Health

Fighting Malaria with GMO Mosquitoes in Djibouti

Djibouti has taken a bold step in the fight against malaria by releasing tens of thousands of genetically modified (GMO) mosquitoes. These specially designed mosquitoes, developed by the UK-based biotechnology company Oxitec, carry a gene that prevents female offspring from reaching maturity. Since only female mosquitoes bite and transmit diseases, this innovation could significantly reduce malaria transmission.

This marks the first release of such mosquitoes in East Africa and the second on the continent. The technology has previously been successful in countries like Brazil, the Cayman Islands, Panama, and India. Since 2019, over a billion GMO mosquitoes have been released globally without any documented adverse effects on human or environmental health, according to the US Centers for Disease Control and Prevention (CDC).

In Djibouti, the release took place in Ambouli, a suburb of Djibouti City, as part of a pilot phase of the Djibouti Friendly Mosquito Program. This initiative, a collaboration between Oxitec, the Djiboutian government, and the NGO Association Mutualis, aims to curb the spread of Anopheles stephensi, an invasive mosquito species first detected in Djibouti in 2012. Once nearing malaria elimination, Djibouti saw malaria cases spike from 30 in 2012 to 73,000 by 2020.

Anopheles stephensi, originally from Asia, is particularly challenging to control due to its ability to bite both day and night and its resistance to chemical insecticides. This species has now spread to six other African countries, including Ethiopia, Somalia, Kenya, Sudan, Nigeria, and Ghana.

Dr. Abdoulilah Ahmed Abdi, a presidential health adviser in Djibouti, emphasized the urgency of reversing the recent surge in malaria cases. “Not long ago, malaria was extremely rare in our communities,” said Dr. Bouh Abdi Khaireh, director of Association Mutualis. “Now, we see malaria patients suffer daily across Djibouti. There is an urgent need for new interventions.”

The small, urban nature of Djibouti, with a population just over a million, has facilitated the rollout of this innovative anti-malaria project. Community members, including malaria survivors like Saada Ismael, are hopeful that these “friendly mosquitoes” will significantly impact the fight against this deadly disease.

However, GMO organisms remain controversial in Africa. Environmental groups and campaigners worry about potential consequences for ecosystems and food chains. Yet, Oxitec’s head, Grey Frandsen, insists that their mosquitoes are safe and effective. Over ten years of releasing modified mosquitoes have shown no adverse effects on the environment or human health. The genetically modified genes are not found in the mosquitoes’ saliva, ensuring that even if bitten, humans are not exposed to these genes.

Despite the controversy, this new solution represents a promising future in the fight against malaria. If successful, larger trials and broader deployment of these GMO mosquitoes will continue next year in Djibouti. With malaria killing at least 600,000 people annually, primarily in sub-Saharan Africa, innovative interventions like this are crucial.

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As we monitor the results from Djibouti, it is clear that new strategies and technologies are essential in the ongoing battle against malaria. The hope is that these genetically modified mosquitoes will bring significant relief to malaria-stricken regions and contribute to global health improvements.

Q&A

Q: What are the GMO mosquitoes released in Djibouti?

A: The GMO mosquitoes released in Djibouti are genetically modified male Anopheles stephensi mosquitoes. Developed by the UK-based biotechnology company Oxitec, these mosquitoes carry a gene that prevents female offspring from reaching maturity. Only female mosquitoes bite and transmit malaria, so this modification aims to reduce the population of biting mosquitoes.

Q: Why were these mosquitoes released in Djibouti?

A: These mosquitoes were released in Djibouti to combat the spread of malaria. Anopheles stephensi, an invasive mosquito species, has significantly increased malaria cases in the country from 30 cases in 2012 to 73,000 cases by 2020.

Q: How do the GMO mosquitoes work to reduce malaria transmission?

A: The GMO male mosquitoes mate with wild female mosquitoes, passing on a gene that kills female offspring before they reach adulthood. This reduces the number of female mosquitoes capable of biting and spreading malaria, thus potentially lowering the transmission rate of the disease.

Q: Have these GMO mosquitoes been used successfully elsewhere?

A: Yes, similar technology has been successfully used in Brazil, the Cayman Islands, Panama, and India. According to the US Centers for Disease Control and Prevention (CDC), more than one billion such mosquitoes have been released worldwide since 2019 without any documented adverse effects on human or environmental health.

Q: What are the expected benefits of releasing these GMO mosquitoes in Djibouti?

A: The expected benefits include a significant reduction in the population of female Anopheles stephensi mosquitoes, leading to lower malaria transmission rates. This could help reverse the spike in malaria cases and improve public health outcomes in Djibouti.

Q: Are there any concerns about the release of GMO mosquitoes?

A: Yes, the release of GMO organisms has always been controversial, especially in Africa. Environmental groups and campaigners worry about potential impacts on ecosystems and existing food chains. However, Oxitec maintains that their mosquitoes are safe, non-toxic, non-allergenic, and species-specific.

Q: How does the local community in Djibouti feel about this initiative?

A: Many in the local community, including malaria survivors, are hopeful and supportive of the initiative. They are eager to see if the “friendly mosquitoes” will help reduce malaria cases and improve health outcomes.

Q: What is the future plan if the pilot phase is successful?

A: If the pilot phase is successful, larger field trials and broader operational deployment of the GMO mosquitoes will continue next year in Djibouti. This could potentially lead to long-term reductions in malaria cases and a significant public health impact.

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Q: How significant is malaria as a global health issue?

A: Malaria is a deadly disease that kills at least 600,000 people annually, with nine out of ten deaths occurring in sub-Saharan Africa. Effective interventions, such as the release of GMO mosquitoes, are crucial in the global fight against this disease.

Paul

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