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<title lang=en>Made in Europe: will artemisinin resistance emerge in French Guiana?</title>
<creator>Nacher, Mathieu</creator>
<creator>Guérin, Philippe, </creator>
<creator>Demar-Pierre, Magalie</creator>
<creator>Djossou, Félix</creator>
<creator>Nosten, François</creator>
<creator>Carme, Bernard</creator>
<contributor>EA 3593 Université des Antilles et de la Guyane ; Centre d'investigation clinique Antilles-Guyane ; Institut National de la Santé et de la Recherche Médicale (INSERM) - CH Cayenne - Institut National de la Santé et de la Recherche Médicale (INSERM) - CH Cayenne - Infectious and Tropical Diseases Department ; Centre Hospitalier Andrée Rosemon - Centre Hospitalier Andrée Rosemon</contributor>
<contributor>WorldWide Antimalarial Resistance Network (WWARN) ; University of Oxford [Oxford] - Churchill Hospital Oxford Centre for Haematology</contributor>
<contributor>EA 3593 Université des Antilles et de la Guyane ; Unité des Maladies Infectieuses et Tropicales (UMIT) ; Centre Hospitalier de Cayenne " Andrée ROSEMON " - Centre Hospitalier de Cayenne " Andrée ROSEMON " - Infectious and Tropical Diseases Department ; Centre Hospitalier Andrée Rosemon - Centre Hospitalier Andrée Rosemon</contributor>
<contributor>Infectious and Tropical Diseases Department ; Centre Hospitalier Andrée Rosemon</contributor>
<contributor>Unité des Maladies Infectieuses et Tropicales (UMIT) ; Centre Hospitalier de Cayenne " Andrée ROSEMON "</contributor>
<contributor>Shoklo Malaria Research Unit (Group Head / PI) ; Mahidol University [Bangkok] - Faculty of Tropical Medicine</contributor>
<contributor>Centre d'investigation clinique Antilles-Guyane ; Institut National de la Santé et de la Recherche Médicale (INSERM) - CH Cayenne</contributor>
<contributor>Laboratoire de Parasitologie Mycologie ; Centre Hospitalier de Cayenne "Andrée ROSEMON"</contributor>
<description>International audience</description>
<source>ISSN: 1475-2875</source>
<source>Malaria Journal</source>
<publisher>BioMed Central</publisher>
<identifier>inserm-00838961</identifier>
<identifier>http://www.hal.inserm.fr/inserm-00838961</identifier>
<identifier>http://www.hal.inserm.fr/inserm-00838961/document</identifier>
<identifier>http://www.hal.inserm.fr/inserm-00838961/file/Nacher_et_al._Malaria_J.pdf</identifier>
<source>http://www.hal.inserm.fr/inserm-00838961</source>
<source>Malaria Journal, BioMed Central, 2013, 12, pp.152. 〈10.1186/1475-2875-12-152〉</source>
<identifier>PUBMED : 23641802</identifier>
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<identifier>DOI : 10.1186/1475-2875-12-152</identifier>
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<language>en</language>
<subject>[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>Resistance to artemisinin casts a shadow on the fight against malaria. The importance of illegal gold miners and of malaria in isolated regions of French Guiana constitutes a threat that endangers the fight against malaria in the Amazon. The hurdles of French laws and the remoteness of the territory from France make it impossible for the system to adapt to the problem of total inaccessibility of an important part of the malaria problem. Transmission is high in these areas and gold miners self-medicate with erratic regimens of artemisinin combinations, thus creating perfect conditions for the emergence of resistance. What needs to be done is being done, but within the limits of national law, with some results. However, facing the same difficult problem, Suriname shows more flexibility and is doing much better than French Guiana despite having lower resources. Local authorities in French Guiana cannot overrule the laws that block appropriate malaria care from reaching a third of malaria-exposed persons. Thus the health authorities in France should take immediate calibrated legislative and financial measures to avoid a predictable disaster.</description>
<date>2013</date>
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