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Q & A with Bill Gates

Bill Gates and his foundation have spent more than 1 billion to fight malaria, putting a little-known disease back in the public consciousness. Now the man who revolutionized computing hopes his next big launch will be the world's first malaria vaccine

Q: You do have a lot of with world leaders. How can you use that to get governments to contribute more?

A: Well, we'd say the whole global health agenda today versus 10 years ago is in a big . We've done our part to help. This is not your typical AIDS story where when it's all done you don't know if you made a difference. Here you're really saving lives. That's a huge thing. The lives you save reduce population growth, that's a huge thing. Then you can educate. All the cycle things have kicked in in many parts of the world like China or Brazil. The countries that are left that need our help to get that going include most of Africa. Basically malaria is in poor countries... that's a sad thing to say.

Q You've spent more than 1 billion dollars to fight malaria for about five years. How much more do you really think it will take to get where you want to get?

A: It's very hard to put a number on that. We picked the big diseases as our . Whatever it takes we're just going to stay at it. The big five are AIDS, tuberculosis, malaria, respiratory and diarrhea.

The best case is during the next five years, we get a great [malaria] vaccine. In the five years after that, we get it into widespread use. I'm enough of an optimist to say that's a real possibility.

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