Riding High - The Times 1st November 2007

Lamin Barrow is a senior community health nurse in The Gambia, and witness to a small but significant miracle. He works in a region where 3,000 people die each day from malaria, most of them children. Within that region he is responsible for the health of 20,000 people in five villages near the mouth of the River Gambia, where malaria remains endemic despite the best efforts of science, the Health Ministry and myriad aid agencies. If not treated it can kill an otherwise healthy child in a day. Yet this year he has not recorded a single death from the disease. Part of the explanation lies in the availability of drugs and mosquito nets, paid for largely by the Global Fund. But they would be useless without a delivery mechanism, which would itself be useless if it did not work and yet it does.

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