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532 points thunderbong | 5 comments | | HN request time: 0.468s | source
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lysozyme ◴[] No.41906666[source]
It’s interesting how Egypt’s efforts to monitor and test for malaria contributed to this accomplishment. It underscores how eradicating many infectious diseases will require a deep understanding not only of the disease itself, but also the cycles of transmission and the complex ecology of different hosts.

Malaria’s complex lifecycle [1] seems like it would be easy to “break” with different interventions, but we’ve seen historically malaria has been difficult to eradicate. Why is this?

1. https://en.m.wikipedia.org/wiki/Plasmodium#/media/File%3ALif...

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foxyv ◴[] No.41907383[source]
I think the greatest challenge with eradicating Malaria is that it is most prevalent in impoverished regions of the world. The USA occasionally has incursions of Malaria which is quickly quashed by the CDC National Malaria Surveillance System. If you have enough funding, Malaria is preventable. However, if most people do not have access to medical care, they cannot be diagnosed or tracked.

Essentially, a lack of access to health care results in Malaria continuing to devastate regions of the world. If you ever want to save a life, donating to the MSF is a great way to do it.

https://www.cdc.gov/malaria/cdc-malaria/index.html

https://www.doctorswithoutborders.org/what-we-do/medical-iss...

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Fomite ◴[] No.41907831[source]
This. That malaria is not prevalent in the Southern U.S. (there's a reason the CDC is in Atlanta) is as much an economic choice as an epidemiological success story.
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1. te_chris ◴[] No.41908435[source]
I heard an urban legend that the original eradication was basically carpet bombing the south with DDT back before we knew better.
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2. dragonwriter ◴[] No.41908507[source]
"Carpet bombing" is perhaps a hyperbolic term, but widespread application of DDT in the southeastern US was, in fact, a central component of the effort.

https://stacks.cdc.gov/view/cdc/100616/cdc_100616_DS1.pdf

3. anitil ◴[] No.41909781[source]
I believe now they use sterile mosquito larva to achieve the same now [0], though it's from a youtube video so I'm not sure how much to trust it.

[0] https://www.youtube.com/watch?v=Olj8arvfYj4

4. CJefferson ◴[] No.41910973[source]
It's very possible getting rid of malaria made this was a worthwhile, even given our modern knowledge, given the treatment options available at the time.

Large-scale medical treatments are always a difficult area, because almost no treatment, or course of action, is risk-free, but malaria was awful when it was more widespread.

5. Fomite ◴[] No.41911044[source]
Not really an urban legend.