How Malaria Was Eradicated In The U.S.

Real Science
Dec 21, 2019
15 notes
15 Notes in this Video

Mosquito Transmission Cycle: Anopheles Spreading Plasmodium Between Humans

MalariaTransmission AnophelesMosquito PlasmodiumParasite DiseaseVector
01:30

Anopheles mosquitoes carry malarial parasites breeding in still water such as marshy ponds and swamps which exist in great numbers in eastern and southern United States.

Plasmodium Liver Stage: Single Cell Creating Thousands of Parasites

LiverInfection ParasiteMultiplication PlasmodiumLifeCycle AsexualReproduction
02:10

Sporozoites enter human bloodstream riding toward liver where single infected liver cell can lead to creation of thousands of new parasites through multiple rounds of division.

Red Blood Cell Infection: Parasites Hiding From Immune System Causing Symptoms

BloodInfection ClinicalSymptoms ImmuneEvasion Merozoites
02:30

Parasites from liver migrate to infect red blood cells where they hide from body’s immune system consuming cell contents and dividing to create even more parasites.

Slave Ship Introduction: 17th Century African Arrival Bringing Malaria to America

HistoricalIntroduction SlaveT rade DiseaseImportation ColonialHistory
03:20

Malaria infestation in United States was not brought about until 17th century with first arrival of slave ships from Africa where parasite originated.

Colonial Settlement Patterns: Malaria Determining Where Europeans Could Thrive

SettlementPatterns ColonialAmerica DiseaseGeography LaborDemand
03:50

Incoming immigrants labeled certain colonies as healthy and others as dangerous with Caribbean understood to be most dangerous, Florida and Carolinas close second, Chesapeake bit better, only northern colonies where European settlers thrived.

WWI Military Impact: 10,500 Admissions and 130,000 Training Days Lost

MilitaryMedicine WWI TrainingDisruption SouthernBases
04:30

By First World War malaria was huge problem especially for military where men training in South were picking up disease in rapid numbers.

Great Depression Peak: Over One Million Cases in 13 Southeastern States

GreatDepression PovertyDisease 1930sPeak PublicHealthCrisis
05:00

By 1930s malaria had become concentrated in 13 of country’s southeastern states with well over one million cases during Great Depression making it major national problem.

Quinine Treatment Trials: 90 Percent Reduction But Poor Compliance From Side Effects

QuinineTreatment MalariaMedicine ComplianceProblems SideEffects
05:50

1916 scientists carried out study on 500,000 people in Bolivar County Mississippi testing whether quinine from cinchona bark could effectively treat malaria finding 90 percent infection reduction.

WPA Drainage Projects: 32,000 Miles of Ditches Draining 623,000 Acres

PublicWorks WPA MosquitoControl DrainageProjects
07:30

1930s saw wave of public works projects intended to boost economy including malaria control through Works Progress Administration putting people to work digging 32,000 miles of ditches and draining 623,000 watered acres.

DDT Invention Impact: Most Effective Mosquito Killer Enabling 1945 Transmission Drop

DDT Insecticide MosquitoControl EnvironmentalToxin
09:00

1944 one of most effective mosquito killers of all time was invented DDT which thanks in part to its use by 1945 caused malaria transmission in US to drop significantly making disease’s days numbered.

CDC Founding Mission: 1946 Birth With Primary Goal of Malaria Eradication

CDCHistory PublicHealth MalariaEradication InstitutionalFoundation
09:20

1946 CDC was born with primary mission of finally getting rid of malaria in America once and for all representing federal commitment to systematic disease elimination.

US Malaria Elimination 1951: Disease Considered Eradicated Through Multi-Pronged Assault

DiseaseElimination PublicHealthSuccess 1951Milestone EradicationAchievement
09:50

By 1951 malaria was considered eliminated altogether from country following onslaught of DDT, drainage works, habitat oiling, and preventive medication that had finally worked.

Eradication Debate: Scientists Fiercely Arguing Which Factor Was Key to Elimination

CausationDebate HistoricalControversy MultipleFactors ScientificUncertainty
10:10

Dozens of other factors beyond DDT and drainage contributed to malaria’s death in America with historians fiercely debating which factor was actually key to eradication creating scientific uncertainty.

Africa Application Challenges: Rainfall Breeding Sites and DDT Environmental Concerns

AfricanMalaria ApplicationChallenges EcologicalDifferences GlobalEradication
11:00

In Africa where most of world’s malaria cases occur today, US drainage methods are not feasible because mosquitoes breed in small pools of water formed from rainfall spread across landscape.

Modern Eradication Approaches: Gates Foundation Data Collection and GM Mosquitoes

ModernStrategies GatesFoundation GeneticModification VaccineResearch
12:00

Organizations like Bill and Melinda Gates Foundation are working towards malaria eradication putting resources largely towards better data collection along with research and development for creating new medicines and vaccines.