Dengue: A Bug to Kill a Bug
Dengue is the curse of unplanned urbanization and
conventional methods have failed to stop its progress. Since dengue was
first documented in Calcutta in 1963, regular epidemics have been sweeping
through the Indian subcontinent. One of the worst epidemics hit Delhi in
1996 with 10252 cases and 423 deaths.
O’ Neill, et al from Monash University in
Australia, have developed a startling new way to handle this menace. They
infected the Aedes aegypti mosquito with the bacterium Wolbachia
pipientis. The presence of Wolbachia in mosquitoes completely
blocks the ability of the dengue virus to grow in mosquitoes.
Interestingly Wolbachia is transmitted vertically from mother to
offspring and not through the environment. When an infected male mates
with an uninfected female, all her eggs die. When the infected female
mates with uninfected males, their eggs hatch normally and all their eggs
have Wolbachia. So with time Wolbachia gets more and more
common with every generation.
It is hypothesized that the Wobachia bacteria
prevents dengue infection by competing for limited sub-cellular resources
required by the virus for replication. In an open field trial in two
relatively remote areas in Australia, the team released more than 300,000
adult mosquitoes infected with the wMel Wolbachia strain into wild
A. aegypti populations over a period of 9–10 weeks. Five weeks
later, nearly all the wild mosquitoes tested were infected.
For the first time in history, wild insect populations
have been transformed to reduce their ability to act as vectors of human
disease agents. Now the team is seeking approval to release such infected
mosquitoes into dengue-endemic sites in Vietnam, Thailand, Indonesia and
Brazil to see if it reduces rates of dengue transmission in people. It
appears to be an attractive low-cost, sustainable strategy for dengue
control (Nature 24 August 2011).
Elephantiasis Declines
About 120 million people are affected worldwide with
lymphatic filariasis and a third of them are in India especially coastal
India. Aggressive public health measures in Tamil Nadu have now yielded
results with the microfilarial rate (MF rate) reaching an all time low of
0.07%. This has been made possible because of mass drug administration
(one dose of diethylcarbamazine and one dose of albendazole annually to
all people between 2- 60 years in endemic area) (The Hindu 25 August
2011).
A Lack of Political Will
A series of papers in ‘The Lancet’ acts as a
clarion call to governments to sit up, take notice and to act, to counter
the epidemic of obesity and its inevitable consequences. The obvious
culprit is the powerful global food industry. This has flooded the world
with more and more processed, affordable, palatable and energy dense
foods. The intense marketing often aimed at easily influenced children
with better distribution has made sure that no corner of the globe remains
unaffected.
In the past, governments have failed to tackle tobacco
consumption. And today, though ministers know it makes sense to crack down
on junk foods, they do not have the will to take on such a huge industry.
It is quite apparent that voluntary food industry codes are ineffective
and governments need to make more direct policy changes. Some of the
suggestions include increasing tax on unhealthy food, shielding children
from TV advertisements, and ensuring regular exercise (The Lancet 26
August 2011).