Desire to End Malaria Makes Sense, but Is It Realistic?

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VOICE ONE:

This is

SCIENCE IN THE NEWS in VOA Special English.

I'm Bob Doughty.VOICE

TWO:

And I'm Faith Lapidus.

Today we tell about malaria. The

disease threatens people in more than one hundred countries.

(MUSIC)VOICE

ONE:

The

United States Centers for Disease Control says up to five hundred million

people worldwide get malaria each year.

The disease kills more than one million malaria patients every year. Many victims are young children in southern

Africa.

Malaria also strikes parts of Asia, the Middle East, Central

and South America, Hispaniola and islands of the Pacific Ocean.

Early identification and treatment can

shorten the sickness and prevent damage to the body's organs. But many countries that report malaria cases

do not have enough money to support campaigns against the disease. And malaria itself resists attempts to

defeat it. VOICE

TWO:

The Bill and Melinda Gates Foundation

has given more than one billion dollars to fight malaria. Last year, Mister and Missus Gates said the

international health community should attempt to permanently end the threat

from the disease. The head of the World

Health Organization supports the Gates' goal.

W.H.O. director general Doctor Margaret Chan has urged other experts to

attempt to defeat the disease.

But

only one communicable disease, smallpox, has ever completely disappeared. Some experts are not sure malaria should be

attacked with the goal of destroying it.

They say earlier such efforts led to unrealistic hopes, but then failed.

The head

of the W.H.O.'s anti-malaria program says current methods could reduce malaria

cases by ninety percent. Doctor Arata

Kochi said this could happen if enough resources were available to fight the

disease.

VOICE

ONE:

A

common insect, the mosquito, spreads malaria.

Thecarries the parasite that causes the

disease. Very small parasites develop

in the stomach of the mosquito.

Parasites are organisms that live on or in another animal and get their

food from that animal.

The

general name for the malaria parasite is Plasmodium. Mosquitoes pass the parasites to people when they drink blood

through the skin. However, only the

female Anopheles mosquitoes drink blood.

The males feed only on liquids from plants.

The

female Anopheles mosquito drinks blood from people and animals by breaking

through the skin with its long, tube-like feeding device. The parasites enter the blood of the

victim. VOICE

TWO:

The

blood carries the parasites to the victim's liver. From there they invade cells and reproduce. After nine to sixteen days, the parasites

return to the blood and enter the red blood cells. Then they reproduce again.

As they do this, they destroy the blood cells. In a short time, the victim develops a high body

temperature. The victim becomes weak

and is unable to carry out normal activities.

Other

signs of malaria include pain in the muscles or head and shaking. Patients with severe malaria may develop

liver and kidney failure, seizures and become unable to communicate.

(MUSIC)VOICE

ONE:

Signs

of malaria have been observed since the beginning of history. Scientists examining bodies of ancient

Egyptians have found evidence of the disease in people who lived at least three

thousand years ago. And scientists have

found hardened remains of mosquitoes millions of years old.

At

one time, it was believed that bad air caused malaria. People believed this bad air came from areas

of water that were not deep and did not move.

It seemed that malaria was most common near these swamps.

Ancient

people suspected that mosquitoes were linked to malaria. The Greek historian Herodotus lived about

two thousand four hundred years ago. He

noted that in swampy areas of Egypt, some people slept in tall structures where

mosquitoes could not go. Or they slept

under nets that mosquitoes could not go through.VOICE

TWO:

In eighteen seventy-six, British

scientist Patrick Manson discovered that mosquitoes were responsible for

passing the disease to human beings.

More exactly, he found that insects carry the parasites and pass them to

humans.

In

eighteen eighty, a French doctor, Alphonse Laveran, discovered that the

Plasmodium parasite causes the disease.

In eighteen ninety-seven, a British scientist, Ronald Ross, found the

malaria parasite in the Anopheles mosquito.

For his discovery of the cause of

malaria and other work, Doctor Laveran received the Nobel Prize for Medicine in

nineteen-oh-seven. Five years earlier,

Mister Ross received the Nobel Prize for Medicine for his work on malaria.

The discoveries of the three scientists

soon led to efforts to control malaria.

Then, the discovery of the insect poison D-D-T led to efforts to destroy

the disease.

VOICE ONE:

Between nineteen fifty-five and nineteen

sixty-nine, the World Health Organization organized campaigns against the

disease. The goal was to use chemicals

to kill mosquitoes in homes around the world.

The

effort was successful in large areas of North America, southern Europe, the

former Soviet Union and some parts of Asia and South America. The spread of the disease in these areas was

halted.

However,

the disease remained in Central America, parts of South America, and some Asian

countries. A W.H.O. campaign never was

attempted in Africa. It was too

difficult and costly for most African countries.VOICE

TWO:

In

nineteen sixty-eight, malaria suddenly spread in Sri Lanka, where it was

believed the disease no longer existed.

At the time, the island nation was known as Ceylon. Malaria also spread in Central America, in

Southeast Asian nations, and in parts of Africa.

Efforts

to destroy the disease throughout the world were suspended in nineteen sixty-nine.

(MUSIC)VOICE

ONE:

There are four different kinds of

malaria. They are caused by four

different kinds of parasites. Three of

them cause victims to suffer high body temperatures every few days. But they do not cause death. However, the most common malaria parasite

also is the most dangerous. This

parasite causes infections that can lead to death.

The best way to prevent malaria is to

stay away from the mosquitoes that carry the malaria parasites. The female Anopheles mosquito takes blood

from its victims mainly at night.

So,

people can place material specially treated with insect poison over their beds

while they sleep. People can also put

anti-insect chemicals on their skin, on clothing and in sleeping areas. They can wear clothes that cover most of the

body.VOICE

TWO:

If

the mosquitoes get past barriers used to block them, early drug treatment is

needed to be effective. Drugs can

destroy the malaria parasite as soon as it enters the human body. This prevents the parasites from entering

the red blood cells and dividing. Some

drugs can prevent the parasite from establishing itself in the liver.

A recent

study found that a protein could provide a way to block the parasite's actions

in the mosquito. The protein would act

before the mosquito can infect a human victim.

The Global

Health Infectious Diseases Research Team at the University of Florida carried

out the study. VOICE

ONE:

Before

the fifteenth century, people in what is now Peru knew the covering or bark

from the cinchona tree was effective in treating signs of malaria. In eighteen-twenty, two French scientists

identified the substance in the bark as quinine. Until the twentieth century, quinine was the chief drug used to

prevent and cure some forms of malaria.

Today, manufactured drugs treat the disease. The World Health Organization says combination treatments are

best for common malaria.VOICE

TWO:

A new drug meant for common malaria is

now being launched in Latin America and Southeast Asia. The medicine, known as ASMQ, combines two

existing drugs.

The

Brazilian government and a not-for-profit organization are making the new drug

available to public agencies. Bernard

Pecoul heads the organization, The Drugs for Neglected Diseases

Initiative. He says ASMQ reduces the

number of pills the patient needs to remember to swallow. Doctor Pecoul says the treatment is safe,

fast-acting and effective for children and adults.

(MUSIC)VOICE

ONE:

This

SCIENCE IN THE NEWS program was written by Jerilyn Watson. Our producer was Brianna Blake. I'm Bob Doughty.VOICE

TWO:

And

I'm Faith Lapidus. Read and listen to

our programs at voaspecialenglish.com. Join us

at this time next week for more news about science on the Voice of

America.