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Resistant Malaria Spreading In South East Asia

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July 24, 2019, 11:18 a.m.


Does this mean the disease is becoming untreatable?
No.

A second study, published in the same journal, showed half of patients were not being cured with standard therapy.

However, there are alternative drugs that can be used instead.

"With the spread and intensification of resistance, our findings highlight the urgent need to adopt alternative first-line treatments", Prof Tran Tinh Hien, from the Oxford University Clinical Research Unit, in Vietnam, said.

That could include using different drugs alongside artemisinin or using a combination of three drugs to overcome resistance.

What's the concern?
Huge progress has been made towards eliminating malaria. However, the development of drug resistance threatens that progress.

The other issue is if the resistance spreads further and reaches Africa, where more than nine in 10 cases of the disease are.

"This highly successful resistant parasite strain is capable of invading new territories and acquiring new genetic properties, raising the terrifying prospect that it could spread to Africa, where most malaria cases occur, as resistance to chloroquine did in the 1980s, contributing to millions of deaths," Prof Olivo Miotto, from the Wellcome Sanger Institute and University of Oxford, said.

What does this change for people living there?
The findings will not change much in people's day-to-day life in the Greater Mekong Subregion, in South East Asia.

Tackling malaria is about more than just picking the right treatment after an infection.

All the efforts around controlling the mosquitoes that spread the disease will not change.

However, the researchers say the drugs people are given after an infection should change.

The studies also show genetic analysis of malaria parasites can help doctors keep one step ahead of emerging drug-resistance in order to give patients the right treatment.

Is this the whole picture?
The spread of resistance is set against the backdrop of falling cases in the region.

"These parasites are scary beasts, there's no doubt," Prof Colin Sutherland, from the London School of Hygiene and Tropical Medicine, said.

"However, I wonder if these parasites are not very fit because the population as a whole is crashing."

In Cambodia there were:

262,000 cases of malaria in 2008
36,900 cases of malaria in 2018
So, while the drug-resistant parasite has undoubtedly spread, it is not necessarily a global threat, according to Prof Sutherland.

"The implications are not as severe as we might think," he said.

How bad is malaria?
There are about 219 million cases of malaria around the world each year.

Symptoms include cycles of feeling cold and shivering followed by a high temperature with severe sweating.

Without treatment, the parasite can lead to breathing problems and organ failure.

The disease kills about 435,000 people every year - most of them are children under the age of five.

Source: bbc.com

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