Health and malarial issues
- Thanks Peter,
As i am prepairing my community meetings in January to
help me plan and budget afterwards, i will update you
accordingly. This can help me unearth other Community
demographics, which we call SITE (Standard Indicator
Tool for Evaluation).
Happy new year!
--- Peter Burgess <peterbNYC@...> wrote:
> Dear Colleagueshttp://www.surveymonkey.com/s.aspx?sm=5VvLrzLaXHc0i_2bh5XdOTxA_3d_3d
> Adrius asked:
> > Peter Burgess, please, what is a small $100
> project that we could do in
> > Kenya that would advance your Community
> Accountancy ideas?
> Samwell also said:
> I would wish Peter Ongele to answer, why mosquito
> nets distributed
> every year can not help reduce malarial cases around
> the lake basin?
> and is rearing mosquitoes able to help the locals
> control malaria?.
> Please may I try to link these two.
> Community Accountancy is a SIMPLE system that helps
> to put important
> things at the top of the community's priority list.
> As I understand it, health is a problem ... and
> specifically malaria.
> Various organizations have distributed bednets ...
> and my guess is
> that they are both the ordinary kind that need
> retreatment with
> insecticide several times a year (ITNs) , and
> perhaps also the
> longlasting sort (LLINs) that require no
> retreatment. They help to
> reduce the amount of malaria for the person who is
> sleeping under the
> bednet ... but do very little for the general
> population unless more
> than 80% of the population are sleeping under the
> nets. This hardly
> every happens in the real world ... and is made a
> lot worse by the
> donors who are controlling cost by giving nets only
> for young children
> (under 5) and pregnant women who are most at risk of
> death from
> malaria. Bednets ... on their own ... are going to
> reduce the burden
> of malaria by a rather small amount.
> Interior residual spraying (IRS) using DDT is a
> better solution ...
> (Is DDT permitted for public health use in Kenya ...
> maybe not at the
> moment ... but it is allowed by the international
> health organizations
> and the Stockholm Treaty on persistent pesticides
> even if Kenya still
> does nt allow it ... hopefully this will change
> soon, if it has not
> done so already. If DDT cannot be used, other
> pesticides such as the
> Pyrethroids can be used, but they only last about 4
> months and
> multiple treatments are usually required through the
> year. IRS must be
> done by people who have training and know the safety
> rules. IRS has a
> higher cost than bednets ... but works much better.
> There is more
> reduction in burden of malaria using money for IRS
> than using money
> for bednets.
> Better again is to stop the mosquito transmitting
> malaria from person
> to person by not having any mosquitoes to transmit
> the malaria ... or
> no malaria parasite to be transmitted. Is this
> possible? Maybe!
> My colleague, Dr. Bob Novak (some of the ICIPE
> people will know Dr.
> Bob) tells me that surveillance and very specific
> source control
> interventions can make a big difference. I do the
> cost analysis and I
> see that if we have really detailed entomological
> information there
> can be a big change in the mosquito population and
> its ability to
> transmit malaria. When you know exactly where the
> mosquitoes are
> breeding (eggs ... larvae ... pupae) you can use
> biological agents
> like BTi to stop these from emerging as adult
> I believe you can make BTi locally ... but don't
> have the details.
> As I understand it surveillance has (something like)
> these major components:
> A .....About breeding places
> ....1..... location of breeding places
> ....2 .... life cycle info about the specific place
> ....3 .... treatment at this specific place
> ....4 .... result at this specific place
> B ..... About mosquitoes (from the traps)
> ....1 .... location of the trap
> ....2 .... catch (how many)
> ....3 .... catch ... specie ... M/F ... parasite
> How to manage the data and have it cost effective?
> Ken Banks has
> developed a system of doing data flow with a cell
> phone and text
> messages ... the free software is called
> FrontlineSMS ... and with it
> a small data message can be delivered to a local
> cellphone attached to
> a computer and a database. Periodically these data
> can be sent to a
> multi-location database where multivariate
> scientific analysis may be
> done .... ICIPE may want to do this ... or others
> including Tr-Ac-Net
> / IMMC.
> I would like to have the chance to experiment with
> FrontlineSMS ... it
> might be a very good solution to getting data from a
> community worker
> to a system of scientific analysis that is
> interested in practical
> implementation success beyond merely basic science.
> While $100 is modest compared to the HOPE ... it
> might help to jump
> start something. If we can do some of this ... it
> might well set the
> stage for some more substantial funding.
> At the moment I am being confronted by the general
> malaria community
> keeping their data secret ... and it is pretty clear
> to me that the
> reason is simply that these data do not support the
> claims made up to
> this point and they are not going to let the data
> show the real
> If this malaria work is too ambitious at this stage
> ... I would like
> to work quietly with Samwell and any others to build
> a Phase 1 CA
> dataset about Kisumu / Mbita and see where this
> might take us.
> By the time you get this it may well be Christmas
> Day in Africa. HAPPY
> CHRISTMAS ... AND BEST WISHES FOR GOOD HEALTH AND
> PROSPERITY IN THE
> NEW YEAR to you, your families and friends.
> Peter Burgess
> The Transparency and Accountability Network:
> Tr-Ac-Net in New York
> Community Accountancy (CA)
> Integrated Malaria Management Consortium (IMMC)
> 917 432 1191 or 212 772 6918 peterbnyc@...