Tools to accelerate falciparum malaria elimination in Cambodia: a meeting report
Abstract Cambodia targets malaria elimination by 2025. Rapid elimination will depend on successfully identifying and clearing malaria foci linked to forests. Expanding and maintaining universal access to early diagnosis and effective treatment remains the key to malaria control and ultimately malari...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , , , , , , , , , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2020
|
Subjects: | |
Online Access: | https://doi.org/10.1186/s12936-020-03197-6 https://doaj.org/article/680d51b7f8a04bcea04c4603c466d6f8 |
id |
ftdoajarticles:oai:doaj.org/article:680d51b7f8a04bcea04c4603c466d6f8 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:680d51b7f8a04bcea04c4603c466d6f8 2023-05-15T15:10:16+02:00 Tools to accelerate falciparum malaria elimination in Cambodia: a meeting report Dysoley Lek James J. Callery Chea Nguon Mark Debackere Siv Sovannaroth Rupam Tripura Marius Wojnarski Patrice Piola Soy Ty Khean Kylie Manion Sokomar Nguon Amber Kunkel Lieven Vernaeve Thomas J. Peto Emily Dantzer Chan Davoeung William Etienne Arjen M. Dondorp Luciano Tuseo Lorenz von Seidlein Jean-Olivier Guintran 2020-04-01T00:00:00Z https://doi.org/10.1186/s12936-020-03197-6 https://doaj.org/article/680d51b7f8a04bcea04c4603c466d6f8 EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03197-6 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03197-6 1475-2875 https://doaj.org/article/680d51b7f8a04bcea04c4603c466d6f8 Malaria Journal, Vol 19, Iss 1, Pp 1-12 (2020) Cambodia Case detection Forest malaria Malaria elimination Mass drug administration Plasmodium falciparum Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03197-6 2022-12-31T08:58:04Z Abstract Cambodia targets malaria elimination by 2025. Rapid elimination will depend on successfully identifying and clearing malaria foci linked to forests. Expanding and maintaining universal access to early diagnosis and effective treatment remains the key to malaria control and ultimately malaria elimination in the Greater Mekong Subregion (GMS) in the foreseeable future. Mass Drug Administration (MDA) holds some promise in the rapid reduction of Plasmodium falciparum infections, but requires considerable investment of resources and time to mobilize the target communities. Furthermore, the most practical drug regimen for MDA in the GMS—three rounds of DHA/piperaquine—has lost some of its efficacy. Mass screening and treatment benefits asymptomatic P. falciparum carriers by clearing chronic infections, but in its current form holds little promise for malaria elimination. Hopes that “highly sensitive” diagnostic tests would provide substantial advances in screen and treat programmes have been shown to be misplaced. To reduce the burden on P. falciparum and Plasmodium vivax infections in people working in forested areas novel approaches to the use of malaria prophylaxis in forest workers should be explored. During an October 2019 workshop in Phnom Penh researchers and policymakers reviewed evidence of acceptability, feasibility and effectiveness of interventions to target malaria foci and interrupt P. falciparum transmission and discussed operational requirements and conditions for programmatic implementation. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 19 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Cambodia Case detection Forest malaria Malaria elimination Mass drug administration Plasmodium falciparum Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Cambodia Case detection Forest malaria Malaria elimination Mass drug administration Plasmodium falciparum Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Dysoley Lek James J. Callery Chea Nguon Mark Debackere Siv Sovannaroth Rupam Tripura Marius Wojnarski Patrice Piola Soy Ty Khean Kylie Manion Sokomar Nguon Amber Kunkel Lieven Vernaeve Thomas J. Peto Emily Dantzer Chan Davoeung William Etienne Arjen M. Dondorp Luciano Tuseo Lorenz von Seidlein Jean-Olivier Guintran Tools to accelerate falciparum malaria elimination in Cambodia: a meeting report |
topic_facet |
Cambodia Case detection Forest malaria Malaria elimination Mass drug administration Plasmodium falciparum Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Cambodia targets malaria elimination by 2025. Rapid elimination will depend on successfully identifying and clearing malaria foci linked to forests. Expanding and maintaining universal access to early diagnosis and effective treatment remains the key to malaria control and ultimately malaria elimination in the Greater Mekong Subregion (GMS) in the foreseeable future. Mass Drug Administration (MDA) holds some promise in the rapid reduction of Plasmodium falciparum infections, but requires considerable investment of resources and time to mobilize the target communities. Furthermore, the most practical drug regimen for MDA in the GMS—three rounds of DHA/piperaquine—has lost some of its efficacy. Mass screening and treatment benefits asymptomatic P. falciparum carriers by clearing chronic infections, but in its current form holds little promise for malaria elimination. Hopes that “highly sensitive” diagnostic tests would provide substantial advances in screen and treat programmes have been shown to be misplaced. To reduce the burden on P. falciparum and Plasmodium vivax infections in people working in forested areas novel approaches to the use of malaria prophylaxis in forest workers should be explored. During an October 2019 workshop in Phnom Penh researchers and policymakers reviewed evidence of acceptability, feasibility and effectiveness of interventions to target malaria foci and interrupt P. falciparum transmission and discussed operational requirements and conditions for programmatic implementation. |
format |
Article in Journal/Newspaper |
author |
Dysoley Lek James J. Callery Chea Nguon Mark Debackere Siv Sovannaroth Rupam Tripura Marius Wojnarski Patrice Piola Soy Ty Khean Kylie Manion Sokomar Nguon Amber Kunkel Lieven Vernaeve Thomas J. Peto Emily Dantzer Chan Davoeung William Etienne Arjen M. Dondorp Luciano Tuseo Lorenz von Seidlein Jean-Olivier Guintran |
author_facet |
Dysoley Lek James J. Callery Chea Nguon Mark Debackere Siv Sovannaroth Rupam Tripura Marius Wojnarski Patrice Piola Soy Ty Khean Kylie Manion Sokomar Nguon Amber Kunkel Lieven Vernaeve Thomas J. Peto Emily Dantzer Chan Davoeung William Etienne Arjen M. Dondorp Luciano Tuseo Lorenz von Seidlein Jean-Olivier Guintran |
author_sort |
Dysoley Lek |
title |
Tools to accelerate falciparum malaria elimination in Cambodia: a meeting report |
title_short |
Tools to accelerate falciparum malaria elimination in Cambodia: a meeting report |
title_full |
Tools to accelerate falciparum malaria elimination in Cambodia: a meeting report |
title_fullStr |
Tools to accelerate falciparum malaria elimination in Cambodia: a meeting report |
title_full_unstemmed |
Tools to accelerate falciparum malaria elimination in Cambodia: a meeting report |
title_sort |
tools to accelerate falciparum malaria elimination in cambodia: a meeting report |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03197-6 https://doaj.org/article/680d51b7f8a04bcea04c4603c466d6f8 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-12 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03197-6 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03197-6 1475-2875 https://doaj.org/article/680d51b7f8a04bcea04c4603c466d6f8 |
op_doi |
https://doi.org/10.1186/s12936-020-03197-6 |
container_title |
Malaria Journal |
container_volume |
19 |
container_issue |
1 |
_version_ |
1766341312525631488 |