Malaria

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World Malaria Day: Volunteer goes the last mile to save baby boy’s life in Sierra Leone

Baindu Momoh is a mother from Gbaigibu in Kailahun district, eastern Sierra Leone. Her village is so small and remote it doesn’t show up on most maps—but that doesn’t stop the Sierra Leone Red Cross Society from looking out for the health of her community.In October 2023, Baindu came rushing to her local Red Cross volunteer, Joseph. Something was deeply wrong. Her baby boy, Senesie, had a fever, was sweating and vomiting, and had a puffy face and eyes. Baindu feared for his life.Thankfully, Joseph is part of the Community Epidemic and Pandemic Preparedness Programme (CP3) and is trained in how to detect, report, and respond to disease threats—meaning he knew exactly what to do.“I have established strong relationships with both the health facility and the community. When the child’s mother reached out to me in distress, I immediately recognized the urgency of the situation,” explains Joseph.In the absence of timely local ambulance services, Joseph rushed Baindu and her baby on his motorbike to the nearest Community Health Post in Woroma, where Senesie was diagnosed with severe malaria and anaemia. Baindu was told that, to survive, Senesie needed an urgent blood transfusion—only available at the Kailahun Government Hospital, some 30 miles away.Without hesitation, Joseph offered to help, explaining:“As a trained volunteer with a humanitarian organization, my community is my responsibility.”But in this part of the world, getting to the hospital is easier said than done.On his motorbike, with Baindu and Senesie on the back, Joseph embarked on the long, bumpy road to Kailahun—carefully navigating the treacherous terrain and crossing rivers along the way. Thankfully, they arrived safely and Senesie was quickly treated by hospital staff. “Since I could help, I couldn’t let him die. So I made the decision to pay for the treatment because the parents couldn’t afford the cost,” explains Joseph.Thanks to Joseph’s quick action and support, Senesie made a full recovery from malaria. After a week in hospital, Baindu and Senesie returned to their home in Gbaigibu. Joseph continues to check in on them to make sure they’re doing well.“Joseph risked his life to save my son’s. Upon reaching the Kailahun Government Hospital, he paid for a blood transfusion that the medical practitioners had recommended. To me, Joseph is a true lifesaver who helped us in our time of need,” says Baindu.Baindu isn’t the only person in Gbaigibu to be supported by Joseph. He regularly engages people in his community on how to prevent, detect, and respond to diseases—such as malaria, measles, and yellow fever—so they can stay healthy and safe.Fomba Lamin, head of the Woroma Community Health Post, feels Joseph plays an invaluable role in encouraging village members to seek health support.“We thank the CP3 programme, it is improving our referral rate. Community members we refer in the past did not go to Kailahun for obvious reasons: the means of transportation. But with people such as Joseph, who encourage our people to seek health care in Kailahun, we see the reduction of death in our community,” says Fomba.Although malaria is preventable and treatable, the death toll from the disease remains high for children under 5 and pregnant women, particularly in remote and hard-to-reach communities. Key challenges to controlling malaria include a lack of reliable access to health services and prevention supplies, a decrease in global funding for malaria, and a widespread and increasing rise in insecticide resistance in malaria-endemic countries. Recent innovations, such as the approval from WHO of new insecticide-treated nets (ITNs) to address insecticide resistance and two new malaria vaccines for children, are positive steps to tackling the disease. Through programmes like CP3, the IFRC is supporting Red Cross and Red Crescent Societies worldwide to plan and deliver high-quality malaria prevention activities, such as:Supporting ministries of health and their partners to plan and implement distribution of insecticide-treated bed nets through mass campaigns or continuous distribution channels. Administering preventive treatment to children as part of seasonal malaria chemoprevention campaigns.Promoting individual preventive practices through social and behaviour change activities to encourage people to sleep under a bed net every night of the year, seek prompt and early healthcare in case of fever or malaria-related symptoms, and attend antenatal care for malaria prevention.This story from Sierra Leone is a great example of how National Societies are supporting communities to prevent and seek treatment for malaria, encouraging them to implement practices that will protect them from the disease, and improving their access to health care—even in remote and isolated communities.The IFRC also houses and chairs the Alliance for Malaria Prevention, a global partnership that supports ministries of health and their financial and implementing partners with the planning and implementation of ITN distribution, primarily through mass campaigns. ITNs remain the most effective tool to protect at-risk communities from malaria. --Joseph, the volunteer mentioned in this article, is part of the Community Epidemic and Pandemic Preparedness Programme (CP3). Funded by the U.S. Agency for International Development (USAID), the programme supports communities, National Societies, and other partners in seven countries to prepare for, prevent, detect and respond to disease threats. If you enjoyed this story and would like to learn more:Visit the malaria page on IFRC.orgVisit the Alliance for Malaria Prevention websiteSign up to the IFRC’s Epidemic and Pandemic Preparedness NewsletterFollow the Sierra Leone Red Cross Society on X, Facebook and LinkedIn

