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Thứ Sáu, 17 tháng 2, 2012

Mexico Drug War Bloodies Areas Thought Safe

Last week, two headless bodies were found in a smoldering minivan near the entrance to one of the largest and most expensive malls in Mexico City, generally considered a refuge from the grisly atrocities that have gripped other cities throughout the drug war.

Two other cities considered safe just six months ago — Guadalajara and Veracruz — have experienced their own episodes of brutality: 26 bodies were left in the heart of Guadalajara late last year, on the eve of Latin America’s most prestigious book fair, and last month the entire police force in Veracruz was dismissed after state officials determined that it was too corrupt to patrol a city where 35 bodies were dumped on a road in September.

The spreading violence, believed to largely reflect a widening turf war between two of the biggest criminal organizations in the country, has implications on both sides of the border, putting added pressure on political and law enforcement leaders who are already struggling to show that their strategies are working.

“It is a situation ever more complicated and complex,” said Ricardo Ravelo, a Mexican journalist who has written several books on criminal organizations. “Resources are and will be stretched to deal with this.”

American officials here acknowledge that the mayhem is unpredictable but contend that they have a way to help tackle it, spreading word that the $1.6 billion Merida Initiative, Washington’s signature antidrug program, will step up training and advising for the Mexican state and local police and judicial institutions this year, rather than emphasizing the delivery of helicopters and other equipment.

In a year in which President Felipe Calderón’s party, in power since 2000, may struggle to hang on to the presidency in July elections, the expanding violence is giving political rivals, all promising a more peaceful country, much to run on.

Discerning patterns of violence in the drug war can be perilous; it is often like a tornado skipping across terrain, devastating one area while leaving another untouched.

But government statistics released last week showed a surge in deaths presumed to be related to drug or organized crime in Mexico State, which surrounds the capital and is the nation’s most populous state, in the first nine months of last year. The government data also show that violence has now afflicted 831 communities nationwide, an increase of 7 percent.

Although questions have emerged about the government’s tally, many analysts agree that the violence is widening.

“There has been a definite shift of violence away from the border and back to the interior states,” said David A. Shirk, director of the Trans-Border Institute at the University of San Diego, who closely tracks drug crime.

In a way, he said, the shift is a stark reversal of the trend of six years ago, when violence exploded in more southerly states and migrated north along drug-trafficking routes, accelerating a drug war that has now left more than 47,000 people dead, according to the government.

In response, the Mexican government deployed its military and the federal police, arresting and killing more than two dozen cartel leaders and splintering or dismantling several groups. Their push has been backed by American aid in the form of helicopters, remotely piloted drones and the deepening involvement of American drug agents in investigations and raids.

The violence slackened in many areas along the border, including Ciudad Juárez, the bloodiest city, where homicides have been declining. Mexican officials say the decrease is proof that they are making headway, but analysts say it may have more to do with one rival group’s defeat of another, reducing competition and the bloodshed that comes with it.

As for the violence in other areas — Acapulco, in the south, is now the second most violent city — that, too, may reflect the shifting contours of the fights between criminal organizations.

The drug war, Mr. Shirk and other analysts say, is increasingly coming down to a fight to the death between the Sinaloa cartel, a more traditional drug-trafficking organization widely considered the most powerful, and Los Zetas, founded by former soldiers and considered the most violent as it expands into extortion, kidnapping and other rackets in regions far off the drug route map. A third, the Gulf Cartel, remains well armed and rises to attack from time to time.

Many of the clashes have been in central or more southern areas where the two main rivals have not previously fought each other so violently, analysts say. George W. Grayson, a longtime researcher of Mexican violence and co-author of a coming book on Los Zetas, said the group had spread to 17 states from 14 a year ago.

Damien Cave and Karla Zabludovsky contributed reporting.


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Thứ Ba, 7 tháng 2, 2012

Malaria kills twice as many as thought: study

LONDON (Reuters) - Malaria kills more than 1.2 million people worldwide a year, nearly twice as many as previously thought, according to new research published on Friday that questions years of assumptions about the mosquito-borne disease.

Past studies had overlooked hundreds of thousands of deaths because they had wrongly assumed malaria overwhelmingly killed babies and focused their findings on under-fives, said the study by the Institute for Health Metrics and Evaluation (IHME) in the United States.

The new study, published in The Lancet medical journal, found 42 percent of deaths were actually among older children and adults.

