Ivermectin: The mosquito-killing pill that dropped malaria by 26%

Ivermectin administered to the whole population significantly reduces malaria transmission, offering new hope in the fight against the disease. The BOHEMIA trial, the largest study on ivermectin for malaria to date, showed a 26% reduction in new malaria infection on top of existing bed nets, providing strong evidence of ivermectin’s potential as a complementary tool in malaria control. The results of this project, coordinated by the Barcelona Institute for Global Health (ISGlobal) -an institution supported by the “la Caixa” Foundation- in collaboration with the Manhiça Health Research Centre (CISM) and the KEMRI-Wellcome Trust Research Programme, have been published in The New England Journal of Medicine.

Malaria remains a global health challenge, with 263 million cases and 597,000 deaths reported in 2023. Current vector control methods, such as long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS), have become less effective due to insecticide resistance and behavioral adaptations in mosquitoes to bite outdoors and during dusk or dawn, when people are not protected by these measures. This underscores the urgent need for innovative solutions to combat malaria.

Ivermectin for malaria: A novel strategy

Ivermectin, a drug traditionally used to treat neglected tropical diseases like onchocerciasis, which causes river blindness, and lymphatic filariasis, which causes elephantiasis, has been shown to reduce malaria transmission by killing the mosquitoes that feed on treated individuals. Given the rising resistance to conventional insecticides, ivermectin could offer an effective new approach totackle malaria transmission, especially in regions where traditional methods have become less effective.

The Unitaid-funded BOHEMIA project(Broad One Health Endectocide-based Malaria Intervention in Africa) conducted two Mass Drug Administration (MDA) trials in the high-burden malaria regions: Kwale County (Kenya) and Mopeia district (Mozambique). The trials assessed the safety and efficacy of a single monthly dose of ivermectin (400 mcg/kg) given for three consecutive months at the start of the rainy season in reducing malaria transmission. In Kenya, the intervention targeted children aged 5-15, while in Mozambique it focused on children under five.

Malaria reduction in Kenya

In Kwale County, Kenya, children who received ivermectin experienced a 26% reduction in malaria infection incidence compared to those who received albendazole, the control drug used in the study. The trial involved over 20,000 participants and more than 56,000 treatments, demonstrating that ivermectin significantly reduced malaria infection rates — particularly among children living further from cluster borders or in areas where drug distribution was more efficient. Moreover, the safety profile of ivermectin was favorable, with no severe drug-related adverse events and only mild, transient side effects already seen with ivermectin in campaigns against neglected tropical diseases.

“We are thrilled with these results,” says Carlos Chaccour, co-principal investigator of the BOHEMIA project and ISGlobal researcher at the time of the study. “Ivermectin has shown great promise in reducing malaria transmission and could complement existing control measures. With continued research, ivermectin MDA could become an effective tool for malaria control and even contribute to elimination efforts,” Chaccour, who is now a researcher at the Navarra Centre for International Development at the University of Navarra, adds.

“These results align with the World Health Organization’s (WHO) criteria for new vector control tools,” states Joseph Mwangangi, from the KEMRI-Wellcome Trust Research Programme. “The findings suggest that ivermectin MDA could be a valuable complementary strategy for malaria control, particularly in areas where mosquito resistance to insecticides is a growing concern,” adds Marta Maia, BOHEMIA’s lead entomologist from the University of Oxford.

Lessons from the Mozambique trial

In contrast, the implementation of the Mozambique trial in the rural district of Mopeia faced severe disruptions due to Cyclone Gombe (2022) and a subsequent cholera outbreak, which significantly disrupted operations. “One of the most important lessons we learned from the trial in Mopeia is that strong community engagement is essential,” states Francisco Saúte, director of the Manhiça Health Research Centre (CISM). “Building trust with local communities and fostering close collaboration with the Health Ministry, National Malaria Control Program, and local authorities was key to ensuring acceptance of the ivermectin MDA.”

