Smelly Socks to Help Prevent Malaria?

In global public health, disease-fighting tools that are cheap, available and sustainable are the Holy Grail. It might be hard to top the one being tested in Tanzania as a way to prevent malaria: smelly socks.

Experiments in three villages where people get about 350 bites a year from malaria-infected mosquitoes are using dirty socks to lure the insects into traps, where they become contaminated with poisons and ultimately die. [Read more…]

Simple Rapid Diagnostic Tests (RDTs) for Malaria Work Well

When a person living in a malarial area gets a fever, health workers need to know the cause to make absolutely sure they give the right treatment. For many years in sub-Saharan Africa primary health workers have often assumed a fever is caused by malaria, and given antimalarial drugs. This approach means sometimes people receive the wrong treatment for their illness. It also wastes resources and, over time, can promote resistance to available drugs.

A new Cochrane Systematic Review examines the accuracy of Rapid Diagnostic Tests (RDTs), which are designed to detect malaria based on the presence of parasite antigens, using a quick and easy to use format. The World Health Organization (WHO), now strongly recommends health staff confirm a malaria diagnosis prior to treatment with artemisinin combination therapies (ACT’s), but in many settings, this demands a major shift in practice and is not as easy as it may seem to adopt.

Up until recently, confirming a diagnosis of malaria infection was done by detecting parasites in a blood sample using a microscope. This requires highly trained staff, reagents and equipment, all of which are in short supply in many areas where malaria is common. RDTs use carefully manufactured molecules (antibodies) that when in contact with an infected patient’s blood can bind with the malaria parasites and trigger a colour change on a test strip that can be easily seen with the naked eye. While these tests are technically difficult to manufacture, once built they are relatively simple to perform, require no specialised equipment and provide accurate results in many geographical settings.

“After reviewing available data in 74 different studies, we can say that the these antigen-detecting tests will identify at least 19 out of 20 cases, a success rate that would be very useful in clinical practice,” says Katharine Abba, who carried out this review at the Liverpool School of Tropical Medicine, UK.

“The use of Rapid Diagnostic Tests is another step towards reaching the goal of universal accuracy in the diagnosis of malaria and key to ensuring that the correct treatment is given to patients. Resources can be saved with the rational use of anti-malarial drugs and it will also reduce the pressure on drug resistance.”

There are various different RDTs designed to detect the malaria parasite. “All the tests performed reasonably well, but we do need more research to address issues such as how easy these tests are to use and what barriers there may be to adopting them,” says Abba.

Malaria is caused by the parasitic protozoan Plasmodium. It causes high fevers, headaches and aches and pains elsewhere in the body. If not treated early, malaria quickly evolves from an uncomplicated state into a severe disease where the brain is involved and the risk of death or brain damage is high. Malaria kills over 700,000 people a year worldwide, mostly children in Africa. In addition there are cases in Asia, Latin America, the Middle East and parts of Europe.

Source: Wiley

Inexpensive, Common Drug Found to be Effective Against Malaria Transmission

Researchers have found that an inexpensive and widely-available drug (Ivermectin) used to treat river blindness in Africa, round worm and head lice in American school children is also effective in reducing malaria transmission, especially during seasonal epidemics of this worldwide scourge.

“Can you kill a mosquito when it’s biting you [with] something that’s in your blood,” asked Brian Foy.

Malaria researcher Brian Foy of Colorado State University found out that yes, you can. He is working on a malaria control program and says there are many benefits to killing mosquitos as they bite their hosts.

Foy says that this not only is a clever way of getting a toxin directly to the malaria-causing parasite living in mosquitos, but it also saves the environment from harmful insecticides.

In a field study done on malaria transmission in Senegalese villages, Foy and his colleagues found that a drug already widely used for treating the two most common parasitic diseases in Africa – river blindness and elephantiasis – also has insecticidal properties.

“We are repurposing a really cheap and important drug for worm control potentially to control malaria,” he said.

The study shows that after single doses of the drug Ivermectin were administered to residents of several Senegalese villages, there was a 79 percent reduction in mosquitoes found to be carrying the malaria parasite. In villages where the drug was not given, the malarial mosquitoes increased by 246 percent.

Researchers found that the drug circulating in people’s blood killed the mosquitoes. Ivermectin is given once every year in many countries in sub-Saharan Africa to fight common infections. But researchers say that if the drug is given more often, it can provide other benefits.

