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Letters to the Editor

Letters to the Editor

Amazonian Issue with Malaria Tests
I found the Special Malaria Issue (2011) very thoughtful and successful in calling attention to key issues in malaria prevention and control. However, regarding rapid diagnostic tests (RDTs): They are a great tool, but now we know that some have a lower sensitivity in the Amazon Basin due to a high frequency of HRP-2 gene deletion among P. falciparum strains there. The issue is being addressed by the Amazon Network for the Surveillance of Efficacy of Antimalarial Drugs (RAVREDA). A prospective collection and testing of samples is under way to estimate frequency of HRP-2 deletion. We expect to disseminate results in the following months.

 Dr. O. Jaime Chang N.
 Amazon Malaria Initiative Coordinator
 Office of Health, USAID Peru
 Lima, Peru

Malaria in Korea
Kudos on your excellent issue devoted to malaria. One very minor error: Your map “Five Million Years of Malaria” is overly optimistic in declaring the Korean peninsula malaria-free. Areas of South Korea near the demilitarized zone have seen a dramatic reemergence of P. vivax since 1993.

Remington Nevin, MD, MPH ’04
 Lake Charles, La.

Praise for Phil Thuma
“Mission Man” [by Mat Edelson] is an excellent article that accurately presents Macha and the incredible ways Dr. Phil Thuma has brought relief from malaria. Both of our children were born at Macha by C-section, and I had no complications, attesting to the quality of the medical care in the middle of the African bush. Now Dr. Thuma has added his malaria triumph. We eagerly await the time when malaria is controlled to such a degree where we live in urban Zambia. This is a wonderful story of hope for all malaria-ridden places, and it rightly honors the man who has given his life to pursuing this goal.

 Kathleen Stuebing
 Ndola, Zambia

Childhood Memories of Malaria
I enjoyed your special issue on malaria. It reminded me that when I was in high school [in Greece] in the 1940s, many farmers in my country were infected with P.ovale or vivax. They were so well aware of the typical 48-hour tertiary fever that they would retire under a shade and wait for its powerful attack. When it was over, they returned to their fieldwork as if nothing happened.

I was amazed at the ability of the female Anopheles to detect water to lay her eggs. At the time, office employees kept on their desks little pots with wet sponges to wet their fingers when separating papers. The lady mosquito flying well above was able to spot and land on it to deliver
her eggs.

Malaria was eradicated in Greece by the early 1950s.

George Dellaportas, MD, DrPH ’70, MPH
 North Royalton, Ohio

PDF v Print
I've been able to find sections of the magazine in pdf format, but why not offer the entire magazine as a single PDF? It’d be a great way to save paper, especially as more students adopt tablets and other readers. I would much prefer a PDF over a printed magazine.
 Mark Evans, MSPH Candidate 2012
 Baltimore, Md.


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