Malaria on the Rise as East African Climate Heats Up

In East Africa warming as a result of climate change is paving the way for the spread of malaria















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But the story is different at higher elevations, including the western Kenya highlands, the Usambara Mountains of Tanzania, the highlands of Ethiopia, the Ruwenzori Mountains of Uganda, and the mountains of Indonesia and New Guinea. The good news in such areas is that most residents have not suffered from malaria; the bad news is the same. Because their bodies have never been exposed to the parasite, their immune systems respond too slowly to stop the infection during its early stages. And they, unlike lowland residents, usually lack two genetic traits that make people less susceptible to malaria. This genetic and immunological vulnerability mean that when malaria does hit highland residents, it hits harder, creating waves of disease that lay waste to vulnerable Africans, just as smallpox laid waste to vulnerable Native Americans during early colonial times. People in highland areas account for 12.4 million cases each year—just 2.5 percent of the global total—but the 150,000 annual malaria deaths in highland areas are 12 – 25 percent of the annual worldwide total. One in five residents of East Africa, or about 125 million people, live in highland areas susceptible to malaria epidemics.

* * *

To prevent an epidemic, it pays to predict it, and to do that one first has to understand how epidemics tend to unfold. Typically, cases trickle in at first, then skyrocket, then peak and fall off. Plotted over time, the result is a bell­shaped curve—the same curve that's used to plot the distribution of student grades in a class. Health officials typically detect an epidemic only when the first rash of cases has been diagnosed and numbers are already climbing. By the time they can institute protective measures, many of the people who will be sickened are already infected, and it's too late to stop the spread. During malaria epidemics in the East African highlands, the disease can infect up to 60 percent of a village population, overwhelming local health workers. It's even worse when the parasite is drug­resistant: thousands get sick; hundreds can die.

Armed with his laptop computer, in the late 1990s Githeko began modeling the effect of climate and weather on malaria transmission. He wanted to use local weather data to predict epidemics early enough to ship medicine and health workers to villages that would be affected, to distribute bed nets, and to spray insecticides that kill malarial mosquitoes. But predicting epidemics of infectious disease is no routine task.

Githeko knew that warmer temperatures—within a range—made it more likely that mosquitoes would survive and bite more often, and that it they allowed parasites to multiply and mature more quickly in mosquitoes. He also knew that rainfall created the puddles and standing water that are ideal breeding spots for mosquitoes and could quickly make them more abundant. By predicting temperatures and rainfall over a period of months, he could, in theory, project where and when an epidemic was most likely to arise.

Without any of the high­tech capabilities grant money would have provided, Githeko was able to use a simple spreadsheet program—and historical temperature and rainfall data for the western Kenya highlands, as well as data from published studies of mosquitoes, malaria parasites, and past epidemics—to develop a mathematical model that correctly predicted past outbreaks in the region, thereby verifying the accuracy of his model.

The model also made a startling new prediction. By the late 1990s, when Githeko did his analysis, the IPCC already had reported that the Earth had warmed 0.6 degrees C (1.1 degrees F) through the 20th century and had predicted that temperatures would continue to rise by at least several degrees more through the 21st. Githeko's model indicated that a temperature change of just 2 degrees C could trigger malaria epidemics in many once­safe highland regions of East Africa. This meant that global warming would eventually make millions of people in malaria­free parts of East Africa—including his family in the highlands of central Kenya—vulnerable to the disease. Though alarming, the threat seemed distant; climate scientists thought it would take decades for the region to warm that much.



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  1. 1. BoRon 02:03 PM 4/1/11

    The stock photo is an Aedes mosquito, I think. (abdomen points down.)

    According to National Geographic, "The female Anopheles mosquito is the only insect capable of carrying the human malaria parasite." (abdomen points up.)

    I shouldn't get so bugged by stock photos...

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  2. 2. wildstorm 10:40 PM 4/3/11

    Mosquitoes do not depend on climate change rather on weather.

    Enough rainfall produces a swarm condition where larvae breed. Of course, a warm humid climate is exceptionally conducive than to a cold condition yet they could sustain below 26 degrees Farh. Siberia and Alaska have mosquitoes.

    The differences here is Africa is a populated continent and with the banning of cheap DDT people living in mudhouse and living in the open died.

    Millions and billions of dollars are provided to buy anti-malarial medicine and medical assistance but because of political and other form of corruptions many will not get the treatment needed, and die.

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  3. 3. rgcorrgk 03:43 AM 4/4/11

    Wildstorm, you have that about right! The banning of DDT continues to kill people in Africa. They die every day in large numbers (thanks, in part, to the largely false, Chicken Little story by Rachel Carson – SILENT SPRING etc)! Now we have the newest Chicken Little story, Global Warming, renamed Climate Change, for more propaganda value, rousing public hysteria for political & financial gain. And, we are going to “control” CO2, (how about water vapor)! It is all very PC & unbelievable stupid! Sure, you can put the WEST into an economic tail spin, leaving the field open for the serious polluters like China (building a new coal fired plant every 6 months’ or so, & well on its way toward world domination). Yes, we can always beg China for rare earth metals - China has a strangle hold on the world’s supply; so, we can have China build the largely pathetic green energy devices, which no rational person looking at the facts can believe are ready for prime time (advanced solar panels etc need China’s rare earths – they have us by the proverbials in more ways then one).
    Back to public hysteria over “Global Warming” (alias, Climate Change), given warming takes place, on other planets as with ours, likely due to solar cycles – not CO2, it won’t happen overnight (there well be hundreds of years to adjust), and, most importantly, our relatives, likely very distant future relatives – speaking Spanish no doubt, well all rejoice! You see, across the board, “Global Warming” is a blessing for nearly all forms of life! On the other hand, Global Cooling is a curse across the board for nearly all life that matters to us – including human! Yes, we do have reason to fear a killer like Global Cooling – past articles by Scientific American on Nuclear Winter type scenarios will put the fear in you. Not to forget, being hit by an asteroid, &/or a serious volcanic eruption – think of that movie a few years back called The Day After Tomorrow (the title refers to the fact that unlike the very very slow process of heating, cooling can be “the day after tomorrow”. And don’t count on NASA to come to the rescue; our Shuttles are going to be rusting in museums, if not scraped out to the Chinese (thanks to our declining footprint on this plant – by foolish design). Hysteria & delusions are part of the human experience, if not nature, in 1841 a book came out that describes examples from times past, it’s called, Extraordinary Popular Delusions and the Madness of Crowds. For something very current & on topic (if you can find it) see a DVD made by an English group, as I recall: “The Tragic Cost Of Global Warming Hysteria – not evil just wrong”, (a little balance for the flock of Chicken Littles).
    R. Carlson

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  4. 4. electric38 04:26 PM 4/11/11

    It would be good to do a web search....

    Students aim to combat malaria with smartphone software

    Several sites are aware of this ap.




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  5. 5. thevillagegeek in reply to rgcorrgk 10:28 AM 4/14/11

    I see we have a Merchant of Doubt in our midst. The attack on Silent Spring by the heavily-funded anti-environmental movement is documented in the book Merchants of Doubt.
    http://www.merchantsofdoubt.org

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