Expanding the Impact Beyond Malaria

In addition to reducing malaria transmission, ivermectin MDA offers significant collateral benefits. The BOHEMIA team found an important reduction in the prevalence of skin infestations such as scabies and head lice in the ivermectin group in Mozambique, and the community reported a major reduction in bed bugs in Kenya. These effects are particularly valuable when ivermectin is integrated into existing delivery systems, maximizing its impact on public health.

Shaping the future of malaria prevention

The study is part of a larger global effort to assess ivermectin’s potential in malaria control. The findings have been reviewed by the WHO vector control advisory group, which concluded that the study had demonstrated impact and recommended further studies. Findings were also shared with national health authorities as they evaluate the potential inclusion of ivermectin in malaria control programs.

“This research has the potential to shape the future of malaria prevention, particularly in endemic areas where existing tools are failing,” concludes Regina Rabinovich, BOHEMIA PI and Director of ISGlobal’s Malaria Elimination Initiative. “With its novel mechanism of action and proven safety profile, ivermectin could offer a new approach using a well-known, safe drug that can add to the effect of other mosquito control tools available today.”

Share Button

‘I’m utterly lost’: Patients’ anger over doctors strike cancellations

Patients tell the BBC they have sympathy for resident doctors, but are worried about delays to surgeries.

Share Button

‘My dad started spying on my mum’ – the drugs causing sexual urges

The prescribed medication, taken for movement disorders, can have extreme side effects.

Share Button

Sleep, exercise, hydrate – do we really need to stick to recommended daily doses?

As a study casts doubt on the daily steps maxim, we take a look at some other health benchmarks we’re often told to strive for.

Share Button

Why we need to talk about periods, breasts and injuries in women’s sport

Understanding the pressure elite sport puts on women’s bodies is pushing athletes to new levels of excellence.

Share Button

Engage 16: Open Up the High End

Lesson 16 of the free Engage course explores how to shift your reality from needing, striving, and wanting to already being inside the life you truly wish to embody.

You’ll find the rest of the Engage course videos in the Video section.

Join the Engage Email List

Join the Engage notification list to get an email whenever a new Engage lesson is published. I also encourage you to subscribe to my YouTube channel to follow the course there.

Enjoy!

Share Button

NHS faces challenging few days during doctors strike, warns Streeting

Hospitals in England battle to keep both emergency and non-urgent work going in five-day walkout.

Share Button

Harvard’s ultra-thin chip could revolutionize quantum computing

  • New research shows that metasurfaces could be used as strong linear quantum optical networks
  • This approach could eliminate the need for waveguides and other conventional optical components
  • Graph theory is helpful for designing the functionalities of quantum optical networks into a single metasurface

In the race toward practical quantum computers and networks, photons — fundamental particles of light — hold intriguing possibilities as fast carriers of information at room temperature. Photons are typically controlled and coaxed into quantum states via waveguides on extended microchips, or through bulky devices built from lenses, mirrors, and beam splitters. The photons become entangled – enabling them to encode and process quantum information in parallel – through complex networks of these optical components. But such systems are notoriously difficult to scale up due to the large numbers and imperfections of parts required to do any meaningful computation or networking.

Could all those optical components could be collapsed into a single, flat, ultra-thin array of subwavelength elements that control light in the exact same way, but with far fewer fabricated parts?

Optics researchers in the Harvard John A. Paulson School of Engineering and Applied Sciences (SEAS) did just that. The research team led by Federico Capasso, the Robert L. Wallace Professor of Applied Physics and Vinton Hayes Senior Research Fellow in Electrical Engineering, created specially designed metasurfaces — flat devices etched with nanoscale light-manipulating patterns — to act as ultra-thin upgrades for quantum-optical chips and setups.

The research was published in Science and funded by the Air Force Office of Scientific Research (AFOSR).

Capasso and his team showed that a metasurface can create complex, entangled states of photons to carry out quantum operations – like those done with larger optical devices with many different components.

“We’re introducing a major technological advantage when it comes to solving the scalability problem,” said graduate student and first author Kerolos M.A. Yousef. “Now we can miniaturize an entire optical setup into a single metasurface that is very stable and robust.”

