Multidrug-resistant
malaria superbugs have taken hold in parts of Thailand, Laos and
Cambodia,
threatening to undermine progress against the disease, scientists said. They
also
warned
of further spread of these parasites through India to Africa.
The superbugs
can beat off the best current treatments, artemisinin and piperaquine. “The
emergence
and spread of artemisinin drug resistant P falciparum lineage represents a
serious
threat
to global malaria control. We are losing a dangerous race,“ said Nicholas
White, a
professor
at Ox ford University and Mahidol University in Thailand, who co-led the
research.
Malaria
kills more than 420,000 people each year. Most victims are children under five
living
in
the poorest parts of sub-Saharan Africa.
Malaria
specialists said emerging drug resistance in Asia was now one of the most
serious
threats
to that progress. From the late 1950s to the 1970s, chloroquine-resistant
malaria
parasites
spread across Asia and then into Africa, leading to millions of deaths.Chloroquine
was
replaced by sulphadoxine-pyrimethamine (SP), but resistance to SP subsequently
emerged
in western Cambodia and again spread to Africa. In their study in the Lancet
Infectious
Diseases journal, the scientists said that after examining blood samples from
malaria
patients in Cambodia, Laos, Thailand and Myanmar, they found that a single
mutant
parasite
lineage, known as PfKelch13 C580Y, has spread across three countries.
They
explained that while the C580Y mutation does not necessarily make the parasite
more
drugresistant,
it does have other qualities that make it more risky -notably it appears to be
fitter,
more transmissible and able to spreading more widely.
Source: The
Times of India
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