“If you give it more often, [as] we are proposing for malaria transmission control, it will start to have an effect against the soil-transmitted illness that people have in their guts – things like whip worm, round worm and maybe even hookworms, which cause a lot of hidden illnesses in people,” said Foy.

Peter Hotez, president of the American Society for Tropical Medicine and Hygiene, calls Foy’s study groundbreaking. He says it proves what many public health researchers have long suspected – that drugs used to combat neglected tropical diseases have important collateral health benefits.

“It opens up a new pathway for discovering an additional class of drugs specifically for this purpose – maybe a drug that can circulate in the body longer and then be better targeted for malaria specifically,” said Hotez.

Malaria kills almost 800,000 people around the world each year. Experts say Ivermectin would be a welcome addition to the anti-malaria arsenal of bed nets, pesticides, drugs and, perhaps one day soon, a vaccine. Public health experts say all these weapons will be needed in the years ahead to eradicate malaria permanently.

More information about Ivermectin.

Source: VOA

Researchers to Develop Mobile Phone Based Malaria Detector

The University of Glasgow has received a grant from the Bill & Melinda Gates Foundation to further help in the diagnosis of malaria. The $100,000 award will go towards developing a device which uses mobile-phone derived technology that can detect and separate red blood cells infected with malaria parasites.

It is hoped that if successful, devices based on the technology could be mass produced for rapid and accurate malaria diagnosis. [Read more…]

Lutheran Malaria Initiative Aims to Raise $45 Million to Fight Malaria

Lutheran World Relief (LWR), The Lutheran Church—Missouri Synod (LCMS) and the United Nations Foundation announced on Monday an unprecedented partnership to mobilize Lutherans in the United States in the fight against malaria in Africa. [Read more…]

Higher Research Funding Leads to 4x Rise in New Anti-Malaria Product Pipeline

A new analysis of progress in the global fight against malaria finds a four-fold increase in annual funding for malaria research and development (R&D) in just 16 years—increasing from US$121 million in 1993 to US$612 million in 2009, with a particularly rapid increase since 2004. The funding has generated the strongest pipeline of malaria control and prevention products in history.

The report warns, however, that even a small decline in annual funding could jeopardize this pipeline, derail development of needed products, and paradoxically also increase development costs later. The report’s authors assessed progress to date against the R&D funding goals in the 2008 Global Malaria Action Plan and what will be needed in the coming decade to deliver the suite of products needed to manage, eliminate and—ultimately—eradicate malaria from the world. The answer is sustained, relatively modest increases that will boost total annual funding to US$690 million by 2015, followed by a larger jump in 2016 to US$785 million. [Read more…]

Sanaria Announces Products for Malaria Research

Biotechnology company Sanaria has announced the launch of a suite of products intended to advance research towards new malaria vaccines, drugs, and diagnostics, and enhanced understanding of malaria pathology and immunobiology.

Sanaria’s mission is to develop and commercialize wholeparasite malaria vaccines that confer high-level, long-lasting protection against malaria caused by Plasmodium falciparum and P. vivax.

In the process of developing these vaccines, Sanaria has developed the capacity to manufacture and assay malaria parasites and mosquitoes in a highly regulated, cGMP compliant, industrial setting.

The company has announced that these parasites, mosquitoes, and assay services are now available to the general research community:

  • Sanaria Plasmodium falciparum Sporozoite Reagents: Aseptic, purified, vialed, cryopreserved, attenuated and non-attenuated Plasmodium falciparum (Pf) sporozoites.
  • Sanaria PfSPZ Challenge Mosquitoes: Live, aseptic and non-aseptic P. falciparum infected mosquitoes. These well-characterized mosquitoes are for experimentally challenging volunteers in studies assessing malaria vaccines and drugs and for laboratory-based research.
  • Sanaria Plasmodium Reagents: Purified, vialed, cryopreserved, attenuated and nonattenuated Plasmodium species sporozoites, as well as other life cycle stages for laboratory-based research studies.
  • Sanaria Plasmodium Reagent Slides: Slides for immunofluorescence assays to
    detect antibodies against purified sporozoite, and asexual erythrocytic, sexual
    erythrocytic and/or mosquito stages of Plasmodium species.
  • Sanaria Anopheles Reagents: Aseptic and non-aseptic Anopheles stephensi
    mosquitoes and derived material for laboratory-based research studies.
  • Sanaria Plasmodium Assay Services: Assessment of the effects of antibodies and
    drugs on the capacity of P. falciparum and P. vivax sporozoites to invade and develop in
    hepatocytes (inhibition of sporozoite invasion and inhibition of liver stage development
    assay), and of P. falciparum gametocytes to develop to oocysts and sporozoites in
    mosquitoes (transmission blocking assay). Assessment of antibodies to all life cycle
    stages of Plasmodium species by immunofluoresence assays and to selected antigens
    by ELISA.
  • Monoclonal Antibodies: Sporozoite, liver, and blood stage monoclonal antibodies.
  • Sanaria Custom Services: Sanaria will manufacture Plasmodium species reagents to
    meet client specifications.