Metasurfaces: Robust and scalable quantum photonics processors

Their results hint at the possibility of paradigm-shifting optical quantum devices based not on conventional, difficult-to-scale components like waveguides and beam splitters, or even extended optical microchips, but instead on error-resistant metasurfaces that offer a host of advantages: designs that don’t require intricate alignments, robustness to perturbations, cost-effectiveness, simplicity of fabrication, and low optical loss. Broadly speaking, the work embodies metasurface-based quantum optics which, beyond carving a path toward room-temperature quantum computers and networks, could also benefit quantum sensing or offer “lab-on-a-chip” capabilities for fundamental science

Designing a single metasurface that can finely control properties like brightness, phase, and polarization presented unique challenges because of the mathematical complexity that arises once the number of photons and therefore the number of qubits begins to increase. Every additional photon introduces many new interference pathways, which in a conventional setup would require a rapidly growing number of beam splitters and output ports.

Graph theory for metasurface design

To bring order to the complexity, the researchers leaned on a branch of mathematics called graph theory, which uses points and lines to represent connections and relationships. By representing entangled photon states as many connected lines and points, they were able to visually determine how photons interfere with each other, and to predict their effects in experiments. Graph theory is also used in certain types of quantum computing and quantum error correction but is not typically considered in the context of metasurfaces, including their design and operation.

The resulting paper was a collaboration with the lab of Marko Loncar, whose team specializes in quantum optics and integrated photonics and provided needed expertise and equipment.

“I’m excited about this approach, because it could efficiently scale optical quantum computers and networks — which has long been their biggest challenge compared to other platforms like superconductors or atoms,” said research scientist Neal Sinclair. “It also offers fresh insight into the understanding, design, and application of metasurfaces, especially for generating and controlling quantum light. With the graph approach, in a way, metasurface design and the optical quantum state become two sides of the same coin.”

The research received support from federal sources including the AFOSR under award No. FA9550-21-1-0312. The work was performed at the Harvard University Center for Nanoscale Systems

Share Button

Scientists modeled nuclear winter—the global food collapse was worse than expected

A nuclear winter is a theoretical concept, but if the climate scenario expected to follow a large-scale nuclear war, in which smoke and soot from firestorms block sunlight, came to fruition, global temperatures would sharply drop, extinguishing most agriculture. A nuclear winter could last for more than a decade, potentially leading to widespread famine for those who survive the devastation of the bomb blasts. Now, a team led by researchers at Penn State have modeled precisely how various nuclear winter scenarios could impact global production of corn — the most widely planted grain crop in the world. They also recommended preparing “agricultural resilience kits” with seeds for faster-growing varieties better adapted to colder temperatures that could potentially help offset the impact of nuclear winter, as well as natural disasters like volcanic eruptions.

In findings recently published in Environmental Research Letters, the team reported that the level of corn crop decline would vary, depending on the scale of the conflict. A regional nuclear war, which would send about 5.5 tons of soot into the atmosphere, could reduce world-wide annual corn production by 7%. A large-scale global war, injecting 165 tons of soot into the atmosphere, could lead to an 80% drop in annual corn yields. In all, the study simulated six nuclear war scenarios with varying soot injections.

Because of the crop’s global significance, the researchers chose to model corn’s collapse in a nuclear winter to represent the expected fate of agriculture overall, according to study first author Yuning Shi, associate research professor in Penn State’s Department of Plant Science. He noted that an 80% drop in global crop production would have catastrophic consequences, leading to a widespread global food crisis. Even a 7% drop in global crop production would have a severe impact on the global food system and economy, likely resulting in increased food insecurity and hunger.

The simulations were possible thanks to the Cycles agroecosystem model, created a few years ago by scientists in Penn State’s College of Agricultural Sciences, including lead developer Armen Kemanian, professor of production systems and modeling and corresponding author on this study. Using high-performance computing and considering atmospheric conditions, Cycles enables large-scale, high-resolution, multi-year simulations of crop growth by meticulously tracking the carbon and nitrogen cycles within the soil-plant-atmosphere system.

