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Student Editorials

Deaths from malaria in Africa

BMJ 2003; 327 doi: https://doi.org/10.1136/sbmj.0312438 (Published 01 December 2003) Cite this as: BMJ 2003;327:0312438
  1. Gavin Yamey, deputy physician editor BestTreatments1,
  2. Amir Attaran, associate fellow2
  1. 1BMJ Publishing Group, London WC1H 9JR
  2. 2Royal Institute of International Affairs, Chatham House, London SW1Y 4LE

The rest of the world watches, but does almost nothing says Gavin Yamey and Amir Attaran

One million people die each year from malaria, mostly children and pregnant women. Nine in ten of these deaths are in Africa.1 Many children who get the disease but survive it are left with brain damage or learning difficulties. In some African countries, malaria accounts for 40% of public health spending and up to half of hospital admissions and outpatient visits.2 Malaria is stopping entire countries from growing economically, cementing a future of poverty and desperation that will span generations. And the rest of the world stands by, watching the destruction but failing to act. Yet we have the necessary tools to control malaria, and we could easily find the money.

GEORGE OSODI/AP PHOTO

Getting the message across

Malaria is both preventable and treatable. Roll Back Malaria, an international partnership of health agencies established in 1998, which includes Unicef, the World Bank, and the World Health Organization (WHO), promotes a four step strategy for controlling malaria.3 These steps would reduce what Unicef and WHO call Africa's ‘outrageously high’ death toll from malaria.4

In places where Anopheles mosquitoes bite and transmit the malaria parasite at night, the first step is to ensure that every child sleeps under a bed net impregnated with insecticide. This …

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