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“Over a century now after Dr. William Gorgas wiped Yellow Fever out of Havana and Panama, and by that out of an entire continent, and more than half a century after Fred Lowe Soper led the eradication of Anopheles gambiae out of Northeast Brazil, their names are unknown, their carefully-detailed, boots-on-the-ground methods that they described in detail to leave expressly for generations to study and learn from to apply to malaria - and specifically they both had the desire for the destruction of malaria in Africa on their minds - is unread. The mistakes they warned about, the assumptions that they discovered to be useless and ineffectual in the field against disease-bearing mosquitoes are repeated today, while what Gorgas and Soper found to be effective and efficient in real-life conditions are routinely ignored or unknown, avoidable errors blithely doomed to be repeated thanks to modern ignorance of their incredibly important and transformative historical successes in public health. In the battles against malaria, to be ignorant of Gorgas’ and Soper's work in eradicating the mosquito that carries it is to be hobbled by the lack of hard-earned field knowledge, practical and effective discoveries that remain completely relevant and critical to success in eradicating malaria today.”
T.K. Naliaka“When considering grand plans for effective communicable disease control in this time of Ebola peril, malaria continues to kill nearly a million people a year world-wide, and by far the single most reliable protection against malaria is to sleep under a mosquito net, but one of the major impediments to this basic and effective malaria control is that many people, regardless of education level or country of origin, in malaria endemic zones don't install and use one, not that they can't get one, but because they don't think the mosquito net 'looks nice.”
T.K. Naliaka“If it is considered speaking knowledgeably about malaria by having spent a few weeks traveling into malaria endemic zones and fallen sick from being infected with it, then what is it considered by having lived in the very same malaria endemic zones for years without being infected by it?”
T.K. Naliaka“Shovels aren't very glamorous, but they've been liberating entire communities from malaria for the past 5,000 years.”
T.K. Naliaka“It’s not that easy living with malaria. The reality of the high annual death toll should make that very obvious.”
T.K. Naliaka“Will Brazilian antigambiae measures succeed in Africa? As time goes by it will almost certainly be found that an increasing number of areas can be cleaned of gambiae and be freed of gambiae-transmitted malaria. In Africa, where the species is already widely disseminated, it would seem logical to attempt eradication by beginning in the center of the area to be cleaned and working always outward. It has been demonstrated in Brazil that species eradication of Aedes aegypti and Anopheles gambiae is feasible.”
Fred Lowe Soper, Anopheles Gambiae in Brazil, 1930 to 1940“But such is the nature of man that as soon as you begin to force him to do a thing, from that moment he begins to seek ways by which he can avoid doing the thing you are trying to force upon him. A man with malaria parasites in his blood is a danger to his companions. To kill all the parasites, he was then required to continue doses of quinine a week or ten days after his fever. When the convalescing men were given their daily dose of quinine they would manage to throw their tablets out of the dispensary window. The old turkey-gobbler pet of the hospital gobbled up all the tablets he could find. He became so dissipated he finally developed a species of blindness caused by too much quinine. I cannot vouch for this, but I was often twitted with this story as an illustration of how the men were treating prophylactic quinine.”
William Crawford Gorgas, Sanitation in Panama“My experience of malaria was just taking anti-malarials, which give you strange dreams, because I don't want to get malaria.”
Bill Gates“The malaria parasite has been killing children and sapping the strength of whole populations for tens of thousands of years. It is impossible to calculate the harm malaria has done to the world.”
Bill Gates“Huh. What a dope! Wait till Mom hears about this. He's so in trouble now. You know how crazy she gets about malaria.”
T.K. Naliaka, A Difficult Damsel to Rescue