The higher number of victims showed the need to increase funding to fight malaria, even as governments came under pressure to cut their aid budgets amid the global economic crisis, said the researchers.

"You learn in medical school that people exposed to malaria as children develop immunity and rarely die from malaria as adults," said Christopher Murray, who led the study as IHME Director. "What we've found in hospital records, death records, surveys and other sources shows that just is not the case."

In their work, which used new data and computer modelling to build a historical database for malaria between 1980 and 2010, they found that more than 78,000 children aged five to 14, and more than 445,000 people aged 15 and older died from malaria in 2010. This means more than four in 10 of all malaria deaths were in people aged fives years and older.

Overall, malaria deaths worldwide rose from 995,000 in 1980 to a peak of 1.8 million in 2004, before falling again to 1.2 million in 2010, the study found.

The World Health Organisation's (WHO) latest global report said the estimated number of malaria deaths fell to 655,000 in 2010, almost half the number in the IHME study.

The WHO, a United Nations agency, said on Friday it stood by its figures and said that much of the data used in the Lancet study had been based on verbal testimony by relatives of how people had died, not on laboratory diagnosis of samples.

"So we would say that again the great majority of deaths would be in children under five and we stand by our estimates," WHO spokesman Gregory Hartl told a news briefing in Geneva.

Both studies showed a downward trend in deaths in recent years, thanks largely to the use of anti-malaria drugs and insecticide-treated bed nets.

The new findings are part of an ongoing series generated by the Global Burden of Diseases, Injuries and Risk Factors 2010 Study. Global trends in child deaths, maternal deaths, breast cancer, and cervical cancer were released last year

and more will be released in coming months.

Malaria is endemic in more than 100 countries worldwide but can be prevented by the use of bed nets and indoor spraying to keep the mosquitoes that carry the disease at bay.

Effective malaria drugs known as artemisinin-based combination therapies, or ACTs, can cure the infection but access to these medicines is often hampered in poor countries, where funding is limited and health services are patchy.

The IHME researchers said much of the decline in deaths was down to efforts by the Global Fund to Fight AIDS, Malaria and Tuberculosis, which was launched in 2001, and other anti-malaria organisations such as the WHO's Roll Back Malaria campaign.

"We have seen a huge increase in both funding and in policy attention given to malaria over the past decade, and it's having a real impact," said Alan Lopez of the University of Queensland and one of the study's co-authors.

"Reliably demonstrating just how big an impact is important to drive further investments... This makes it even more critical for us to generate accurate estimates for all deaths."

The researchers also warned, as the WHO did in its December 2010 malaria report, that recent gains in the fight against the disease malaria could be reversed if global economic troubles stifle funding efforts.

It said an announcement by the Global Fund in November that it would cancel its next round of funding "casts a cloud over the future of malaria programs".

"If the Global Fund is weakened, the world could lose 40 percent of all the funding dedicated to fighting malaria," said Stephen Lim, also at IHME and a co-author on the study.


View the original article here

Malaria kills twice as many as thought: study

LONDON (Reuters) - Malaria kills more than 1.2 million people worldwide a year, nearly twice as many as previously thought, according to new research published on Friday that questions years of assumptions about the mosquito-borne disease.

Past studies had overlooked hundreds of thousands of deaths because they had wrongly assumed malaria overwhelmingly killed babies and focused their findings on under-fives, said the study by the Institute for Health Metrics and Evaluation (IHME) in the United States.

The new study, published in The Lancet medical journal, found 42 percent of deaths were actually among older children and adults.

The higher number of victims showed the need to increase funding to fight malaria, even as governments came under pressure to cut their aid budgets amid the global economic crisis, said the researchers.

"You learn in medical school that people exposed to malaria as children develop immunity and rarely die from malaria as adults," said Christopher Murray, who led the study as IHME Director. "What we've found in hospital records, death records, surveys and other sources shows that just is not the case."

In their work, which used new data and computer modelling to build a historical database for malaria between 1980 and 2010, they found that more than 78,000 children aged five to 14, and more than 445,000 people aged 15 and older died from malaria in 2010. This means more than four in 10 of all malaria deaths were in people aged fives years and older.

Overall, malaria deaths worldwide rose from 995,000 in 1980 to a peak of 1.8 million in 2004, before falling again to 1.2 million in 2010, the study found.

