In this third issue of the SACEMA Quarterly, the focus is not on HIV/AIDS, but on other infectious diseases. The first article reports on the prevention of sleeping sickness, by catching away the tsetse flies causing the disease, using baits. The second one presents the Global Fund’s approach to combating Malaria: The Affordable Medicines Facility-Malaria (AMFm), which mainly comes down to reducing the prices of malaria treatment by means of subsidy. And the last article discusses the status of tuberculosis in South Africa.
Sleeping sickness severely affects health and development in Sub-Saharan Africa. As there are no prophylactics, and only highly toxic curatives, the safest policy is to attack the tsetse flies (vectors). The cheapest and simplest method of tsetse control is the use of insecticide-treated baits; host animals (cattle) or artificial representations of them (“targets”). Bait performance has been improved greatly in the last 40 years, however to further reduce the costs of targets more research is needed to shed light on some unsolved problems.