<?xml version="1.0" encoding="UTF-8"?><rss xmlns:content="http://purl.org/rss/1.0/modules/content/" version="2.0"><channel><title>IRIN - Gambia</title><link>http://www.irinnews.org/irin-fp.aspx</link><description>Updated everyday</description><language>en-gb</language><lastBuildDate>Tue, 15 May 2012 17:30:50 GMT</lastBuildDate><item><title>FOOD: Power to the people!</title><pubDate>Tue, 15 May 2012 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2011/201104051041120547t.jpg" />]]>JOHANNESBURG 15 May 2012 (IRIN) - The UN Development Programme (UNDP) launched its first Africa Human Development Report today, stressing food security as a means to a better quality of life for all. </description><body><![CDATA[JOHANNESBURG 15 May 2012 (IRIN) - The UN Development Programme (UNDP) launched its first Africa Human Development Report [http://www.undp.org/content/undp/en/home/librarypage/hdr/africa-human-development-report-2012/ ] today, stressing food security as a means to a better quality of life for all.  

The argument is straightforward: Most people in Africa depend on agriculture, and better nutrition is good for human development. More food production means more food and income in people’s pockets, which has spin-offs which are beneficial for health and education. 

The report is not another exhortation to farmers to grow more food. Pedro Conceicao, chief economist with the UNDP Regional Bureau for Africa, explained that exclusively looking at linkages between small-scale farmers and agriculture or gender empowerment and agriculture were “piecemeal approaches” and not helpful. “We have to move beyond silver bullet obsessions [such as agricultural subsidies] or attention-grabbing headlines.” 

He reasoned that high economic growth rates in Africa had not necessarily resulted in a reduction in poverty and food insecurity - which points to accessibility to food and purchasing power as key factors. The report emphasizes “empowerment” and participation as important levers for change. 

It argues that countries need to implement a more strategic vision of food security. An approach to emulate would be what Ethiopia had done to beef up its agriculture sector by setting up a separate Agricultural Transformation Agency (ATA) [ http://www.ata.gov.et/about/our-mandate/ ] right next to the prime minister’s office. It is modelled on similar initiatives in Asia which helped accelerate economic growth in South Korea and Malaysia, for instance. ATA addresses bottlenecks in areas such as soil management, research and extension services. 

The report calls for new approaches covering multiple sectors - from rural infrastructure to health services, to new forms of social protection and empowering local communities. It calls for action in four critical areas: 

1. Increasing agricultural production: It acknowledges that boosting production would be integral to any approach to becoming food secure, and calls for investment in research, infrastructure and inputs and a Green Revolution in Africa; 

2. More effective nutrition: Develop coordinated interventions which boost nutrition while expanding access to health services, education, sanitation, and clean water; 

3. Building resilience: Investment in crop insurance, employment guarantee schemes, and cash transfers to shield people from risks and make them less vulnerable to shocks; 

4. Empowerment and social justice: Gender empowerment, access to land, technology and information are important to make people food secure. 

IRIN interviewed two leading experts on the issues. 

Steven Wiggins, research fellow with the UK’s Overseas Development Institute, who has been studying agriculture and rural development in Africa since 1972: 

Africa is not one unitary entity: “There are 56 countries in Africa... When Africa is considered as a single unit, there is a great danger that it is compared to other similar units, above all Asia, leading to analyses that suggest that if only Africa were more like Asia, then things would improve. Well, I’m not sure that Botswana has very much to learn from, say, Afghanistan, thank you very much. Hyperbole aside, the point is this: in Africa we have several, if not many, cases of admirable progress in food and nutrition security, but we overlook this.” 

Real progress takes time: “A longstanding issue in African policy debates is the search not only for growth, but for growth that is `transformative’. Even when an African economy grows, the pessimists say `yes, but where is the transformation?’ usually noting that in Asia growth is transformative. Well, yes, where that has apparently happened in Asia... it is the result of 30 or 40 years of sustained progress. Yet damning judgments are made about African countries after less than 10 years of sustained and high economic growth." 

Too complicated and demanding: It would have been better had it [the overview [of the report] stuck to a few fundamental propositions that are well supported by the evidence, namely: smallholder development plus primary health plus clean water will almost always reduce child malnutrition. Yes, let’s add girls in secondary school to the list: that will strengthen these links. But it’s that simple. 

Peter Gubbels, the West Africa co-coordinator for Groundswell International, a global partnership of local farming communities, has 30 years of experience in rural development, including 20 years living and working in West Africa. He is based in Ghana. He says: 

Move beyond the Green Revolution: “The report… seems to embrace the Green Revolution approach to agricultural improvement, citing... the results... in Asia, and seeking to now apply those lessons to Africa. The report suggests implicitly, that one reason Africa still has hunger is because Africa has not benefited from `science-based, input-intensive’ support. This is highly misleading. There have been many efforts to promote Green Revolution in Africa. Almost all have failed.” 

Missing bits: “There is no mention of Conservation Agriculture, or of the Brown Revolution [to promote soil fertility and conserve water].” 

Under-funding in agricultural research: “This is true but is also misleading. There has been a great amount of funding in the CGIAR [Consultative Group on International Agricultural Research] system in Africa, including IITA [International Institute of Tropical Agriculture] in Nigeria, from the 1970s onwards. One reason donors reduced funding in the 1990s was because it was not generating good production results. 

“But this report seems to assume that investing in new seeds, fertilizers, tractors, irrigation and training is what is needed... And how many very poor small-scale farmers can afford tractors?” 

Understanding resilience: “Equally disturbing is the suggestion that long-term resilience measures can enable risk averse, poor small-scale farmers to adopt riskier, but more productive, agricultural technologies. This is twisting my understanding of resilience. The aim is to reduce (or at least manage risk), using low external inputs and local ecological systems, not to increase risk by creating dependence on external expensive inputs (insurance, etc) for poor, vulnerable farm families working in marginal conditions. The way forward would be to develop crops and technologies that both increase food production and reduce risk by conservation agricultural techniques.” 

"Subsuming” nutrition into food security: “There is not just food insecurity in Africa. There is both food insecurity and nutrition insecurity. Currently in the Sahel, there is both a food crisis and a nutrition crisis. They may be linked, but the causes are quite different, and the solutions that are [rooted] in food security are almost always inadequate. 

“Just as we need to change the strong association of agriculture with food security, we also need to move nutrition out of the confines of food security. There is still a very strong tendency to believe that food aid, and increasing food production, solves most of malnutrition. It does not. It only helps prevent major spikes in the already existing emergency level of chronic and acute malnutrition.” 

Controversial issues side-stepped: “The report also almost completely sidesteps... genetically modified seeds... the role of agribusiness in land-grabbing, control of seeds, pushing pesticides and herbicides.” 

jk/oa/cb 
]]></body><link>http://www.irinnews.org/report.aspx?ReportId=95459</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2011/201104051041120547t.jpg"/></td><td valign="top">JOHANNESBURG 15 May 2012 (IRIN) - The UN Development Programme (UNDP) launched its first Africa Human Development Report today, stressing food security as a means to a better quality of life for all. </td></tr></table>]]></content:encoded></item><item><title>WEST AFRICA: Giant anti-polio drive threatened by insecurity</title><pubDate>Fri, 23 Mar 2012 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2012/201201311207110246t.jpg" />]]>DAKAR 23 March 2012 (IRIN) - Health volunteers, aid agency and health authority staff are trying to immunize 111.1 million children under five across 20 countries in West and Central Africa against polio. The four-day campaign started today, but instability in some of the target countries could hamper the effort.</description><body><![CDATA[DAKAR 23 March 2012 (IRIN) - Health volunteers, aid agency and health authority staff are trying to immunize 111.1 million children under five across 20 countries in West and Central Africa against polio. The four-day campaign started today, but instability in some of the target countries could hamper the effort.
 
Parts of Nigeria are highly unstable due to ongoing attacks by Boko Haram; [ http://www.irinnews.org/Report/94691/NIGERIA-Timeline-of-Boko-Haram-attacks-and-related-violence ] a rebellion is currently under way in northern Mali, [ http://www.irinnews.org/Report/95127/MALI-Rebellion-claims-a-president ] while security in the capital Bamako is also precarious with a military junta having ousted the president. 
 
Over half of the children targeted - some 57.7 million, are in Nigeria, which is West Africa’s only polio-endemic country.
 
Meanwhile parts of Niger (for instance Tillabéri in the northwest) are difficult to access, as are parts of eastern Chad, with some aid agencies working only with armed escorts.
 
“Access to children [in some of these places] can be a serious problem,” said UN Children’s Fund (UNICEF) regional health specialist Halima Dao. 
 
“Vaccinators’ safety can be compromised, or insecurity means the whole population of a village may flee at a moment’s notice, or there may be far more people than we expected in an area, due to displacement,” she told IRIN. 
 
The conflict in northern Mali has, for instance, led to about 195,000 people being displaced either within the country or when they fled to Algeria, Mauritania, Niger, Burkina Faso and Senegal, according to the UN Refugee Agency (UNHCR), but these numbers are constantly changing as people return or move from camps to host villages, meaning reaching them could be complicated.
 
Dao admits some children in the Tombouctou  and Kidal regions of northern Mali may not be reached, though they are discussing with NGOs working there, including Médecins Sans Frontières and the Malian Red Cross, to see how to reach as many as they can. “We have to work with authorities and NGOs who are used to accessing these insecure areas,” she said. 
 
For a polio immunization campaign to be effective, 100 percent of the children must be reached, says the World Health Organization (WHO), while the long-term fight against polio will only work if routine immunizations are consistently kept up, for at least 90 percent of children under five, for several years running.
 
Last year, election-related in violence in Côte d’Ivoire hampered efforts to quash a polio outbreak affecting 36 children, according to aid agencies. 
 
Thus far, only Ghana, Cape Verde, Burkina Faso, Gambia and Togo have achieved the required 90 percent coverage, according to UNICEF.
 
Children in the hardest-to-reach areas are often the most vulnerable, said Dao, as they do not have access to regular health services. Agencies will try to give Vitamin A and de-worming medicine to these children where possible. 
 
Weak health systems
 
Human error and weak health systems also play an important role in sub-optimal immunization reach: In Chad, [ http://www.irinnews.org/Report/94769/CHAD-Why-polio-is-so-hard-to-eliminate ] for instance, where the health system is broken, just 60 percent of children have been covered, according to UNICEF. 
 
The campaign involves hundreds of thousands of health workers, though it will not lead to eradication in one fell swoop, said Dao. “We hope the exercise will bring us closer to reaching our goal of interrupting wild polio virus transmission in our region in 2012,” said Luis Sambo, West Africa director of WHO in a 22 March communiqué. [ http://www.unicef.org/media/media_62054.html ]
 
Despite a resurgence of the virus in West Africa, the global fight against polio has made progress: since 1988, when the Global Polio Eradication Initiative [ http://www.polioeradication.org/ ] was launched, polio has reduced by over 99 percent. At the time some, 350,000 children were paralysed by polio each year but in 2011 the reported caseload was 650, according to UNICEF.
 
An intense effort to stamp out polio in India led to no new cases being reported in 2011. India alongside Pakistan, Afghanistan and Nigeria is one of the world’s four polio-endemic countries. “If India can do it, then so can these African countries,” said Dao. “We’ve reached 99 percent of the world - we need to reach that final 1 percent; the whole programme is at risk,” she said.
 
aj/cb

Polio in West Africa
- 62 cases of polio were reported in Nigeria in 2011; thus far 10 have been reported in 2012
- 132 cases of polio were reported in Chad in 2011; while 2 have been reported so far in 2012
- No cases have as yet been reported in other West African countries
Source WHO: [ http://www.polioeradication.org/Dataandmonitoring/Poliothisweek/Wildpolioviruslist.aspx ]

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=95145</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2012/201201311207110246t.jpg"/></td><td valign="top">DAKAR 23 March 2012 (IRIN) - Health volunteers, aid agency and health authority staff are trying to immunize 111.1 million children under five across 20 countries in West and Central Africa against polio. The four-day campaign started today, but instability in some of the target countries could hamper the effort.</td></tr></table>]]></content:encoded></item><item><title>AFRICA: Snake oil salesmen and dodgy HIV &quot;cures&quot;</title><pubDate>Thu, 19 Jan 2012 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/200641010t.jpg" />]]>NAIROBI/JOHANNESBURG 19 January 2012 (IRIN) - Uganda&apos;s National Drug Authority recently arrested sales representatives of a company selling a drug that purports to cure HIV; the firm&apos;s owners are not licensed to sell medicine and are being sought by the police.</description><body><![CDATA[NAIROBI/JOHANNESBURG 19 January 2012 (IRIN) -  Uganda's National Drug Authority recently arrested sales representatives of a company selling a drug that purports to cure HIV; the firm's owners are not licensed to sell medicine and are being sought by the police.  

 The drug, known as Virol ZAPPER, was being sold in 37ml liquid doses, each costing about US$210; patients were advised to take 10 drops daily. It was being advertised on local radio and TV stations as a miracle cure for HIV.  

 The sale of such "cures" is a profitable racket for charlatans willing to take advantage of desperate HIV-positive people; here is a collection of some dodgy treatments that have made the news in Africa over the years:  

 Tanzania - In 2011, tens of thousands of people from all over East Africa flocked to the tiny village of Loliondo [ http://plusnews.org/report.aspx?ReportID=92360 ] in Tanzania seeking a cure for several diseases, including diabetes, tuberculosis and HIV. Ambilikile Mwasapile, a former Lutheran pastor, was charging 500 Tanzanian shillings - about $0.33 - for a cup for his concoction.  

 Several sick people died in the queues, which at their peak numbered 15,000 people. Studies are being conducted to determine the properties of Mwasapile's treatment.  

 South Africa - A 2008 Cape High Court judgment ruled that clinical trials of multivitamins in the treatment of HIV/AIDS by controversial vitamin salesman Matthias Rath [ http://plusnews.org/report.aspx?ReportID=78739 ] were unlawful, and stopped them. The court also prohibited Rath from publishing any more advertisements claiming that his product, VitaCell, cured AIDS, pending further review by the Medicines Control Council.  

 Rath, who had been operating in South Africa since about 2004, claimed his multivitamins treated AIDS, heart disease, cancer, diabetes, bird flu and numerous other illnesses. Rath ran numerous advertisements aimed at convincing HIV-positive people to take his high-dose multivitamins rather than ARVs, available free-of-charge through the public health system, which he claimed were "toxic".  

 Kenya - In 2008, the government warned HIV-positive people in the country's eastern Coast Province [ http://www.plusnews.org/Report.aspx?ReportId=79915 ] to reject herbal "cures" peddled by fake herbalists who claimed their concoctions contained unique ingredients that could boost the immune system and even cure HIV.  

 An estimated 80 percent of Kenyans use traditional healers either exclusively or in conjunction with western medicine; the government is drafting regulations to stop fraudulent herbalists from practising.  

 Gambia - In 2007, President Yahya Jammeh was roundly denounced by AIDS activists when he said he had found a cure for HIV/AIDS and began treating citizens. Shortly after his announcement, Jammeh expelled [ http://www.plusnews.org/report.aspx?ReportID=70123 ] the most senior UN official in the country for questioning his "cure".  

 The programme is still running, but more Gambians are choosing ARVs over Jammeh's treatment.  

 Ethiopia - In 2007, thousands of HIV-positive patients flocked to Entoto, an ancient mountain north of the capital, Addis Ababa, seeking a "holy water" [ http://plusnews.org/report.aspx?ReportID=72375 ] cure for AIDS after local priests said they could cure HIV.  

 The Archbishop of the Ethiopian Orthodox Church, Abune Paulos, later advised patients to continue with their ARVs even as they sought healing at Entoto.  

 São Tome and Principe - In 2007, questions were raised about Dorviro-Sida, [ http://plusnews.org/report.aspx?ReportID=74543 ] or "Put AIDS to sleep" in Portuguese, an anti-AIDS herbal remedy produced by Amancio Valentim, president of the Association of Traditional Medicine of São Tome and Principe. Valentim claimed three tablespoons of the brownish syrup, taken every day before meals, could reduce the viral load and make patients feel better; he said four patients who had taken the drug for four years had tested negative for HIV.  