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World Malaria Day

Malaria is a preventable and treatable disease transmitted by mosquitoes. According to the World Health Organization (WHO), malaria kills more than 619,000 people every year. Pregnant women and children are at highest risk, with an estimated two thirds of malaria deaths among children under the age of five.

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Article

Uganda: School Health Club helps students and communities stay safe from diseases

“The School Health Club has taught us how to look after our health. I also bring the knowledge I learn from the club to my home, and my parents take those messages to the wider community.”These are the words of Kikanshemeza, a pupil at Mwisi Primary school in south-west Uganda and proud member of her School Health Club.Set up by the Uganda Red Cross, the School Health Club helps primary and secondary school pupils understand how to protect themselves from various disease threats, stay healthy, and share their newfound knowledge with their fellow pupils, families, and wider communities.It’s one of the many different activities under the Community Epidemic and Pandemic Preparedness Programme (CP3) – a multi-country programme run by the IFRC and seven Red Cross National Societies to help communities, first responders, and other partners prepare for, detect, prevent, and respond to health risks.Since joining her School Health Club, Kikanshemeza has built a tippy tap—a simple, low-cost handwashing facility that can help reduce up to 50% of avoidable infections—in her home, supported her family to use it regularly and properly, and shared life-saving information about different diseases.“She told us not to eat the meat of animals that have died and to make sure they are buried properly, and also that bats are a potential cause of Ebola and monkeys can transmit it too,” explains Kikanshemeza’s mother, Annet.Knowledge is powerKikanshemeza is one of 30 School Health Club members at Mwisi Primary school. The club meets up once a week in special sessions led by Akampurira, a facilitator from the Uganda Red Cross, who teaches them all about different diseases—including how to recognize signs and symptoms, which people might be most at risk, and actions the students can take to stop diseases from spreading.Club members are then responsible for maintaining school handwashing facilities, making sure all students follow proper hygiene practices, and sharing what they’ve learned with their follow students—often through large, theatrical performances in the school hall.Students act out informative and lively scenes: everything from a patient seeking help from a doctor after noticing signs of malaria, to a person being bitten by a dog in the street and rushing to get vaccinated.Tackling serious health issues in this more fun and light-hearted way helps break down complex topics, keeps fellow students engaged, and helps them retain the knowledge in case they need it in future.Why involve school children in epidemic preparedness?The IFRC and our member National Societies have long focused on helping people prepare for, respond to, and recover from epidemics.We know from experience that effective epidemic preparedness must involve communities themselves, first responders, and partners from across all parts of society – such as schools.“School health clubs have been a game changer in health risk communication, as engaged learners have been excellent peer educators in school, and also change agents at the household level,” explains Henry Musembi, CP3 Programme Delegate for Uganda and Kenya.“The clubs are a great platform for training the next generation of epidemic emergency responders and champions in target communities,” he adds.Seeing positive changeKushaba, another School Health Club member whose brother had previously suffered from malaria, says he’s learned a lot from the club and has noticed positive change in his community:“We learned how we can control malaria by slashing compounds, draining all stagnant water to destroy habitat for mosquitoes, and how you can use a treated mosquito net.”“Before the introduction of the School Health Club, we didn’t have tippy taps, we didn’t know how to use toilets, even how we can clean our school. Pupils, they were suffering from diseases like malaria, cholera, but now because of the School Health Club, they are fine,” he adds.--The School Health Club in Mwisi is one of several set up in Uganda and other countries through the Community Epidemic and Pandemic Preparedness Programme (CP3).Funded by the U.S. Agency for International Development (USAID), the programme runs in seven countries and supports communities, Red Cross and Red Crescent Societies, and other partners to prevent, detect and respond to disease threats.If you enjoyed this story and would like to learn more:Visit our Epidemic and pandemic preparedness webpageSign up to the IFRC’s epidemic and pandemic preparedness newsletter

