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Biblical plagues and Ivermectin in Africa

Diseases once described as “biblical plagues” are re-emerging in parts of Africa, not because they are untreatable, but because the systems that kept them in check are breaking down. In this episode, we examine the resurgence of onchocerciasis—also known as river blindness—a parasitic disease spread by black flies that can cause severe itching, disfigurement, and blindness. The discussion focuses on how mass treatment with ivermectin nearly eliminated the disease in many regions, why recent cuts to international aid have put those gains at risk, and what this reveals about global health priorities, neglected tropical diseases, and the fragile infrastructure required to prevent ancient illnesses from returning.