 AIDS activists were concerned the drug could make HIV-positive people complacent about taking their ARVs, and the health ministry said it did not support Valentim's treatment.  

 South Africa - In 2006, a clinic in South Africa's east coast city of Durban began to sell "ubhejane" [ http://plusnews.org/report.aspx?ReportID=39547 ] - a herbal mixture believed to treat HIV/AIDS.  

 The controversial traditional medicine received vast media coverage, mainly due to the backing it received from influential political figures such as the former health minister, Dr Manto Tshabalala-Msimang, and provincial health officials. Ubhejane, a dark brown liquid sold in old plastic milk bottles, had not undergone any clinical trials to test its efficacy. All that the tests confirmed was that it was not toxic.  

 But HIV-positive patients were far more willing to accept the traditional medicine as an effective remedy, flocking to the clinic to buy a full course of the herbal remedy that retailed at R374 ($40).  

 Uganda - In 2006, the Ugandan government banned the use of a popular anti-AIDS herb remedy known as "Khomeini" [ http://plusnews.org/report.aspx?ReportID=39532 ], after tests found it provided no cure. Iranian Sheikh Allagholi Elahi claimed the drug - which contained olive oil and honey and cost $1,650 per dose - could cure HIV/AIDS and TB in three weeks.  

 Studies by experts in Uganda and Kenya found that while patients had gained weight due to the nutritional content of the drug, it was incapable of curing HIV.  

 kr/kn/mw]]></body><link>http://www.irinnews.org/report.aspx?ReportId=94679</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/200641010t.jpg"/></td><td valign="top">NAIROBI/JOHANNESBURG 19 January 2012 (IRIN) - Uganda&apos;s National Drug Authority recently arrested sales representatives of a company selling a drug that purports to cure HIV; the firm&apos;s owners are not licensed to sell medicine and are being sought by the police.</td></tr></table>]]></content:encoded></item><item><title>FOOD: Rumpus over GM food aid</title><pubDate>Tue, 18 Oct 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2011/201108011245250824t.jpg" />]]>JOHANNESBURG 18 October 2011 (IRIN) - Genetically modified (GM) food aid bound for Africa has long been a bone of contention among governments, scientists, activists, consumers and aid workers.</description><body><![CDATA[JOHANNESBURG 18 October 2011 (IRIN) - Genetically modified (GM) food aid bound for Africa has long been a bone of contention among governments, scientists, activists, consumers and aid workers. 
 
 On 18 August a drought-affected Kenyan government fired the head of its National Biosafety Authority for expediting the process to import milled food aid which might have contained genetically modified organisms (GMO). In the weeks preceding and after the incident, public debate on the issue was distorted by extreme positions either for or against GM food. 
 
 “When you have people starving in your country you don’t simply turn your back on food at your door-step just because it is labelled GM - it is expected that biosafety risk assessments should have been conducted before the importation of the food to see whether it does indeed pose a threat before taking a decision. Taking this decision so late in the day could have serious consequences for the suffering people,” says Diran Makinde, director of the New Partnership for Africa’s Development’s (NEPAD’s) African Biosafety Network of Expertise (ABNE), a pool of scientific experts set up by the African Union. 
 
 There have been different degrees of resistance to GM food and GM food aid in Africa. 
 
 In 2002 Zambia announced it would not accept GM food aid in any form. Positions were polarized to a great extent after a quote from a US state department official, “Beggars can’t be choosers”, hit the headlines. It prompted the then president, Levy Mwanawasa, to say hunger was no reason for feeding his people “poison”. Since then Zambia has become a poster-child for the anti-GM lobby. 
[ http://dspace.cigilibrary.org/jspui/bitstream/123456789/28948/1/African%20perspectives%20on%20genetically%20modified%20crops.pdf?1 ]
 
 Zimbabwe, Malawi and Mozambique said they could allow imports of GM food aid in its milled form as this eliminated the risk of the germination of whole grains and limited possible contamination of local varieties. [ http://www.eoearth.org/article/Genetically_modified_crops_in_Africa ]
 
 Lesotho and Swaziland allowed the distribution of non-milled GM food/grains, but warned people that it was for consumption not cultivation. 
 
 In 2004, Angola and Sudan announced restrictions on GM food aid. 
 
 Cautious approach 
 
 Most African countries approach GM technology applied to crops with caution. 
 
 “Why shouldn’t we be wary of this technology and its possible long-term health impacts, if the EU [European Union] is. If it is not good for them, why should it be good for us?” said Tewolde Egziabher, Ethiopia’s director of the Environmental Protection Agency. 
 
 Egziabher was one of the main architects of the Cartagena Protocol, the international law on biosafety which came into effect in 2003 and which allows countries to impose bans on foods containing GM. 
 
 The Protocol’s cornerstone is “precaution”, notes a UN Environment Programme briefing. [ http://www.eoearth.org/article/Responses_to_genetically_modified_crop_use_in_Africa ]
  
 It gives governments the discretion to impose bans even where there is insufficient scientific evidence about the potential adverse effects of GM crops. The USA has yet to ratify the Protocol. 
 
 GM technology injects foreign genes into a crop that can improve its appearance, taste, nutritional quality, drought tolerance, and insect and disease resistance. There has been cautious optimism about the new technology in some quarters. 
 
 “As crop yields drop because of weather shocks, GM technology is not the panacea, as Africa will feel the impact of climate change in the long-term. But it is potentially yet another tool in our fight to improve production,” said Per Pinstrup-Andersen, 2001 World Food Prize laureate and the author of a book on the politics of GM food. 
 
 Most critics of GM food, however, argue that foreign genes can produce toxic proteins and allergens, even possibly transfer the genes to bacteria in the human gut; or transfer these traits to other crops with unknown consequences. 
 
 Global divide 
 
 A deep mistrust also prevails in Africa, given the fact that two power blocs - the EU and the USA remain divided over GM. 
 
 Only one strain of GM maize, Monsanto 810, and one modified potato, have been approved in the EU, and most countries grow neither commercially. Spain accounts for about 80 percent of GMO grown in the EU in terms of land under cultivation, but Austria, France, Greece, Hungary, Germany and Luxembourg have banned all GMO cultivation. [ http://blogs.nature.com/news/2011/07/eu_parliament_votes_to_allow_r.html ]
 
 On the other hand, in the USA, where 70 percent of maize is GM, GM food need not be labelled. Some food experts say both the EU and the USA have vested interests in promoting their respective views in Africa, which is seen as a potential market and supplier of either GM or non-GM products. 
 
 In Africa, the production of GM food is still in its infancy. South Africa (70-80 percent of its maize, soya and cotton production), Egypt (maize) and Burkina Faso (cotton) are the only African countries commercially producing GM crops, according to ABNE. 
 
 Traditionally the USA has been the biggest donor in kind to the World Food Programme (WFP). But the aid agency is trying to broaden its source of food aid. In 2010, WFP said 36 percent of its food aid, or two million out of 5.7 million tons disbursed globally, was procured in developing countries. [ http://www.wfp.org/content/food-aid-flows-2010-report ]
 
 While wheat accounts for more than 50 percent of WFP’s global cereal component, GM wheat does not figure as it is not grown commercially. According to data from 2006, at least 38 percent of cereal food aid to Africa was wheat and wheat flour, said Christopher Barrett, a food aid expert. Though wheat tends to be a less important part of the African diet than maize, aid agencies sometimes offer wheat instead of GM maize in emergencies. [ http://faostat.fao.org/site/485/default.aspx#ancor ]
 
 Possible solutions 
 
 Milling the grain is an obvious solution, said Julia Steets, an aid policy expert at the Global Public Policy Institute. "Milling either at source or in the port of arrival or in the prepositioning warehouses - it would of course also help to know in advance which governments take what positions on that, so that the food aid agencies are prepared." 
 
 The stance of recipient countries has to be respected. When a country prohibits GMO, sourcing alternative commodities and routes can “obviously impact delivery times and costs but those are the parameters in which we work,” said David Orr, WFP spokesman. “We always abide by the laws and regulations of recipient countries.” 
 
 If a country is not receptive to GM food - “give the country the money for procurement of the food from an African country with a surplus (local procurement is better than shipping food all the way from the US any way),” said Pinstrup-Andersen. 
 
 Food aid agencies in Africa usually turn to South Africa for surplus maize. The country has systems in place to segregate non-GM from GM, says Thom Jayne, professor of international development at Michigan State University. 
 
 Farmers in South Africa certify non-GM content by conducting a basic test, which detects specific proteins produced by a GM plant. The non-GM grain is separated from the rest before being shipped. 
 
 Another way of separating GM from non-GM crops involves contract-farming schemes first set up in 2004-2005. The process involves the purchaser identifying farmers who buy non-GM seed. Tests are conducted on their field for any traces of GM before they are offered a contract. 
 
 But all these measures involve extra costs. 
 
 Legislation 
 
 In 2001 the African Union drafted the African Biosafety Model Law but taking an even more cautious approach than the Protocol, allowing countries to adopt more stringent measures to assess the safety of GM food. 
 
 National biosafety laws exist in 17 of the 54 African countries. In most countries, the legislation is a work-in-progress. 
 
 Labelling and verifying the content of a crop on a day-to day basis is an outstanding issue. South Africa, the first country in Africa to put biosafety laws in place (in 1997), has yet to develop a labelling process. 
 
 More public education and debate around GM food needs to happen, said Pinstrup-Andersen. “Almost all GM-food varieties have been through stringent testing for health safety, which non-GM food has not undergone ever. People need to engage with the science and not the politics.” 
 
 jk/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=93991</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2011/201108011245250824t.jpg"/></td><td valign="top">JOHANNESBURG 18 October 2011 (IRIN) - Genetically modified (GM) food aid bound for Africa has long been a bone of contention among governments, scientists, activists, consumers and aid workers.</td></tr></table>]]></content:encoded></item><item><title>GAMBIA: Climate of fear ahead of presidential poll</title><pubDate>Wed, 31 Aug 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/20069226t.jpg" />]]>DAKAR 31 August 2011 (IRIN) - Human rights advocates watching Gambia are worried that abuses against perceived dissenters will rise as the November presidential election nears, killing any chance of a free and fair poll. Already the official campaign period - the only time opposition parties are given access to the media and allowed to actively campaign - has been shrunk to 11 days from four weeks, sparking concern among political leaders.</description><body><![CDATA[DAKAR 31 August 2011 (IRIN) - Human rights advocates watching Gambia are worried that abuses against perceived dissenters will rise as the November presidential election nears, killing any chance of a free and fair poll. Already the official campaign period - the only time opposition parties are given access to the media and allowed to actively campaign - has been shrunk to 11 days from four weeks, sparking concern among political leaders.
 
A July report by international human rights organization, Observatory for the Protection of Human Rights Defenders, pointed to repression of journalists and civil society, through “prolonged trials… on baseless charges” and “unlawful arrests, arbitrary detention and prosecution”. The report noted concern that cases like these could increase as the elections approach. [ http://www.omct.org/files/2011/07/21336/the_gambia_mission_report.pdf ]
 
Amnesty International’s Gambia campaigner, Ayodele Ameen, told IRIN: “We have serious concerns about observance of human rights during the elections.” Ameen, who was arrested and detained for two days in 2007 while doing research for Amnesty in Gambia, said: “If you have a climate of fear, you have a situation where people cannot speak freely, and cannot participate freely in elections.” 
 
Opposition parties are concerned the shortened campaign period, set for 10-21 November, will disadvantage them. 
 
“The 11-day campaign timetable declared by the electoral body is too short and does not favour the opposition parties,” Henry Gomez, leader of opposition Gambia Democratic Party, told reporters. Omar Jallow, leader of the opposition Progressive People’s Party, agreed, telling reporters the campaign period was “too short” and “inadequate” for effective campaigning.
 
Opposition parties have petitioned against the campaign timetable, but were still waiting for a response from the Independent Electoral Commission (IEC) on 29 August. 
 
Handpicked judiciary
 
Bai,* a concerned citizen, pointed to other ways the elections were skewed. He said manipulation takes place behind the scenes - through a judiciary handpicked by President Yahya Jammeh, which helps quash the media and opposition, and through government-appointed local leaders under pressure to support the incumbent. 
 
Bai said government influence over the judiciary means the courts can be used to silence opposition. He pointed to recent judicial decisions including treason charges in June against Amadou Scattred Janneh, a former government minister, and three other men for distributing T-shirts demanding “End to Dictatorship Now”. [ http://www.amnesty.org/en/library/asset/AFR27/002/2011/en/4ed56d85-e196-4db3-8ae6-cc7165e62871/afr270022011en.html ] Last year, Femi Peters, a member of an opposition party, was jailed for one year for organizing a rally and holding a microphone without permission. [ http://www.freedomnewspaper.com/Homepage/tabid/36/mid/367/newsid367/5087/Breaking-News-Gambia-British-Govt-Condemns-The-Jailing-Of-Femi-Peters/Default.aspx ] 
 
“[President Jammeh] appoints and dismisses judges at will, including the chief justice… All the judges who try to be fair-minded and impartial are dismissed,” Bai said. 
 
This was supported by the Observatory report which found “extensive political interference” in the judiciary and “several occasions [where] the president has illegally removed judges whom he perceived as dissenting voices”.
 
Media control
 
While opposition parties officially have access to the media during the designated campaign period, the last presidential election, in 2006, saw a high level of bias and self-censorship from the media.
 
Bai said he knew of a reporter who was sacked after giving positive coverage to an opposition rally during the campaign period in 2006. The coverage - which described the rally as “well attended” - was considered too favorable. “Management asked why he would say that,” Bai said. 
 
A report on the 2006 elections published on the Electoral Knowledge website [ http://aceproject.org/ero-en/regions/africa/GM/gambia-election-analysis-leyraud-2006.doc ] said even during the campaign period Gambia Radio-Television Services - the main source of news outside the capital - “showed an overwhelming bias in favour of the ruling party”.
 
“The level of illiteracy is high, so most people depend on the radio for information,” Bai said. “National radio is the only radio station allowed to broadcast news in Gambia.”
 
Gambia is described as “one of the most repressive countries for journalists in Africa” by the Committee to Protect Journalists (CPJ), with three independent radio stations banned and the National Intelligence Agency (NIA) involved in extrajudicial detentions and torture of journalists. [ http://www.cpj.org/2011/08/gambian-security-agency-threatens-to-close-radio-s.php ]
 
Local leaders under pressure 
 
District and village heads have been accused of caving in to pressure to support President Jammeh in previous elections, and citizens and opposition leaders have voiced concern this pattern will continue. Constitutionally, district and village heads are expected to be politically neutral and are barred from active party politics.
 
Shyngle Nyassi of the opposition United Democratic Party, told IRIN: “Our traditional leaders are not only loyal to the ruling party, but are political activists who do all they can to deliver their people to the ruling party to avoid sacking.”
 
Bai supported this, saying the government-appointed village and district heads could be sacked without explanation. “If a village or a district head [is] not effective in campaigning for the ruling party they will be dismissed.”
 
These leaders wield significant influence in their communities, he said. “Through this [President Jammeh] can win a lot of votes and can appear popular.” 
 
A district head, who preferred anonymity, denied this, saying he had never received instructions to campaign for the ruling party. He admitted to campaigning for the ruling party, but said he did so of his own volition. 
 
Last year district heads led a failed campaign to crown President Jammeh King of Gambia.
 
Amat*, a concerned Gambia citizen who also preferred anonymity, said the population was closely monitored for dissent, with people living in “terrible fear” of arrest and other consequences. “You can be taken and no one will testify that you were taken and you can be kept as long as they want,” he said. “There are so many NIA [officers] all over the place… You have to watch every move you make that it does not offend.”
 
