Tuesday, April 25, 2006

No, it's not Aids, It's Malaria

That kills more people in Africa than any other disease.... Only in Africa more than 2 million people...

Just back from Burundi for reports on malaria. More than 80 percent of the Burundi people are at risk to get malaria each year. I visited health centers and was talking to many Burundians, being dependent on donor money for their free malaria treatment.

Other than a lot of people in the West might think, malaria is still the killer number one in Sub Saharan Africa. It kills more people than AIDS does.

Three years ago the Burundi government decided to introduce a very efective ACT treatment as First Line of defence. Death figures went down dramatically. 'But now part of the treatment program is at risk, which means thousands of people will die in stead of live.', says Minister of Health Dr Barnabe Mbonimpa. According to the Burundian minister of Health only in Burundi thousands of people are dependent on money of the Global Fund for their treatment.

Malaria Test Bujumbura

I took this picture in a health center in Bujumbura, people are being tested if they have malaria here.

In another health center, I saw this little kid getting a blood transfusion. It is the last attempt to save a life after other treatments have failed or, which is more likely, people where not in time to get their treatment for any reason, most of those have to do with poverty.

Malaria Test Bujumbura

Just got this Press Statement:

Washington, April 24 -- This week, the world's largest source of funding for health programs, the Global Fund, is considering whether to proceed with issuing new grants this year. All three diseases its addresses are at crisis proportions, but the Fund's Board, meeting in Geneva April 27-28, could decide to postpone providing urgently needed resources until sometime next year or even later.

"It would be a terrible mistake for the Board of the Fund to delay providing new resources for health programs," said Dr. Paul Zeitz, Executive Director of the Global AIDS Alliance. "These resources are needed to save lives, and there can be no delay. AIDS kills about 1,500 children each day. Nearly half a million orphans are receiving social, medical and educational support thanks to the Fund -- how can we in good conscience cut these children off from the help they need?"

"Over these last 5 productive years, the Global Fund has become a beacon of hope and inspiration," stated the Communities Delegation, a group representing the concerns of people affected by AIDS, TB and malaria. "Until now, the steady development and scaling up to meet challenges has fueled a momentum that will be lost if Round Six is not launched at the April Board Meeting. Six million of us already die each year from the three diseases. Further delay in launching Round Six is immoral and unacceptable."

In Africa alone, 3,000 children die from malaria every day. The Fund provides about half of all external funding for malaria programs.

Contributions to the Fund have been inadequate, and the US and other members of the Board seem ready to urge the Fund's work be delayed. However, the Fund has or will very soon have enough resources to meet the needs of another round of grantmaking, and many other board members support going forward with Round Six.

The Bush Administration says it backs the Fund, but it has asked Congress to provide 45% less funding for the Fund for 2007 than is being provided in 2006. Last month, Mark Dybul, the Deputy US Global AIDS Coordinator, backed the cut, stating, "The President's request strikes the right balance for Fiscal Year 2007." He told Congress that the US is the largest contributor to the Fund, but the proposed cut would actually leave France as the largest contributor. Fortunately, Congress seems likely to reject this cut.

The Fund is a key part of the global effort to meet key benchmarks on AIDS, one of which is to ensure that by 2010 everyone who needs AIDS treatment has access to it. African civil society groups are backing a target of "10 by 10," since by 2010 about 10 million people will need AIDS treatment. While Dybul has stated that "it would be nice if we started listening to Africans as they're fighting their own epidemic," the US actually opposes this target, preferring a vague statement of intent.

"It's hard to say why the US chooses to undermine global efforts," said Zeitz. "However, there is simply no way for the US or the rest of the G8 to keep the promises they made regarding AIDS treatment unless the Fund's work is allowed to proceed without delay. Progress in fighting tuberculosis and malaria would also be dramatically set back."


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