A few weeks ago I read the November 2011 newsletter of Roll Back Malaria – a partnership sponsored by the World Health Organization, the United Nations and the World Bank. It contained the following headline: “Nearly a third of all malaria affected countries on course for elimination over the next decade.” I’m not saying the glass is half empty, but it’s just not that simple.
In this short sentence RBM conjured images of great progress against the world’s millennia-old malaria pandemic. So it may sound like nit-picking to point out that RBM’s list includes mostly economically developing countries that should have eliminated malaria a long time ago (former Soviet Republics; Turkey; Sri Lanka; North Korea; sub-regions of Indonesia, Thailand, India, China and Bhutan; several Pacific Islands; countries of the Middle East and North Africa; and from the Western Hemisphere, Mexico, Argentina and Paraguay). Add that not making the list are the world’s most malaria-burdened countries, all in sub-Saharan Africa – where 85 percent of the world’s infections and 90 percent of all malaria-related deaths take place – and I think a case can be made that RBM perhaps missed the mark.
For me, the RBM report that inspired the headline really highlights that global health programs are fighting two malarias and making great progress against only one of them. Continue reading




This past summer, I spent two weeks sitting, working and, once, sleeping next to a hospital bed, trying and failing to communicate with my father.