Human rights abuses are widely documented and include reports by Amnesty International of enforced disappearances, extrajudicial executions and the torture of journalists, opposition party members and peaceful protesters. [ http://www.amnesty.org/en/library/asset/AFR27/003/2011/en/c8422686-8761-4c6e-9082-95d55beac7db/afr270032011en.pdf ] 
 
*not a real name
 
wb/contributor/np/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=93620</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/20069226t.jpg"/></td><td valign="top">DAKAR 31 August 2011 (IRIN) - Human rights advocates watching Gambia are worried that abuses against perceived dissenters will rise as the November presidential election nears, killing any chance of a free and fair poll. Already the official campaign period - the only time opposition parties are given access to the media and allowed to actively campaign - has been shrunk to 11 days from four weeks, sparking concern among political leaders.</td></tr></table>]]></content:encoded></item><item><title>In Brief: Civil society studies West Africa &quot;counter-terrorism plan&quot;</title><pubDate>Tue, 09 Aug 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/1181t.jpg" />]]>DAKAR 09 August 2011 (IRIN) - Journalists and civil society members in West Africa analysed a “counter-terrorism plan” drawn up by the Economic Community for West African States (ECOWAS) at a 4-5 August meeting in the Senegalese capital Dakar.</description><body><![CDATA[DAKAR 09 August 2011 (IRIN) - Journalists and civil society members in West Africa analysed a “counter-terrorism plan” drawn up by the Economic Community of West African States (ECOWAS) at a 4-5 August meeting in the Senegalese capital Dakar. [ http://www.ecowas.int/ ]
 
 Main issues that emerged were the need to strengthen regional cooperation and to address root causes of terrorism - poverty and lack of education, said Biram Diop, director of the African Institute for Security Sector Transformation, who facilitated discussions. “If people are poor and cannot satisfy their basic needs they are fragile and easy to recruit,” he told IRIN. “Teaching literacy [is important] so people are empowered to think independently.” [ http://www.irinnews.org/report.aspx?reportid=90703 ]
 
 “It’s important to have media and civil society involved because they play a more and more important role in our countries’ stability,” Diop said, adding that these institutions can “serve as a bridge” to communicate information to the public, and “pressure politicians to make the right decisions at a national and district level”. 
 
 Issues discussed at the meeting are to be incorporated into the plan, which ECOWAS is to present to member countries. Experts say “terrorist” activities and organizations know no borders and a regional approach is needed. 
 
 wb/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=93458</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/1181t.jpg"/></td><td valign="top">DAKAR 09 August 2011 (IRIN) - Journalists and civil society members in West Africa analysed a “counter-terrorism plan” drawn up by the Economic Community for West African States (ECOWAS) at a 4-5 August meeting in the Senegalese capital Dakar.</td></tr></table>]]></content:encoded></item><item><title>FOOD: Home-grown nutrition research for Africa</title><pubDate>Thu, 21 Apr 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2008/2008022618t.jpg" />]]>JOHANNESBURG 21 April 2011 (IRIN) - A group of international academic institutions and an NGO backed by the European Union (EU) have launched Sustainable Nutrition Research for Africa in the Years to come, or SUNRAY, to develop a nutrition agenda for Africa, with specific emphasis on the 34 sub-Saharan countries.</description><body><![CDATA[JOHANNESBURG 21 April 2011 (IRIN) - A group of international academic institutions and an NGO backed by the European Union (EU) have launched Sustainable Nutrition Research for Africa in the Years to come, or SUNRAY, [ http://sunrayafrica.co.za ] to develop a nutrition agenda for Africa, with specific emphasis on the 34 sub-Saharan countries. 
 
 "We want to make sure nutrition interventions in the next 10-15 years - when Africa faces potential environmental changes which will impact on nutrition - are sustainable, driven by African countries, and their priorities are not pre-defined by donors," said Carl Lachat, a researcher at the Belgium-based Institute for Tropical Medicine, one of the participating institutions. 
 
 A recent study by the International Food Policy Research Institute (IFPRI), a US-based think-tank, found that in another two decades the effect of climate change on food production could drive child malnutrition up by 20 percent. 
 
 The two-year SUNRAY project has invited proposals for working papers from African researchers to review the relationship between nutrition and climate change; the influence of rising food prices; the future availability of water; social dynamics in households, and the effect of rapid urbanization, among other themes in order to identify the specific research needs for nutrition in these areas. 
 
 Research in Africa 
 
 Proposals for working papers will be assessed by academics at four universities in sub-Saharan Africa: North-West University in South Africa; Sokoine University in Tanzania; the University of Abomey-Calavi in Benin; and Makerere University in Uganda. 
 
 "South Africa plays in a different league in terms of research when compared to the rest of Africa, but our research is more influenced by Western concepts, so if you are to look at good home-grown research pertaining to local foodstuffs, Nigeria and Kenya are a lot more advanced," said Prof Annamarie Kruger, director of the Africa Unit for Transdisciplinary Health Research at North-West University. 
 
 "This project is very attractive in the sense that we now have an opportunity to develop interventions suited for African conditions and we have a say in our agenda; we also know the gaps that need to be addressed - it is not like we are doing research for European driven projects." 
 
 Lachat pointed out that the backing of the EU meant rich countries are calling for African involvement in setting the priorities for nutrition research and funding. 
 
 Proposals for the project are being accepted by 22 April, with the first of a series of workshops with the authors being held later in 2011. 
 
 Ahead of the workshops, the collaborating institutions intend holding discussions with nutritionists, researchers, businesspeople in the food sector, and policy makers in seven African countries - Benin, Mozambique, Rwanda, South Africa, Uganda, Togo and Tanzania. 
 
 Lachat said they realized that political backing was critical to ensure the research made the journey from paper to the real world, so "we are involving African political leaders in the initiative." 
 
 The project will produce a roadmap document summarising research priorities, strengths and gaps, resource requirements, opportunities for linkage and support between African and Northern institutions, or synergies between existing initiatives and research in other sectors. 
 
 Only nine of the 46 countries in sub-Saharan Africa are on track to achieve the UN Millennium Development Goal to eradicate extreme poverty and hunger by 2015. 
 
 jk/he

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=92550</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2008/2008022618t.jpg"/></td><td valign="top">JOHANNESBURG 21 April 2011 (IRIN) - A group of international academic institutions and an NGO backed by the European Union (EU) have launched Sustainable Nutrition Research for Africa in the Years to come, or SUNRAY, to develop a nutrition agenda for Africa, with specific emphasis on the 34 sub-Saharan countries.</td></tr></table>]]></content:encoded></item><item><title>AFRICA: Opposition building to Great Green Wall</title><pubDate>Fri, 08 Apr 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2011/201104081211530965t.jpg" />]]>NAIROBI 08 April 2011 (IRIN) - What’s green, controversial, 15km wide, 7,775km long, cuts across 11 African countries and is designed to reduce livestock deaths and boost food security for millions of people? Nothing yet, but the Great Green Wall project, a pipe-dream for decades, was recently endorsed by a swathe of African states stretching from Senegal to Djibouti.</description><body><![CDATA[NAIROBI 08 April 2011 (IRIN) - What’s green, controversial, 15km wide, 7,775km long, cuts across 11 African countries and is designed to reduce livestock deaths and boost food security for millions of people? Nothing yet, but the Great Green Wall project, a pipe-dream for decades, was recently endorsed by a swathe of African states stretching from Senegal to Djibouti. 
 [ http://www.thegef.org/gef/press_release/great_green_wall_2011 ] 
 
 An estimated 10 million people faced severe food shortages due to recurrent drought and climate change in the Sahel region last year. [ http://www.un.org/apps/news/story.asp?NewsID=34840&Cr=Africa&Cr1=hunger ] In Niger alone, the famine in 2010 left half the country’s population needing food aid and one in six children suffering from acute malnutrition. Some villagers in Niger described 2010 as worse than the 1973 drought that killed thousands of people, according to Malek Triki, West African spokesperson for the World Food Programme (WFP). [ http://www.wfp.org/content/aid-workers-warn-famine-disaster-niger ] 
 
 The Great Green Wall (GGW) project, originally proposed by Burkina Faso’s Marxist leader Thomas Sankara in the 1980s, was later resurrected by former Nigerian President Olesegun Obasanjo in 2005 before receiving approval by the African Union in December 2006. In June 2010, 11 countries involved signed a convention in Chad to further the development of the project, but the plan remained on standby until February when it was officially approved at an international summit in Bonn, Germany. 
 
 During the summit, the Global Environment Facility (GEF) [ http://www.thegef.org/gef/whatisgef ] set aside US$115 million to fund the wall. Mohamed I Bakarr, a senior environment specialist with GEF, told IRIN the wall “is in reality a metaphor to reflect the vision of African leaders for an integrated land-use system that addresses environment and development needs across all affected countries”. The GEF foresees the wall adopting a “mosaic” of “sustainable land-management systems with stakeholders, including grassroots communities, in all 11 countries implementing options that are appropriate to the local context”. 
 
 The plan entails each country implementing its own land, water and vegetation-management projects on up to two million hectares of land, under the framework of the UN Convention to Combat Desertification. [ http://www.thegef.org/gef/press_release/great_green_wall_2011 ] Monique Barbut, CEO of the GEF, said in a statement it would not fund “an all-out tree-funding drive from Dakar to Djibouti”, but rather, would allocate the funding according to national priorities, which have yet to be finalized. In a paper adopted by the Sahara and Sahel Observatory (OSS) in 2008, alleviating poverty is said to be one of the wall’s principal objectives. 
 
 The paper outlines national and regional objectives, including consolidating and expanding existing greenbelts of trees, conserving biodiversity, restoring and conserving soil and promoting income-generating activities, as well as carbon capture and storage of 0.5-3.1 million tons of carbon per year. [ http://www.grandemurailleverte.org/gmven/donnees/Concept_Note.pdf ] 
 
 Indigenous communities "threatened" 
 
 The project has faced opposition, despite its stated commitment to combating drought and desertification, which have exacted a heavy toll on the region as a whole. Wally Menne, a member of Timberwatch, the African NGO focal point for the Global Forest Coalition, told IRIN the organization was sceptical. “In our view it seems poorly conceived in terms of both ecological and socio-economic considerations. Its chances of being a success could be limited, and it may even cause more harm to the environment,” he said. The Global Forest Coalition campaigns for the rights of indigenous and forest people and for socially just policies. 
 
 Menne added that the inclusion of carbon sequestration activities and the potential future development of REDD projects (Reducing Emissions from Deforestation and Forest Degradation) as components of the GGW would require converting suitable land within the belt to fast-growing foreign species of monoculture tree plantations and carbon sinks opposed by many indigenous groups in the Sahel. Growing plantations would also require displacing people living on land earmarked for the GGW and would lead to further depletion of scarce water sources. 
 
 A concept paper on the kinds of vegetal species to be included in the GGW states that the wall will run through both inhabited and uninhabited areas, but will be located in areas where the average annual rainfall is higher than 200mm. It also stated that the only species to be adapted to the wall would be "primarily those that are found, live and develop there". [ http://www.grandemurailleverte.org/donnees/especes_vegetal.pdf ] 
 
 However, in a statement to the Indigenous People’s of Africa Coordinating Committee, IPACC, Sada Albachir, director of Association Tunfa, a Tuareg human rights group in Niger, said that “international agreements in the past introduced alien invasive species into the Sahara, without tackling the root problems of poor governance, dangerous uranium mining, and a failure to conserve biodiversity and water security in the arid region. I think the idea of planting a Green Wall across Africa is not to be entertained by indigenous people living in the proposed sites, unless the project has been studied in collaboration with them and they are also involved in the implementation.” [ http://www.ipacc.org.za/eng/news_details.asp?NID=276 ] 
 
 The programme coordinator for the OSS, Jihed Ghannem, told IRIN such concerns were baseless. “The full participation of communities is essential,” he said. 
 
 Timberwatch’s Menne told IRIN: “In my experience, ‘consulting’ local communities usually means misinforming them about the potential impacts of a project by exaggerating how they will benefit, whilst neglecting to inform them of the negative impacts. When they say that local communities will be an integral part of the project, it normally means that they will be used to provide cheap labour.” 
 
 Part of the GGW concept plan includes a section on “Food for Work” designed to recruit unemployed workers in each country to help with the planting of the greenbelt in the Sahel. According to OSS, under the scheme, “members of the communities assuming responsibilities are paid in part at the time of planting. The remainder is paid two years later on the basis of the plant growth scale.” The plan also indicates that private businesses, including “initiators of safari parks, modern farming, ecotourist sites” will find “some economic opportunities” in the wall. [ http://www.grandemurailleverte.org/gmven/objectifs.php ] 
 
 Menne said the wall could be a useful tool to combat desertification only if “viewed as an exercise in adaptation, rather than as an opportunity for climate change mitigation and making money from CDM/REDD carbon offsets as presently envisioned”. 
 
 According to Khadija Hassan*, representative of an indigenous people’s organization, the GGW might also interfere with migration patterns of pastoral communities and instead should incorporate ancestral systems of land management. “It would be best to protect what already exists in the region, stop the felling of trees in valleys and oases, repair damage caused by climate change, educate communities about REDD and restore livestock that has been lost,” she said. “I find the project is good, but too ambitious.” 
 
 *Not her real name 
 
 zm/am/mw

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=92422</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2011/201104081211530965t.jpg"/></td><td valign="top">NAIROBI 08 April 2011 (IRIN) - What’s green, controversial, 15km wide, 7,775km long, cuts across 11 African countries and is designed to reduce livestock deaths and boost food security for millions of people? Nothing yet, but the Great Green Wall project, a pipe-dream for decades, was recently endorsed by a swathe of African states stretching from Senegal to Djibouti.</td></tr></table>]]></content:encoded></item><item><title>SAHEL: Meningitis - the role of dust</title><pubDate>Mon, 14 Feb 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2011/201101120725490578t.jpg" />]]>DAKAR 14 February 2011 (IRIN) - Researchers are analysing dust from the Sahel to study its role in the spread of bacterial meningitis in this region hardest hit by the debilitating and often fatal disease.</description><body><![CDATA[DAKAR 14 February 2011 (IRIN) - Researchers are analysing dust from the Sahel to study its role in the spread of bacterial meningitis in this region hardest hit by the debilitating and often fatal disease. 
 
 Study of the link between climate and infectious diseases is increasingly important as environmental changes appear to be pushing the so-called meningitis belt - from Ethiopia to Senegal – southwards, experts say. 
 
 Researchers with the International Research Institute for Climate and Society (IRI) [ http://portal.iri.columbia.edu/portal/server.pt ] at Columbia University, which looks at how climate information can be incorporated into preventive measures or early warning systems, are collecting dust samples in Ghana, Niger and Senegal in the study’s initial phase. 
 
 In the meningitis belt meningococcal meningitis outbreaks come with the dry season and taper off with the first rains, and dust has long been seen as contributing to the spread. Experts say mineral dust could be irritating membranes making people vulnerable to infection, or in other ways favour the spread of the bacteria. [ http://www.who.int/mediacentre/factsheets/fs141/en/index.html ] 
 
 “The mechanism by which dust may influence meningitis epidemic occurrence remains unclear,” IRI senior research scientist Madeleine Thomson told IRIN. “But the most common explanation for this role is that physical damage to the epithelial cells lining the nose and throat in dry and dusty conditions permits easy passage of the bacteria into the blood stream.” 
 
 The study will further probe the dust’s characteristics. “We will look at the properties of the dust and other climatic and environmental variables and determine whether, or to what extent, they influence the spatial and temporal occurrence of either carriage [when bacteria are present in the nose and throat but are non-invasive] or disease [when the bacteria are in the bloodstream],” Thomson said. 
 
 Researchers must also consider other potential mechanisms, said Thomson. For instance, she said, dust particles may impact the fluid dynamics of airborne transmission of the bacteria as well as preceding viral infections, and the high iron content of Sahelian dust may help activate the iron-hungry meningococcus bacteria. 
 
