Word: malariae
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...dominate the supply. Supporters say competition between private pharmacies would keep prices low and prevent middlemen from simply pocketing the subsidies and continuing to sell fakes. "No one will want to sell counterfeits when the real doses are 5 cents," says Duong Socheat, director of Cambodia's National Malaria Center...
...random that dangerous new strains of malaria continue to crop up on the Thai-Cambodian border. In addition to having longer years of exposure to the miracle drug, residents like the gem-mine workers rely on an unregulated, informal health sector, rife with cheap counterfeits and improper treatments. Last month, a Gates-funded study found that 60% of malaria drugs in the area were substandard or counterfeit. Many of the counterfeits contain a small amount of artemisinin so they can pass authenticity tests, and some fake drug containers have holograms logos more sophisticated than the ones on the genuine boxes...
...everybody, however, is convinced. Bernard Nahlen, the deputy coordinator of the U.S. Malaria Initiative, says spending hundreds of millions before there's any proof that the plan will work is an ill-advised investment of finite malaria funds. "In the absence of evidence, it's a little difficult to make that leap," he says. Last year Congress specifically forbid any of the $48 billion the U.S. government slated for AIDS, tuberculosis and malaria from going to the AMFm program until it proved successful. "The biggest bang for the buck is prevention," says Nahlen...
...says he is "baffled" by the U.S.'s refusal to support the plan. The cost of global artemisinin combination-therapy subsidies, he says, would run only about $300 million a year, a relatively small amount compared to campaigns to fight HIV/AIDS and tuberculosis. Drug subsidies alone won't eliminate malaria, he admits, but combined with indoor mosquito spraying, bed nets and proper monitoring of what different areas need, Arrow says, "the world can eliminate malaria...
...Whatever the tactics, everybody can agree on one thing: time is running out. Modeling by the Mahidol-Oxford Tropical Medicine Research Unit published in the Malaria Journal in February predicts that if nothing is done in the next two decades, "resistance to artemisinins will be approaching 100%." And if that happens, it won't be long until the resistant strain spreads from Cambodia's precious gem mines to Africa, putting half the world's population at risk of catching what would be an untreatable, deadly disease...