Glaxo Malaria Vaccine Cuts Risk by Half

for at Least 15 Months, Study Says

By Simeon Bennett – Jan 13, 2011

GlaxoSmithKline Plc’s experimental malaria vaccine, already shown to cut the risk of children contracting the disease by half after 8 months, was equally effective after 15, a study showed.

Youngsters in Africa who got the shot, called Mosquirix, were 46 percent less likely to contract malaria than those who received a rabies vaccine, according to the study published in the journal Lancet Infectious Diseases.

The findings suggest the London-based drugmaker may have succeeded where others have failed in developing the world’s first effective shot against the deadliest mosquito-borne disease. Glaxo expects to have the results of final-stage trials by late this year or early next, Chief Executive Officer Andrew Witty said in October.

“We’ve never had a malaria vaccine get this far in its development and continue to show such promise,” Robert Newman, director of the World Health Organization’s Global Malaria Programme, said in a telephone interview today. “It’s promising and encouraging.”

Malaria infected about 225 million people and killed about 781,000 in 2009, mostly children in sub-Saharan Africa, the Geneva-based WHO said in December. That makes it the world’s third-deadliest infectious disease behind AIDS and tuberculosis.

Researchers including Philip Bejon, from the Kenya Medical Research Institute in Kilifi, Kenya, tested the vaccine on more than 800 children between ages 5 and 17 months in Tanzania and Kenya. The children either received a rabies vaccine or Mosquirix with a so-called adjuvant designed to boost the effect.

New Analysis

An initial analysis, published in December 2008, showed the vaccine cut the number of children infected with malaria by 53 percent after 8 months. The new analysis found “no evidence of waning efficacy,” Bejon and colleagues wrote.

The most common adverse events were pneumonia, fits with fevers and stomach inflammation, with fewer events reported among children who received the malaria vaccine compared with those who got the rabies shot. The researchers are now studying the vaccine in 15,000 infants in seven countries.

Glaxo expects the cost of the vaccine, if successful, to be “the lowest practical cost sustainable over time,” Witty told reporters on a conference call in October. The drugmaker will “price it at the cost of manufacturing, with only a very small return, around 5 percent,” which Witty has pledged to deploy in research for more treatments of neglected tropical diseases.

The study was funded by Glaxo and the Bethesda, Maryland- based PATH Malaria Vaccine Initiative, which is in turn sponsored by the Bill and Melinda Gates Foundation, the world’s richest charity.

Assuming results of the next trial are positive, Glaxo plans to seek regulatory approval for the shot in Europe, Stephen Rea, a spokesman, said in a telephone interview today. The WHO wants to wait for data on the effectiveness of the vaccine after 30 months, due in 2014, before it makes a policy recommendation on the vaccine, Newman said.

To contact the reporter on this story: Simeon Bennett in Singapore at sbennett9@bloomberg.net

Unusual Discovery in South African Orchard

Andrews Bromi,  TalkAfrique.com

Is there a faster, cheaper method to pick  sweetest oranges in the orchard? Ask a baboon.

A group of baboons in South Africa is being recognized as capable of sniffing out a new, sweeter variety of orange. Their speed and accuracy at gobbling up quickly ripening fruit has led to a discovery of what is believed to be a new type of tangerine.

Alwyn van der Merwe, production director of ALG Estates near Citrusdal, South Africa, said the farm noticed that baboons that come down to the farm from nearby mountains each year always went to feed from a particular tree among the thousands in the orchards. The animals stripped the tree clean of fruit well before others in the orchard were in season, he said.

“At closer inspection we discovered that the brix [sweetness grade] of this particular minneola, a soft citrus variety, was much higher than the rest of the orchard and that it started bearing fruit at least three weeks earlier than expected,” van der Merwe said.

” It was clearly a case of a spontaneous mutation in the orchard, which would have gone unnoticed were it not for the baboons,” van der Merwe is quoted as saying.

Growers have begun grafting shoots from the baboon’s favorite tree onto other root stock and hope to be producing large quantities of the sweeter minneola in a few years.

And he knows the baboons will likely be the first customers.

“I’m sure they will have a feast one day when we produce a whole orchard of these early sweet minneolas,” he said.

Niger: UN, African officials To Assess Progress Towards Democratic Poll

13 January 2011 –A joint United Nations-African mission arrived in Niger today to assess progress by the transitional authorities in organizing elections following last year’s coup and a recent wave of arrests.

Secretary-General Ban Ki-moon’s Special Representative for West Africa Said Djinnit was accompanied by African Union (AU) Peace and Security Commissioner Ramtane Lamamra and Economic Community of West African States (ECOWAS) Commission Vice-President Jean de Dieu Somba.