 High dust levels might also affect human behaviour: Crowding in small rooms with windows blocked can reduce ventilation, and facilitate transmission. Dust could also have an impact on other climatic variables, such as temperature and humidity, which may also be important drivers of meningitis infection and disease, Thomson explained.
 
 While several diverse factors play a role in bacterial meningitis outbreaks, an understanding of how the dust might be affecting people’s vulnerability can significantly boost prevention efforts, experts say. 
 
 In support of vaccine strategies 
 
 The dust research adds to a broader international World Health Organization-led project called MERIT [ http://merit.hc-foundation.org/ ] (meningitis environmental risk information technologies), which is designed to support current vaccine strategies as well as the African Meningoccocal Carriage Consortium (MenAfriCar), [ http://www.menafricar.org/ ] and the distribution of the new proactive vaccine currently being rolled out in West Africa. The new vaccine provides 10 years of protection as opposed to two or three. [ http://www.irinnews.org/Report.aspx?ReportID=90773 ] 
 
 Meningococcal disease - bacterial meningitis - occurs throughout the world, but attack rates in the meningitis belt are many times higher than those in other parts of the world. Death rates are generally 5-10 percent, according to MenAfriCar. The disease can also cause blindness, hearing loss, brain damage and loss of limbs. 
 
 The dust study is being funded by the NIEHS Center for Environmental Health in Northern Manhattan [ http://www.cumc.columbia.edu/dept/niehs/ ] and by a grant/cooperative agreement from the US National Oceanic and Atmospheric Administration. [ http://www.noaa.gov ] 
 
 IRI’s Thomson said interdisciplinary research into such burdens in poor countries is particularly difficult to fund, but that study of climate-sensitive infectious diseases like meningitis and malaria is increasingly important. “Climate and environmental change have the potential to impact on the effectiveness of disease control programmes,” she told IRIN. “For instance, there is a major concern that changes in the climate and environment are pushing the meningitis belt southwards; if this is the case there will be important implications for the development of meningitis control strategies.” 
 
 Burden 
 
 While meningitis is not the top killer disease in the Sahel, the frequent, major epidemics deal a heavy blow to health systems and to families and communities. 
 
 “Meningitis not only kills, it maims,” IRI’s Francesco Fiondella told IRIN. “It has long-term impacts on society. It draws resources from families and societies when people either die from the disease or become deaf or blind or lose a limb.” 
 
 Kandioura Touré, head of epidemiological surveillance and infectious illness in Mali’s Health Ministry, said meningitis is a constant burden and any progress in reducing cases has a huge impact. 
 
 “Meningitis weighs heavily not only on families - with deaths and cases of deafness and other disabilities - but also on the health system,” he told IRIN. “Each year we face these epidemics.” 
 
 Mali is one of three countries where the new vaccine is being rolled out. “These efforts give us hope we can finally eliminate the burden of this disease,” Touré said. 
 
 np/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=91916</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2011/201101120725490578t.jpg"/></td><td valign="top">DAKAR 14 February 2011 (IRIN) - Researchers are analysing dust from the Sahel to study its role in the spread of bacterial meningitis in this region hardest hit by the debilitating and often fatal disease.</td></tr></table>]]></content:encoded></item><item><title>AFRICA: Serious about food</title><pubDate>Thu, 06 Jan 2011 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2008/2008022616t.jpg" />]]>JOHANNESBURG 06 January 2011 (IRIN) - The record prices of staple grains in 2008 made investment in agriculture an attractive proposition for countries exporting as well as importing food. The African Union (AU), with its mix of producers and buyers, has been steadily gearing up for self-sufficiency.</description><body><![CDATA[JOHANNESBURG 06 January 2011 (IRIN) - The record prices of staple grains in 2008 made investment in agriculture an attractive proposition for countries exporting as well as importing food. The African Union (AU), with its mix of producers and buyers, has been steadily gearing up for self-sufficiency. 

Shortly after Malawian president Bingu wa Mutharika became AU chair in 2010, he announced a plan to make Africa food secure in the next five years. 

Martin Bwalya, head of the Comprehensive Africa Agriculture Development Programme (CAADP) said the AU’s seven-year roadmap to put the spotlight on farming so as to promote food security and economic growth, and reduce poverty, had been set in motion five years ago. 

By the end of 2010, the agriculture development plans of 18 African countries had undergone a rigorous independent technical review and were being rolled out. 

Over 60 percent of Africa’s people live in rural areas and most depend on farming for food and income. Agriculture contributes between 20 percent and 60 percent of the gross domestic product (GDP) to national coffers. 

In a document called The African Food Basket, Mutharika spelt out the details of his plan, which requires countries to allocate a substantial portion of their budget to agriculture, provide farming input subsidies, and make available affordable information and communications technology. 

This would be possible with the help of a new strategic partnership between countries, donors, aid agencies and the private sector. 

CAADP, initiated in 2003, covers all the main aspects of Mutharika’s plan, including the commitment to devote at least 10 percent of their budgets to agriculture. 

Under the programme, countries draw up comprehensive investment plans that include the four CAADP pillars: sustainable land and water management; improved market access and integration; increased food supplies and reduced hunger; and research, technology generation and dissemination. 

“We expect the countries to contribute at least 10 percent of the annual expenditure budget demonstrating local ownership and responsibility…”, said Bwalya. 

He added while development aid financing remained important, it was also crucial that countries consider measures to attract direct private sector financing to agriculture.

Uganda, one of the 18 states to undergo the review process, has accounted for about 65 percent of its funding requirements from its own budget. 

The AU’s development agency, the New Economic Partnership for Africa’s Development (NEPAD), which runs CAADP, helps countries to mobilize funds. 

Is achieving food self-sufficiency in five years a realistic goal? It would be a tough call said Ousmane Badiane, director for Africa at the US-based International Food Policy Research Institute (IFPRI). 

He noted that the AU had 53 members with varying degrees of agriculture investment, development and needs, and some countries did not have the structural capacity to reach the target of food self-sufficiency for many reasons including civil conflicts. 

Going regional 

A more realistic option, Badiane said, would be for countries with the potential to improve food production to produce enough to feed their less productive neighbours. This called for expanding regional trade and investment in transportation, including ports, railways and highways linking countries. 

AU members have begun to take regional economic integration “seriously”, noted Calestous Juma, professor of international development at Harvard University in his recently released book, The New Harvest. 

He lists regional markets as one of the three opportunities that could fortify Africa’s food security against the rising threat of climate change. 

There are at least eight Regional Economic Communities (RECs), such as the Common Market for Eastern and Southern Africa (COMESA) and the East African Community (EAC) “that are recognized by the AU as building blocks for pan-African economic integration”. However, “regional cooperation in agriculture is in its infancy and major challenges lie ahead." 

Regions could become food secure “by capitalizing on the different growing seasons in different countries and making products available in all areas for longer periods of time”, he wrote. 

Both Mutharika and CAADP emphasize the development of regional markets. Mutharika listed 12 regional trade corridors identified by the various RECs and suggested the AU draw up an institutional framework for each corridor. 

Science and technology 

In his book Juma lists advances in science and technology as another factor that could propel Africa towards food self-sufficiency, and called for more investment in the creation of regional hubs of research and innovation. 

Research is being carried out by groups created under NEPAD, such as the Biosciences Eastern and Central Africa Network (BecANet), which has been leading research on food crops, including banana, teff, cassava, sorghum and sweet potatoes. More investment in networks, especially agriculture-related ones, could produce far-reaching results. 

Subsidies 

Underuse of fertilizers has often been cited as a major cause of low production in Africa. Only four countries – Egypt, Malawi, Mauritius and South Africa – have exceeded the 50 kg per hectare target set by the AU, Mutharika noted in his plan. 

Fertilizer use in Africa accounts for less than 10 percent of the world average of 100 kg per hectare, “Just five countries (Ethiopia, Kenya, South Africa, Zimbabwe, and Nigeria) account for about two-thirds of the fertilizer applied in Africa,” Juma said. 

Mutharika, who promoted the provision of subsidised fertilizer in Malawi, makes a strong case for this approach. At present 19 African countries are implementing various programmes providing fertilizer. 

Juma sees leaders like Mutharika, who has prioritized food security as the third factor that could set Africa on the path to food security. The Malawian government devotes 16 percent of its national budget to agriculture. 

Yet IFPRI’s Badiane sounded a note of caution on subsidies and cited the case of Senegal. After independence the West African country put in place an agriculture subsidy programme in the 1960s that was even more comprehensive than Malawi’s. “It had a dramatic effect on agriculture in Senegal, but by 1979 one of its [agriculture] agencies had worked up a deficit amounting to 98 percent of the national budget.” 

Carefully managed subsidies, run for a short term, and aimed at strengthening existing markets and agricultural infrastructure, were a lot more effective, he said. 

The Rwandan government provided free fertilizer to farmers for four years after 1994. In 1998 it wanted to hand over importing and distribution to the private sector, which unfortunately lacked capacity, so the government continued to procure and import fertilizer but left distribution and selling to the private sector. 

Since then, aid from financial institutions has helped the private sector build capacity to import, and at least 20 bodies now import several hundred tonnes of fertilizer, Badiane said. 

Way forward 

The AU’s plans for agriculture also tackle other major issues affecting food security, such as irrigation (only four percent of Africa’s crop area is irrigated, compared to 39 percent in South Asia); improving soil fertility (more than three percent of agricultural GDP in Africa is lost annually as a direct result of soil and nutrient loss); post-harvest storage loss (sub-Saharan Africa loses about 40 percent of its harvest per year, against one percent in Europe); setting up databanks to share early warning information and energy. 

There is a high level of engagement between countries on agriculture. “They meet regularly and we support them in building evidence-based information,” CAADP’s Bwalya noted. 

If they stayed the course in implementing CAADP, Badiane said in five years a large number of African countries, if not food secure, would be in a much better position to feed themselves. 

jk/he 
]]></body><link>http://www.irinnews.org/report.aspx?ReportId=91547</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2008/2008022616t.jpg"/></td><td valign="top">JOHANNESBURG 06 January 2011 (IRIN) - The record prices of staple grains in 2008 made investment in agriculture an attractive proposition for countries exporting as well as importing food. The African Union (AU), with its mix of producers and buyers, has been steadily gearing up for self-sufficiency.</td></tr></table>]]></content:encoded></item><item><title>HEALTH: Sickle cell disease still feared and deadly</title><pubDate>Thu, 30 Dec 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/20058153t.jpg" />]]>BANGKOK 30 December 2010 (IRIN) - A century after the drawing of an anaemic patient’s sickle-shaped red blood cells came out of Chicago in the USA - a sketch that officially placed this still pervasive genetic disorder into medical books - confusion, discrimination and lack of treatment continue to surround sickle cell disease (SCD), especially in Africa where more than 200,000 babies are born every year with the disease.</description><body><![CDATA[BANGKOK 30 December 2010 (IRIN) - A century after the drawing of an anaemic patient’s sickle-shaped red blood cells came out of Chicago in the USA - a sketch that officially placed this still pervasive genetic disorder into medical books - confusion, discrimination and lack of treatment continue to surround sickle cell disease (SCD), especially in Africa where more than 200,000 babies are born every year with the disease. 

“Sickle cell is a true public health problem with medical, human and social dimensions,” Oumar Ibrahima Touré, Mali’s health minister until earlier this month, told IRIN. 

Despite advances in treatment and research over the past century, SCD is still largely undiagnosed in the world's most affected areas where the problem is too complex for any quick-fix solutions, researchers say. 

And without treatment there is a 50 percent chance a sickle cell patient will die before the age of five, most commonly of a blood infection. 

For its impact on lives and livelihoods, SCD has been deemed a “threat to the economic and social development of Africa” by the West Africa-based Federation of Associations Combating Sickle Cell Disorder in Africa (FALDA). 

Still misunderstood 

“People still don’t know about this sickness and there’s a lot of judgment, forcing sick people to hide,” said Dramane Banao, president of a national initiative to fight SCD and mother of a 19-year-old woman with SCD in the West African country of Burkina Faso. 

Sickle cell disease is inherited and present at birth, but can show no symptoms for the first four months of life. 

Characterized by irregular haemoglobin (iron-rich, oxygen-transporting protein in red blood cells), the disease causes red blood cells to morph into a sickle-shape (crescent) instead of a disc, which leads to clumping and blocked blood vessels. 

This clumping can cause pain, infection and, in some cases, organ damage. 

When sickle-shaped cells die, sickle cell anaemia, the most common form of SCD, takes hold. 

Anti-cancer drugs and bone marrow transplants have extended the life expectancy of sickle cell patients into their 50s. 

“Life expectancy has increased, which is a huge accomplishment in the fight against the disease,” Dapa Diallo, director-general of the Centre for Sickle Cell Disease in Mali, said. “Sickle cell cannot be cured, but with proper care [the health of a patient] can be improved.” 

But life expectancy for a person with SCD in Africa, where a proper diagnosis is scarce, is still less than 20 years on average. 

“They didn’t know at all what the sickness was and treated me for malaria,” Abdoul Karim Ouedraogo, a 42-year-old sickle cell patient, said. At first, he was thought to be cursed, and now walks with crutches when SCD, prior to his diagnosis, damaged his hip. 

Discrimination 

Up to one in four adults in sub-Saharan African countries like Nigeria carry the sickle cell trait, according to the World Health Organization (WHO). 

Though carriers do not necessarily experience symptoms, testing is recommended for genetic counselling. A man and woman, if both are carriers, have a 25 percent chance of having a child with SCD. 

But the development of genetic testing, which has resulted in improved prenatal diagnosis in some parts of the world, is underutilized in the most heavily affected parts of West Africa, and has even led to discrimination and fear. 

Finding a marriage partner can prove difficult for carriers of the trait: Carriers can be perceived as being sentenced to having a very sick child. 

“We see ourselves as burdens on our families,” Moussa Soulale, diagnosed at 13 and now 25, said from Mali where she is a teacher who has learned to live with her illness. 

Screening, education, prenatal diagnosis and treatment have proven effective in fighting the disease among smaller populations, such as in the eastern Mediterranean country of Cyprus. 

But affected countries in Africa - where some populations have up to a 45 percent carrier rate, according to WHO - pose other challenges.  

“The level of care and quality of management of the crisis are not well studied in Africa,” said Brahima Soumaoro, a Mali-based medical researcher. 

There is an urgent need to put in place training for health workers “based on standards of proven efficacy,” he said, in the hope of containing SCD as it has been contained in the USA and Europe. 

GLOSSARY:

Anaemia: a condition in which blood has a lower than normal count of red blood cells.

Haemoglobin: An iron-rich protein in red blood cells that carries oxygen from the lungs to the entire body. 
Sickle cell disease is characterized by irregular haemoglobin.

Sickle cell anaemia: Healthy red blood cells live about 120 days in the bloodstream, but sickle-shaped red cells die within 20 days, which creates a shortage of red blood cells and less oxygen movement. This is the most common form of sickle cell disease.

Inherited disease: When an offspring is born to two parents who carry the sickle cell trait. 

Sickle cell crisis: Sudden pain throughout the body when blood clumps and oxygen is not delivered. A crisis can last for hours to weeks.
 
Sickle cell trait: Carrying one copy of the sickle cell gene does not translate into experiencing symptoms of the disorder; rather, the trait is passed to offspring, which have a 50 percent chance of carrying the disease and a 25 percent chance of having two copies of the trait and thus having the disease. 
[ http://www.nhlbi.nih.gov/health/dci/Diseases/Sca/SCA_Causes.html ]
 
(Source: US National Institutes of Health) 
[ http://www.nhlbi.nih.gov/health/dci/Diseases/Sca/SCA_WhatIs.html ]

TIMELINE: 

1910: James Herrick, a doctor in Chicago in the USA notices “peculiar elongated and sickle shaped” blood cells in Walter Clement Noel, a dental student from Grenada suffering from anaemia. Sickle cell disease, though known for years in Africa, was then formally reported in the US medical journal, Archives of Internal Medicine. 

1917: The genetic basis for sickle cell is first suggested by Victor Emmel, an American anatomist, in the US medical journal, Archives of Internal Medicine. 

