By Committee on the Economics of Antimalarial Drugs
For greater than 50 years, reasonably cheap antimalarial medications silently kept hundreds of thousands of lives and cured billions of debilitating infections. this present day, besides the fact that, those medications not paintings opposed to the deadliest kind of malaria that exists through the global. Malaria deaths in sub-Saharan Africa - at present simply over 1000000 in step with yr - are emerging due to elevated resistance to the outdated, reasonably cheap medicines. even if powerful new medications referred to as "artemisinins" can be found, they're unaffordable for almost all of the affected inhabitants, even at a price of 1 greenback according to path. "Saving Lives, deciding to buy Time: Economics of Malaria medications in an Age of Resistance" examines the background of malaria remedies, presents an summary of the present drug hindrance, and provides tips about maximizing entry to and effectiveness of antimalarial medications. The publication unearths that the majority humans in endemic international locations do not have entry to at present potent mixture remedies, which should still comprise an artemisinin, with no financing from the worldwide group. with out investment for potent remedy, malaria mortality may well double over the subsequent 10 to twenty years and transmission will accentuate.
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For greater than 50 years, reasonably cheap antimalarial medicinal drugs silently stored hundreds of thousands of lives and cured billions of debilitating infections. this present day, despite the fact that, those medicines now not paintings opposed to the deadliest kind of malaria that exists through the international. Malaria deaths in sub-Saharan Africa - presently simply over 1000000 in keeping with yr - are emerging as a result of elevated resistance to the outdated, low-cost medicines.
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Extra info for Saving Lives, Buying Time
The Specifics of Procurement Nationally and Internationally In effect, the procurement agency would buy ACTs directly from manufacturers at competitive prices, then resell them to countries at a lower, subsidized price (this process would ideally occur through a “virtual” rather than a physical warehousing system). Although decisions regarding the 10 SAVING LIVES, BUYING TIME allocation of ACTs within countries would remain under the control of national governments, ACTs must flow into both the public and private sectors in every country for the subsidy to achieve its goal.
The drugs flow from the PNA downward through several levels of the public sector and are accessible to consumers in a variety of places, but always involve interactions with health care providers (physicians, midwives, nurses, or health workers. The PNA supplies five regional stores (Pharmacie Regionale d’Approvisionnement [PRA]), which in turn supply the district depots, which then provide drugs to the health facilities. Similarly, health centers and health posts are supplied by the district depot.
Out of these, 722 were suspected to be directly or indirectly due to malaria. Just under half (46 percent) of the 722 who died were male, 44 percent were under 5 years of age, and 39 (5 percent) had had convulsions indicating possible cerebral malaria. Findings of particular interest include: • Treatment most often started at home using antipyretics and antimalarials from local shops or left over from previous episodes. • 626 (87 percent) sought care at least once before death, while 96 (13 percent) did not, or could not, seek care.
Saving Lives, Buying Time by Committee on the Economics of Antimalarial Drugs