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Effect of generalised access to early diagnosis and treatment and targeted mass drug administration on Plasmodium falciparum malaria in Eastern Myanmar: an observational study of a regional elimination programme

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TLDR
Providing early diagnosis and effective treatment substantially decreased village-level incidence of artemisinin-resistant P falciparum malaria in hard-to-reach, politically sensitive regions of eastern Myanmar.
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This article is published in The Lancet.The article was published on 2018-05-12 and is currently open access. It has received 119 citations till now. The article focuses on the topics: Malaria & Plasmodium falciparum.

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The temporal dynamics and infectiousness of subpatent Plasmodium falciparum infections in relation to parasite density

Hannah C Slater, +53 more
TL;DR: Results indicate that subpatent infections contribute to the infectious reservoir, may be long lasting, and require more sensitive diagnostics to detect them in lower transmission settings.
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The impact of targeted malaria elimination with mass drug administrations on falciparum malaria in Southeast Asia: A cluster randomised trial

Lorenz von Seidlein, +100 more
- 15 Feb 2019 - 
TL;DR: The results suggest that, if used as part of a comprehensive, well-organised, and well-resourced elimination programme, dihydroartemisinin-piperaquine MDA can be a useful additional tool to accelerate malaria elimination.
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Molecular epidemiology of resistance to antimalarial drugs in the Greater Mekong subregion: an observational study

TL;DR: Artemisinin resistance in P falciparum is now prevalent across the Greater Mekong subregion, and in the eastern Greater Mekongs subregion a multidrug resistant P falCiparums lineage (PfPailin) dominates.
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HRP2: Transforming Malaria Diagnosis, but with Caveats

TL;DR: The mechanism of persistent HRP2 positivity after effective antimalarial treatment is discussed, along with other emergingHRP2-based applications, including detection of submicroscopic malaria and diagnosis of severe malaria.
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Resolving the cause of recurrent Plasmodium vivax malaria probabilistically

TL;DR: It is shown that individual vivax malaria recurrences can be characterised probabilistically by combined modelling of time-to-event and genetic data within a framework incorporating identity-by-descent and thereby demonstrate the high efficacy of primaquine treatment in preventing relapse.
References
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Journal ArticleDOI

Spread of Artemisinin Resistance in Plasmodium falciparum Malaria

Elizabeth A. Ashley, +82 more
TL;DR: Prolonged courses of artemisinin-based combination therapies are currently efficacious in areas where standard 3-day treatments are failing, and the incidence of pretreatment and post-treatment gametocytemia was higher among patients with slow parasite clearance, suggesting greater potential for transmission.
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Intercontinental Spread of Pyrimethamine-Resistant Malaria

TL;DR: Molecular evidence is presented demonstrating that malaria parasites bearing high-level pyrimethamine resistance originally arrived in Africa from southeast Asia, signaling the end of affordable malaria treatment and presenting sub-Saharan Africa with a public health crisis.
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Spread of chloroquine resistance in Plasmodium falciparum

TL;DR: The spread of resistance to chloroquine represents a severe problem both for prophylaxis and treatment of malaria and some of its implications are discussed.
Related Papers (5)

Spread of Artemisinin Resistance in Plasmodium falciparum Malaria

Elizabeth A. Ashley, +82 more