Asia Pacific Malaria Elimination Network meets in Brisbane

WWARN Published Date

from Paul Chinook, Tropika.net:

Brisbane, Australia is hosting the three-day inaugural meeting a new regional network established to scale-up efforts to fight malaria in the Asia Pacific region. Australia's Parliamentary Secretary for International Development Assistance, Bob McMullan said: "The inaugural meeting of the Asia Pacific Malaria Elimination Network in Brisbane will give countries an opportunity to collectively share their experiences and progress towards malaria elimination,"

The network is planned to cover ten countries. Delegates from Malaysia, South Korea, China, Solomons, Sri Lanka, Vanuatu, Indonesia and the Philippines are represented at the meeting; Bhutan and North Korea, are not represented.

Speaking during the event, Richard Feachem, Director of the Global Health Group, University of California, said that by 2050 or 2060 it would be possible to eradicate malaria from the world. He continued: "But long before that we can eliminate - which means local eradication - from a number of countries in this region. And the 10 countries that have come here are the elimination countries, those with an ambition to get rid of it much sooner than 2050. A hundred countries in the world have already done it. If you think rough terms, there are 200 countries in the world - 50 years ago they all had malaria, now only half of them have malaria. Now we're working with the other half."

Professor Feachem contrasted the position of China, where progress was being made but there what remained to be done was on a very large scale, to that of the Solomon Islands, a poor country with a weak health system and quite a high level of malaria prevalence.

from Bob McCullen, AusAID:

Australia Hosts New Player in the Fight Against Malaria

Australia will this week host the launch of a new regional network established to vigorously scale-up efforts to fight malaria in the Asia Pacific region.

"The inaugural meeting of the Asia Pacific Malaria Elimination Network in Brisbane will give countries an opportunity to collectively share their experiences and progress towards malaria elimination," Parliamentary Secretary for International Development Assistance, Bob McMullan said.

"That Australia is hosting the network's inaugural meeting is a further demonstration of our leadership in progressively eliminating malaria.

"Australia has committed $210 million dollars to the Global Fund to fight AIDS, Tuberculosis and Malaria and we are working with Solomon Islands and Vanuatu to eliminate malaria. These two countries have amongst the highest incidence of malaria outside of Africa. Australia also supports malaria programs in Papua New Guinea and the Philippines."

Representatives from countries that have embarked on malaria elimination, health and policy specialists, donors and non-government organisations will attend the three-day meeting.

According to the latest World Malaria Report, 250 million people suffered from malaria in 2006, and nearly 1 million people died as a result of the disease. Outside of Africa, about 62 per cent of malaria cases are believed to occur in the Asia-Pacific region.

"This new network will help countries work together to develop and implement strategies to fight this deadly disease and will support the Global Malaria Action Plan."

The Plan aims to prevent more than 4 million deaths due to malaria by 2015 by various control measures including insecticide-treated mosquito nets, indoor spraying and improving the quality of, and access to, malaria drugs.

"Malaria is a formidable opponent and elimination will take a long term commitment. The Asia Pacific Malaria Elimination Network will play an important role in this difficult task," Mr McMullan said.

http://www.dfat.gov.au/aid/Pages/australias-aid-program.aspx

from Chris Barrett, Brisbane Times:

Malaria can be eradicated as a global killer within the next two generations, one of the world's leading experts on the disease said in Brisbane yesterday.

Sir Richard Feachem, the director of global health at the University of California San Francisco, said the knowledge and tools are available to entirely stamp out the disease, which kills more than one million people worldwide every year.

"I think (by) 2050, 2060 we should be able to eradicate malaria from the planet," he said at the inaugural meeting of the Asia-Pacific Malaria Elimination Network.

"But long before that we can eliminate - which means local eradication - from a number of countries in this region. And the 10 countries that have come here (for the meeting) are the elimination countries, those with an ambition to get rid of it much sooner than 2050.

"A hundred countries in the world have already done it. If you think rough terms, there are 200 countries in the world - 50 years ago they all had malaria, now only half half of them have malaria. Now we're working with the other half."

Of the countries under the microscope at the Brisbane meeting of minds, the challenges are varying due to mitigating factors like country size, civil unrest and political instability.

"China has the challenge of scale ... it's just so big. They've made a lot of progress already but finishing the job is just a big-scale enterprise because everything in China is a big-scale enterprise," he said.

"The Solomon Islands has a challenge of starting from a quite high level of malaria and it's a poor country with a weak health system and scattered populations on small islands.

"Sri Lanka has a challenge of still having a war with the Tamil Tigers."

The three-day conference at Customs House aims to develop a logistical game plan for attacking malaria to take to Asia-Pacific governments.

The process of dealing with the disease itself is a proven one, Professor Feachem said.

"To attack the mosquito we do two things - we make sure everybody is sleeping under an insecticide-treated bed net. We want to saturate the community with bed nets and make sure people use them and maintain them," he said.

"The second thing we do against the mosquito is to spray an insecticide in the houses. We do that every six months ... and that reduces the mosquito populations."

The other line of attack is against the parasite that causes the infectious disease.

"That's just diagnosis and treatment," Professor Feachem said.

"It's a question of gearing up your ability to find the cases, diagnose them and treat them with the right drugs and making sure the drugs are there."

Australia, which successfully eliminated malaria in 1982, is the leading player in targeting malaria in the Asia-Pacific region - in terms of both financial clout and scientific resources - but the Brisbane conference has also been backed by the World Health Organisation and the Gates Foundation, which has opened its deep pockets to make global eradication a major priority.

"I think it's a conviction from Bill and Melinda (Gates) personally that this is an avoidable and preventable tragedy," Professor Feachem said.

"We have about a million deaths from malaria in the world every year. They're almost all in children and they needn't happen."

Bob McMullan, the parliamentary secretary for international development assistance, said the key to tackling malaria across the Asia-Pacific region was learning the lessons of past successes.

"The idea of the network is to get not just the scientists but the practical people who are or have run malaria elimination programs around the region together so that we can make sure that the dollars we are spending on malaria elimination are most effective," Mr McMullan said.

"This is a lead we are taking because I think we have got a window of opportunity in terms of global interest and the positive attitude of the governments of, say Vanuatu, which is one of the target countries.

"Apart from a humanitarian reason, we want this region in which we live to be stable and prosperous."

https://www.brisbanetimes.com.au/national/queensland/malaria-to-be-wiped-out-by-2060-20090210-geat83.html