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In recent years there is increasing evidence for the failure of artemisinin-based combination therapy for falciparum malaria either alone or with partner drugs.
Why is there an increase in Antimalarial drug resistance?
In most malaria-endemic countries including India, Artemisinin-based antimalarial drugs are the first-line choice for malaria treatment especially against Plasmodium falciparum parasite which is responsible for almost all malaria-related deaths in the world. Overuse has led to mutations in P. falciparum cases treated with artemisinin.
What needs to be done?
The time has come to carry out Molecular Malaria Surveillance to find out the drug-resistant variants so that corrective measures can be undertaken in time to avert any consequences.
Some experts even advocate using triple artemisinin-based combination therapies where the partner drug is less effective.