A conversation with Dr. Bill Jobin: Managing Malaria with Engineering and Public Health interventions, Apr 1-5 2013
Please join us here the week of April 1-5, 2013 to discuss current state and future configuration of anti-vector interventions designed to prevent malaria transmission through the suppression of anopheline mosquito vectors. These discussions will help shape policy and advocacy to further the global fight against malaria by generating a list of “Engineering and Public Health Interventions that Work Against Malaria” which will be discussed at the next African Malaria Dialogues (AMD) meeting and will be presented to U.S. electoral representatives and funders by representatives of the AMD.
Purpose: To promote discussion regarding the future configuration of anti-vector interventions designed to the prevent malaria transmission through suppression of anopheline mosquito vectors. The discussion will focus on the role of mosquito suppression approaches that may compliment or enhance the efficacy of existing and commonly deployed interventions such as insecticide treated nets and indoor residual insecticidal sprays. Complimentary approaches may include but are not limited to: screening of homes, environmental modifications of mosquito breeding sites, direct attacks on mosquito larvae, clever design and operation of hydropower, irrigation and water supply systems.
When: April 1-5, 2013
Dr. William (“Bill”) Jobin is a public health engineer with degrees from MIT in hydraulics and sanitary engineering and a doctorate in tropical public health from Harvard. Bill has worked for over 50 years, starting in Puerto Rico with the U.S. CDC, then to Sudan on the Blue Nile Health Project with the WHO, continuing on various health impact assessments of large water and energy projects in the tropics for the World Bank and the U.S. government. In 2005 he helped start the U.S. Presidential Malaria Initiative, and in 2009 published a report in the WHO Bulletin. He’s authored two technical books and more than 50 articles, and more recently a series of technical monographs (read more in Bill’s profile).
Bill’s current work focuses on water quality of rivers, lakes, and harbors in the U.S. He’s also steering the new African Malaria Dialogues (AMD) which gathers scientists dedicated to the fight against malaria and parasitic diseases on a regular basis. In January, the group met at MIT’s Parsons Lab under the auspices of Prof. Eltahir and discussed the historical perspective on the fight against malaria, the current state of affairs at the WHO, and research projects in Niger and Ethiopia (read Bill’s summary- links attached).
Some questions we will be considering during this discussion:
• What has worked and what has not worked in environmental modification approaches to malaria vector suppression? E.g. window screening, drainage, land filling, direct attacks on mosquito larvae, clever design and operation of hydropower, irrigation and water supply systems, and even increasing access to electricity for indoor fans.
• What are appropriate and inappropriate conditions and contexts for deploying such approaches?
• At the local, NMCP, and multi-national level, public vs. private sectors: what is the status of current anti-vector interventions such as ITN and IRS? And what about the argument for supplementing or replacing existing strategy with environmental modification approaches (e.g. insecticidal resistance, shifts in feeding behavior to outdoor venues unprotected by indoor measures)?
• What is the outlook for promising new or existing technologies and approaches that compliment or may replace existing strategies based on scale-up of ITN and IRS interventions?
• What can be done to persuade the major actors (US PMI, UN/WHO RBM, GFATM, Gates, etc.) to include non-biocidal approaches into their portfolio of operational activities currently funded?
• What is needed to shift policy away from reliance on ITN/IRS exclusively to include alternative methods and what can the public health community do to help this?
We look forward to the discussion!
Mike Reddy and Bill Jobin