Thursday, November 29, 2012

"Malaria Vaccine: When Will We Have A Complete Success?" By Eric O'Brien


While in the process of choosing what to write about for this blog post, I decided that I would like to write about something that everyone was familiar with and from a recent date.  For this reason, I found an article on Malaria written November 9, 2012.  We’ve talked about Malaria a number of times in class and its effects on the world population.  The name of this article is “Malaria Vaccine Candidate Gives Disappointing Results” by Donald G. McNeil Jr. and it can be found in the New York Times at http://www.nytimes.com/2012/11/10/health/malaria-vaccine-candidate-produces-disappointing-results-in-clinical-trial.html .


This article discussed the Gates Foundation’s undying efforts to find an effective vaccine to immunize people from Malaria.  The most recent vaccine clinical trial proved not so much a failure as a building block.  The vaccine yielded only about a third fewer infections than a control group.  When researchers from GlaxoSmithKline were asked about whether or not they would press on, they said that they would do so because, “the number of children who die of malaria is so great that even an inefficient vaccine can save thousands of lives.” 

The latest trials have used babies from seven different African countries (not specified) thanks to the World Health Organization.  All babies used in this specific trial were younger than 12 weeks old.  Three shots of the vaccine named RTS, S or Mosuirix, yield 31% protection against detectable Malaria and 37%protection against severe Malaria.  At the same time last year, babies up to 17 months were used in similar trials with the same vaccine.  The results were  “55% protection against detectable Malaria and 47% against severe Malaria.”

Though the new trial was “is less than we’d hoped for,” said Moncef Saloui, chairman of research and development at Glaxo, “…if a million babies were vaccinated, we would prevent 260,000 cases of malaria a year. This is a disease that kills 655,000 babies a year — 31 percent of that is a very large number.”

Glaxo has spent over $300 million on this vaccine thanks the PATH Malaria Vaccine Initiative and the Bill and Melinda Gates Foundation.  This also means that research can only continue if the funding keeps coming. 

Bill Gates agreed with Saloui in that the results were lower than first expected, but they’re making progress in a very difficult field.  He continues by saying that developing a vaccine for a parasite is not easy.  RTS, S actually contains a protein found on the parasite’s surface, which then provokes an immune reaction in order for the parasite to detach from the host.  Malaria is ever changing and evolving and a cure remains elusive.  Though some have become immune, there never seems to be any consistency.  For now all we can do is push for better vaccines. 

Before I had even started reading the article, I knew that Malaria was a pandemic from what we learned in class.  What this means is that Malaria is consistently a large threat to large populations across the globe.  What interested me about this article is that Malaria is similar to viruses and diseases that affect us.  Here in Massachusetts, we have the Triple E and West Nile viruses, which are also carried by mosquitos.  From first hand experience, I have seen the spray trucks spraying to rid neighborhoods of potential virus carrying mosquitos.  It was interesting to think of what the reactions of the Massachusetts population would be if , instead, we had Malaria being carried by our mosquitos.  This article was very informative and I would recommend anyone to read it.  It stated facts that gave a good idea of what is being done to prevent deaths from Malaria. 

4 comments:

  1. Eric, this is a very interesting article. I was intrigued by the section in which you stated '"Though the new trial was “is less than we’d hoped for,” said Moncef Saloui, chairman of research and development at Glaxo, “…if a million babies were vaccinated, we would prevent 260,000 cases of malaria a year. This is a disease that kills 655,000 babies a year — 31 percent of that is a very large number.”' These numbers were surprising to me, as I thought malaria was more under control than expressed in your article. It reflects on us as Americans in a sense, that we do not feel affected by malaria, as its main victims come from Africa. It is important to raise awareness for the disease through articles like this one by Donald G. McNeil Jr. so that people can get a better understanding of the attempts to eradicate disease.

    I liked how this article stayed positive, stating that even an ineffective disease could save thousandths of lives. This reminded me of our Smallpox unit and how one, small vile of vaccine could cure thousandths with the effective small needle the missionaries used. I think the campaign to eradicate Smallpox is great motivation for those feeling malaria will never be a complete success. These heroes' dedication, determination, and drive set the bar for others to follow in their footstep. I believe malaria can be eradicated worldwide through people's passions to end this disease once and for all.

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  2. I find it interesting that even with such advanced modern technology, malaria remains one of the most lethal diseases in history. While there is little doubt that such measures as mosquito nets have somewhat lowered the death toll, 665,000 children dying each year is still far too many. Such preventive measures as malaria pills or quinine are also ineffective when trying to eliminate malaria in some of the most remote inhabited areas on Earth. Nevertheless, we have already succeeded in eliminating smallpox, which should be an inspiration for epidemiologists everywhere not to give up. I am thankful that of any cause that the Bill and Melinda Gates Foundation could support, they have chosen research into a malaria vaccine.

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  3. I found it amazing that even with a vaccination malaria still managed to kill 655,000 babies. Even with are technology we were only able to prevent 31% of deaths. The number of deaths is an number so large its hard for us to fully understand. It shows how hard it will be for us to completely eliminate malaria like we did for smallpox. If we use some the techniques we did for the erdication of smallpox we may be able to the same for malaria.

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  4. Just like Marissa stated,I loved how Eric chose an article that was rather positive for such a tragic situation. I applaud Glaxo and the contributors that fund the program as they put $300 million dollars into this project just in the hopes that they may put a dent in the number of baby Malaria deaths.

    I was shocked to read that the disease kills 655,000 babies a year but am happy that Glaxo was able to save about 31% of those lives just by giving out vaccines. Although a cure to Malaria seems to be "elusive," Glaxo knows that their only hope is to keep on doing research and distribute vaccines to young infants. In a situation so dire it seems very difficult to keep upbeat and hold hope , yet I believe that the Glaxo organization, people like Bill and Melinda Gates, and the PATH Malaria Vacine Initiative keep the positivity alive and progress going! I hope that one day a greater break through can be made!

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