The World Health Organisation's (WHO) latest global report said the estimated number of malaria deaths fell to 655,000 in 2010, almost half the number in the IHME study.

The WHO, a United Nations agency, said on Friday it stood by its figures and said that much of the data used in the Lancet study had been based on verbal testimony by relatives of how people had died, not on laboratory diagnosis of samples.

"So we would say that again the great majority of deaths would be in children under five and we stand by our estimates," WHO spokesman Gregory Hartl told a news briefing in Geneva.

Both studies showed a downward trend in deaths in recent years, thanks largely to the use of anti-malaria drugs and insecticide-treated bed nets.

The new findings are part of an ongoing series generated by the Global Burden of Diseases, Injuries and Risk Factors 2010 Study. Global trends in child deaths, maternal deaths, breast cancer, and cervical cancer were released last year

and more will be released in coming months.

Malaria is endemic in more than 100 countries worldwide but can be prevented by the use of bed nets and indoor spraying to keep the mosquitoes that carry the disease at bay.

Effective malaria drugs known as artemisinin-based combination therapies, or ACTs, can cure the infection but access to these medicines is often hampered in poor countries, where funding is limited and health services are patchy.

The IHME researchers said much of the decline in deaths was down to efforts by the Global Fund to Fight AIDS, Malaria and Tuberculosis, which was launched in 2001, and other anti-malaria organisations such as the WHO's Roll Back Malaria campaign.

"We have seen a huge increase in both funding and in policy attention given to malaria over the past decade, and it's having a real impact," said Alan Lopez of the University of Queensland and one of the study's co-authors.

"Reliably demonstrating just how big an impact is important to drive further investments... This makes it even more critical for us to generate accurate estimates for all deaths."

The researchers also warned, as the WHO did in its December 2010 malaria report, that recent gains in the fight against the disease malaria could be reversed if global economic troubles stifle funding efforts.

It said an announcement by the Global Fund in November that it would cancel its next round of funding "casts a cloud over the future of malaria programs".

"If the Global Fund is weakened, the world could lose 40 percent of all the funding dedicated to fighting malaria," said Stephen Lim, also at IHME and a co-author on the study.


View the original article here

Malaria kills twice as many as thought - study

LONDON (Reuters) - Malaria kills more than 1.2 million people worldwide a year, nearly twice as many as previously thought, according to new research published on Friday that questions years of assumptions about the mosquito-borne disease.

Past studies had overlooked hundreds of thousands of deaths because they had wrongly assumed malaria overwhelmingly killed babies and focused their findings on under-fives, said the study by the Institute for Health Metrics and Evaluation (IHME) in the United States.

The new study, published in The Lancet medical journal, found 42 percent of deaths were actually among older children and adults.

The higher number of victims showed the need to increase funding to fight malaria, even as governments came under pressure to cut their aid budgets amid the global economic crisis, said the researchers.

"You learn in medical school that people exposed to malaria as children develop immunity and rarely die from malaria as adults," said Christopher Murray, who led the study as IHME Director. "What we've found in hospital records, death records, surveys and other sources shows that just is not the case."

In their work, which used new data and computer modelling to build a historical database for malaria between 1980 and 2010, they found that more than 78,000 children aged five to 14, and more than 445,000 people aged 15 and older died from malaria in 2010. This means more than four in 10 of all malaria deaths were in people aged five years and older.

Overall, malaria deaths worldwide rose from 995,000 in 1980 to a peak of 1.8 million in 2004, before falling again to 1.2 million in 2010, the study found.

The World Health Organisation's (WHO) latest global report said the estimated number of malaria deaths fell to 655,000 in 2010, almost half the number in the IHME study.

The WHO, a United Nations agency, said on Friday it stood by its figures and said that much of the data used in the Lancet study had been based on verbal testimony by relatives of how people had died, not on laboratory diagnosis of samples.

"So we would say that again the great majority of deaths would be in children under five and we stand by our estimates," WHO spokesman Gregory Hartl told a news briefing in Geneva.

Both studies showed a downward trend in deaths in recent years, thanks largely to the use of anti-malaria drugs and insecticide-treated bed nets.

The new findings are part of an ongoing series generated by the Global Burden of Diseases, Injuries and Risk Factors 2010 Study. Global trends in child deaths, maternal deaths, breast cancer, and cervical cancer were released last year [ID:nL5E7KF0NP] and more will be released in coming months.