1922: Three more cases are reported in the USA and the disease is formally named. 

1923: Doctors at the Maryland-based Johns Hopkins University conclude sickle cell disease is an “autosomal recessive characteristic” - two copies of the gene must be present for it to be expressed. 

1927: It is discovered that “sickling” happens because of a lack of oxygen. 

1940: The connection is made between abnormal haemoglobin and the tendency of red blood cells to sickle. 

1949: It is determined that carrying the sickle cell trait can be symptomless. 

1954: Anthony Allison hypothesizes that the sickle cell trait offered protection against malaria. As more research was done, it is discovered that those with the sickle cell trait, not the disease, are protected against malaria. But those with sickle cell disease either die from the blood disorder or die after coming into contact with malaria because of a weakened immune system. Subsequent research has called into question the sickle cell trait’s ability to protect against malaria. 

1970s: Forced testing for black people proliferates when sickle cell screening programmes began in the USA. 

1979: Calculations suggest the sickle cell gene developed 70,000-150,000 years ago. 

1994: It is recognized that all of the areas where sickle cell disease originated have been, or are now, endemic locations of malarial infestation. 

1995: Hydroxyurea, an anti-cancer drug, is found to be an effective therapy in reducing complications from SCD. 
[ http://www.nejm.org/doi/full/10.1056/NEJM199505183322001 ] 

1996: Bone marrow transplants are now used to treat sickle cell disease in children. 
[ http://www.nejm.org/doi/full/10.1056/NEJM199608083350601 ] 

1996: The Federation of Associations Combating Sickle Cell Disorder in Africa (FALDA) is formed. 

2000: The introduction of pneumococcal vaccine greatly reduces child mortality in the USA as those with SCD were at high risk of developing pneumococcal meningitis. 

2003: Hydroxyurea increases life expectancy for sickle cell patients. 
[ http://jama.ama-assn.org/content/289/13/1645.full ] 

2010: Mali President Amadou Toumani Touré opens a research centre to promote SCD research, training and genetic counselling for medical follow-up, with the ambition of creating globally influential advancements. Touré calls the centre part of the fight against poverty. 

nb/pt/cb 

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=91483</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/20058153t.jpg"/></td><td valign="top">BANGKOK 30 December 2010 (IRIN) - A century after the drawing of an anaemic patient’s sickle-shaped red blood cells came out of Chicago in the USA - a sketch that officially placed this still pervasive genetic disorder into medical books - confusion, discrimination and lack of treatment continue to surround sickle cell disease (SCD), especially in Africa where more than 200,000 babies are born every year with the disease.</td></tr></table>]]></content:encoded></item><item><title>WEST AFRICA: Pick of the year 2010</title><pubDate>Thu, 30 Dec 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201011181906140831t.jpg" />]]>DAKAR 30 December 2010 (IRIN) - This year in West Africa natural and man-made disasters - from floods to fighting - brought anguish and emergency assistance, and left communities, aid workers and analysts mulling the long-term causes.</description><body><![CDATA[DAKAR 30 December 2010 (IRIN) - This year in West Africa natural and man-made disasters - from floods to fighting - brought anguish and emergency assistance, and left communities, aid workers and analysts mulling the long-term causes. 
 
 The always harsh lean season brought a nutrition crisis in Niger, Chad and other parts of the Sahel; a massive aid operation saved many lives, experts say, but the very fact that under-nutrition regularly kills children in the region means prevention measures need just as much attention. 
 
 [ http://www.irinnews.org/Report.aspx?ReportId=88385 ] 
 [ http://www.irinnews.org/Report.aspx?ReportID=89734 ] 
 
 Parched earth soon turned into waterways in much of the region, including in Benin where agriculture experts said farming families will feel the impact of this year’s floods well into 2011. 
 
 [ http://www.irinnews.org/Report.aspx?ReportID=91022 ] 
 
 In a region where emergency humanitarian needs often stem from long-term structural problems, aid groups grapple with how to work sustainability into short-term life-saving operations. Researchers are examining whether donor aid to the public health sector lets governments off too lightly. 
 
 [ http://www.irinnews.org/Report.aspx?ReportID=88785 ] 
 
 Governments and governance continue to be put to the test in West Africa - with mixed results. The world watched nervously as Côte d’Ivoire and Guinea held overdue, high-stakes presidential elections. By the end of 2010 Côte d’Ivoire - with two governments and severe unrest - was shoved out of the African Union, and Guinea - with its first-ever elected civilian leader - welcomed back in. 
 
 [ http://www.irinnews.org/Report.aspx?ReportID=91426 ] 
 [ http://www.irinnews.org/Report.aspx?ReportID=89627 ] 
 
 In another state with a turbulent political history, analysts wondered whether a coup in Niger, where then President Mamadou Tandja was working to prolong his stay in power, was not a turn for the better. The country is scheduled to start the new year with presidential elections. 
 
 [ http://www.irinnews.org/Report.aspx?ReportID=88174 ] 
 
 Elections are also set for early 2011 in Nigeria, where government and civil society continue to battle chronic unrest in the Niger Delta and communal violence in the centre and north. 

 [ http://www.irinnews.org/Report.aspx?ReportID=88906 ] 
 [ http://www.irinnews.org/Report.aspx?ReportID=89242 ] 
 
 Some looming security threats are regional, such as organized crime or the presence of organizations like al-Qaeda in the Islamic Maghreb; analysts say more coordination is needed. 
 
 [ http://www.irinnews.org/Report.aspx?ReportID=90703 ] 
 
 np/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=91494</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201011181906140831t.jpg"/></td><td valign="top">DAKAR 30 December 2010 (IRIN) - This year in West Africa natural and man-made disasters - from floods to fighting - brought anguish and emergency assistance, and left communities, aid workers and analysts mulling the long-term causes.</td></tr></table>]]></content:encoded></item><item><title>AFRICA: New vaccines key to lowering child mortality</title><pubDate>Tue, 07 Dec 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/200591424t.jpg" />]]>KIGALI/NAIROBI 07 December 2010 (IRIN) - Burkina Faso has become the first country to introduce a meningitis vaccine designed specifically for the African continent, where up to 450 million people are at risk from the disease.</description><body><![CDATA[KIGALI/NAIROBI 07 December 2010 (IRIN) - Burkina Faso has become the first country to introduce a meningitis vaccine designed specifically for the African continent, where up to 450 million people are at risk from the disease. 
 
 It is hoped that MenAfriVac – developed by the UN World Health Organization (WHO) [ http://who.int ]and the international health NGO, PATH [ http://www.path.org ] – will help to eliminate meningococcal A in 25 countries in Africa's meningitis belt, which stretches from Ethiopia to Senegal. 
 
 "With a one-time investment to vaccinate populations in all countries of the meningitis belt, nearly 150,000 young lives could be saved by 2015, and epidemic meningitis could become a thing of the past," Margaret Chan, WHO Director-General, said in a statement. "This is within reach. We must not fail." 
 
 In 2009, 14 African countries reported more than 88,000 cases and 4,000 deaths from meningitis. The worst-affected patients usually die within 24 to 48 hours of the onset of symptoms and up to 20 percent of survivors suffer brain damage, hearing loss or learning disabilities. 
 
 The MenAfriVac vaccine is the latest in a group of new vaccines that could result in a significant drop in infant mortality in Africa. In 2009, a handful of countries, including the Gambia and Rwanda, introduced the pneumococcal conjugate vaccine into their national immunization programmes; pneumococcal disease kills an estimated 800,000 children under five annually, most in the developing world. 
 
 South Africa introduced a vaccine for rotavirus  [ http://irinnews.org/Report.aspx?ReportID=87363 ] – a diarrhoeal disease that kills an estimated 500,000 children globally every year – in 2009. Several African countries are also considering introducing routine vaccination of young girls against human papillomavirus (HPV), which can predispose them to cervical cancer later in life. 
 
 Financing vaccines 
 
 Vaccine stakeholders have had to devise innovative ways to cut costs. MenAfriVac costs just US$0.50 per dose; according to its developers, a public-private partnership model enabled the development of the vaccine at less than one-tenth the $500 million usually required to develop and bring a new vaccine to market. 
 
 The GAVI Alliance [ http://www.gavialliance.org ] – which supports 72 poor countries with vaccines - has raised more than $5 billion through traditional fundraising mechanisms and innovative financing, such as the sale of capital market bonds and Advanced Market Commitments, where donors commit money to guarantee the price of vaccines once they have been developed, assuring producers a viable market. 
 
 Competition has also played a role in lowering vaccine prices; for instance, the price of hepatitis B vaccine has declined from $0.59 per dose in 2000 to $0.20 today. The price of a five-in-one vaccine [ http://www.gavialliance.org/media_centre/press_releases/pentavalent.php ]has also recently dropped significantly thanks to increased demand and the entrance into the market of a new manufacturer.
 
 
 The alliance also works through co-financing, where developing nations pay for part of the vaccines being used in their countries; for example, between 2008 and June 2010, Rwanda co-financed GAVI's support with nearly $1.9 million. 
 
 Five-year plan 
 
 The GAVI Alliance’s new five-year strategy, which includes plans to vaccinate more than 240 million children – including 90 million against pneumococcal diseases and 53 million against rotavirus – will cost $6.8 billion until 2015. 
 
 The organization has raised $3.1 billion, but needs $3.7 billion, which it says could potentially save as many as four million lives by 2015. 
 
 The GAVI Alliance has contributed more than $85 million to the effort to eliminate meningococcal A meningitis in Africa, but requires another $475 million to protect the entire meningitis belt. According to its developers, the introduction of MenAfriVac and the resulting reduction in meningitis could save over $120 million up to 2015. 
 
 Broader benefits 
 
 According to Saad Houry, deputy executive director of the UN Children's Fund, it was important to continue to fund vaccines and build on the progress of vaccine programmes, especially as they often brought additional benefits to health systems in developing countries. 
 
 "Vaccines have been very important in reducing mortality from infectious diseases, but they have also been useful in strengthening health systems," he said. "In countries like Rwanda where vaccine coverage is over 90 percent, health systems are able to take advantage of the contact made during vaccination to provide vitamin A, provide ante- or post-natal care, bed nets and nutritional advice." 
 
 Houry stressed the need to begin to think of vaccination as more than just an intervention, but as an investment in the future of the developing world. 
 
 "So we know how to deliver a vaccine - how do we build on this? Once we have enabled a child to live past the age of five, there is now a responsibility to ensure that they are given the chance to develop to the best of their ability - to ensure they have good nutrition, continued access to health and access to good education," he added. 
 
 "Vaccination is just the beginning." 
 
 kr/mw]]></body><link>http://www.irinnews.org/report.aspx?ReportId=91307</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/200591424t.jpg"/></td><td valign="top">KIGALI/NAIROBI 07 December 2010 (IRIN) - Burkina Faso has become the first country to introduce a meningitis vaccine designed specifically for the African continent, where up to 450 million people are at risk from the disease.</td></tr></table>]]></content:encoded></item><item><title>HIV/AIDS: MSM groups hail pill to prevent HIV</title><pubDate>Wed, 24 Nov 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201011241354350201t.jpg" />]]>NAIROBI 24 November 2010 (IRIN) - Gay rights groups have hailed the results of the first study to show that an antiretroviral (ARV) drug can prevent HIV as an important step in the fight against HIV, but say that in countries that criminalize homosexuality, the breakthrough is unlikely to have a significant impact.</description><body><![CDATA[NAIROBI 24 November 2010 (IRIN) - Gay rights groups have hailed the results of the first study to show that an antiretroviral (ARV) drug can prevent HIV as an important step in the fight against HIV, but say that in countries that criminalize homosexuality, the breakthrough is unlikely to have a significant impact. 
 
 The Iniciativa Profilaxis Preexposicion or Prexposure Prophylaxis Initiative (iPrEx) study [ http://www.iprexnews.com/english.html ] found that daily oral pre-exposure prophylaxis (PrEP) - the use of ARVs to prevent HIV in high-risk groups - reduced HIV infection risk among participants who took the ARV Truvada by an average 43.8 percent. The clinical trial of 2,499 men who have sex with men (MSM) and transgender people was conducted at 11 sites in Brazil, Ecuador, Peru, South Africa, Thailand and the United States. 
 
 "We are as happy as anyone out there about the findings from this study, but fear that unless our countries reconsider their laws, many MSM will not benefit from its results," said David Kuria, chairman of the Gay and Lesbian Coalition of Kenya [ http://galck.org ]. 
 
 He noted that the frequent arrests of gay men in countries like Kenya already made it difficult for those who were HIV-positive to strictly adhere to their ARV regimen and would certainly create challenges in rolling out any pre-exposure prophylaxis policy. 
 
 The study found that PrEP was more effective in people at higher risk for HIV - based on reports of unprotected receptive anal intercourse - and among those who took the pill more consistently; for instance, those who reported using PrEP on 90 percent or more of the days saw 72.8 percent efficacy. 
 
 Implementation challenges 
 
 "Implementation of PrEP is highly unlikely in countries where access to ARVs is already seriously limited. Even in places where access to ARVs is more stable, PrEP will likely be targeted to groups most at risk for HIV, including MSM," said a statement from the Global Forum on MSM and HIV [ http://www.msmgf.org ]. "This would in turn require disclosure of same-sex behaviour, which could prove difficult or even dangerous in countries where violence, stigma and discrimination against MSM persists." 
 
 According to the AIDS Vaccine Advocacy Coalition [ http://www.eurekalert.org/pub_releases/2010-11/avac-faq112310.php ], the UN World Health Organization (WHO) and UNAIDS must "move without delay to issue a statement clarifying the implications of the results” for MSM. 
 
 Globally, around 80 countries criminalize same-sex relationships, creating obstacles to HIV prevention. 
 
 Right to health services 
 
 A senior government official in Kenya says while homosexual activity remains illegal in the country, government HIV agencies are working to understand and better serve the MSM community with health services. 
 
 "Access to health is a right enshrined in the constitution, and this right does not discriminate between gay and straight," said Nicholas Muraguri, head of the National AIDS and Sexually transmitted infections Control Programme, NASCOP. 
 
 "We know gay people have a hard time accessing health services; many health workers are ignorant or stigmatize MSM - we are starting to train them on these issues," he added. "We are also conducting a study on the health needs of MSM, and will use their own networks to ensure they have access to services." 
 
 The study's authors urged WHO, UNAIDS and other global and national HIV policymaking bodies to develop clear recommendations for next steps in the study of PrEP. 
 
 According to the Gay Men's Health Crisis (GMHC) [ http://www.gmhc.org ], an NGO providing HIV services in New York, while the study's results are welcome, it is important to keep using other prevention methods. 
 
 "We know that by far the most effective prevention technologies remain condoms and lubricant, and clean needles," said Marjorie J Hill, chief executive officer of GMHC. "We support further research to develop effective biomedical prevention interventions, even as we spread the word about what works best now." 
 
 kr/mw

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=91180</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201011241354350201t.jpg"/></td><td valign="top">NAIROBI 24 November 2010 (IRIN) - Gay rights groups have hailed the results of the first study to show that an antiretroviral (ARV) drug can prevent HIV as an important step in the fight against HIV, but say that in countries that criminalize homosexuality, the breakthrough is unlikely to have a significant impact.</td></tr></table>]]></content:encoded></item><item><title>AFRICA: Going rural and green</title><pubDate>Fri, 15 Oct 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201006301631390484t.jpg" />]]>ADDIS ABABA 15 October 2010 (IRIN) - As rural Africa experiences an increasingly moody climate which will erode resilience, drive up hunger and threaten economic growth, it is time countries got serious about development, participants at the seventh African Development Forum in Addis Ababa were told.</description><body><![CDATA[ADDIS ABABA 15 October 2010 (IRIN) - Rural Africa needs to wake up to climate change, which is threatening food security, people’s resilience to cope with natural disasters, and economic growth, participants were told at the Seventh African Development Forum which ends in Addis Ababa today. 
 
