The WHO's prequalification of Coartem Baby is a landmark moment for global health — for the first time, newborns and young infants have a malaria treatment built specifically for them. Before this, the smallest babies were dosed with formulations meant for older children, raising serious risks of toxicity and error. With 30 million babies born annually in malaria-endemic Africa, this breakthrough closes a treatment gap that has cost lives for far too long.
Headlines tied to Gates Foundation efforts warrant skepticism, as reality often falls short. Gates was part of a successful malaria vaccine effort decades ago, but cut funding for it despite reducing severe cases by a third, redirecting money toward new initiatives instead of scaling what worked. Since then, billions have continued to flow through the WHO and allied groups, blurring philanthropy and influence. Calling this a public health triumph ignores who controls the money and who benefits.
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