“The purpose of the visit is to express collective support to the transition process in Niger and assess progress and remaining challenges in restoring constitutional order, including the organization of the elections,” the UN Office for West Africa (UNOWA) said in a news release.

The delegation is scheduled to meet with national authorities, as well as presidential candidates and members of the international community in Niamey, the capital.

Last February renegade soldiers stormed the presidential palace and deposed Mamadou Tandja, who had been accused by opposition figures and others of anti-democratic practices.

The electoral timetable provides for polls to be held by 6 April, starting with a referendum on a new constitution and culminating with the election of a new president to be inaugurated on 11 April. Members of the transitional government and the military and security forces will be ineligible to stand.

Niger’s transitional head of State, General Salou Djibo, reassured the mission on a similar visit last October that the agreed timeline would be adhered to.

Mr. Djinnit told the Security Council last month that the situation in Niger continued to be a work in progress. “Evidence from the ground shows promising prospects for a swift return to constitutional order, despite a recent wave of high-profile arrests indicating divisions within the military leadership,” he said.

Correction: Give The Women of Africa an Option In Protection

In my article, Anti-HIV/AIDS Campaigns: Give The Women of Africa an Option In Protection

I stated: The main disadvantage of the female condom is that it is three times more expensive than the male condom and therefore beyond the means of women in most African communities where the average income is less than a dollar a day. (The cost of the female condom is between $2.50 -$5.00).

Correction:

The cost of the FC2 Female Condom is around $0.60 for governments and donors and lower with increased volume.  The $2 price is what FC1 costs on the shelf in a retail drug store in the US.  The FC2 was developed to lower the cost of the female condom with intent to increase access to women in Africa. It has same design but different material and different manufacturing process which allows for the significantly lower cost.   

I apologize for mixing these up in the article.

 Thank you,

Kwabena Amponsah-Manager

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P Square with I Love You (Official video with Lyrics) on UGPulse.com Nigerian Naija Music
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Urgent Action Essential to Protect Malaria Therapies Says WHO

12 January 2011 | Geneva The world risks losing its most potent treatment for malaria unless steps are quickly taken to prevent the development and spread of drug resistant parasites, according to a new action plan released today by WHO and Roll Back Malaria partnership (RBM).

The Global plan for artemisinin resistance containment outlines the necessary actions to contain and prevent resistance to artemisinins, which are the critical component of artemisinin-based combination therapies (ACTs), the most potent weapon in treating falciparum malaria, the deadliest form of the disease. Resistance to artemisinins has already emerged in areas on the Cambodia-Thailand border. Although ACTs are currently more than 90% efficacious around the world, quick action is essential. If these treatments fail, many countries will have nothing to fall back on.

Stop the emergence of drug resistance at its source

“The usefulness of our most potent weapon in treating malaria is now under threat,” said Dr Margaret Chan, WHO Director-General. “The new plan takes advantage of an unprecedented opportunity in the history of malaria control: to stop the emergence of drug resistance at its source and prevent further international spread. The consequences of widespread artemisinin resistance compel us to seize this opportunity.”

The global plan aims to contain and prevent artemisinin resistance through a five-step action plan:

1. Stop the spread of resistant parasites

A fully funded and implemented malaria control agenda, as outlined in the Global malaria action plan, would address many of the needs for the containment and prevention of artemisinin resistance. However, additional funding will be needed to stop the spread of resistant parasites in areas where there is evidence of artemisinin resistance. The global plan estimates that it will cost an additional US$ 10–20 per person in areas of confirmed resistance (Cambodia-Thailand border) and US$ 8–10 per person in the at-risk areas of the Greater Mekong area.

2. Increase monitoring and surveillance for artemisinin resistance

WHO estimated in 2010 that only 31 of the 75 countries that should be conducting routine testing of the efficacy of ACTs actually did so. There is a risk of artemisinin resistance emerging silently in areas without ongoing surveillance.

3. Improve access to malaria diagnostic testing and rational treatment with ACTs

These therapies are frequently used to treat causes of fever other than malaria. Unnecessary use of ACTs can increase the risk of resistance. In order to reduce the number of patients who do not have malaria taking the therapies, WHO recommends diagnostic testing of all suspected malaria cases prior to treatment.

4. Invest in artemisinin resistance-related research

There is an urgent need to develop more rapid techniques for detecting resistant parasites, and to develop new classes of antimalarial medicines to eventually replace the ACTs.

5. Motivate action and mobilize resources

The success of the global plan will depend on a well-coordinated and adequately funded response from many stakeholders at global, regional and national levels.

”Effective containment of artemisinin resistance will significantly improve our capability to sustain current control achievements at country level,” said Professor Awa Coll-Seck, Executive Director of the Roll Back Malaria Partnership. ”We now have a coordinated plan to stop the spread of resistant parasites, but we need additional funding to fully implement it,” Coll-Seck reminded the international donor community.

