Thank you for posting this, really interesting! I am pretty excited for malaria vaccine roll-out, but think that posts which go against current thinking are valuable, and I appreciate this being posted.
Three things that I’d be super curious about (and i think might have the effect of being more optimistic);
(1) IIRC the WHO found a 13% reduction in all-cause mortality (!) with a vaccination coverage rate of ~65%. This was in Ghana/ Kenya and Malawi, I think. I assume these areas already had some availability of SMC/ bednets, and this makes me think that there’s likely quite a substantial impact beyond nets/ SMC?
(2) Beyond immediate impacts of the vaccine- will the malaria vaccine likely bring eradication forward beyond the impact of nets/ SMC? (my current understanding is yes, and I think that bringing eradication forward is super important.)
(3) As you already point out, where would money have otherwise been spent. My impression here is that the money which funds malaria vax roll-out would likely come from a mix of sources, rather than nescessarily pulling from SMC/ bednets (but I still have some concern/ uncertainty here).
Thank you for posting this, really interesting! I am pretty excited for malaria vaccine roll-out, but think that posts which go against current thinking are valuable, and I appreciate this being posted.
Three things that I’d be super curious about (and i think might have the effect of being more optimistic);
(1) IIRC the WHO found a 13% reduction in all-cause mortality (!) with a vaccination coverage rate of ~65%. This was in Ghana/ Kenya and Malawi, I think. I assume these areas already had some availability of SMC/ bednets, and this makes me think that there’s likely quite a substantial impact beyond nets/ SMC?
(2) Beyond immediate impacts of the vaccine- will the malaria vaccine likely bring eradication forward beyond the impact of nets/ SMC? (my current understanding is yes, and I think that bringing eradication forward is super important.)
(3) As you already point out, where would money have otherwise been spent. My impression here is that the money which funds malaria vax roll-out would likely come from a mix of sources, rather than nescessarily pulling from SMC/ bednets (but I still have some concern/ uncertainty here).