Malaria is endemic in more than 100 countries worldwide but can be prevented by the use of bed nets and indoor spraying to keep the mosquitoes that carry the disease at bay.

Effective malaria drugs known as artemisinin-based combination therapies, or ACTs, can cure the infection but access to these medicines is often hampered in poor countries, where funding is limited and health services are patchy.

The IHME researchers said much of the decline in deaths was down to efforts by the Global Fund to Fight AIDS, Malaria and Tuberculosis, which was launched in 2001, and other anti-malaria organisations such as the WHO's Roll Back Malaria campaign.

"We have seen a huge increase in both funding and in policy attention given to malaria over the past decade, and it's having a real impact," said Alan Lopez of the University of Queensland and one of the study's co-authors.

"Reliably demonstrating just how big an impact is important to drive further investments... This makes it even more critical for us to generate accurate estimates for all deaths."

The researchers also warned, as the WHO did in its December 2010 malaria report, that recent gains in the fight against the disease malaria could be reversed if global economic troubles stifle funding efforts.

It said an announcement by the Global Fund in November that it would cancel its next round of funding "casts a cloud over the future of malaria programs.

"If the Global Fund is weakened, the world could lose 40 percent of all the funding dedicated to fighting malaria," said Stephen Lim, also at IHME and a co-author on the study.

(Additional reporting by Stephanie Nebehay in Geneva; Editing by Andrew Heavens)


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Malaria toll far higher than thought: study

Malaria kills more than 1.2 million people a year, nearly 50 percent more than previously thought, and inflicts a high toll among adults and older children and not just toddlers, a new investigation says.

But there is also good news: deaths from the mosquito-borne disease have in fact been falling sharply thanks to access to better drugs and insecticide-treated nets.

Published in The Lancet on Friday, the study by the Institute of Health Metrics and Evaluation (IHME) at the University of Washington, Seattle, says malaria killed at least 1.2 million people worldwide in 2010.

The estimate will be a likely shock for health policymakers. Only last September the UN-backed Roll Back Malaria (RBM) calculated mortality in 2009 at 781,000.

The higher figure, say the US researchers, derives from wider and more reliable data, including use of a technique called "verbal autopsy".

Under this, investigators interview relatives of someone who has recently died in order to help pinpoint the cause of death. In many poor countries which lack medical infrastructure, mortality is often poorly probed or misidentified.

The new study skewers the belief that the overwhelming majority of malaria deaths occur among the under-fives.

In 2010, more than 78,000 children aged five to 14, and more than 445,000 aged 15 or older, died of malaria, together accounting for 42 percent of the total.

"You learn in medical school that people exposed to malaria as children develop immunity and rarely die from malaria as adults," said lead researcher Christopher Murray.

"What we have found in hospital records, death records, surveys and other sources shows that just is not the case."

From 1985, says the paper, malaria deaths grew every year, peaking at 1.8 million in 2004.

But from 2004, the toll fell every year. Between 2007 and 2010, the decline has been particularly acute -- more than seven percent every year -- and the big beneficiary has been Africa.

Among the stars are Tanzania and Zambia, which saw deaths fall by more than 30 percent between 2004 and 2010.

The source of the decline lies in the increased use of artemisinin drugs, replacing medications to which the malaria parasite has become resistant, and the widening distribution of insecticide-treated bed nets, says the probe.

The major players in this campaign are the Bill and Melinda Gates Foundation, RBM and the Global Fund to Fight AIDS, Malaria and Tuberculosis. Funding rose from less than 250 million dollars annually in 2001 to more than two billion in 2009.

"We have seen a huge increase in both funding and in policy attention given to malaria over the past decade, and it's having real impact," said Alan Lopez, a population health expert at the University of Queensland in Australia, who was a member of the research team.

The study warns of the dangers if the momentum is lost, especially in the shortfall of support for the Global Fund.

"There has been a rapid decrease in malaria mortality in Africa because of the scaling up of control activities supported by international donors," it says.

"Donor support, however, needs to be increased if malaria elimination and eradication and broader health and development goals are to be met."

In last September's estimate, RBM said mortality from malaria fell from 984,000 in 2000 to 781,000 in 2009, a decline of 38 percent if the world's population growth over this period is factored in.

The new study was funded by the Gates Foundation; however, the IHME is an independent research institution and The Lancet is a peer-reviewed journal.


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