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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/31921
Title: Made in Europe: Will artemisinin resistance emerge in French Guiana?
Authors: Mathieu Nacher
Philippe J. Guérin
Magalie Demar-Pierre
Félix Djossou
François Nosten
Bernard Carme
Centre Hospitalier Andree Rosemon
Universite des Antilles et de la Guyane
Nuffield Department of Clinical Medicine
Mahidol University
Keywords: Immunology and Microbiology;Medicine
Issue Date: 8-May-2013
Citation: Malaria Journal. Vol.12, No.1 (2013)
Abstract: Resistance to artemisinin casts a shadow on the fight against malaria. The importance of illegal gold miners and of malaria in isolated regions of French Guiana constitutes a threat that endangers the fight against malaria in the Amazon. The hurdles of French laws and the remoteness of the territory from France make it impossible for the system to adapt to the problem of total inaccessibility of an important part of the malaria problem. Transmission is high in these areas and gold miners self-medicate with erratic regimens of artemisinin combinations, thus creating perfect conditions for the emergence of resistance. What needs to be done is being done, but within the limits of national law, with some results. However, facing the same difficult problem, Suriname shows more flexibility and is doing much better than French Guiana despite having lower resources. Local authorities in French Guiana cannot overrule the laws that block appropriate malaria care from reaching a third of malaria-exposed persons. Thus the health authorities in France should take immediate calibrated legislative and financial measures to avoid a predictable disaster. © 2013 Nacher et al.; licensee BioMed Central Ltd.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84876988296&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/31921
ISSN: 14752875
Appears in Collections:Scopus 2011-2015

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