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1 1 (April 2019)

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By Roqer Bate


Apil 2019


M[\alra ri rtalIity rates hav e tha ha ilved in tie past 1 5 years du  t  r.ajor d isease -contro I
ef-forts However, gains have Wowed irthe past few years, with a few arge ad bady goveried
nqatons sowing Ruttle proguss and malaria til kiig hundreds of thousands of childre every
ear, Some rmight argue that we should s:Jrspenid efortr:, now that additonal success is becogrrg
aore difficult to achieve, but sustainig thie rigrht is irpoirt to C eep the fain'lies of the past
fi orn rergin rg. Key chilenges itnclue insecticie ad d rresistance, surrbstarndad drugs,
pr.curen nt and disdtnhon puol'ems, product theand systeaml ic co:rupticr:., if tajor doors
ircludirnt ttePresdenrt's MA'Nar a Initiative (rMI and the GInal Fund do-) no address rthese
,ha-henges h--ad-or,, theney mi-ght ose oit:ati supp.::-rt, President Donald Trump vvarits to cut
[Mi budget, L uinding sh-ould be smoked and gradraly icr esed a- o a- Pi nrd
roLa I l :r a i  -  ws the-.' a -e v i nug tc  r ovneroe p roblem sa


M2hen  President (Pote NT Bush aiiounced the
President's Malaria Initiative tb(rNI) in oc. , nea',ly
a millioni people (thie maJOrity children) wered d4-g
from inaaria every year (WhO 2oo; UNiCEF and
WHO 2n In the i99os and the earlyyears of this
ceinn  international and US national health aid
programts Wure poorly thanded an d See Emore on
advising nations how to cornbat the disease, through
wom.,shops and tetlincal assistance, Van oh, pro-
viding the actual interventions required to halt or
trealt irfecti:ms (WHO 12oO) oi a fractioUs and soo
ttia.-ns hostile encIronmcrt, criics ar-ned that the
statts quo was great fR US governinent einpihyes
and. consuiranits but not for patients, I testified in


severa] hearings .'g ., Ba' 20K,), as did other critic,
and in an cftrt to imnproc matters and pri-ject sofit

power and compassi on ate Conlseivati smn, the Bush
White House acted (US Senate 2oo5).
   In tie n more than dozen yea's since the iplenen-

tation olf the PM! and the contenoporaneous accel-
Crarion o the Gkbal E'laE.d to -ight AiDS, I'uhberci-
losis, and a.laria, inalaria mortality numbers have
more thbn halved. The    sgh ican population over
that period makes the reduction ever more impres-
sWeo I3D otd7 Cewer thar' 46,ooo l:-e:le dJied (Wi-](
2c, ). (Rie    .T a.) As a percintage of the glo.al
population, that is probably the laWest malaria death
rate in h istor,.


An ao t stifid in t c I ouse Clomitte on Foegn AsRe  Sbcnmmice on MAOica, CoAl Hutsdt Gba wlumn Rigts, md
internation] Or-aniations in SCptcmnhcr '04 81gar1;ua1 in t1hat crlmlitte laer 'r


Are We Winning the War Against

Malaria?

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