The inconvenient truth about malaria

Sunday, December 20th, 2009

Paul Reiter — “a scientist, not a climatologist” — explains the inconvenient truth about malaria:

In his serious voice, Mr Gore presented a nifty animation, a band of little mosquitoes fluttering their way up the slopes of a snow-capped mountain, and he repeated the old line: Nairobi used to be ‘above the mosquito line, the limit at which mosquitoes can survive, but now…’ Those little mosquitoes kept climbing.

The truth? Nairobi means ‘the place of cool waters’ in the Masai language. The town grew up around a camp, set up in 1899 during the construction of a railway, the famous ‘Lunatic Express’. There certainly was water there — and mosquitoes. From the start, the place was plagued with malaria, so much so that a few years later doctors tried to have the whole town moved to a healthier place. By 1927, the disease had become such a plague in the ‘White Highlands’ that £40,000 (equivalent to about £350,000 today) was earmarked for malaria control. The authorities understood the root of the problem: forest clearance had created the perfect breeding places for mosquitoes. The disease was present as high as 2,500m above sea level; the mosquitoes were observed at 3,000m. And Nairobi? 1,680m.

These details are not science. They require no study. They are history. But for activists, they are an inconvenient truth, so they ignore them. Even if Mr Gore is innocent, his advisers are not.

More inconvenient history:

Take their contention, for example, that as a result of climate change, tropical diseases will move to temperate regions and malaria will come to Britain. If they bothered to learn about the subject, they would know that in a period climatologists call the Little Ice Age, when Charles II held ice parties on the Thames, malaria — ‘the ague’ — was rampant in the Essex marshes, on a par even with regions in Africa today. In the 18th century, the great systematist Linnaeus wrote his doctorate on malaria in central Sweden. In 1922-23 a massive epidemic swept the Soviet Union as far north as Archangel, on the Arctic circle, killing an estimated 600,000 people. And malaria was only eliminated from the Soviet Union and large areas of Europe in the 1950s, after the advent of DDT. So it’s hardly a tropical disease. And yet when we put this information under the noses of the activists it is ignored: ours is the inconvenient truth.

Some inconvenient facts:

In the first place, malaria in most of sub-Saharan Africa is ‘stable’: everyone gets bitten by infective mosquitoes every year, sometimes as many as 300 times. So it is absurd to claim that climate change will increase the rate of infection; you cannot add water to a glass that’s already full.

On the other hand, in regions where malaria is newly arrived, or has emerged after a period of remission, a plethora of interacting factors are at play, including forest clearance, irrigation, the mobility of people, urbanisation, resistance to insecticides and antimalarial drugs, the Aids epidemic, population increase, the degradation of public health infrastructures, and war and civil strife. Most of all: poverty. Poverty and malaria go hand in hand. There is no evidence or need to implicate temperature.

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