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How to contain artemisinin- and multidrug-resistant Falciparum malaria

Abstract:
In the Greater Mekong subregion (GMS), artemisinin resistance is increasingly compounded by partner drug resistance, causing high failure rates of artemisinin combination therapies in some areas. For its containment, an accelerated elimination strategy will be needed. This includes high-quality implementation of conventional malaria control measures: early case management with quality artemisinin combination therapies (avoiding artesunate monotherapies) and single gametocytocidal low dose of primaquine, vector control and surveillance. Village health workers (VHWs) play a key role in the provision of community-based services which have to reach even the most remote populations. Additional, more aggressive, approaches will be important to accelerate malaria elimination, which could include mass drug administrations, potentially in combination with ivermectin and vaccination, mass screening and treatment with novel diagnostics, reactive case detection, and other measures.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1016/j.pt.2017.01.004

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
NDM
Sub department:
Tropical Medicine
Role:
Author
More by this author
Institution:
University of Oxford
Oxford college:
Nuffield College
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
NDM
Sub department:
Tropical Medicine
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
NDM
Sub department:
Tropical Medicine
Role:
Author


Publisher:
Cell Press
Journal:
Trends in Parasitology More from this journal
Volume:
33
Issue:
5
Pages:
353-363
Publication date:
2017-02-07
DOI:
EISSN:
1471-5007
ISSN:
1471-4922


Language:
English
Pubs id:
pubs:679917
UUID:
uuid:b4cdd020-3b0d-4b89-8dcd-a7a78483d230
Local pid:
pubs:679917
Source identifiers:
679917
Deposit date:
2017-03-08

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