 Africa’s Rural Futures (RF) programme, an initiative of the African Union’s New Partnership for Development (NEPAD) and the World Wide Fund for Nature (WWF), sets out plans to boost rural development, and is an attempt to adapt to the impact of climate change. 
 
 At the same time, organizations such as the UN Environment Programme (UNEP) and the World Bank are backing the UN’s Green Economy Initiative, [ http://www.unep.org/greeneconomy ] which is more focused on mitigation. 
 
 In his address, Ibrahim Assane Mayaki, NEPAD’s chief executive officer, called RF a “new way of thinking about development”. 
 
 But is it new? At a policy level, Lindiwe Sibanda, head of the Food Agriculture and Natural Resources Policy Analysis Network, a think-tank [ http://www.fanrpan.org/ ] explained: “Well, what they are talking about is integrated rural development with agriculture as the driver. It will get all the ministries to look at their sectors with a rural lens. It moves beyond the sectoral approach.” 
 
 This would do agriculture in Africa some good, she hoped. “Development of agriculture has suffered because of the sectoral approach.” Departments of transport, infrastructure and agriculture have not worked in consort in many countries, affecting food production and supply. 
 
 In a bid to revive their failing rural economies, some developed  countries have been running RF programmes for some years. WWF, which has been involved in some of these programmes, had been looking at an initiative to improve rural livelihoods with a link to improving biodiversity in Africa, when they found NEPAD. 
 
 Urbanization 
 
 The RF programme is guided by the fact that 60 percent of the population in Africa is rural, though UN projections indicate that the number of urban dwellers is likely to treble over the next four decades. 
 
 “Urbanization is a part of the natural evolution of a society, but what conditions will these new urban dwellers live in - slums?” asked Estherine Lesinge-Fotabong, NEPAD’s programme implantation head. 
 
 By providing new impetus to agriculture, the RF programme also hopes to create jobs, absorb the growing population, and tackle food security and gender empowerment. Most subsistence farmers in Africa are women. 
 
 Fine-tuning 
 
 RF was launched at the Forum, but is still being fine-tuned and currently at a “strategic document stage”. It envisages a two-year period of consultation with countries and civil society across Africa. 
 
 RF talks about developing linkages between local and regional markets, but stops short of any connections to industry. “That is its shortcoming, but the programme is still evolving,” said Mersie Ejigu, head of the Partnership for African Environmental Sustainability, an international NGO. [ http://www.paes.org/about/mstatement.htm ] 
 
 Ejigu, a development economist and former minister of development and planning in the Ethiopian cabinet, added: “I am not saying we need to have big investments in massive agro-based industries. It could be small-scale, home-based industries but when you are looking beyond agriculture and adding value, you have to look at processing the primary product.” 
 
 Donor-dependent 
 
 But money, and especially donors, decide the future of any programme in Africa, said Mamadou Cissokho, honorary president of the Network of West African Farmer and Producer Organizations. “African countries need to bring their own money to the table - then only will they be able in a position to decide what development path or programmes they want to implement.” 
 
 This concern was also voiced by WWF’s Gabriella Richardson-Temm: “We are happy with the way this is shaping up and that Africa wants to design their own programme - but then donors, who bring in the funds, come with their own sets of conditions.” 
 
 RF could also be one of the components of the UN’s Green Economy Initiative, which is assisting governments to “green” their economies by reshaping policies to ensure growth on the basis of non-fossil fuel-based energy, backed by sustainable agriculture (with the help of investments in clean technology and public transport that runs on renewable energy). It also focuses on greening other sectors such as waste management and water services. 
 
 “You don’t want us to grow,” said a participant when UNEP’s Achim Steiner spelt out the initiative. Coal is still the cheapest source of energy in developing countries. Another said: “But Africa is already green - most of our people use biomass to produce energy.” 
 
 But you need money to access these alternative green technologies, pointed out Moussa Ould Hwedna, a technical adviser to Mauritania’s Ministry of Water and Sanitation. “Ours is a dry country and we need solar power to pump water from underground and the cost of solar energy is prohibitive.” 
 
 “We would like to adopt these technologies but developed countries should look at making it cheaper for us,” he added. 
 
 This is one of the issues at the UN climate change talks, the next round of which will take place in Mexico later this year. 
 
 jk/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90786</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201006301631390484t.jpg"/></td><td valign="top">ADDIS ABABA 15 October 2010 (IRIN) - As rural Africa experiences an increasingly moody climate which will erode resilience, drive up hunger and threaten economic growth, it is time countries got serious about development, participants at the seventh African Development Forum in Addis Ababa were told.</td></tr></table>]]></content:encoded></item><item><title>HIV/AIDS: Global Fund looks to private sector to fill funding gap</title><pubDate>Thu, 14 Oct 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2007/2007082136t.jpg" />]]>JOHANNESBURG 14 October 2010 (IRIN) - With its coffers running at least US$1 billion short, the Global Fund to Fight AIDS, Tuberculosis and Malaria is looking to the private sector to fill the funding gap. </description><body><![CDATA[JOHANNESBURG 14 October 2010 (IRIN) - With its coffers running at least US$1 billion short, the Global Fund to Fight AIDS, Tuberculosis and Malaria is looking to the private sector to fill the funding gap. 
 
 At a 12 October conference [www.gbcimpact.org/itcs_node/2/0/event/2323] on the role of buisness in health in Johannesburg, South Africa, members of the Fund’s board and secretariat said private sector contributions had become increasingly important as its historic donors – governments – were shying away from fully funding the global health financing mechanism. 
 
 “In the new context that we’re in, where we’ve gotten [funding] increases from governments but we know that these governments are under pressure, this is exactly where the private sector has to step up,” said the Global Fund’s private sector team manager, David Hayward Evans. ”We need more funds... and we believe, we hope, that the private sector can contribute.” 
 
 At the 5 October replenishment meeting in New York, donors pledged $11.7 billion to the Global Fund over the next three years, but the Fund projected it would need at least $13 billion over the same period to maintain current programming. [http://www.plusnews.org/Report.aspx?ReportId=90689] Private sector contributions, led by petroleum producer, Chevron, only accounted for about 3 percent of all pledged contributions at the meeting. 
 
 Brian Brink, chief medical officer for international mining corporation Anglo American, who represents the private sector on the Fund’s board, told IRIN/PlusNews he would like to see business become one of the Global Fund’s top 10 donors. He plans to push the idea at a special business summit ahead of this year’s G20 meeting in South Korea on 11 November. 
 
 Uneasy bedfellows 
 
 At present, business can support the Global Fund in several ways, including through in-kind donations, such as the provision of country support staff; by supporting the implementation of Global Fund financed programmes through skills training; or by acting as a service provider. [http://www.theglobalfund.org/documents/replenishment/2010/Partnering%20for%20Global%20Health_The%20Global%20Fun%20and%20The%20Private%20Sector.pdf]
 
 Brink highlighted successful examples of such partnerships, including the training in financial management of Global Fund grantees by Standard Bank and the distribution of bed nets by South African-based fast-food chain, Nando’s, but there are indications that the private sector is less keen to make financial contributions. 
 
 The Global Business Coalition on HIV/AIDS, Tuberculosis and Malaria (GBC), an independent NGO that serves as a focal point for public-private partnership within the Fund, conducted a survey of 30 of the companies invited to take part in the Johannesburg conference. The survey found companies were most interested in contributing to the Fund through in-kind donations.
 
 Among the companies’ main concerns in partnering with the Global Fund were that they would be seen as money pots, the potential for conflicts of interest, and that the Global Fund did not align with their corporate social responsibility strategies. 
 
 According to Evans, some businesses also remained wary of joining forces with the Fund's governmental partners, regarded as overly bureaucratic compared with the corporate world. 
 
 llg/ks/mw]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90765</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2007/2007082136t.jpg"/></td><td valign="top">JOHANNESBURG 14 October 2010 (IRIN) - With its coffers running at least US$1 billion short, the Global Fund to Fight AIDS, Tuberculosis and Malaria is looking to the private sector to fill the funding gap. </td></tr></table>]]></content:encoded></item><item><title>HEALTH: New global plan aims to wipe out TB</title><pubDate>Thu, 14 Oct 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201010111231470645t.jpg" />]]>JOHANNESBURG 14 October 2010 (IRIN) - A new roadmap for curbing the global epidemic of tuberculosis aims to save five million lives between 2011 and 2015 and eliminate TB as a public health problem by 2050 but comes with a price tag of US$47 billion, nearly half of which must still be found.</description><body><![CDATA[JOHANNESBURG 14 October 2010 (IRIN) - A new roadmap for curbing the global epidemic of tuberculosis aims to save five million lives between 2011 and 2015 and eliminate TB as a public health problem by 2050 but comes with a price tag of US$47 billion, nearly half of which must still be found. 
 
 The Global Plan to Stop TB 2011-2015 developed by the World Health Organization’s (WHO) Stop TB Partnership builds on progress towards goals laid out in a 2006 plan to halve TB prevalence and death rates by 2015 and scale up TB diagnosis, treatment and care, but adds essential research targets including the development of faster methods to test and treat TB and to prevent it through an effective vaccine. 
 
 After peaking in 2004, the global incidence of TB is declining, but “far too slowly”, noted Mario Raviglione, director of WHO’s Stop TB Department, at the launch of the plan in Alexandra, a Johannesburg township. The curable disease still affects some nine million people a year and claims nearly two million lives annually. 
 
 In southern Africa the death toll from TB is particularly severe, largely as a result of a twin epidemic in HIV - people infected with HIV are between 20 and 37 times more likely to develop TB. 
 
 The choice of a primary school in an impoverished South African township to host the launch was significant: South Africa has the world’s third highest burden of TB, a disease that spreads easily in overcrowded, poorly ventilated dwellings like the ones that cram the streets of Alexandra. 
 
 The South African government’s Kick TB Campaign, which started in June 2010 during the country’s hosting of the FIFA World Cup, targets school children in high TB-burden areas like Alexandra with information about TB that it is hoped they will pass on to their families and communities. At the launch on 13 October, hundreds of children gathered in a playing field attached to Pholosho primary school to kick around soccer balls emblazoned with illustrations of TB symptoms. 
 
 One of the learners pleaded with the international experts, activists and journalists gathered for the event to “stop TB in my lifetime”. Rifat Atun, chair of the Stop TB Partnership Board, responded that this is exactly what the plan aims to do and that, providing funding is made available, it is a realistic goal. 
 
 Guidance on TB control 
 
 Specifically, the plan provides countries with guidance on how to improve TB control through scaling up existing interventions for its diagnosis and treatment and by making use of new diagnostic tests and drugs that will become available over the next five years. A new test that uses molecular line probe assays to detect multi-drug resistant (MDR-)TB in a few days instead of the weeks needed using older testing methods has already been introduced in some countries. Other tests that will soon be available can detect TB in a matter of hours. 
 
 Current TB drug regimens take six months to be effective for drug-susceptible TB and much longer for drug-resistant strains, during which time many patients are lost to follow-up. The pipeline of new TB drugs promises shorter treatment times. Meanwhile, nine TB vaccine candidates are in clinical trials and a new generation of TB vaccines is expected to be available by 2020. 
 
 Other major elements of the plan focus on efforts to combat drug-resistant TB and TB in people living with HIV. It calls for a scale-up in access to tests that can detect resistance to first- and second-line TB drugs, identifying limited laboratory capacity as the main reason why only 5 percent of the estimated 440,000 people who had MDR-TB in 2008 were diagnosed. It also recommends testing all TB patients for HIV (by 2008, only about 22 percent of TB patients knew their HIV status) and providing antiretroviral treatment to all those who test positive. 
 
 The plan estimates that $10 billion alone is needed to fund further research and development over the next five years, about $7 billion of which still needs to be raised. Out of the estimated $37 billion needed to implement the Global Plan’s TB diagnosis, treatment and care targets, a funding gap of about $14 billion remains. 
 
 Atun of the Stop TB campaign said he was encouraged by the record levels of support for the Global Fund to Fight AIDS, Tuberculosis and Malaria at the Fund’s replenishment meeting in New York last week at which donors pledged a total of $11.7 billion over the next three years. He added, however, that part of the shortfall for funding TB programmes and research will need to come from domestic budgets. 
 
 ks/cb 

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90767</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201010111231470645t.jpg"/></td><td valign="top">JOHANNESBURG 14 October 2010 (IRIN) - A new roadmap for curbing the global epidemic of tuberculosis aims to save five million lives between 2011 and 2015 and eliminate TB as a public health problem by 2050 but comes with a price tag of US$47 billion, nearly half of which must still be found.</td></tr></table>]]></content:encoded></item><item><title>AFRICA: New meningitis vaccine a &quot;revolution&quot;</title><pubDate>Thu, 14 Oct 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2009/200904201848030218t.jpg" />]]>DAKAR 14 October 2010 (IRIN) - The emergence of an effective new meningitis vaccine, rather than a large-scale outbreak of the disease, has prompted the current vaccination drive across West Africa. Health officials say the vaccine marks a “revolution” in preventing the highly contagious and fatal disease.</description><body><![CDATA[DAKAR 14 October 2010 (IRIN) - The emergence of a new meningitis vaccine, rather than a large-scale outbreak of the disease, has prompted the current vaccination drive across West Africa. Health officials say the vaccine marks a “revolution” in preventing the highly contagious and fatal disease. 
 
 Health workers in Burkina Faso, Mali and Niger - the three countries selected for introduction of the vaccine - are preparing for country-wide campaigns set for December, having just completed a limited pilot phase. 
 
 “This vaccine, which targets the bacterium [meningococcus A] most frequently causing epidemics, is about preventing epidemics, not waiting, then reacting,” Mamoudou Harouna Djingarey of the Meningitis Vaccine Project (MVP) in Burkina Faso told IRIN. Up to now countries in the region vaccinated communities only once an outbreak had started. [ http://www.meningvax.org/index.php ] 
 
 Routine vaccinations with polysaccharide vaccine - used hitherto in the region - were not viable because the vaccine protects for only two to three years, and is not effective in children under two. 
 
 The just-launched meningococcal A conjugate vaccine - developed by Serum Institute of India under a partnership by the World Health Organization (WHO) and the international NGO PATH - provides protection for 10 years. [ http://www.path.org/ ] [ http://www.who.int/topics/meningitis/en/ ] 
 
 “To achieve a vaccine four times stronger than existing ones, at 200 CFA francs per dose, [40 US cents, compared to about US$1 for past vaccines] and which will protect for 10 years, is truly a revolution for public health,” Djingarey said. 
 
 “This will allow countries to avoid huge meningitis A epidemics and save their resources for other public health needs.” Health experts note that the infection will circulate less with the new vaccine, thereby protecting even non-vaccinated populations from the disease, one of the region’s greatest public health burdens. 
 
 The so-called “meningitis belt” of sub-Saharan Africa, from Senegal to Ethiopia, has the world’s highest rates of meningitis, with epidemics generally coming in the dry season from December to June. In 2009, 14 African countries reported 88,199 suspected cases with at least 4,050 deaths, according to WHO. 
 
 This year the region to date is seeing lower numbers but more patients are dying, according to MVP. 
 
 Different strains 
 
 While meningitis A is the most common cause of epidemics, other strains emerge some years as well, such as W135 in Chad and strain X in Burkina Faso last year. [ http://www.irinnews.org/report.aspx?ReportId=88915 ] [ http://www.irinnews.org/report.aspx?ReportID=83964 ]
 
 Countries still must be ready to react with vaccination campaigns for other strains of meningitis and in this sense preparedness remains a challenge, health experts say. 
 
 But meningitis A has by far been the biggest problem, said Marie-Pierre Preziosi, medical officer with the product research and development team in WHO’s immunization, vaccines and biologicals department. 
 
 “Meningitis A is responsible for nearly all of the epidemics in the past century - so while there are other strains that emerge… there has never been another strain that has been so prominent,” she told IRIN. 
 
