Passage #2 (Questions 46-50)
The vast sums of money ploughed into efforts to fight diseases such as AIDS, TB and malaria in the last 10 years have saved
many lives but have also sometimes undermined health systems in poor countries, according to a survey by the World Health
Organisation (WHO) published recently. Funding for what the researchers call development assistance for health has
quadrupled from $5.6bn (£3.4bn) in 1990 to $21.8bn in 2007. A worldwide outcry around the turn of the millennium over the
plight of people in Africa dying of AIDS, a disease kept in check with drugs in rich countries, triggered a rush to fund big
disease-fighting programs on the part of western governments, aid organizations and philanthropic donors. But until now, there
has been little attempt to find out how well the money has been spent and what impact the focus on high-profile diseases has
had on the everyday business of hospitals, clinics and overworked healthcare staff in the poorer countries. An extensive
investigation headed by the WHO finds that, millions of people are alive because of the roll-out of HIV drugs to more than 3
million people in developing countries. The number of children protected against malaria by insecticide-impregnated bed nets
rose almost eightfold from 3% in 2001 to 23% in 2006. Disease elimination programs, such as for polio and river blindness, are
making good progress. Global immunization has also made big strides, the report says. However, the WHO reports warns,
healthcare workers have been lured away from government hospitals by the higher salaries paid by international organizations
involved in AIDS and other disease programs. Moreover, in some countries, the rush to win grants to fight AIDS, TB and
malaria may have led to proposals being put forward that are inappropriate. Overall, the report found that “poor countries
receive more money than countries with more resources, but there are strong anomalies. Sub-Saharan Africa receives the
highest concentration of funding, but some African countries receive less aid than South American countries with lower disease
burdens – like Peru and Argentina.”
【題組】48. According to this passage, which of the following about malaria prevention scheme is CORRECT?
(A) Patients are cured with as quinine or artemisinin derivatives.
(B) Fields and schools are spread insecticide to keep mosquito away.
(C) Households are provided with insecticide-impregnated bed nets.
(D) Insect repellents are sprayed to curb transmission of malaria.
(E) Children are vaccinated to prevent infecting malaria to their risk.