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Press release

3 billion mosquito nets shipped to prevent malaria

Geneva – 30 Nov 2023 / On the same day the World Health Organization releases its 2023 World Malaria Report, the  Alliance for Malaria Prevention (AMP) reveals that a significant milestone has been reached. Three billion insecticide treated nets (ITNs) have been shipped since 2004 to prevent malaria, most of them to countries in sub-Saharan Africa. These ITNs are estimated to be responsible for two-thirds of the reduction in malaria cases over the past decades. Thanks to the efforts of national malaria programmes and partners, about 68% of households across sub-Saharan Africa own at least one net. Most of these nets have been bought via funds from The Global Fund to Fight AIDS, Tuberculosis and Malaria, the United States President’s Malaria Initiative, UNICEF and the Against Malaria Foundation (AMF).  In 2022 alone, more than 190 million ITNs were distributed globally by National Malaria Programmes in malaria endemic countries. Of these 180 million were distributed in sub-Saharan Africa.  Petra Khoury, Director of the Health and Care Department at the International Federation of Red Cross and Red Crescent Societies, which houses the Alliance for Malaria Prevention (AMP), said:  “Three billion is a staggering number – a number reached by phenomenal efforts by people in many countries. Those nets have, over two decades, saved countless lives. Malaria will continue to be a threat, particularly in a warming world. But insecticide treated nets are the most effective tool we have to tackle it.”    In 2004, Togo rolled out the very first nationwide mosquito net campaign targeting children under five years of age with an integrated package of life-saving interventions. Twenty years and six ITN mass distribution campaigns later, Dr Tinah Atcha-Oubou, coordinator of the Togo National Malaria Control Program (NMCP), says the mass distribution of bed nets has had a dramatically positive impact on malaria mortality and mobility. Dr Atcha-Oubou says the NMCP in Togo is aiming for malaria elimination.   ‘We have a vision for our country, a Togo without malaria. We want to free communities from the burden of malaria to improve the economic growth of Togo. Malaria prevention strategies have shown promising results, we also have access to efficient tools to reach this goal. We are hopeful that we can eliminate malaria in the same way that many other countries already have’.   Access to and use of mosquito nets are essential to keep Togo on track for malaria elimination. Investments from partners at national and international level must continue to ensure that the country can keep working towards this goal.  The Alliance for Malaria Prevention’s Net Mapping Project has been independently tracking net shipments from the very first national campaign in 2004 in Togo. Funded by the United Nations Foundation through the United to Beat Malaria campaign,andledby the IFRC, the Net Mapping Project data informs the World Health Organization’s World Malaria Report each year, feeding into modeled estimates of ITN coverage across the globe.  Global partners commented on the milestone:  ‘Nets are one of the best tools in our arsenal in the fight to end malaria. The U.S. President’s Malaria Initiative is proud to support this historic milestone and applauds the work of AMP and our partners to strengthen the capacity of national malaria programs to distribute nets to the communities that need them most and to track and report data.’  Dr. David Walton, U.S. President’s Global Malaria Coordinator  “The Global Fund remains committed to improving the lives of communities suffering under the burden of malaria. Helping the countries we support ensure optimal vector control coverage is a cornerstone of our malaria strategy. The milestone of 3 billion ITNs should be celebrated and act as catalyst to further drive towards achieving and sustaining this life saving intervention.”  Scott Filler, Head of Malaria, Technical Advice and Partnerships Department, Global Fund  "This landmark achievement of shipping 3 billion insecticide-treated mosquito nets (ITNs) represents a crucial step forward in our fight against malaria. The widespread distribution of ITNs with intensive Behaviour Change Communication at community level has contributed significantly to reducing malaria transmission, protecting vulnerable populations, and saving lives.   Keziah Malm, National Coordination of National Malaria Elimination Program in Ghana  Further Information: In the last few years, an increasing proportion of ITNs shipped have contained active ingredients designed to mitigate the effects of insecticide resistance. In 2022, of the 281.5 million ITNs that manufacturers delivered to malaria endemic countries, 47% were treated with a synergist, pyrethroid-piperonyl butoxide (PBO), and 8% were dual active ingredient ITNs, which have combined insecticides with different modes of action.  While protecting people from malaria remains critical, the global community also recognises the environmental footprint of ITNs for vector control from the point of manufacture through exit from the supply chain given the heavy reliance on plastic for the nets themselves and their packaging. Responsible collection and disposal of plastic waste at the point of distribution and as nets become unserviceable for malaria prevention is, therefore, an integral part of many national malaria programmes’ vector control strategies.  Global and national stakeholders and partners are working together to find solutions to limit the amount of waste generated and to ensure more sustainable and environmentally focused supply chains for vector control with ITNs.    Despite the efforts of national malaria programs and their funding, the latest World Malaria Report notes that global malaria cases and deaths in 2022 were higher than in 2019, mostly due to the disruption of services during the COVID19 pandemic. Countries most affected include Pakistan, Ethiopia, Nigeria, Uganda and Papua New Guinea. The World Health Organization estimates that there were 608’000 malaria deaths in 2022 – 32’000 more deaths than in the year before the pandemic.   The 2023 World Malaria Report also highlights that the funding gap between the amount invested in malaria control and elimination and the resources needed continues to widen. It grew from US$2.3 billion in 2018 to US$ 3.7 billion globally in 2022. Despite the shortage of funding, continued research and development to address insecticide resistance reinforced efforts of national malaria programs and their partners to deliver services to all populations at risk. Significant work to generate sufficient funding to support national malaria strategic plans remain critical in ensuring that the fight against malaria remains on track towards the WHO 2030 targets.    For further details please contact: [email protected]   Andrew Thomas   International Federation of the Red Cross and Red Crescent +41763676587  Tommaso Della Longa   International Federation of the Red Cross and Red Crescent +41797084367  There are spokespeople available to talk about this announcement, including Petra Khoury, the IFRC’s Director of Health and Care.    Partners:   The Alliance for Malaria Prevention receives funding support from USAID, the Bill and Melinda Gates Foundation (BMGF) and the United Nations Foundation (UNF).  Since 2013, the Net Mapping Project has been funded by the United Nations Foundation and the IFRC. 