 Funding gaps 
 
 Funding constraints have threatened meningitis vaccine supplies in the past and money is needed to fully roll out the new vaccine, Preziosi said. “There are sufficient doses available of the meningococcal A conjugate vaccine to start the nationwide campaigns in Burkina Faso, Mali and Niger, but there is a funding gap of $475 million to complete these drives and for a full rollout in the other meningitis belt countries."
 
 Burkina Faso, Mali and Niger were selected as the first countries to introduce the vaccine due primarily to their high prevalence of meningitis as well as their capacity to carry out mass vaccination campaigns. 
 
 np/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90773</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2009/200904201848030218t.jpg"/></td><td valign="top">DAKAR 14 October 2010 (IRIN) - The emergence of an effective new meningitis vaccine, rather than a large-scale outbreak of the disease, has prompted the current vaccination drive across West Africa. Health officials say the vaccine marks a “revolution” in preventing the highly contagious and fatal disease.</td></tr></table>]]></content:encoded></item><item><title>AFRICA: Thinking big on climate change modelling</title><pubDate>Wed, 13 Oct 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2008/2008080613t.jpg" />]]>ADDIS ABABA 13 October 2010 (IRIN) - If African countries had had the capacity to do climate change projections, their data could have been fed into the Intergovernmental Panel on Climate Change’s (IPCC) assessments for the continent, said Richard Odingo, former vice-chair of the IPCC at one of the discussions ahead of the Seventh African Development Forum.</description><body><![CDATA[ADDIS ABABA 13 October 2010 (IRIN) - If African countries had had the capacity to do climate change projections, their data could have been fed into the Intergovernmental Panel on Climate Change’s (IPCC) assessments for the continent, said Richard Odingo, former vice-chair of the IPCC at one of the discussions ahead of the Seventh African Development Forum. [ http://www.uneca.org/adfvii/about.asp ] 

The IPCC is still recovering from its controversial warning about the impact of climate change on food production in Africa, cited in its synthesis report. The warning turned out to have been based on a non-peer reviewed academic paper for three North African countries. [ http://www.irinnews.org/Report.aspx?ReportId=88400 ]

The warning said that since most agriculture in Africa is rain-fed, climate change, which is affecting vital rainfall patterns and pushing up temperatures, could halve crop yields in some countries by 2020.

“Africa should think big and do their own climate change modelling to forecast projections,” said Odingo, as climatologists and meteorologists brainstormed on measuring climate change at the Forum being organized by the UN Economic Commission for Africa (UNECA).

Better climate data will help countries prepare for soaring temperatures and natural events such as droughts, floods and storms set to become more intense and frequent as the impact of climate change unfolds. "There are gaps in our information collection," he said.

Climate modelling initiatives launched in Africa in collaboration with universities in the West were not "good enough", Odingo told IRIN.

To assess the impact of climate change, climatological data spanning at least 60 years is required. But countries in Africa have often had to shut down weather stations because of a lack of funds or political strife.

Amadou Gaye, head of the Laboratory of Atmospheric and Ocean Physics at Dakar’s University Cheikh Anta Diop agreed. Gaye, who was one of the authors of the IPCC’s last assessment, said it would be easier for Africa to do projections on a large scale than prepare country-specific models. “We could start with that.”

Obstacles

Some experts at the meeting said they lacked money to build capacity to collect and analyse climate data.

Sound climate data was the starting point in developing a climate change model, said Mxolisi Shongwe, Swaziland’s national climate change coordinator. “And the quality of data varied across the continent.”

But there were other stumbling blocks. “And when you have data, often departments within government are unwilling to share the information,” he told IRIN.

Any modelling also needs to be validated by an authoritative body to make improvements. “But again few government agencies involved in data collection open themselves up for scrutiny.” Shongwe added that South Africa was an exception in the continent. “All the government sectors [in South Africa] not only share their data but also open themselves up for scrutiny by the academics [climate change experts] at the University of Cape Town.”

ClimDev Africa

Gaye added that the continent perhaps needed to look towards the Climate Information for Development Needs: An Action Plan for Africa' (ClimDev Africa), a programme aimed at improving weather data analysis, which was started in 2005.  

Recognizing the need to bring Africa on board, the action plan was put together for the continent with the help of the Global Climate Observing System, which in turn is a combined initiative of several UN agencies and the International Council for Science (ICSU). The other sponsors of the Africa plan were UNECA and the African Union Commission. [ http://www.irinnews.org/Report.aspx?ReportId=72380 ]

The programme is officially being launched at the Seventh African Development Forum on 13 October. “It is a massive programme. We have had to develop strategy and terms of reference for the staff and then do the recruitment itself,” said Josué Dioné of UNECA, explaining the delayed launch. Dioné, who heads the Food Security and Sustainable Development section at UNECA, was one of the prime movers for ClimDev. “It is not that we are not working - we have already put US$30 million into the regional climate forecasting centres in Africa.”

CimDev also helped Africa develop its position at the UN climate change talks.

In a programme spread over 10 years, ClimDev Africa will support efforts to establish or upgrade weather observing systems to fill data gaps, expand capacity for analysing and interpreting data, and strengthen existing African climate institutions. 

The programme also includes a climate policy centre, which will help governments draw up strategies to mitigate and adapt to the impact of climate change. 

The Forum, which is focusing on dealing with climate change for sustainable development, will end on 15 October. 

jk/cb

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90751</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2008/2008080613t.jpg"/></td><td valign="top">ADDIS ABABA 13 October 2010 (IRIN) - If African countries had had the capacity to do climate change projections, their data could have been fed into the Intergovernmental Panel on Climate Change’s (IPCC) assessments for the continent, said Richard Odingo, former vice-chair of the IPCC at one of the discussions ahead of the Seventh African Development Forum.</td></tr></table>]]></content:encoded></item><item><title>WEST AFRICA: Growing food for nutrition </title><pubDate>Mon, 27 Sep 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201009271734160875t.jpg" />]]>GRAND BASSAM 27 September 2010 (IRIN) - “Animal production – that is nutrition.” The statement by Victoria Tsepko of Ghana’s Food and Agriculture Ministry summed up one of the themes of a nutrition forum of the Economic Community of West African States – helping nutrition find its place in the agriculture sector.</description><body><![CDATA[GRAND BASSAM 27 September 2010 (IRIN) - “Animal production – that is nutrition.” The statement by Victoria Tsekpo of Ghana’s Food and Agriculture Ministry summed up one of the themes that emerged at a nutrition forum of the Economic Community of West African States – helping nutrition find its place in the agriculture sector.

Health, nutrition and agriculture experts from the 15 ECOWAS countries said nutrition usually gains attention only in the context of crisis and emergency response, but it should be integral to agricultural and development programmes if countries are to pre-empt child malnutrition. [ http://www.comm.ecowas.int/sec/index.php?id=member&lang=en ]
 
"Today everyone agrees that the health, nutrition and agriculture sectors must work together, but ... they do not understand one another," said Ismael Thiam, nutrition officer of the ECOWAS West African Health Organization. "Their policies are developed separately, their data collection efforts are separate."

"What the agriculture sector collects is not what is needed to know the nutritional implications; availability of food has nothing to do with [the biological composition and benefits]."

The agriculture and health sectors know what needs to be done, but in most cases the mechanisms are not in place for countries to ensure sound nutrition for their populations and prevent crises, Thiam told IRIN.

"We have to stop taking malnutrition as a problem that calls for an emergency response - it must be integrated into development," said Mamady Daffe, head of the nutrition unit in Guinea's Health Ministry.

"In all food security programmes there must be a nutrition component; agricultural production must be about quality as well as quantity. If we're focused only on quantity, we'll always fall into problems of malnutrition – either obesity or under-nutrition."

Participants said the agriculture sector focused on maximum production without adequate attention to the nutritive quality of what farmers were producing. [ http://www.irinnews.org/PrintReport.aspx?ReportID=89970 ]

"The first step is for agriculture technicians to have a clear understanding of nutrition," said Narcisse Litaaba-Akila of Togo's Agriculture, Livestock and Fisheries Ministry.

He told IRIN the ministry worked with a government nutrition expert in developing its food security programme. "But still, in a document of more than 100 pages, only about one and a half pages cover nutrition. Why this imbalance? It points to a remaining problem of understanding the role of nutrition."

In many government ministries nutrition is not given due attention because policy-makers are not aware of its importance, said Victoria Lebbie, who heads the women in agriculture and nutrition unit in Sierra Leone's Agriculture, Forestry and Food Security Ministry.

"To them it's just cooking," she told IRIN. "But nutrition is not only cooking - it goes beyond that. It's agriculture; it's all about production, processing, preservation, utilisation."

Use what's already in place 
 
Health experts at the forum said agricultural cooperatives offered an effective vehicle for infusing nutrition information into crop production as well as household eating habits – a low-cost education method with huge potential returns.

"If we want nutrition messages to be imbibed we have to use groups at the local level," said a representative of Nigeria's national food security programme in the Agriculture Ministry.

"In most countries, as in Nigeria for instance, we have a lot of [agriculture] groups – livestock groups, poultry groups, fisheries groups, and women's groups - that are well-formed, and they are involved in a lot of agricultural activities," she told IRIN.

"Women do most of the agricultural production, processing, storage and utilization. So if ... [they] are taught about nutrition ... we will be able to combat malnutrition."

np/he

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90601</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201009271734160875t.jpg"/></td><td valign="top">GRAND BASSAM 27 September 2010 (IRIN) - “Animal production – that is nutrition.” The statement by Victoria Tsepko of Ghana’s Food and Agriculture Ministry summed up one of the themes of a nutrition forum of the Economic Community of West African States – helping nutrition find its place in the agriculture sector.</td></tr></table>]]></content:encoded></item><item><title>HEALTH: &quot;Encouraging&quot; drop in maternal deaths</title><pubDate>Thu, 16 Sep 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/20038203t.jpg" />]]>NAIROBI 16 September 2010 (IRIN) - The proportion of women in sub-Saharan Africa who died because of pregnancy fell by more than a quarter between 1990 and 2008, according to estimates released on 15 September. </description><body><![CDATA[NAIROBI 16 September 2010 (IRIN) - The proportion of women in sub-Saharan Africa who died because of pregnancy fell by more than a quarter between 1990 and 2008, according to estimates released on 15 September. 
 
 In 1990, the maternal mortality ratio (MMR - expressed in deaths per 100,000 live births) was 870 in sub-Saharan Africa, the worst rate of any region in the world. In 2008, it was 640, according to data published jointly by the World Health Organization (WHO), UN Children’s Fund (UNICEF), the UN Population Fund (UNFPA) and the World Bank. 
 
 Globally, the ratio fell by 34 percent, from 400 to 260, states the report, Trends in Maternal Mortality, noting that this represented an annual decline of 2.3 percent. This is less than half the reduction needed to achieve the fifth Millennium Development Goal (MDG), which concerns maternal health. 
 
 “There was a 26 percent reduction in maternal death rates in sub-Saharan Africa and this data is encouraging," Thoraya Ahmed Obaid, executive director of UNFPA, told IRIN. 
 
 "We welcome and are thrilled by the decline, which shows that interventions are working. There are increasing efforts in countries to train more midwives, provide family planning, and strengthen hospitals and health centres to provide care to pregnant women. But we need to do more and increase community engagement. There are still 1,000 women [across the world] who die every day in childbirth, and more than 200 million women with an unmet need for family planning," Obaid said. 
 
 Data were collected in 172 countries, but only 63 provided complete information from civil registration systems and good attribution of causes of death for the estimates. 
 
 “Maternal deaths are more often misclassified than other [deaths], not only because they are easily confused with deaths due to other causes, but also because health institutions may prefer to attribute them to other causes, due to the stigma of inadequate treatment associated with maternal death,” Lale Say, monitoring and evaluation officer with the Department of Reproductive Health and Research at the WHO, told IRIN. 
 
 “Even in the best civil registration systems in the world, it has been found that maternal death can be substantially under-reported,” Say added. 
 
 cp/am/mw

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90490</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/20038203t.jpg"/></td><td valign="top">NAIROBI 16 September 2010 (IRIN) - The proportion of women in sub-Saharan Africa who died because of pregnancy fell by more than a quarter between 1990 and 2008, according to estimates released on 15 September. </td></tr></table>]]></content:encoded></item><item><title>HEALTH: It&apos;s how you spend the money that saves lives</title><pubDate>Wed, 28 Jul 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2003102815t.jpg" />]]>KAMPALA/JOHANNESBURG 28 July 2010 (IRIN) - Members of the African Union (AU) reaffirmed at the end of their meeting on 27 July in Kampala, Uganda, that they would strive to spend 15 percent of their national budgets on health, but at the end of the day it is about how &quot;effectively and efficiently&quot; you spend the money, not about how much.</description><body><![CDATA[KAMPALA/JOHANNESBURG 28 July 2010 (IRIN) - Members of the African Union (AU) reaffirmed at the end of their meeting on 27 July in Kampala, Uganda, that they would strive to spend 15 percent of their national budgets on health, but at the end of the day it is about how "effectively and efficiently" you spend the money, not about how much. 
 
 The promise to spend 15 percent on health was made in Abuja, Nigeria, in 2001, but health experts like Chikezie Anyanwu, Africa Advocacy Advisor to Save the Children, which works to promote children's rights, were left wondering whether the percentages actually made a difference. 
 
 Countries could spend more than 15 percent and still show no real reduction in the deaths of children younger than five, or among women during or after childbirth, as specified in the Millennium Development Goals (MDGs) set by the UN. 
 
 Rwanda, Liberia and Tanzania are the only three African countries devoting more than 15 percent of their national spending on health, said Anyanwu, citing a 2010 World Health Organization (WHO) report, based on data from 2007. "But they have made insufficient progress in meeting MDGs [Millennium Development Goals] four and five [reducing maternal and child mortality]." 
 
 In South Africa, one of the most developed and richest countries in the continent, the infant mortality rate has escalated and the country will probably not achieve the MDG target by the deadline of 2015. 
 
 An under-five mortality rate of 67 per 1,000 live births put South Africa at 141 out of 193 countries; in 1990 the rate was 56 deaths per 1,000 live births, according to the UN Children's Fund (UNICEF). HIV/AIDS is cited as the leading cause of death among children in South Africa. 
 
 Mortality audits by the government's Child Healthcare Problem Identification Programme indicated that more than 60 percent of children who died in hospital between 2005 and 2007 were underweight, and according to the most recent national food consumption survey in 2005 nearly one in five children was stunted or chronically malnourished. 
 
 Yet Malawi, poorly resourced and with a high HIV prevalence rate, is on track for achieving its MDG targets, but since 2007 it has pushed its spending on health beyond 15 percent, said Health Minister Prof Moses Chirambo. 
 
 Malawi is now one of only 10 African nations that could meet MDG 4 – reducing child deaths by two-thirds of the 1990 levels by 2015 - according to an African Scorecard prepared by Save the Children, using WHO and UN Children's Fund (UNICEF) data. 
 
 The case of South Africa 
 
 "In 2006, the South African government spent seven times more money on health than Malawi, and 17 times more than Madagascar – two countries that have reduced child mortality by more than one-third between 1990 and 2008," said an article written jointly by Prof David Sanders of the University of the Western Cape, Debbie Bradshaw of the South African Medical Research Council, and Ngashi Ngongo of UNICEF. 
 
 "South Africa is one of 12 countries going backwards on reducing infant mortality," said Sanders. The other 12 countries include Zimbabwe Botswana, Kenya and Sierra Leone. 
 
 The article was among several in the latest edition of South African Child Gauge 2009/10, an annual snapshot of the status of South Africa's children published by the University of Cape Town (UCT), which took critical stock of spending on child health. 
 
 Malawi and Madagascar started with a mortality baseline even more abysmal than South Africa's. Eight percent of South Africa's gross domestic product is spent on health, but about five percent of that is spent by the private sector; 60 percent of the remaining roughly three percent that goes to the public sector is spent on personnel, Sanders told IRIN. 
 
