Written
by Jason Alfonse Fileta
on Thursday, 19 November 2009.
In July I had the privilege of traveling to Kenya to meet with Micah Challenge Coordinators from all over the world you can see them in this video. After meeting in Kenya I headed off to Kampala, Uganda to see the work of Refuge and Hope International. I got to see the work they do, and they also introduced me to many different non profits doing development work in the country. One "non-profit" we inevitably ran into were members of the Anapheles Gambiae complex. This was no surprise as it would be difficult NOT to run into an "employee" of the Anopheles Gambiae complex as this "non-profit" is active all throughout sub-Saharan Africa. They directly impact 500 million people worldwide! The difference between this non-profit and the others I visited in Uganda is that members of the Anopheles Gambiae Complex are destroying communities rather than building them up. In fact, they kill 1 million people each year around the world, 80% of which are in Africa! What an outrage! How can something operate this long without being shut down? Anopheles Gambiae (translated as "non-profit" from the Greek) is the main carrier of the deadliest strain of Malaria, Plasmodium Falciparum.
At some point I became too friendly this deadly non-profit. I returned home (Portland, OR) with more than just new friendships, stories, and loads of inspiration, but with a bunch of malaria parasites--specifically plasmodium falciparum. I discovered I was sick during a heat wave we had back in July. I was floating the Clackamas River with some friends, and despite the 106F temperature I was shivering uncontrollably. I knew immediately that I had Malaria. My visit to the Dr. the following day confirmed my suspicion. After getting blood drawn I was sent home to wait for the results of the smears. A few hours later I was covered in blankets, shaking, and a couple episodes into season two of The Wire when the Doctor called. Our conversation went something like this:
Dr.:"Jason, you have Malaria."
me: "that stinks"
Dr.:"you have the deadliest kind"
me: "ok..."
Dr.: "you need to go the hospital....like right now"
When you are uninsured being told to go the hospital is like being told to go the moon---it's not going to happen. The kind Dr did convince me that I needed to do this, and I said a prayer and headed to the hospital.
Thus began my four day hospital stay which was a daze of sweat, fevers, vomiting, pain, getting blood drawn, and frustration. My doctors were exceptionally qualified physicians, but knew little about Malaria. They began treating me for one type of malaria, but later said I had another kind of Malaria--one that according to them would go away with the course of treatment I was already on, but according to everyone who has access to the internet the treatment I was receiving was NOT effective for the strain of malaria they thought I had. The frustration grew as I wasn't getting better as fast as I was supposed to be. Amidst this frustration I found myself almost wishing that the Malaria had presented itself while I was in Uganda because Ugandan doctors would know exactly how to diagnose me AND treat me effectively. Then the injustice of this struck me: Whoever that Anopheles Gambiae bit after me was likely infected with the deadliest form of Malaria, and though they were in a nation where the Doctors know precisely how to diagnose and treat Malaria, there is a chance that my mosquito heir died. If it was an adult there is a chance their body overcame the parasite, but if it was a child or someone with a compromised immune system (hunger or AIDs) they might have died. This is a gross example of inequality.
Malaria kills nearly 1 million people each year! Questions began to rise. Why did I survive this parasite? I had so many things working against me--I was a foreigner without the antibodies needed to contain the disease, I was treated in a nation where the disease is rarely diagnosed and treated (I was the 18th case that month in all of the United States), I was uninsured, and in my specific case my diagnosis was foggy until weeks after I left the hospital when the CDC did indeed confirm that I had Plasmodium Falciparum. The key difference between me and whoever that mosquito bit after me is that I had resources available--though I was uninsured I ended up being covered by Workers Comp (another safety net not available to many), even though I am not particularly wealthy I could afford the treatment, and even though my Doctors weren't malaria experts they had resources and expertise available to them to treat me.It is a great injustice that this completely preventable disease continues to take away nearly 1 million lives a year. Malaria is a disease we know how to prevent, and we know how to treat--there is no medical reason why it can't be completely eradicated, but we lack the political and social will to eradicate Malaria.
I recently learned that the Center for Disease Control was developed for the purpose of eradicating Malaria in the United States--so we know it can be done. Why is it any less urgent to address Malaria in other parts of the world? As with many issues if we lived in a vacuum then it would be harder to argue for an urgent response to challenges facing other nations, but we don't live in a vacuum. People affected by Malaria are often the same people who make our clothes, mine natural resources that go into our goods (cell phones, building materials, fabric, jewelry, etc.), and gather on Sunday mornings worship the same God we do. I would like to think that even if we weren't deeply connected to impoverished people around the world that the appropriate response would be to stand WITH them as they tackle challenges like malaria. We have a part to play--maybe its buying a bed-net to help prevent malaria, maybe its advocating for Malaria drugs to become affordable to the people who need them most, and perhaps praying for God to be with those who are vulnerable to Malaria and for clarity in our role to support their efforts to fight this disease. What are your ideas to fight Malaria?