Bob’s career began in The Gambia where he undertook the first clinical trials of insecticide treated nets (ITN) [1984-1988]. Following a move to Kenya, he established the framework to undertake linked community-based mortality and hospital admission trials at Kilifi and directed one of four large-scale, community-randomized mortality trials of ITN in Africa [1989-1993]. Subsequently he investigated the possible long-term effects of reduced parasite exposure on the clinical epidemiology of malaria to understand the consequences of sustained ITN use and/or its interrupted use on disease burdens [1994-2003]. This was used as a basis to establish new epidemiological methods to define the mortality, morbidity and consequential burdens posed by malaria in Africa [1995-1999] and clinical disease globally . As part of new ways to articulate disease burdens he started the Mapping Malaria Risk in Africa (MARA) project with colleagues in South Africa , which served as the model for a global initiative founded by Bob in Nairobi, known as the Malaria Atlas Project (MAP) . Since 2010, he has led a science-to-policy initiative, funded by DFID, UK, to ensure the best possible use of epidemiological data to design malaria control programmes in 22 African countries. In 2015, this work extended to support countries in the Arabian Peninsula as a collaboration with WHO’s EMR office in Cairo; focusing on countries in conflict, entering phases of malaria elimination, or aiming to prevent malaria re-introduction.
Bob is the longest serving Oxford scientist at the Kenyan Programme. His current interests include the epidemiology of malaria parasite exposure (transmission intensity) and disease outcomes (age/immunity) across Africa; the use of hospitals as sentinels for disease surveillance in resource poor settings; and the promotion of the science of malaria risk mapping to guide appropriate selection of interventions, working directly with national governments in the WHO Africa and Eastern Mediterranean regions. Podcasts 115 years of malaria in Africahttps://www.tropicalmedicine.ox.ac.uk/115-years-of-malaria-in-africa Malaria in Africa https://www.ndm.ox.ac.uk/bob-snow-malaria-control-in-africa Five most important publications Snow RW, Sartorius B, Kyalo D, Maina J, Amratia P, Mundia CW, Bejon B, Noor AM (2017). The prevalence of Plasmodium falciparum in sub Saharan Africa since 1900. Nature, 550: 515-518 [PMCID: 5660624] Snow RW, Okiro EA, Gething PW, Atun R, Hay SI (2010). Equity and adequacy of international donor assistance for global malaria control: an analysis of populations at risk and external funding commitments. Lancet, 376: 1409-1416 [PMCID: 2965558] Snow RW, Guerra GA, Noor AM, Myint HL, Hay SI (2005). The global distribution of clinical episodes of Plasmodium falciparum malaria. Nature, 434: 214-217 [PMCID: 31284921] Snow RW, Omumbo JA, Lowe B, Molyneux SM, Obiero JO, Palmer A, Weber MW, Pinder M, Nahlen B, Obonyo C, Newbold C, Gupta S, Marsh K (1997). Relation between severe malaria morbidity in children and level of Plasmodium falciparum transmission in Africa. Lancet, 349: 1650-1654 [PMID: 9186382] Snow RW, Lindsay SW, Hayes RJ, Greenwood BM (1988). Permethrin-treated bed nets (mosquito nets) prevent malaria in Gambian children. Transactions of the Royal Society of Tropical Medicine & Hygiene, 82: 838-842 [PMID: 3055456]
Snow, R. W., Armstrong, J. R., Forster, D., Winstanley, M. T., Marsh, V. M., Newton, C. R., Waruiru, C., Mwangi, I., Winstanley, P. A., Marsh, K.
Lancet. 1992; : 351-5
Snow, R. W., Omumbo, J. A., Lowe, B., Molyneux, C. S., Obiero, J. O., Palmer, A., Weber, M. W., Pinder, M., Nahlen, B., Obonyo, C., Newbold, C., Gupta, S., Marsh, K.
Lancet. 1997; : 1650-4
Snow, R. W., Craig, M., Deichmann, U., Marsh, K.
Bull World Health Organ. 1999; : 624-40
Snow, R. W., Guerra, C. A., Noor, A. M., Myint, H. Y., Hay, S. I.
Nature. 2005; : 214-7
Lindsay, S. W. Snow, R. W. Armstrong, J. R. Greenwood, B. M.
Med Vet Entomol, 1989,Volume: 3,Issue: 4. ; :