Johns Hopkins Malaria Minute

Johns Hopkins Bloomberg School of Public Health

Impactful malaria science, and the trailblazers leading the fight. A podcast from the Johns Hopkins Malaria Research Institute.

  1. 11/11/2025

    Insecticide-Treated Baby Wraps Cut Malaria Cases by Two-Thirds in Uganda

    A new study in rural western Uganda finds that treating baby-carrying cloths, or lesu, with an insecticide with modest repellent effect significantly reduces malaria infections in young children. Transcript In many parts of sub-Saharan Africa, mothers carry their young children on their backs in colorful cotton wraps called lesu. Could treating these cloths with insecticide reduce malaria transmission? A study published in the New England Journal of Medicine explored this question in rural western Uganda, where malaria is transmitted year-round. Researchers enrolled 400 mothers with children aged six to 18 months. Using a blinded randomized placebo-controlled trial design, half received lesu treated with permethrin, a commonly-used insecticide. The other half received untreated cloths. All participants also received  insecticide-treated bed nets. Every two weeks for 24 weeks, the mothers and children visited local health centers to check for fever and undergo malaria testing. The results were striking: children carried in permethrin-treated lesu represented 66% fewer malaria cases – 0.73 cases per 100 people compared with 2.13 in the control group. The findings suggest that insecticide-treated lesu – much like treated bed nets – could offer an effective new tool particuarly against outdoor biting for a highly vulnerable population - children under 5 years of age - in sub-Saharan Africa. Source Permethrin-Treated Baby Wraps for the Prevention of Malaria [NEJM] About The Podcast The Johns Hopkins Malaria Minute podcast is produced by the Johns Hopkins Malaria Research Institute to highlight impactful malaria research and to share it with the global community.

    1 min
  2. 09/09/2025

    The Goldilocks Dose: Modulating Mosquito Diet to Control Malaria

    Feeding mosquitoes L-DOPA can either strengthen their defences against malaria or shorten their lifespan — showing that in vector control, the dose makes the difference Transcript As with all medicine, the dose determines whether something helps or harms. Researchers recently looked at a substance commonly found in mosquito habitats that might form part of their diet. It's called L-3-4-dihydroxyphenylalanine, or L-DOPA. Mosquitoes use it as a source of melanin. At low doses – up to a concentration of 2% – L-DOPA was toxic to mosquitoes and reduced the number of malaria parasites they carry in a dose-dependent manner. At higher doses, toxicity was stronger and the mosquitoes' rates of survival decreased, demonstrating what's known as a biphasic dose response. These findings offer two potential strategies for L-DOPA in malaria control. Low doses fed to mosquitoes in water could improve their defences against the parasite, thereby reducing onward transmission to humans. Higher doses could be used to kill mosquitoes or reduce their life span, particularly if used in a sugar bait. These strategies align with the need for cost-effective, sustainable and eco-friendly vector control methods. For L-DOPA, it all comes down to the dose. Source Dietary L-3,4-dihydroxyphenylalanine (L-DOPA) augments cuticular melanization in Anopheles mosquitos reducing their lifespan and malaria burden About The Podcast The Johns Hopkins Malaria Minute podcast is produced by the Johns Hopkins Malaria Research Institute to highlight impactful malaria research and to share it with the global community.

    1 min
  3. 08/05/2025

    Ivermectin's Potential in the Fight Against Malaria

    A new study in Kenya shows that mass drug administration of ivermectin safely reduced malaria cases by 26%, offering a promising supplement to insecticide-based prevention. Transcript Bed nets and insecticides are commonly used to prevent malaria transmission. But insecticide resistance is making those tools less effective. There's a growing interest in ivermectin, an antiparasitic drug normally used to treat neglected tropical diseases such as river blindness or scabies, that is also capable of killing the Anopheles mosquitoes that transmit malaria. In a new study in the New England Journal of Medicine, researchers from ISGlobal, an institute in Barcelona, investigated whether ivermectin given to at-risk populations en masse – in a policy of 'mass drug administration' – might supplement the use of insecticides to reduce malaria transmission. In Kwale, a coastal county in Kenya where malaria is present year-round, nearly twenty-nine thousand people took part. Half were given ivermectin at 400μg per kilogram of bodyweight. The other half were given 400mg of albendazole, not an antimalarial drug, but an anti-worming drug comparable to ivermectin. Each group took the drug once a month for three months. The study looked at both the efficacy and safety of the two interventions. Both drugs proved safe, but ivermectin had a greater impact, leading to a 26% reduction in malaria cases – higher than the 20% efficacy benchmark set by the World Health Organization. Source Source: Ivermectin to Control Malaria — A Cluster-Randomized Trial [NEJM] About The Podcast The Johns Hopkins Malaria Minute podcast is produced by the Johns Hopkins Malaria Research Institute to highlight impactful malaria research and to share it with the global community.

    2 min

About

Impactful malaria science, and the trailblazers leading the fight. A podcast from the Johns Hopkins Malaria Research Institute.