Ethiopia's epic battle against the Waba and malaria

Wäba: a mosquito that is carrying malaria (Amharic).

Does it strike you as strange that a language would have a specific term for a malaria-carrying mosquito? In a country that has seen 9 million cases of malaria per year, a distinction between malaria-infested mosquitoes and unaffected mosquitoes is necessary (UNICEF). Ethiopia is hit hard by malaria, but with tremendous dedication, the country is making advances against the disease.

"Historically, a malaria epidemic hits Ethiopia every five to eight years. The last one, in 2003-and four, caught the country unaware. Millions contracted the disease. Nobody knows how many died." Now, "Ethiopia is gearing up for an epic battle with malaria, possibly later this year. The stakes are high, with international aid agencies betting millions of dollars that the Horn of Africa's largest country can wipe out a disease that kills at least a million Africans every year" (Heinlein).

"Malaria is seasonal in Ethiopia coming after the beginning of the rainy season. September and October are usually the months that see the highest number of cases. Will there be more than usual this year? The head of USAID's malaria programme in Ethiopia, Richard Reithinger, says only time will tell, but if it is an epidemic year then some 10 million cases could be expected" (Chinnock). "Aid agencies have spent hundreds of millions of dollars trying to prevent the next outbreak" and "30,000 health extension workers" have been deployed to combat malaria by eradicating mosquitoes and educating the public (Heinlein). "Hospitals are also being put on alert and, meanwhile, the country continues with its ambitious programme to distribute 20 million insecticide-treated bednets" (Chinnock). "In a country with a doctor shortage and a mostly rural population...bednets for all, and an army of village-level health workers are the cornerstones of the strategy to beat the disease" (Heinlein).

The strategy of maintaining village health personnel and distributing anti-mosquito bednets is working for Ethiopia. "In 2005, the Ethiopian government unveiled an ambitious strategy, with donor support, to deliver two mosquito nets to every family at risk. By January 2008, 20.5 million bed nets had been delivered and a third of at-risk children were sleeping in safety... Within three years of the start of the program, cases of malaria, and death rates, had been halved" (Coghlan). With continued support, Ethiopia might just be able to make malaria a disease of the past.

Sources:
Chinnock, Paul. "Ethiopia will expand malaria control efforts." TropIKA.net. 23 Mar 2009.
Coghlan, Nora. "SMART Aid helps Ethiopia halve malaria deaths in two years." ONE International. 12 June 2009.
Heinlein, Peter. Addis Ababa. "Ethiopia Prepares for Battle with Malaria." VOA News. 20 March 2009.
UNICEF Ethiopia. http://www.unicef.org/ethiopia/malaria.html

Malaria in Zimbabwe

Zimbabwe has received a bleak prognosis for 2009 regarding malaria and cholera cases. Cholera continues to surge at epidemic levels, high numbers of malaria cases are also expected. "Malaria may be worse in Zimbabwe in 2009" than it has been in previous years. "That's because efforts to control cholera may be diverting attention away from programs to prevent malaria. The warning comes from the Rollback Malaria Campaign" (DeCapua).

"It's not just the rainy season that's helping to spread" the diseases, "but also a weakened healthcare system and poor water and sanitation". The Rollback Malaria Campaign adds that "there's been much less indoor residual spraying against mosquitoes", "and current heavy rains will help increase the mosquito population." Treatment "kits to help manage severe malaria cases are not reaching those in need due to distribution problems and that there's a shortage of healthcare workers due to Zimbabwe's economic crisis" (DeCapua).

According to recent statistics, fewer than 7% of young children sleep under any kind of mosquito net. Since mosquitoes are most active at night, the use of a net is paramount in avoiding bites from the mosquitoes that may carry malaria.
For more statistics please visit the Zimbabwe country profile.

Bureaucratic bottlenecks have limited the program's effectiveness in Zimbabwe, but other challenges are even more difficult to overcome. "Problems with flow of global fund within country resulted the loss of part of funding" and there is a constant shortage of personnel (RBM Campaign).

However, there is good news for Zimbabwe. Malaria-related deaths fell between 2001 and 2007 largely because of malaria treatment programs.

The number of deaths is expected to rise in 2009 due to the projected increase in numbers of cases.

[Photo provided by the RBM Campaign]

Currently, "malaria is found in all areas of Zimbabwe except the city of Harare" (Uyaphi). According to the MD Travel Health Website, "Prophylaxis with Lariam, Malarone, or doxycycline" Malaria treatment "is recommended for all areas, except the cities of Harare and Bulawayo".


Malaria prevention in Zimbabwe is dependent of funds raised outside of the country. If you would like to donate to the RBM Campaign, please visit their donation page.