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    • Opinion
    • Malaria

    Opinion: Why the silence on the shortfall in malaria vaccine doses?

    The number of doses of the latest malaria vaccine reported in the press for distribution appears far lower than supposed production capacity.

    By Zacharia Kafuko, Jean-Vincent Lamien // 22 April 2024

    Malaria, a preventable disease, continues to claim countless lives, particularly in Africa. New hope arrived with the development of two vaccines, yet rollout so far has been limited — and over 1,000 children continue to die of malaria each day in Africa. The public record reveals an enormous gap between producible doses and planned doses, while we are left without an explanation from international institutions on this gap.

    Sub-Saharan Africa remains plagued by a disease eliminated in many parts of the world. This is in part due to geography and climate that make mosquito control more difficult, but also due to inadequate resources to effectively combat the breeding of the malaria-spreading mosquitoes — in other words, because of poverty and underinvestment, one of the many legacies of colonialism.

    There may be a subtle temptation in the West to see these deaths as a sad but natural consequence of the current African condition. But the fact that millions of African children have died of malaria and that the continent has faced malaria for millennia should not be construed as a sign that the status quo is “natural” or “normal.”

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    More reading:

    ► African countries embrace first malaria vaccine despite low efficacy

    ► Cameroon launches historic malaria vaccine rollout

    ► The significance of the first WHO-approved African malaria medicine

    • Global Health
    • Funding
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    The views in this opinion piece do not necessarily reflect Devex's editorial views.

    About the authors

    • Zacharia Kafuko

      Zacharia Kafuko

      Zacharia Kafuko is a molecular biochemist and an Arizona State University Mandela Washington fellow. He is the director of 1Day Africa, which focuses on global vaccine equity and the integration of low- and middle-income countries into modern medical research.
    • Jean-Vincent Lamien

      Jean-Vincent Lamien

      Dr. Jean-Vincent Lamien is a Burkinabé physician-scientist and clinical investigator at the clinical research unit of Nanoro, where he participated in trials confirming the efficacy of the R21/Matrix-M malaria vaccine in children.

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