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Drug-Resistant Malaria - libdoc.who.int - World Health Organization

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Table 7.<br />

Specific Actions for the Control of Transmission and Prevalence of <strong>Drug</strong>-<strong>Resistant</strong> P.falciparum<br />

(Continued)<br />

Areas where the existence of<br />

resistant P.falciparum is well<br />

established and widespread<br />

Ar~as with limited foci of resistant<br />

P.falciparllm already established<br />

Areas where resIstant P.falciparum<br />

infectIons have not been recognized<br />

7. Monitor the extent and negree<br />

of resistance by annual<br />

in vitro/in vIvo studies in<br />

fixed indicator areas and on an<br />

ad hoc sampling basis.<br />

8. Assess the sensitivity of local<br />

P.falciparlm to current antimalarial<br />

drugs to establish a<br />

baseline.<br />

9. 'Escablish an information<br />

system to monit~r the clinical<br />

respon.se to alternative<br />

antimalarial drugs in use .•<br />

7. Monitor the susceptibility of P.falciparum<br />

to drugs in selected<br />

indicator areas, annually. by in vitro/<br />

in vivo techniques within the already<br />

established foci and also on an ad hoc<br />

sampling basis.<br />

8. Assess the sensitivity of local<br />

P.falciparum to current antimalarial<br />

drugs to establ ish a baseline.<br />

9. Establish an information system to<br />

monitor the clinical responlleto antimalarial<br />

drugs in use throughout the<br />

public and private medical 5ect.ors.<br />

This information can be used to<br />

determine when and where to carry ~ut<br />

1111 ·hoc studies.<br />

7. Introduce and enforce a rational<br />

use of antimalarial drugs throughout<br />

the country.<br />

8. Intensify appropriate anti-vector<br />

measures in areas where imported<br />

cases of resistant P.falciparum<br />

malaria have been detected and where<br />

the receptivity is sufficiently high<br />

to support local transmission.<br />

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