Malaria eradication possible by 2050, says Lancet report
London: The world may be able to completely eradicate malaria -- a deadly mosquito-borne disease -- within the next 30 years, partly due to improved coverage of current interventions, according to a study published in The Lancet journal.
The study found that more than half of the world's countries are malaria-free today, encouraging discussions about completely eradicating the disease.
The report compiled by a diverse range of experts including malariologists, biomedical scientists, economists, and health policy experts, condenses available evidence with the latest epidemiological and financial analyses and demonstrates that with the right tools, strategies, and sufficient funding, elimination of the disease is possible by 2050.
The authors used new modelling methods to predict how prevalent and intense malaria could be in 2030 and 2050.
Their analyses indicate that socioeconomic and environmental trends, together with improved coverage of current malaria interventions, will "lead to low levels of malaria that persist in pockets across roughly ten countries in equatorial Africa in 2050.
The report notes that communities plagued by malaria can choose to commit to a time-bound eradication goal with purpose, urgency, and dedication, instead of gradual efforts to reduce malaria, which comes with the constant threat of resurgence, and a steeping struggle against drug and insecticide resistance.
"For too long, malaria eradication has been a distant dream, but now we have evidence that malaria can and should be eradicated by 2050," said Richard Feachem, Director of the Global Health Group at the University of California, San Francisco (UCSF) in the US.
While global malaria incidence and death rates declined by 36 and 60 per cent respectively since the year 2000, the advancements are threatened by recent plateaus in global funding, together with a rise of malaria cases in 55 countries across Africa, Asia and Latin America, says the report.
The authors also expressed concern about parasite and vector resistance to currently available drugs and insecticides.
There are still more than 200 million cases of malaria reported annually around the world, claiming nearly 50,000 lives, according to the authors.
They add that malaria continues to trap countries in cycles of inequity, with 85 per cent of global deaths reported in 2017 coming from 29 nations.
"Despite unprecedented progress, malaria continues to strip communities around the world of promise and economic potential. This is particularly true in Africa, where just five countries account for nearly half of the global burden," said Winnie Mpanju-Shumbusho, Co-chair of The Lancet Commission on malaria eradication.
To achieve eradication within the timeline, the Commission urges that specific and deliberate actions at country, regional and global levels must be taken -- with three ways to accelerate the decline in malaria cases worldwide.
First, the Commission suggests that the world must manage and implement current malaria control programmes better with improved use of existing tools -- what it calls the "software of eradication."
Second, it highlights the need for better "hardware of eradication" with the development and supply of innovative tools that can overcome the biological hurdles in eradication.
And lastly, the authors say that malaria endemic countries and donors must provide more funds for ultimately eradicating the disease.
As the cost of ridding the world of the disease is unknown, the Commission suggests that an annual increase of about USD two billion would accelerate the progress.
The report emphasises the crucial role played by regional management approaches in eliminating malaria.
Eradication programmes, according to the report, should avoid being overly academic, and employ professionals from the world of implementation, rather than just research, adding that contributions from business schools and the private sector are crucial.
The authors note that training programmes should emphasise practical leadership and management skills which they say would create a global network of malaria eradication professionals over time.
The Commission also anticipates a revolution in the collection, analysis, and use of data about malaria cases in the next decade with profound effects on programme management and effectiveness.
From the simulations, the authors also report very high levels of malaria control with the combined use of fast diagnostic tests, mosquito nets, indoor spraying of pesticides, and a combination therapy based on the anti-malarial drug Artemisinin.
And to achieve effective spraying of pesticides, the report suggests that a more sustainable approach, with greater benefit to the local economy, is for the health ministries of endemic countries to contract with local for-profit or not-for-profit entities.
"This report shows that eradication is possible within a generation. But to achieve this common vision, we simply cannot continue with a business as usual approach. The world is at a tipping point, and we must instead challenge ourselves with ambitious targets and commit to the bold action needed to meet them," Feachem added.
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Karnataka cabinet approves formation of separate Dharwad Municipal Corporation
Bengaluru: The Karnataka Cabinet has approved a formation of separate Dharwad city corporation. Alongside, a 15% hike in fares across the four state transport corporations was also approved. The revised fares will come into effect on January 5.
Law and Parliamentary Affairs Minister H.K. Patil, addressing the media at the Committee Hall of Vidhana Soudha, provided details about the decision. He explained that the last fare revision for BMTC was a decade ago when diesel cost Rs 60.98 per litre. Since then, operational costs have risen significantly.
Diesel expenditure for the four corporations has increased from Rs 9.16 crore to Rs 13.21 crore, and personnel costs have grown from Rs 12.85 crore to Rs 18.36 crore. The daily operational burden now stands at Rs 9.56 crore. The fare hike is expected to generate an additional Rs 74.85 crore in monthly revenue without burdening the state exchequer, as Rs 5,015 crore has already been allocated for the Shakti Yojana this fiscal year.
Minister Patil announced that the Cabinet has decided to bifurcate the Hubballi-Dharwad Municipal Corporation into two independent municipal bodies.
The Cabinet approved the construction of a fishing port in Hejamady village, Udupi, with a revised estimate of Rs 209.13 crore. Additionally, Rs 84.57 crore has been sanctioned for the modernization and dredging of fishing ports.
In a move to strengthen cow shelters, Rs 10.50 crore has been allocated for projects in 14 districts. The Cabinet also approved constructing a building for Visvesvaraya Technical University in Chikkaballapur district at Rs 149.75 crore.
The Cabinet sanctioned a state-of-the-art bus stand in Bannimantap, Mysuru, at a cost of Rs 120 crore. Spread over 14 acres, the facility will include a divisional office, bus units, and commercial shops.
Approval was also granted to utilize Rs 137.85 crore, provided by the Union Finance Ministry under the Special Capital Assistance Scheme, for capital expenditure.
The Kalyana Karnataka Regional Development Board will use Rs 56.92 crore from its SCP/TSP scheme to supply bed sheets, mosquito nets, and clothing to government residential schools and hostels.
The Cabinet approved Rs 100 crore to construct new buildings for 200 veterinary institutions currently housed in rented or dilapidated structures, using NABARD assistance.
In Davangere, a site was allotted to the Karnataka Working Journalists' Association for constructing a civic facility. A plot in Avaragere village was also leased for 30 years at a concessional rate to Nayaka Vidyarthi Nilaya.
