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Medicine Biotech

Drug-Resistant Malaria May Pose Major Threat 71

According to Newsweek, "A strain of drug-resistant malaria that was discovered last summer along the Thailand-Cambodia border has been been spreading throughout Southeast Asia, to Laos, Vietnam, Cambodia and Myanmar." Specifically, the samples are resistant to anti-malarial artemisinin. The study analyzed more than 900 blood samples from malaria patients at over 55 different sites in Myanmar. The results showed that the drug-resistant bug was widespread, and dangerously close to the Indian border in the country’s Sagaing region. "Our study shows that artemisinin resistance extends over more of southeast Asia than had previously been known, and is now present close to the border with India,” wrote the researchers in the study abstract.
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Drug-Resistant Malaria May Pose Major Threat

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  • Are the mosquitoes DDT-resistant?

    • Re: (Score:2, Interesting)

      by jklovanc ( 1603149 )

      There is even new evidence that DDT was not the cause of the egg shell thickness problem. It could have been environmental acidification [usgs.gov]. Even with much lower use of DDT egg shell thickness is still down [wikipedia.org].

      Some studies show that although DDE levels have fallen dramatically, eggshell thickness remains 10–12 percent thinner than before DDT was first used.

      DDE is the metabolite of DDT that is thought to cause egg shell thinning.

      It looks like this might be another correlation is not causation problem.

      • by dryeo ( 100693 ) on Saturday February 21, 2015 @10:25PM (#49103359)

        An yet the raptors made a serious comeback after DDT use was cut back. Yesterday I went to the local dump and counted 30 eagles. It's important to have carrion eaters around to slow down disease spread and eagles are very good at eating carrion.

        • Re: (Score:2, Interesting)

          by jklovanc ( 1603149 )

          Take a look [foxnews.com]

          U.S. Fish and Wildlife Service biologists fed large doses of DDT to captive bald eagles for 112 days and concluded that “DDT residues encountered by eagles in the environment would not adversely affect eagles or their eggs,” according to a 1966 report published in the “Transcripts of 31st North America Wildlife Conference.”

    • by cfalcon ( 779563 )

      I wish so fucking I could mod you up right now. I even logged in to see if I had mod points!

    • by dryeo ( 100693 )

      in all probability or else they'd be using DDT, which is legal for malaria control.
      DDT is a good example of a failure of capitalism. A wonder chemical that was pushed as a money maker as hard as the chemical company could and while it succeeded in bringing malaria under control in temperate climates, in tropical climates mosquitoes evolved resistance.
      We're seeing the same thing now with anti-biotics. Drug companies have pushed the use so much that even live stock uses tons and it is routinely used for usele

      • You totally have it figured out. If there's one thing a farmer wants to do it is waste money on useless shots. They've got all the money in the world so just waste it to make drug companies rich!
        • by Anonymous Coward

          If there's one thing a farmer wants to do it is waste money on useless shots.

          You're making no sense at all. Farmers give antibiotics because they're proven to bulk up their animals. Meanwhile, we're the ones that get the incurable diseases. Fortunately, antibiotics make e coli O157 produce more shigatoxin so it doesn't really matter how resistant it gets [nih.gov].

        • by dryeo ( 100693 ) on Saturday February 21, 2015 @11:45PM (#49103647)

          Just because something is short term beneficial does not mean it is long term beneficial. There's also the problem that some moves benefit a small group while harming a large group. Fatten up the animals, good for the farmer. Encourage the evolution of anti-biotic resistant e. coli, bad for society.

        • Giving anti-biotics to cattle makes them fatten up quicker. It also breeds immunity to that anti-biotic.
    • DDT doesn't just kill mosquitoes, but lots of other more useful insects (pollinators) and even some larger animals as well. Not exactly good for the ecosystem. It accumulates in fat tissue and works itself up through the food chain, even making it into penguins on Antarctica.

      It could be useful when applied locally, for example inside homes, but afaik spraying large areas of land is no longer considered a good idea. And then of course there's the pesky little problem of resistance to DDT which has been shown

    • Yes, the relevant genes aren't going be expressed much ... but nothing a little selective pressure couldn't fix in a hurry.

