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WORLD MALARIA SITUATION WHO 1999 Annual Report. 2,020 million people (36%) live in malarious areas273 million clinical cases annually. 90% of cases in tropical Africa" Estimated annual mortality: 1.5 to 2.7 million. . Source: W.H.O. weekly epidemiolo
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1. Addressing the Malaria Crisis in Our Region Ric Price and Nick Anstey Menzies School of Health Research, Darwin, Australia.
2. WORLD MALARIA SITUATION WHO 1999 Annual Report 2,020 million people (36%) live in malarious areas
273 million clinical cases annually 90% of cases in tropical Africa
Estimated annual mortality: 1.5 to 2.7 million
5. Burden of Malaria in Asia In the last 15 years $74 billion wiped out from 31 African countries
10 fold rise in mortality assoc with CQRIn the last 15 years $74 billion wiped out from 31 African countries
10 fold rise in mortality assoc with CQR
8. Antimalarial drug resistance worldwide, 2003
9. Burden of Drug Resistance In the last 15 years $74 billion wiped out from 31 African countries
10 fold rise in mortality assoc with CQRIn the last 15 years $74 billion wiped out from 31 African countries
10 fold rise in mortality assoc with CQR
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16. Huge Burden of malaria
Extensive malaria control programme
Significant drug resistance
Falciparum and Vivax
Excellent surveillance
Huge Burden of malaria
Extensive malaria control programme
Significant drug resistance
Falciparum and Vivax
Excellent surveillance
29. SEAQUAMAT TRIAL
Largest severe malaria trial
Multicentre randomised trial of artesunate vs quinine in severe malaria
Indonesia (Timika)
Bangladesh
India
Myanmar
Study completed April 2005: results to published July 2005
30. Supplementary arginine therapy
Arginine: natural product
Aims:
stop malaria parasites sticking to blood vessels
Reduce mortality
Early results:
Safe
Improves blood vessel function in malaria
32. Collaborators NIHRD
Emiliana Tjitra
Hadjar Siswantoro
Syahrial Harun
Ibu Rini
Ibu Retno
Dr Sanjaja
34. Averting a disaster Malaria mortality set to double in 10 yrs White et al, Lancet 1999Ataran et al, Lancet 2004 Global deployment of ACT
Global deployment of bednets
Improved primary health services
Access to prevention and treatment
Political commitment
Donor countries/agencies
Malaria-endemic countries
35. Malaria can be rolled back An extra US$500 million/yr is needed for ACT
IOM report 2004
3 days US military spending in Iraq (US$177 million/day)
Similar amount for bednet deployment
36. Global Fund for AIDS, TB & malaria Funding began in 2001, shortfall since 2004
Australias contribution:
2001-2003: nil
2004-2005: $17.7m over 2 yrs
$50m/yr required - adjusted GNI
Netherlands:
2004-2005: $104m
USA:
$459m in 2004
$1200m/yr required adjusted GNI
37. The Worlds Priorities? Annual Expenditure Global Reduction in Malaria $ 1 billion
Basic education for all $ 6 billion *
Cosmetics in the US $ 8 billion
Safe water and sanitation $ 9 billion *
Ice cream in Europe $ 11 billion
Reproductive health for all women $ 12 billion *
Perfumes in Europe and the US $ 12 billion
Basic health and nutrition $ 13 billion *
Pet food in Europe and the US $ 17 billion
Business entertainment in Japan $ 35 billion
Cigarettes in Europe $ 50 billion
Alcoholic drinks in Europe $ 105 billion
Narcotic drugs in the world $ 400 billion
Military spending in the world $ 780 billion