“We simulated corn production in 38,572 locations under the six nuclear war scenarios of increasing severity — with soot injections ranging from 5 to 165 tons,” Shi said. “This investigation advances our understanding of global agricultural resilience and adaptation in response to catastrophic climatic disruptions.”

In addition to considering the effects of massive amounts of soot in the atmosphere, the researchers modeled the increase in UV-B radiation — a type of ultraviolet radiation that can lead to DNA damage, oxidative stress and reduced photosynthesis in plants — that would reach Earth’s surface in a nuclear winter that could further limit agriculture.

Shi said he believes that this was the first study to estimate the extent of UV-B radiation damage to agriculture after nuclear explosions, which the researchers predicted would peak six to eight years after a global war. They estimated this could further cut corn production by an additional 7%, for a total worst-case scenario of an 87% drop in corn production.

Ozone high in Earth’s atmosphere effectively absorbs the bulk of UV radiation the planet receives from the sun, but nuclear war would dismantle this ability, Shi explained.

“The blast and fireball of atomic explosions produce nitrogen oxides in the stratosphere,” he said. “The presence of both nitrogen oxides and heating from absorptive soot could rapidly destroy ozone, increasing UV-B radiation levels at the Earth’s surface. This would damage plant tissue and further limit global food production.”

While the predictions point to potentially catastrophic drops in the production of corn varieties currently grown, Shi said, switching to crop varieties that can grow under cooler conditions in shorter growing seasons could boost global crop production by 10% compared to no adaptation. However, seed availability for these crops could become a serious problem — a “bottleneck to adaptation,” the researchers said.

Their proposed solution is to prepare “agricultural resilience kits” ahead of any nuclear disaster, containing region- and climate-specific seeds for crop varieties that can grow under cooler conditions with shorter growing seasons to survive lower temperatures.

“These kits would help sustain food production during the unstable years following a nuclear war, while supply chains and infrastructure recover,” Kemanian said. “The agricultural resilience kits concept can be expanded to other disasters — when catastrophes of these magnitude strike, resilience is of the essence.”

Shi noted that while proactive, internationally coordinated planning for such kits is unlikely, simply increasing awareness could help lead to better preparedness. “If we want to survive, we must be prepared, even for unthinkable consequences,” he said.

Kemanian said he sees value in the research beyond human-caused calamity.

“Recall that catastrophes of this nature can happen not just because of nuclear war, but due to, for example, violent volcanic eruptions,” he said. “One may think that studies of this nature are just navel gazing, but they force us to realize the fragility of the biosphere — the totality of all living things and how they interact with one another and the environment.”

Contributing to the research at Penn State were Felipe Montes, associate research professor of cropping systems modeling; Francesco Di Gioia, associate professor of vegetable crop science; and Charles Anderson, professor of biology and principal investigator of the project funding this work; as well as Charles Bardeen, with the Atmospheric Chemistry Observations and Modeling Laboratory, National Center for Atmospheric Research, Boulder, Colorado; and Yolanda Gil, Deborah Khider and Varun Ratnakar, all with the Information Sciences Institute, University of Southern California.

This research was supported by Open Philanthropy, the Defense Advanced Research Projects Agency, the U.S. Department of Agriculture National Institute of Food and Agriculture, the U.S. National Science Foundation and the Future of Life Institute.

Share Button

This plastic disappears in the deep sea—and microbes make it happen

Researchers have demonstrated a new eco-friendly plastic that decomposes in deep ocean conditions. In a deep-sea experiment, the microbially synthesized poly(d-lactate-co-3-hydroxybutyrate) (LAHB) biodegraded, while conventional plastics such as a representative bio-based polylactide (PLA) persisted. Submerged 855 meters (~2,800 feet) underwater, LAHB films lost over 80% of their mass after 13 months as microbial biofilms actively broke down the material. This real-world test establishes LAHB as a safer biodegradable plastic, supporting global efforts to reduce marine plastic waste.