  • by Anonymous Coward

    that there are just too many people. The Earth is a self-correcting system.

    • by BoRegardless ( 721219 ) on Saturday February 21, 2015 @08:03PM (#49102907)

      Indeed, major pandemics have been documented throughout the last 2000 years. Air travel today, just means they happen much faster.

      The average person thinks modern medicine and hospitals can "take care of everything" but plans can't be made when a pandemic strikes 20 or 25% of the population who all want to go to the hospital in the same time period.

      The WWI-1918 "Spanish Flu" was perhaps the last major pandemic, infecting 1 out of 3 people in the world and killing 10% of the world's population in about 18 months.

      • The WWI-1918 "Spanish Flu" was perhaps the last major pandemic, infecting 1 out of 3 people in the world and killing 10% of the world's population in about 18 months.

        3% to 5% of the world's population. It killed fewer than 100 million people, possibly as low as 50 million....

        • Agree with your 3-5% mortality. I find it astonishing that 1 in 3 people were estimated to have contracted the flu. Virtually all people were exposed, so that means they must have had prior antibodies.

  • by nbauman ( 624611 ) on Saturday February 21, 2015 @08:18PM (#49102947) Homepage Journal

    I recall reading that the reason for the drug resistance was the over-use of sub-therapeutic levels of artemisinin in the area.

    And for that reason, the resistance is limited to those regions where they use sub-therapeutic levels.

    Right?

    • The origin of the strain would be, but as long as there is a resivior for it, or it is actively spread between humans then it can go anywhere.

      • by nbauman ( 624611 ) on Saturday February 21, 2015 @10:32PM (#49103387) Homepage Journal

        Here's the article I was thinking about. From the conclusion:

        http://www.nejm.org/doi/full/1... [nejm.org]
        Artemisinin Resistance in Plasmodium falciparum Malaria
        Arjen M. Dondorp, M.D., François Nosten, M.D., Poravuth Yi, M.D., et al.
        N Engl J Med 2009; 361:455-467
        July 30, 2009
        DOI: 10.1056/NEJMoa0808859
        [Free]

        Chloroquine and sulfadoxine–pyrimethamine resistance in P. falciparum emerged in the late 1950s and 1960s on the Thai–Cambodian border and spread across Asia and then Africa, contributing to millions of deaths from malaria.28,29 Artemisinins have been available as monotherapies in western Cambodia for more than 30 years, in a variety of forms and doses, whereas in most countries (other than China, where they were discovered), they have been a relatively recent introduction.1 Despite the early implementation of an active malaria-control program by the Ministry of Health of Cambodia, including the introduction of artemisinin-based combination therapies in 2001, a recent survey showed that 78% of artemisinin use in western Cambodia consisted of monotherapy provided through the private sector.30 The extended period of often-suboptimal use, and the genetic background of parasites from this region,31 might have contributed to the emergence and subsequent spread of these new artemisinin-resistant parasites in western Cambodia. In contrast, artemisinin derivatives have been used almost exclusively in combination with mefloquine on the Thai–Burmese border, where parasitologic responses to artemisinins remain good, even after 15 years of intensive use.27 Measures for containment are now urgently needed to limit the spread of these parasites from western Cambodia and to prevent a major threat to current plans for eliminating malaria.

  • Wasn't that the plan? I guess that commitment went out the window with charging retail prices for the new Windows OS...

  • Gin & Tonic (Score:3, Funny)

    by Prof.Phreak ( 584152 ) on Saturday February 21, 2015 @09:31PM (#49103193) Homepage

    Is it resistant to gin & tonic?

    • by mspohr ( 589790 )

      You jest... but the invention of "quinine water" (tonic) mixed with gin was to mask the bitter flavor of quinine so that people could take their daily dose and prevent malaria in tropical areas.
      Unfortunately, like for all other drugs, malaria has developed resistance to quinine so it is less effective today (but still a good mixer for gin).

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