 HIV was a major cause of death in South Africa, accounting for between 35 and 40 percent children younger than five, but other diseases such as diarrhoea also chalked up heavy casualties. 
 
 Sanders and his co-authors cited recent analyses implicating South Africa's high HIV prevalence of about 18 percent in its poor health performance, and mother-to-child transmission in high morbidity and mortality among infants and young children. 
 
 There are lessons that Malawi, with an HIV prevalence of 14 percent, extreme shortages of paediatricians, doctors and midwives, can offer South Africa and other countries, said Sanders. 
 
 It has focused on improving community-based health services and recruiting health surveillance assistants to administer antiretroviral drugs, supervise the directly observed treatment short course (DOTS) for TB, and contribute to maternal, newborn and child healthcare, which includes paying postnatal visits, an often critical service. 
 
 Malawi has also prioritized spending on nutrition - a sector run by the Malawian president himself - as a key preventive action to ensure that children's and women's immune systems are not compromised. 
 
 The South African government should ensure that quality foods like vegetables, fruits and good animal protein sources were cheaper than foods with poor nutritional value, said Sanders. 
 
 In another article Michael Hendricks of UCT and Lesley Bourne of the Medical Research Council said 80 percent of households could not afford an average nutritionally adequate food basket. 
 
 "But this calls for addressing broader issues, such alleviating poverty and ensuring people have access to good living environments, with water and well ventilated homes," said Sanders. 
 
 In 2008, 64 percent of children lived in poor households, said Hendricks and Bourne, who called for a multi-sectoral approach to tackling malnutrition by using several ministries, such as health, education, agriculture and social development. 
 
 jk/he 

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=90000</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2003102815t.jpg"/></td><td valign="top">KAMPALA/JOHANNESBURG 28 July 2010 (IRIN) - Members of the African Union (AU) reaffirmed at the end of their meeting on 27 July in Kampala, Uganda, that they would strive to spend 15 percent of their national budgets on health, but at the end of the day it is about how &quot;effectively and efficiently&quot; you spend the money, not about how much.</td></tr></table>]]></content:encoded></item><item><title>FOOD: Political will can solve malnutrition</title><pubDate>Mon, 26 Jul 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2009/200904038t.jpg" />]]>KAMPALA 26 July 2010 (IRIN) - &quot;Children don&apos;t vote,&quot; said Dr Robert Mwadime, of Uganda Action for Nutrition, at a session on the subject before the three-day African Union (AU) meeting opened in Kampala, Uganda. This means that political leaders in Africa often pay scant attention to the millions of children who die every year of malnutrition-related causes. Most of the audience nodded in agreement; many clapped. </description><body><![CDATA[KAMPALA 26 July 2010 (IRIN) - "Children don't vote," said Dr Robert Mwadime, of Uganda Action for Nutrition, at a session on the subject before the three-day African Union (AU) meeting opened in Kampala, Uganda. This means that political leaders in Africa often pay scant attention to the millions of children who die every year of malnutrition-related causes. Most of the audience nodded in agreement; many clapped. 

I was moderating a technical session on nutrition at the invitation of Boitshepo "Bibi" Giyose, Food and Nutrition Security Advisor to the African Union's New Partnership for African Development (NEPAD), which ran the event on 24 July, a day ahead of the AU meeting.

Giyose, Prof Richard Mkandawire, head of NEPAD's Comprehensive Africa Agriculture Development Programme (CAADP), Prof John Joseph Otim, senior presidential advisor to the Ugandan government, and various other ministers, government officials, NGO and UN representatives, were keen on drawing up a statement to spur action on nutrition during the AU meeting. 

The theme of the AU meeting was "Maternal, Infant and Child Health and Development in Africa", so it was an apt opportunity to wave the flag. "Nutrition is practically an orphan," Mkandawire commented. About 40 percent of children younger than five in Africa are chronically malnourished.
 
Nutrition to the fore

The food price crisis of 2006-08 pushed the number of malnourished children to shocking levels and put a new focus on nutrition. 

Africa's efforts to deal with malnutrition and hunger have been dismal. Only nine African countries are on track to meet the UN Millennium Development Goal to halve hunger and malnutrition by 2015, according to a 2009 report by the UN Children's Fund (UNICEF).*

"Some leaders may not consider nutrition to be politically expedient because it requires investment over the long term, and the results are not always immediately visible," Mwadime said. Donors with limited budgets for aid often "focus elsewhere". 

Finding solutions

More than 70 percent of Africa's population is rural and depends on agriculture for food and income, so the solution to food security seems easy and logical: people can grow enough nutritious food to feed themselves. 

Rémi Kahane, Executive Secretary of the Global Horticulture Initiative, a non-profit programme, said growing vegetables not only brought a better income for small-scale farmers but also improved their diet. 

Yet Africa has some of the world's highest levels of vitamin and mineral deficiencies, especially among pre-school aged children: about 68 percent suffer from anaemia caused by a lack of iron, found in green leafy vegetables like spinach; up to 40 percent lack vitamin A, found in vegetables like carrots and pumpkins. 

Overall, around 40 percent of Africa's population suffer from iodine deficiency, which can be corrected by adding a pinch of iodated salt to the diet. A lack of iron and iodine affect the mental growth of a child; vitamin A is critical to the immune system and can reduce the risk of dying from illnesses by nearly 23 percent, according to UNICEF. 

Jan Low, a researcher at HarvestPlus, a joint programme of the International Centre for Tropical Agriculture and the International Food Policy Research Institute, said HarvestPlus had developed a sweet potato - a popular root vegetable in Africa - that could be grown already fortified with vitamin A. 

HarvestPlus is working with 60 research organizations globally to produce beans, cassava, pearl millet, rice and wheat fortified with iron, or zinc or vitamin A.

Mary Shawa, Malawi's permanent secretary for Nutrition, HIV and AIDS, said most of the country's farmers grew maize, the staple crop. "We are getting our farmers to grow other crops." Fortifying maize-meal with iron was another option. 

Malawi not only has one of the world's highest numbers of chronically malnourished children, but also suffers what UNICEF described as a "double burden" - high rates of stunted as well as overweight children.

In Guinea-Bissau more than 10 percent of children are overweight, and around half are chronically malnourished. Uganda's Mwadime pointed out that surveys in parts of Uganda had found overweight mothers with undernourished children.

In 1989 Cote d'Ivoire started a home-grown school feeding programme, in which mothers grow food and sell it to the government to feed their children in school; Kenya is doing the same. 

"The children not only get well-balanced meals – it also puts cash into their hands of their mothers, who are mostly small-scale farmers, and it helps the local economy," said Odette Lago-Daleba, head of Cote d'Ivoire's national school feeding programme.
 
Nancy Walters, of the UN World Food Programme (WFP), said the agency, which runs school feeding programmes in 63 countries, was trying to phase in the home-grown school feeding model across the continent.

Getting the job done

Knowing the problem and the solution is only half the job. Most experts at the event agreed that nutrition could not get the attention it deserved if it remained closeted in health ministries. 

Elizabeth Madraa, until recently the head of nutrition in the Ugandan health ministry, said countries should create room for nutrition in four key ministries: education, gender and social welfare, agriculture and economic affairs. 

"You need to educate the people, get them to grow the right kind of food, and you need to target women especially, who are the caregivers and the producers of food in most African countries," she said. You also needed the help of the finance and economic affairs ministries to find the money and involve the private sector in initiatives like fortifying mass-produced staple foods with vitamins and minerals.

NEPAD's Mkandawire said Ghana and Malawi already had a multi-sectoral approach to tackling nutrition, and Malawi had a nutrition head in 10 of its ministries.

In a reality check, Mafa Chipeta, sub-regional coordinator at the UN Food and Agriculture Organization (FAO), pointed out that before nutrition could be discussed, "There has to be food first." Many African countries were still running 40-year-old food aid programmes, and there had to be a greater urgency in getting them to spend more on agriculture to become food self-sufficient.

Elhadj As Sy, UNICEF's regional head, said countries also needed to strengthen nutrition information gathering systems.

At the end of the three-hour long session we had to put together the key messages for political leaders. When the AU assembly opened the following day, no political leader mentioned nutrition in their address. The main theme - maternal and infant health - got little mention. A substantial portion of the speeches were devoted to the conflicts raging in the continent.   

Unfazed, Giyose said she had set herself the task of engaging key ministries in at least six countries over the next 12 months to focus on nutrition.

Mkandawire added optimistically, "We just need the political will to drive the process, and it can happen."

jk/he]]></body><link>http://www.irinnews.org/report.aspx?ReportId=89970</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2009/200904038t.jpg"/></td><td valign="top">KAMPALA 26 July 2010 (IRIN) - &quot;Children don&apos;t vote,&quot; said Dr Robert Mwadime, of Uganda Action for Nutrition, at a session on the subject before the three-day African Union (AU) meeting opened in Kampala, Uganda. This means that political leaders in Africa often pay scant attention to the millions of children who die every year of malnutrition-related causes. Most of the audience nodded in agreement; many clapped. </td></tr></table>]]></content:encoded></item><item><title>HEALTH: Most paediatric fevers not caused by malaria</title><pubDate>Tue, 06 Jul 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201004220943340513t.jpg" />]]>DAKAR 06 July 2010 (IRIN) - More than half the paediatric fevers treated in public health clinics in Africa are caused by diseases other than malaria, according to a study by Oxford University and other research groups, whose authors caution against the &quot;continued indiscriminate use of anti-malarials for all fevers across Africa.&quot; </description><body><![CDATA[DAKAR 06 July 2010 (IRIN) - More than half the paediatric fevers treated in public health clinics in Africa are caused by diseases other than malaria, according to a study by Oxford University, whose authors caution against the "continued indiscriminate use of anti-malarials for all fevers across Africa." [http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000301] 
 
 Of the 183 million children with malaria symptoms treated by public health clinics in 2007, only 43 percent were diagnosed with malaria, but many more most likely received anti-malarial medication. 
 
 "Malaria is still routinely made as the diagnosis of convenience in response to paediatric fever," the study's lead researcher, Peter Gething, told IRIN. "This in part stems from official guidelines [http://www.who.int/malaria/publications/atoz/9789241547925/en/index.html] that have only recently been updated, and in part because often the only treatments available in front-line clinics are anti-malarials." 
 
 In 2006 the World Health Organization (WHO) recommended that health workers in countries with a high number of suspected cases of malaria treat children with fevers – the main clinical symptom of malaria – for the disease, even without a diagnosis. 
 
 There was little else to do at the time, said WHO expert Peter Olumese. "The probability was high that the fevers were from malaria, the disease could turn fatal quickly and there was no time to lose, and there were no proven diagnostic tools," he told IRIN. 
 
 Since then, rapid diagnostic testing for malaria has become available, making it possible to confirm diagnoses without health workers, a microscope or a laboratory. In 2008, 11.5 million of these tests were distributed in Africa; in 2009, the Global Fund to Fight AIDS, Tuberculosis and Malaria financed 74 million tests, and another 105 million in 2010, according to the Roll Back Malaria Partnership. 
 
 People in communities have been trained [http://www.irinnews.org/Report.aspx?ReportId=84195] to test one another for malaria. In Senegal, [http://www.irinnews.org/Report.aspx?ReportId=84134] people of all ages are treated for malaria in government-funded health centres only once there is a positive result from a laboratory or rapid test. 
 
 In sub-Saharan Africa 31 countries have a policy of "universal diagnostic testing", while another 15 countries in the region have set a goal of testing before treatment in children aged five and older, judging it too risky to delay treatment in younger patients. 
 
 Yet it can be equally risky to treat someone for malaria based only on the assumption that they have the disease, the director of WHO's global malaria programme, Robert Newman, told IRIN. 
 
 "You might be wasting ACT [anti-malarial artemisinin-based Combination Therapy], while increasing the risk for drug resistance; also, you are not treating the underlying febrile disease and the drug delay can be fatal. If you treat bacterial pneumonia [http://www.irinnews.org/report.aspx?ReportId=83188] with anti-malarials, you still have a problem." 
 
 On Kinaserom, one of the islands in Lake Chad, health workers recently started using rapid tests to check patients suspected of having malaria. Mahamat Boukar Moussa, the head nurse at a clinic on the island, told IRIN he gave patients malaria medication even when test results were negative. "The tests are not accurate and we cannot risk inaction." 
 
 Raoul Ngarhounoum, the regional health director overseeing the rollout of malaria rapid testing, told IRIN he agreed with the health workers' scepticism. "These are malaria-endemic areas, and just because a test says it is not malaria does not mean it is not." 
 
 Gething said that besides quality control, "Simply supplying RDT [rapid diagnostic testing] universally is likely to be less effective if it is not accompanied by sufficient training for front-line health workers." 
 
 The Foundation for Innovative New Diagnostics, which works with WHO to create quality control standards for rapid tests, recommends spot checking in each batch of tests ordered [http://www.irinnews.org/Report.aspx?ReportId=84110] to ensure the tests were not poorly manufactured, or had been damaged in transit or storage. 
 
 Malaria treatment would not change overnight, said Gething. "In an ideal world, all fevers reaching clinics in Africa would be tested for malaria, using a reliable diagnostic test ... As always, the reality on the ground is more complex. For years the advice has been to treat all fevers as malaria, and changing that dogma is likely to take time." 
 
 pt/he 

]]></body><link>http://www.irinnews.org/report.aspx?ReportId=89756</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201004220943340513t.jpg"/></td><td valign="top">DAKAR 06 July 2010 (IRIN) - More than half the paediatric fevers treated in public health clinics in Africa are caused by diseases other than malaria, according to a study by Oxford University and other research groups, whose authors caution against the &quot;continued indiscriminate use of anti-malarials for all fevers across Africa.&quot; </td></tr></table>]]></content:encoded></item><item><title>In Brief: Fish nets join mosquito nets against malaria </title><pubDate>Fri, 02 Jul 2010 00:00:00 GMT</pubDate><description><![CDATA[<img src="http://irinnews.org/images/2010/201004270928560748t.jpg" />]]>JOHANNESBURG 02 July 2010 (IRIN) - New drugs to fight malaria may well lie at the bottom of the ocean, according to researchers studying over 2,500 samples from marine organisms collected at depths of over 900 metres. They have already found 300 that contain substances that can kill the parasite. </description><body><![CDATA[JOHANNESBURG 02 July 2010 (IRIN) - New drugs to fight malaria may well lie at the bottom of the ocean, according to researchers studying over 2,500 samples from marine organisms collected at depths of over 900 metres. They have already found 300 that contain substances that can kill the parasite. 
 
 "Healing powers for one of the world's deadliest diseases may lie within sponges, sea worms and other underwater creatures," said an internal publication by the University of Central Florida (UCF) after a study of samples collected off the Florida coast in the United States with the help of the Harbor Branch Oceanographic Institute in Fort Pierce, Florida. 
 
 "So far we have a hit rate of over 10 percent," said Debopam Chakrabarti, Professor of Molecular Biology and Microbiology at UCF, who is leading the research. He was "quite enthused by the promise of the project", but warned that "early promise does not always materialize" into a usable drug. 
 
 Chakrabarti has spent over 20 years researching treatments for the mosquito-borne illness, and turned to the largely unexplored biological potential of the ocean because "[current] drugs are becoming increasingly less effective and [malaria] is still killing," he told IRIN. 
 
 The UN World Health Organization has noted that about 3.3 billion people - half of the world's population - are at risk of malaria, and around 1 million people worldwide are killed by it every year. 
 
 tdm/he
]]></body><link>http://www.irinnews.org/report.aspx?ReportId=89701</link><content:encoded><![CDATA[<table cellpadding="3"><tr><td valign="top"><img src="http://irinnews.org/images/2010/201004270928560748t.jpg"/></td><td valign="top">JOHANNESBURG 02 July 2010 (IRIN) - New drugs to fight malaria may well lie at the bottom of the ocean, according to researchers studying over 2,500 samples from marine organisms collected at depths of over 900 metres. They have already found 300 that contain substances that can kill the parasite. </td></tr></table>]]></content:encoded></item></channel></rss>
