Archive
May 3, 2006
Biotech can fight disease - if only Europe will let it
April 7, 2006
UN Luddites are failing the poor
March 27, 2006
Fighting Malaria in Ghana
March 8, 2006
Tamiflu or Tamifake?
February 8, 2006
Missing a Golden Rice opportunity
January 25, 2006
Bird 'flu in India: Policies that kill
December 17, 2005
Hong Kong WTO Special: Shut up about agriculture. Let's talk about services.
November 16, 2005
WHO must take side of malaria victim
November 11, 2005
Patent nonsense and avian flu
October 12, 2005
The constant killer
September 27, 2005
UN plan to keep poor in their place
August 31, 2005
India: the world's next knowledge superpower
August 16, 2005
Prevention is still key to fighting Aids plague
June 20, 2005
To fight disease, Africa must first get rich
June 13, 2005
Is it time to reform the WHO?
June 3, 2005
Realistic Approaches to the diseases of poverty
|
Fighting Malaria in Ghana
from Kofi Akosah in Accra
 Here in Ghana, the authorities are failing to deal with the worsening malaria problem that is crippling our country and killing our people. After years of failure, it is time for a re-think.More than 17 million of Ghana's 20 million people are infected by malaria every year, costing the nation a colossal 850 million cedis (US$94 million) for treatment alone. These figures are probably an underestimate of the real burden, as many cases go unreported. Malaria also has a huge indirect cost on Ghana's economy due to lost productivity.
Those infected by malaria are in and out of hospital and unable to work. Malaria takes an especially heavy toll on farmers. Swarms of mosquitoes make it impossible for farmers and their families to sleep indoors especially, during the rainy seasons when they are forced to sleep outdoors around bonfires. Malaria makes it fairly difficult for our fledgling industries to get off the ground because it scares away tourists and investors, both major potential sources of income and jobs. A country where 85 percent of the population falls sick every year is not likely to attract investors, in search of a robust and healthy workforce, or tourists, looking for amusement and leisure. The productivity of future generations is also being undermined by this epidemic. Pregnant women and children under five are a significant proportion of those infected each year. Even if children survive the infection, serious illness at such an early age stunts development, with lifelong repercussions. This loss of potential is unnecessary and unacceptable. Our health system is utterly ill-equipped to deal with the malaria crisis, even with the government's recent introduction of a national system of socialised healthcare. Some of the blame of Ghana's failure to tackle malaria must fall on the World Health Organisation. Their recommendations have led to rising infection levels. Until recently, the WHO advocated the use of insecticide-treated bednets in vector control, almost to the exclusion of other proven measures. While bed-nets have their uses, they are not a panacea. For bednets to be effective, they must first be distributed among the population, and second, be used correctly. Poor roads, isolated communities and a fragmented healthcare system make distribution very difficult. To remain effective, bednets also need to be dipped in toxic pesticide every three months. And people often find them too hot to sleep in, or use them for fishing nets or even wedding dresses! This all means that the number of people contracting malaria is on the rise, but the recommended treatment - Artemisinin Combination Therapy (ACT) - is beyond the financial reach of most Ghanaians. Our national health system is not able to shoulder the spiraling cost of treatment, either. We need to consider different approaches if we are to free Ghana from the economic and social destruction malaria brings. One such alternative is Indoor Residual Spraying, which involves spraying the interior walls of dwellings with a small amount of DDT. This acts as an irritant to the mosquitoes, which prevents them from coming in the house in the first place. Those that do make it inside are quickly repelled outside. This can effectively stop the transmission of malaria. DDT is a low-cost and long lasting insecticide that only requires reapplication once a year. South Africa has run a successful 50-year DDT-based IRS program using DDT in preventing malaria. In 2003, the South African Minister of health urged other African countries to use DDT in malaria prevention. Now, many African countries including Swaziland, Namibia, Zimbabwe, Madagascar and Botswana are all using DDT in malaria prevention with positive results. Isn't it time Ghana joined these countries? Effective and wide-scale prevention stops infection in the first place and removes much of the need for medication, saving both lives and money. The good news is that after years of providing only lukewarm support for IRS, the WHO has now changed its strategy to advocate more strongly for DDT. Ghana must therefore make good use of the WHO's recent decision to re-introduce DDT in malaria control and start using the insecticide as a cornerstone of its control program. Despite limited resources, the cost-effectiveness and reliability of DDT will mean that many Ghanaians will be protected and able to live productive lives. Only then will it be possible to build a wealthy nation of healthy people. Kofi Akosah is the director of Africa Youth Peace Call in Accra, Ghana. An organization working to train the Youth of Africa to work for peace and development. The Campaign for Fighing Diseases is a project of International Policy Network.
|
March 27, 2006
'Nanny state' targets barriers to healthy life
 The CFD's Philip Stevens comments on the dangers of attempting to improve public health by regulating our lifestyle choices.
Market forces stir up water debate  An online news article which discusses Kendra Okonski's latest book, The Water Revolution, and how we might use markets to address water scarcity.
The Water Revolution: Practical solutions to water scarcity
edited by Kendra Okonski
Water has a profound impact on health. Diarrhoeal diseases caused by poor sanitation claim 1.8 million lives each year. Other water-associated diseases result in an additional 2 million deaths annually. In this new and very readable book, a group of highly regarded experts provide a remarkable answer to the question: How can clean affordable water be made available to everyone?
|