Source: Sanaria

“MalariaCube”: A Malaria Education Tool

A large part of helping the fight against malaria is in educating people about causes, treatments and malaria prevention methods.

Malaria is one of the most serious health threats facing the world today. Malaria takes the lives of more than one million people, mostly children five years old and younger, per year and affecting between two and three billion people worldwide.

A Tennessee company has introduced a unique educations tool called MalariaCube. The MalariaCube is a simple and engaging tool that educates viewers on causes, treatment and prevention of malaria. Using pictures to eliminate the language barrier, MalariaCube unfolds to reveal important facts that help identify how to prevent malaria.

The MalariaCube “is a unique and creative approach for educating people about malaria prevention and control,” Dr. K.F. Fischer, MD, MPH, said. “Since there are no words on the Cube, the message can be shared in any language using the information on the package insert. I recommend it.”

Elizabeth Styffe, RN PHN MN and director of Global Orphan Care Initiatives for Saddleback Church and The PEACE Plan, said, “MalariaCube is a simple yet effective resource anyone can use to teach others about malaria.”

More information: MalariaCube

Source: Business Wire

Researchers Show Evidence of Genetic “Arms Race” Against Malaria

For tens of thousands of years, the genomes of malaria parasites and humans have been at war with one another. Now, University of Pennsylvania geneticists, in collaboration with an international team of scientists, have developed a new picture of one way that the human genome has fought back.

The international team was led by Sarah Tishkoff, a Penn Integrates Knowledge professor with appointments in the genetics department in Penn’s Perelman School of Medicine and the department of biology in the School of Arts and Sciences, and Wen-Ya Ko, a postdoctoral fellow in the genetics department at the medical school.  They performed a genetic analysis of 15 ethnic groups across Africa, looking for gene variants that could explain differing local susceptibility to malaria.

Malaria remains one of the deadliest diseases on the planet, annually killing about a million people, 90% of whom live in Africa. Different populations show different responses to the parasites that cause malaria; the team conducted the largest cross-population comparison ever on a pair of genes related to malaria’s ability to enter red blood cells.

“When you try to identify the variants that are associated with disease susceptibility, it’s important to do a very fine scale study,” Ko said. “Different populations evolve independently, to a certain degree, so different populations can come up with unique mutations.”

The life cycle of malaria depends on infecting red blood cells by binding to their surfaces, which is why mutations, such as sickle cell anemia, that change the overall shape of those cells are thought to have experienced positive selection.

“Both host and the parasite try to fight back with mutations; it’s a co-evolution arms-race that leaves a signature of selection on the genes,” Ko said. “We’ve identified several single-nucleotide polymorphisms that are candidates for that signature.”

Across the 15 population sets, the researchers focused on polymorphisms in a pair of genes that code for proteins called glycophorin A and glycophorin B. These proteins exist on the surface of red blood cells, and changes to their shape affect the ability of the parasite causing malaria to bind to them and to infect the cells.

There are, however, two conflicting theories of why changes to glycophorin shape influence rates of malaria. One theory suggests that glycophorin A acts as a decoy, making itself more attractive to binding so that pathogens don’t infect more vulnerable cells. Another theory suggests that glycophorin A mutates so that malaria parasites can’t bind at all.

The researchers observed differing patterns of natural selection acting on the different regions of the two genes. They noted an excess of genetic variation being maintained in the region of glycophorin A that plays a critical role of entry of the malaria parasite into the blood cell.

“This signature of selection was strongest in populations that have the highest exposure to malaria,” Tishkoff said.

In addition, the researchers identified a novel protein variant at glycophorin B in several populations with high levels of malaria that may also be a target of natural selection.

Comparisons to chimpanzee and orangutan genomes showed that these mutations occurred after the human lineage split from these closely related primates. But a process known as “gene conversion,” in which similar genes can acquire mutations from one another during cell division, complicates tracking the exact history of the mutation’s spread.