WHO estimates that the number of malaria cases has fallen by more than 50% in 43 countries over the past decade. A recent modeling analysis of malaria prevention in 34 African countries estimates that more than 730 000 lives were saved between 2000 and 2010; nearly three quarters of them since 2006, when the use of both insecticide treated mosquito nets and ACTs became more widespread. The loss of ACTs as an effective treatment would likely result in a significant increase in malaria-related deaths.

Tremendous progress against malaria

“We have made tremendous progress over the past decade in the fight against malaria,” noted Dr Robert Newman, Director of the WHO Global Malaria Programme. “If we are to sustain these gains and achieve the health-related Millennium Development Goals, then it is essential that we work together to overcome the threat of artemisinin resistance.”

The Global plan for artemisinin resistance containment was developed by the WHO Global Malaria Programme through consultation with over 100 malaria experts from across the Roll Back Malaria Partnership. Funding was provided by the Bill & Melinda Gates Foundation.

For more information, please contact:

Samantha Bolton
Communications Officer
Global Malaria Programme
Mobile: +41 79 239 2366
E-mail: samanthabolton@gmail.com

Simone Colairo
Administrative assistant
Global Malaria Programme
Telephone: +41 22 791 2533
E-mail: colairos@who.int

South Sudan food Security Improves

Prospects for future food security in southern Sudan depend highly on how the post-referendum period evolves.

12 January 2011, Rome/Juba – The number of people in need of food assistance in southern Sudan has decreased markedly – though prospects for food security largely depend on the post-referendum period and the number of people returning to the South, a United Nations report said today.

An assessment by the UN Food and Agricultural Organization (FAO) and World Food Programme (WFP) warned that recent gains in food security, especially in states bordering on northern Sudan, such as Upper Nile and Unity, could be reversed by increasing food prices and any escalation of localized conflict.

“The overall food security situation improved markedly in 2010 compared to the previous year largely because of the favourable rains,” said WFP Regional Director for Sudan Amer Daoudi. “That is absolutely no reason for complacency now. More than a million people will still need food assistance and the situation could swiftly deteriorate at this critical time.”

Crop growing conditions were generally good in 2010, the report said. Rainfall started on time in most locations and rainfall levels were normal to above normal and generally well distributed. Despite some localised dry spells and floods, 2010 cereal crop production is estimated at 695 000 tons, nearly 30 percent higher than 2009. This estimate leaves an overall cereal deficit in 2011 of about 291 000 tonnes to be covered by commercial imports and food assistance.

“However, with a forecast of about 400 000 people returning to vote the estimated deficit may increase up to 340 000 tonnes, said FAO economist Mario Zappacosta. “Returnees are expected to further increase the pressure on local food market supplies.”

The report said that in the best-case scenario of a peaceful referendum process in the South, the number of people receiving emergency food assistance would rise gradually this year and was expected to peak at 1.4 million during the start of the lean season from March until August.

Prospects for future food security depended highly on how the referendum that started from 9 January and the post-referendum periods evolve, according to the report.

“Recent gains could easily be reversed due to the following risk factors: increasing food prices due to reduced trade flows and increased demand from returnees, a potential escalation of localized conflicts in the border areas, and potential increases of ethnic and inter-tribal tensions,” FAO/WFP said.

In the event of reduced trade, increased demand, high food prices and increased insecurity in the post-referendum period, the number of people receiving emergency food assistance out of the 2011 projected total population of 9.16 million in southern Sudan could reach 2.7 million at the start of the annual lean or hunger season when the previous harvest runs out.

The FAO/WFP mission estimated that 890 000 people were currently severely food insecure in the South and 2.4 million were moderately food insecure.

It said with uncertainties over the referendum the supply of grains from northern Sudan and to a lesser extent from Uganda and Kenya was expected to decline substantially. Grain stocks were declining in some border areas, leading to increased prices, which would also come under pressure from large numbers of returnees. So far, more than 120,000 people have returned since October and up to 250,000 are expected to have arrived by early February.

(FAO)

Nigerian Striker Yakubu Ayegbeni to Sign For Leicester City

Yakubu Ayegbeni
Yakubu Ayegbeni

Nyarko Benso

Nigerian and Everton striker Yakubu Ayegbeni is set to complete a loan signing to Leicester City before the end of the transfer season on Wednesday.

Yakuku, 28, will join Sven-Goran Eriksson’s Championship side with a view to a permanent move in the summer.

The Nigerian striker has started only eight games this term.

He has struggled to find his best form following an eight-month lay-off with a Achilles injury in 2008 and 2009.