by hilzoy
It's National Malaria Day. Harold Pollack points out that for a mere $10, you can buy a bed net that will save a kid's life, and keep on saving it for four years. I think that's a pretty good deal.
(Here's a good story on efforts to eradicate malaria -- its focus is DDT, but it gets into a lot more.)
Meanwhile, in other Africa-related news, the Uganda peace process seems to have collapsed while I was in Pakistan:
"The feared Ugandan rebel group, the Lord’s Resistance Army, LRA, is building up its military capacity at a time when it is supposed to be preparing to disarm under a peace agreement, IWPR can reveal.IWPR has investigated reports that the Lord's Resistance Army, LRA, has embarked on a wave of abductions of civilians – many of them children – from the Democratic Republic of Congo, DRC, South Sudan and the Central African Republic, CAR. This would give the paramilitary force a different kind of focus from its past as a specifically north Ugandan group fighting the government in Kampala.
Interviews with a range of sources have confirmed that hundreds of abductions have taken place in these three countries, and that the purpose is to provide new conscripts for the group. (...)
With continuing reports of LRA abductions, looting and killing in the region, hopes that the Ugandan authorities and the rebels will sign the peace deal are fading fast. Given the latest developments, it seems less and less likely that Kony has any intention of sending his troops over the Sudanese border to Ri-Kwangba, the designated assembly point where LRA members are supposed to gather ahead of the disarmament and demobilisation process set out in the agreement."
And this isn't just a Ugandan problem anymore. Recall that Sudan had a civil war between its north and south for several decades. South Sudan borders northern Uganda, and the Sudanese government, which is in the north, had backed the LRA because of its potential for use against the South. The North and South signed a peace agreement in 2005. But it's a complicated treaty, with a six year period during which the Sudanese government has to do various things that it's not clear that it's actually doing, and possible independence for the South at the end, if all goes well, which it is not at all clear that it will. With that as background:
"Some observers claim Kony is being financed by the central government in Sudan to buy weapons in order to cultivate the LRA as a potential reserve force against the military forces of South Sudan, in the event that hostilities resume.The South Sudanese fought a protracted war against Khartoum which ended in a 2005 deal that gave them a measure of autonomy and some posts in central government, but there are real fears of a resumption in hostilities because of a national census which could, in the long run, help determine whether the south should split from the north completely."
This is not good news at all, for a region that badly needs some. (h/t UN Dispatch)
There are also disturbing developments in Zimbabwe.
Posted by: Nell | April 25, 2008 at 06:39 PM
The LRA makes the Taliban looking like moderates. And they are...Christians. Didn't somebody recently claim here that today all terrorists are Muslims and that Christians stopped to behave like that centuries ago?
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As for Zimbabwe: according to the radio news I heard a few hours ago Mugabe ordered his forces to storm the opposition headquarters because they allegedly were undermining public security. China has recalled the ship with the weapons for the moment (they obviously thought the publicity too bad at the moment)
Posted by: Hartmut | April 25, 2008 at 07:24 PM
Thanks for the link hilzoy. 5 nets on me. I think $50 of DDT would do a lot more – but I’ll leave that for another time.
Posted by: OCSteve | April 25, 2008 at 09:10 PM
OCSteve,
Regarding the efficacy of DDT versus bednets, it all depends. The best malarial interdiction programs combine bednets with light spraying of the walls of bedrooms every few years. In general, programs that involve any additional spraying increase malaria deaths because mass spraying fosters the development of resistant strains.
This is one of those cases where you really do want to keep your powder dry: small doses of DDT will force mosquitoes out, but large doses will kill them in the short term and breed unkillable mosquitoes in the long term. Resistance is already a huge problem in some areas.
Posted by: Turbulence | April 25, 2008 at 09:41 PM
Turbulence is just right, and I'll add this anecdote: A couple of years ago, I stayed in the home of a young mom in SE Asia who had worked really hard to earn the pennies UNICEF required to 'buy' a baby-basket-sized net.
Used properly, this net had the potential to protect an infant/toddler from bites, which is probably why the UNICEF program was distributing them to families who bought in at about 3% of retail in this rural area.
So when I showed my hostess that the net had to be tucked into the blankets in order to prevent mosquitos from accessing her baby's skin, she was surprised because the aid workers had focused on how great it was that someone in her village had chosen to participate. Not so much on the training-the-end-users, I guess.
Point being, the fight against malaria is a fight we can win, but dumping chemicals isn't the solution. Human behavior is a factor as well.
Posted by: PhoenixRising | April 25, 2008 at 11:20 PM
Shhh, Hartmut. You're not supposed to mention that the LRA calls itself Christian.
Any nutcase Muslim who professes to be acting in God's name gets called "Islamic terrorist" in all the newspapers. But if a nutcase Christian does the same thing, you'll never hear his faith mentioned.
Posted by: mdl | April 26, 2008 at 05:21 AM
Malaria can be killed in the mosquito. It grows inside. The mosquito can have a mutation developed that will kill the malaria. The last thing that was supposed to work was the sea cucumber; lethal protein, CEL-III.
Those ookinetes cost how much? How much goes to the net and the UN group buying them?
Posted by: es | April 27, 2008 at 12:38 PM
from this link
However, Professor Sinden explains that there is still a lot of work to do before such techniques can be used to combat the spread of malaria in real-world scenario. This is because although the sea cucumber protein significantly reduces the number of parasites in mosquitoes, it does not totally remove all parasites from all mosquitoes and as such, at this stage of development, would not be effective enough to prevent transmission of malaria to humans.
Damn that UN, creating a giant boondoggle when they should be using a not yet completely developed means of reducing malaria parasites.
Posted by: liberal japonicus | April 27, 2008 at 12:50 PM