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Communicable diseases

Communicable diseases are diseases that spread from person to person or from animals to humans. Learn about various communicable diseases below and about what the IFRC and our National Societies do to keep communities around the world healthy.

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Press release

17.5 million affected by floods and threatened by disease in South Asia

Dhaka/Kuala Lumpur, 6 August 2020 – Monsoon floods are robbing millions of people of their homes and livelihoods, with mounting risk of more deadly disease outbreaks when health resources are stretched to breaking point by COVID-19. So far almost 17.5 million people have been affected and more than 630 killed by major floods in India, Bangladesh and Nepal according to government figures. Half of Bangladesh’s districts are underwater, leaving nearly 1 million families stranded and cut off in their villages. Flooding and landslides in Nepal have left almost 200 people dead or missing. In India, almost 12 million people are affected by the floods mainly in the northern states of Assam and Bihar. Feroz Salah Uddin, Secretary General, Bangladesh Red Crescent said: “This is one of the biggest monsoon floods we have faced in many years and the worst may be yet to come as we face growing risks of malaria, dengue, diarrhea as well as this worsening COVID-19 pandemic.” The monsoon season floods mean a high proportion of the population in South Asia is vulnerable to diseases such as dengue, malaria, leptospirosis and cholera. In 2019, Bangladesh experienced its deadliest outbreak of dengue with more than 101,000 cases and almost 180 deaths. India reported 136,000 people were infected with the disease and many were hospitalised. Previous years show how devastating these diseases can be for communities in South Asia, so Red Cross and Red Crescent teams in the region are urgently ramping up their flood response activities, which include distributing mosquito nets and working with communities to reduce their exposure to diseases like malaria and dengue. COVID-19 restrictions have hampered efforts to destroy mosquito-breeding sites and raise awareness in communities of how to prevent the spread of diseases like dengue and malaria, ahead of this year’s monsoon season. At the same time, restrictions on movement of people and increased screening for COVID-19 may be helping to keep other diseases from exploding for now. Dr Abhishek Rimal, Regional Emergency Health Coordinator, Asia Pacific, International Federation of Red Cross and Red Crescent Societies (IFRC) said: “Vast inland seas of stagnant water create an ideal breeding ground for mosquitos, with soaring risk of diseases like dengue and malaria. Millions of people are also gathered in confined spaces or sleeping in temporary shelters with limited access to food, safe water and protection from mosquitos, creating the perfect storm for the spread of mosquito and water-borne diseases.” The majority of limited hospital beds, doctors and health resources have been redirected to focus on COVID-19 response as India deals with more than 50,000 recorded cases a day. Bangladesh and Nepal have surpassed 240,000 and 20,700 confirmed cases respectively. South Asia now has more than 2.2 million cases of COVID-19 cases with fears that the total number of infections is much higher. Dr Rimal, said: “The critical focus on saving lives in this pandemic and preventing the further spread of COVID-19 has diverted their resources from prevention activities such as dengue and malaria are going untreated. We are seeing evidence that people are reluctant to go to health facilities because they fear catching COVID-19 and getting more sick.”