China scientists eager to help countries wipe out malaria

Exploring cost-effective ways to battle disease

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Hong Kong: In a laboratory in China's southern city of Guangzhou, scientists are trying to enhance the rare sweet wormwood shrub, from which artemisinin — the best drug to fight malaria, is derived.

China hopes to improve and use the drug as a uniquely Chinese weapon to fight malaria not on its own soil, where the deadly disease has been sharply pruned back, but in Africa, where it still kills one child every 30 seconds. Already, a Chinese-backed eradication programme on a small island off Africa has proven a huge success.

Away from its practical application, scientists back in the laboratory in Guangzhou are also achieving results. In one of the refrigerators sit a dozen triangular test tubes holding seedlings of the sweet wormwood shrub, also called Artemisia annua, which has only been found in the wild in China, Vietnam and border areas in Myanmar.

"There are about 0.6 parts of artemisinin in every 100 parts of the plant in the wild, but we have managed to increase the artemisinin content to between 1.2 and 1.8," said Feng Liling, assistant professor at the Tropical Medicine Institute in Guangzhou University of Traditional Chinese Medicine.

Pledge

China pledged to help Africa fight malaria at the triennial Forum on China and Africa Cooperation (FOCAC) in 2006 and has since set up 30 anti-malaria and prevention units. The next FOCAC meeting starts tomorrow in Egypt.

Helping developing countries eradicate malaria will help China project its influence and prestige as a global power, said politics professor Joseph Cheng at City University in Hong Kong.

"China is exploring cost-effective ways to help the Third World and is interested in making distinct contributions," Cheng said. "Malaria suits these requirements. It is not that expensive. It is cheaper than fighting Aids."

Tanzania, Kenya and Nigeria have begun farming hybrids of the sweet wormwood shrub with Chinese and Vietnamese ancestry, said Li Guoqiao at the Tropical Medicine Institute.

Asked if China would export the high-yielding Artemisia annua to Africa, Li said: "We want to grow them in China and whatever we export depends on bilateral relationships."

Li is spearheading a project on the African island of Moheli. In 2007, he launched a "mass drug administration" exercise there. Its population of 36,000 had to take two courses of anti-malarial drugs to flush the parasite from their bodies — on day one and day 40.

The rationale was while mosquitoes pass the parasite from person to person, they are merely "vectors" and not hosts. The results were startling. While the parasite carrier rate in Moheli ranged from 5 to 94 per cent from village to village before the exercise, that fell to 1 per cent or less from January 2008 and has stayed around that figure since. Its government has asked Beijing to roll out the same programme in two of its larger islands. The world saw 247 million cases of malaria in 2006, causing nearly one million deaths. Around 90 per cent of these were in Africa, most of them children.

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