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Middle East DVEP - Armed Forces Pest Management Board

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Table 1. Drug-Resistant Falciparum Malaria Reported in the <strong>Middle</strong> <strong>East</strong>*Country Drug Resistance Area of ResistanceIran Chloroquine Southeastern provinces ofFansidar Sistan, Baluchistan, & HormozganMefloquine(Suspected)Not specifiedIraq Chloroquine Northern province of DahukFansidarIsrael Chloroquine Only 1 case reportedOman Chloroquine Ibri District, North Batinah,& Dhahiri endemic areasFansidarNot specifiedSaudi Arabia Chloroquine Low-level resistance in AsirDistrict & Tihama coastalhighlandsUAE Chloroquine Low-level resistanceYemen Chloroquine Low-level but increasing resistancealong the coast of the Red Sea & Sanaa* This information is based primarily on compilations from the <strong>Armed</strong> <strong>Forces</strong> Medical IntelligenceCenter’s open-source products, current to December 1996 or 1997, depending on country. The basicpresumption is that drug resis tance has occurred from a treatment failure of drugs used in clinical cases atlabeled dosage rates, or from in vitro studies. Information presented should not be consideredcomprehensive.64

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