In a recent article about the spread of resistance to ACT in SE Asia, the authors recommend new drugs and better drug strategies:
'FEMS Microbiol Rev. 2016 Sep 8. pii: fuw037. [Epub ahead of print]
The clinical impact of artemisinin resistance in Southeast Asia and the potential for future spread.
Woodrow CJ1, White NJ2'.
Similarly, multiple resistance of Anopheline vectors is supposedly to be met with more careful selection of insecticides!
'Parasit Vectors. 2016 Sep 15;9(1):504. doi: 10.1186/s13071-016-1787-8.
Multiple insecticide resistance in the major malaria vector Anopheles funestus in southern Ghana: implications for malaria control.
Riveron JM1,2, Osae M3, Egyir-Yawson A3, Irving H4, Ibrahim SS4,5, Wondji CS4,6'
But what they are recommending is simply more of the same approach which brought us to this dangerous tipping point in the first place. It is time to realize that the ephemeral and costly dependence on temporarily effective drugs and biocides should be gradually supplemented and then replaced with permanent measures which permanently reduce transmission - such as window screens and eave tubes, along with drainage and filling of breeding sites. These permanent housing and ecological improvements are the reasons that malaria has been permanently pushed out of northern countries.
Why is that so hard to understand? How many times do we have to find ourselves on the Resistance Treadmill before we open our eyes?