Despite the growing popularity of bio-based plastics, plastic pollution remains one of the world’s most pressing environmental issues. According to the OECD’s Global Plastics Outlook (2022), about 353 million metric tons of plastic waste were produced globally in 2019, with nearly 1.7 million metric tons flowing directly into aquatic ecosystems. Much of this waste becomes trapped in large rotating ocean currents, known as gyres, forming the infamous “garbage patches” found in the Pacific, Atlantic, and Indian Oceans.

To tackle this, researchers have been searching for plastics that can be degraded more reliably in deep-sea environments. One promising candidate is poly(d-lactate-co-3-hydroxybutyrate) or LAHB, a lactate-based polyester biosynthesized using engineered Escherichia coli. So far, LAHB has shown strong potential as a biodegradable polymer that breaks down in river water and shallow seawater.

Now, in a study made available online on July 1, 2025, and published in Volume 240 of the journal Polymer Degradation and Stability on October 1, 2025, researchers from Japan have shown for the first time that LAHB can also get biodegraded under deep-sea conditions, where low temperatures, high pressure, and too limited nutrients make breakdown of plastic extremely difficult. The study was led by Professor Seiichi Taguchi at the Institute for Aqua Regeneration, Shinshu University, Japan, together with Dr. Shun’ichi Ishii from the Japan Agency for Marine-Earth Science and Technology (JAMSTEC), Japan and Professor Ken-ichi Kasuya from Gunma University Center for Food Science and Wellness, Japan.

“Our study demonstrates for the first time that LAHB, a microbial lactate-based polyester, undergoes active biodegradation and complete mineralization even on the deep-sea floor, where conventional PLA remains completely non-degradable,” explains Prof. Taguchi.

The research team submerged two types of LAHB films — one containing about 6% lactic acid (P6LAHB) and another with 13% lactic acid (P13LAHB) — alongside a conventional PLA film for comparison. The samples were submerged at a depth of 855 meters near Hatsushima Island, where deep-sea conditions, cold temperatures (3.6 °C), high salinity, and low dissolved oxygen levels make it hard for microbes to degrade plastic.

After 7 and 13 months of immersion, the LAHB films revealed clear signs of biodegradation under deep-sea conditions. The P13LAHB film lost 30.9% of its weight after 7 months and over 82% after 13 months. The P6LAHB film showed similar trends. By contrast, the PLA film showed no measurable weight loss or visible degradation during the same period, underscoring its resistance to microbial degradation. The surfaces of the LAHB films had developed cracks and were covered by biofilms made up of oval- and rod-shaped microbes, indicating that deep-sea microorganisms were colonizing and decomposing the LAHB plastic. The PLA film, however, remained completely free of biofilm.

To understand how the plastic decomposes, the researchers analyzed the plastisphere, the microbial community that formed on the plastic’s surface. They found that different microbial groups played distinct roles. Dominant Gammaproteobacterial genera, including Colwellia, Pseudoteredinibacter, Agarilytica, and UBA7957, produced specialized enzymes known as extracellular poly[3-hydroxybutyrate (3HB)] depolymerases. These enzymes break down long polymer chains into smaller fragments like dimers and trimers. Certain species, such as UBA7959, also produce oligomer hydrolases (like PhaZ2) that further cleave these fragments, splitting 3HB-3HB or 3HB-LA dimers into their monomers.

Once the polymers are broken down into these simpler building blocks, other microbes, including various Alpha-proteobacteria and Desulfobacterota, continue the process by consuming the monomers like 3HB and lactate. Working together, these microbial communities ultimately convert the plastic into carbon dioxide, water, and other harmless compounds that ideally return to the marine ecosystem.

The findings of this study fill a critical gap in our understanding of how bio-based plastics degrade in remote marine environments. Its proven biodegradability makes it a promising option for creating safer, more biodegradable materials.

“This research addresses one of the most critical limitations of current bioplastics — their lack of biodegradability in marine environments. By showing that LAHB can decompose and mineralize even in deep-sea conditions, the study provides a pathway for safer alternatives to conventional plastics and supports the transition to a circular bioeconomy,” says Prof. Taguchi.

Share Button