“The genes for glycophorin A and B arose through gene duplication.  They are more than 95 percent similar to each other on the sequence level,” Ko said. “Because they are so similar, sequences of A might bind to B during recombination, which means a mutation that occurs on one can be shared with the other.”

That aspect of gene conversion may be a key to helping humans in the genetic arms race against malaria.

“The parasite’s genome is very highly mutable, and its generation time is short, as compared to humans, so having more mutations more quickly is helpful in keeping up,” Ko said. “This is one tool in the arms race. It may not win the war, but it’s another way to increase variation.”

A better understanding of the interplay between the genes of the malaria parasite and that of its human hosts could also give researchers an artificial advantage — drugs or vaccines — in the fight against the disease.

“Any new information about how malaria infects cells and how humans have evolved natural defense mechanisms against that infection adds to the body of knowledge about the pathology of malaria,” Tishkoff said. “This information could aid in the development of more effective treatments against malaria.”

In addition to Ko and Tishkoff, the research was conducted by Kristin A. Kaercher, Alessia Ranciaro and Jibril B. Hirbo of Penn; Emanuela Giombini and Paolo Marcatili of the Department of Biochemical Sciences at the University of Rome; Alain Froment of the Musee de l’ Homme, Paris: Muntaser Ibrahim of the Department of Molecular Biology and the Institute of Endemic Diseases at the University of Khartoum; Godfrey Lema and Thomas B. Nyambo of the Department of Biochemistry at the Muhimbili University of Health and Allied Sciences in Dar es Salaam, Tanzania; Sabah A. Omar of the Kenya Medical Research Institute; and Charles Wambebe of International Biomedical Research in Africa in Abuja, Nigeria.

Their research was supported by the Human Frontiers in Science Program, the National Science Foundation and the National Institutes of Health, and published online in the journal American Journal of Human Genetics today.

Source: Media Newswire

Nothing But Nets Campaign Honors Champions in the Fight Against Malaria

The UN Foundation’s Nothing But Nets campaign—a global, grassroots movement to save lives by preventing malaria—announced Naomi Kodama as the winner of its contest to find the next “Champion” in the fight against malaria. Kodama, a 13-year-old from Chesterfield, MO, received an award on center court during half time of the Chicago Sky home opener, alongside Chicagoan Bryant Barr, who has raised more than $85,000 to send life-saving bed nets to Africa.

Over the past two months, supporters who have raised money and awareness to prevent malaria in Africa were encouraged to share their stories, and vote for their favorites on the organization’s website. Out of hundreds of entries, Barr and Kodama stood out as star supporters, having worked for years to raise thousands of dollars to protect families in Africa through the Nothing But Nets campaign. Malaria is a disease spread by a single mosquito bite. Sleeping under long-lasting, insecticide-treated nets can prevent malaria by up to 90 percent.

“Chicago has been championing the fight against malaria for years,” said Danielle Garrahan, UN Foundation’s Associate Director of Global Partnerships. “We’re proud to have supporters like Naomi and Bryant to help us spread the buzz and save lives from malaria, and excited to have the Chicago Sky join us in honoring them.”

The Chicago Sky offered a ticket promotion for the 2011 home opener, for which $10 of each ticket purchase goes to send a net and save a life through Nothing But Nets. “Fighting malaria is of global importance, and the WNBA and the Chicago Sky have worked with Nothing But Nets to build awareness for the campaign since 2007,” said Adam Fox, Chicago Sky President and CEO. “As part of our continuing commitment to participate in this important cause, we are pleased to recognize two outstanding Champions in the fight against malaria.”

Following the third quarter, two Chicago Sky fans were invited to compete in a shoot out. For every net they made, Junior Chamber International, a partner of Nothing But Nets, donated $10 to the campaign—raising enough to send ten bed nets to Africa.

BACKGROUND

In Africa, every 45 seconds, a child dies from malaria, which is easily prevented through the use of an insecticide-treated net. The nets create a protective barrier against mosquitoes at night, when the vast majority of malaria transmissions occur, and are the most cost-effective method of preventing the spread of the disease. A net costs just $10 to purchase, deliver, and to educate the recipient on its proper use.

Bed nets work: according to The World Health Organization, enough bed nets have been delivered to cover 76 percent of the 765 million people at risk for malaria, and in three years, 11 African countries have cut malaria rates in half.

To date, Nothing But Nets has raised more than $35 million to distribute more than 4 million nets to families throughout Africa. For more information, please visit http://www.NothingButNets.net.

Source: PR Web