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WHO slashes estimate of global malaria infections

Treyfish

Moderator
<TABLE class=dtback cellSpacing=0 cellPadding=0 width=636 align=center border=0><TBODY><TR><TD bgColor=#ffffff colSpan=2><TABLE cellSpacing=10 cellPadding=0 width="100%" border=0><TBODY><TR><TD width=631><TABLE cellSpacing=0 cellPadding=0 width=621 align=center border=0><TBODY><TR><TD class=dotbb vAlign=top width=508 height=30>WHO slashes estimate of global malaria infections</TD><TD class=dotbb vAlign=top width=54>
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</TD><TD class=dotbb vAlign=top width=54>
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</TD></TR><TR vAlign=center><TD class=body01 colSpan=3 height=29>Fri, Sep 19th, 2008 12:06 am BdST</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD></TR><TR><TD bgColor=#ffffff colSpan=2><TABLE cellSpacing=5 cellPadding=0 width=631 align=center border=0><TBODY><TR><TD vAlign=top width=528 height=43>GENEVA, Sep 19 (bdnews24.com/Reuters) - The World Health Organization (WHO) sharply cut its estimate on Thursday of how many people catch malaria every year, saying rapid urbanization in Asia had destroyed the forest habitats of disease-spreading mosquitoes.

In a report, the WHO said 247 million people were infected with malaria worldwide in 2006, the latest period for which figures are available. Its prior estimate, widely cited by governments and drugmakers, was that 350 million to 500 million people were afflicted every year.

The new report also reduced the global death toll from the disease from the United Nations agency's previous reading, which was issued three years ago, by about 10 percent.

"The change is due primarily to a refinement of calculation methods. It is not known if cases and deaths actually declined between 2004 and 2006," the WHO said in a statement.

The report concluded that 881,000 people died from malaria in 2006, compared to previous estimates of "more than 1 million" annual deaths from the disease that kills mostly infants, children, and pregnant women.

Malaria has attracted huge sums of public funding in past years, channeled through the WHO as well as other bodies like the Global Fund to Fight AIDS, Tuberculosis and Malaria, the Bill & Melinda Gates Foundation and the Clinton Foundation.

The WHO's Roll Back Malaria Partnership has called for a scaling-up of funding for malaria to $3.4 billion a year, from $1.2 billion, to improve access to artemisinin-based drugs and insecticide-treated bed nets that can prevent infection.

LARGE-SCALE REVISIONS

Attempting to work out the global prevalence of disease is not an exact science, and public health experts are often forced to make large-scale revisions to their estimates.

Last year, the WHO cut its estimate for those infected with the AIDS virus to 33 million from 40 million after it received new data about the epidemic in India. And the U.S. Centers for Disease Control and Prevention last month raised by 40 percent its estimate of how many Americans catch HIV each year because it adopted more precise reporting methods.

Less than one-third of the WHO's 193 member states have reliable systems to monitor and document diseases such as malaria, whose initial symptoms closely resemble the flu, WHO Director-General Margaret Chan told a news briefing in Geneva.

She said the malaria report will now be issued yearly so that decision-makers have up-to-date information on the disease. "With dramatic increases in funding and intense momentum towards reducing the malaria burden in recent years, we have a greater need for reliable information and analysis," she said.

Novartis AG's drug Coartem is used to treat malaria, and other pharmaceutical companies including Austria's Intercell are also trying to develop malaria vaccines, though none are expected on the market for several years.

Malaria is most prevalent in Africa, where the WHO estimates the number of cases using climate data on heat and humidity that affect mosquito breeding, combined with some sample surveys.

Nigeria, the Democratic Republic of Congo, Uganda, Ethiopia, and Tanzania were among the countries with the most malaria deaths in 2006, the WHO said. Outside Africa, the countries most affected included India, Myanmar, Bangladesh, and Indonesia. :tiphat: http://www.bdnews24.com/details.php?id=62726&cid=13</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
 
Re: WHO slashes estimate of global malaria infections

WHO | Progress made in malaria control, yet burden is enormous

Progress made in malaria control, yet burden is enormous

New report finds more funding leading to increased coverage of malaria control interventions

18 September 2008 | GENEVA --

The global burden of malaria remains enormous, but access to malaria control interventions, especially bednets in Africa, increased sharply between 2004 and 2006, says a new report released today.


"With dramatic increases in funding and intense momentum towards reducing the malaria burden in recent years, we have a greater need for reliable information and analysis," said WHO Director-General Dr Margaret Chan.

"This report begins to answer that need. Progress in malaria control has accelerated dramatically since 2006, especially in the wake of the UN Secretary-General?s call for universal malaria control coverage by the end of 2010. We expect these expanded efforts to be reflected in future reports."

The World malaria report 2008, which draws upon data collected between 2004 and 2006, paints a complex picture.

Some highlights are:

* New methods estimate that the number of malaria cases in 2006 was 247 million.
* Small children remain by far the most likely to die of the disease.
* Malaria deaths have declined in several countries, and a few African nations have managed to reduce deaths in half by following the recommended measures.
* As of 2006, more funding resulted in accelerated access to malaria interventions, including bednets and effective medicines.
* In Africa, the artemisinin-based combination therapy (ACT), which is recommended by WHO, reached only 3% of children in need.

Bednet coverage increasing
The report finds that recent increases in malaria funding were beginning to translate into coverage of key malaria interventions, especially bednets, by 2006. The percentage of children protected by insecticide-treated nets increased almost eightfold, from 3% in 2001 to 23% in the 18 African countries where surveys were held in 2006.

Procurement of antimalarial medicines also increased sharply between 2001 and 2006. About 100 million people, including 22 million in Africa, were protected by indoor spraying of insecticide.

However, much more work remains to be done.

In Africa, only 125 million people were protected by bednets in 2007, while 650 million are at risk.

"Malaria is a primary cause of child mortality," said Ann M. Veneman, Executive Director of the United Nations Children's Fund (UNICEF). "If the availability of bednets and other key interventions can be increased, lives can be saved."

Positive impact
For the first time, three African countries reported dramatic reductions in malaria deaths by 50% or more. Eritrea, Rwanda and Sao Tome and Principe achieved this result between 2000 and 2006/2007 through a mix of bednet distribution, indoor spraying, improved access to treatment and advances in disease surveillance.

Furthermore, significant improvements were observed in other African countries such as Madagascar, Zambia and the United Republic of Tanzania.

Six more countries reported a fall in malaria deaths by 2006: Cambodia, the Lao People?s Democratic Republic, the Philippines, Suriname, Thailand and Viet Nam.

"We know that malaria control interventions work and that we can make rapid progress towards ending malaria deaths," said Ray Chambers, the United Nations Secretary-General?s Special Envoy for Malaria. "Now is the time to expand these results to all of Africa and the rest of the world."

According to data from national malaria control programmes, Africa had a larger increase in funding than any other region between 2004 and 2006. The investments were led by the Global Fund to Fight AIDS, Tuberculosis and Malaria, and supported by bilateral and multilateral organizations and national governments.In other regions, sources of funding were highly variable, but national governments provided the bulk of monies. While funding for malaria was higher than ever before in 2006, it is not yet possible to judge which countries have adequate resources and there are still significant gaps.​
<cite cite="http://www.who.int/mediacentre/news/releases/2008/pr32/en/index.html">WHO | Progress made in malaria control, yet burden is enormous</cite>
 
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