—New initiative against malaria, updated 20 April 2006. Retrieved April 1, 2008 from WHO/SEARO website http://www.searo.who.int/en/Section10/Section21/Section1368_9857.htm
WHO/SEARO n.d. c. Review of roll-back malaria strategies in the south-east area region, Annex 2: Regional Strategic Plan (2002–2006). Retrieved April 1, 2008 from WHO/SEARO website http://www.searo.who.int/en/Section10/Section21/Section342_1071.htm
WHO/SEARO n.d. d. Malaria epidemics/outbreaks in SEA region. Retrieved April 1, 2008 from WHO/SEARO website http://www.searo.who.int/en/Section10/Section21/Section1987.htm)
WHO/SEARO n.d. e. Malaria: Drug resistance. Retrieved April 1, 2008 from WHO/SEARO website http://www.searo.who.int/EN/Section10/Section21/Section340_4039.htm
WHO/SEARO n.d. f. Malaria: Issues and challenges, WHOSEARO http://www.searo.who.int/en/Section10/Section21/Section336.htm Retrieved April 1, 2008 from WHO/SEARO website
WHO/SEARO n.d. g. Malaria: RBM goals, objectives and strategies, updated 20 April 2006. Retrieved April 1, 2008 from WHO/SEARO website http://www.searo.who.int/EN/Section10/Section21/Section335.htm
WHO/SEARO (2005), RBM targets and achievements. Retrieved April 1, 2008 from WHO/SEARO website http://www.searo.who.int/LinkFiles/Malaria_in_the_SEAR_RBMtargetSEARO.pdf
Wijeyaratne, P.M., Valecha, N., Joshi, A.B., Singh, D., and Pandey, S. (2004), An inventory on malaria drug resistance in Bangladesh, Bhutan, India and Nepal. Retrieved December 14, 2006 from USAID website http://pdf.usaid.gov/pdf_docs/PNACY099.pdf
Yamey, G. (2004), Roll back malaria; A failing global health campaign (editorial). British Medical Journal, 328(7448): 1086–1087. Retrieved April 1, 2008 from BMJ website http://www.bmj.com/cgi/reprint/328/7448/1086
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Wadhwa, V., Dutt, A.K. (2009). Lessons from the Past, View to the Future: Summary and Concluding Remarks. In: Akhtar, R., Dutt, A., Wadhwa, V. (eds) Malaria in South Asia. Advances in Asian Human-Environmental Research, vol 1. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-3358-1_10
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