For more than 50 years, low-cost antimalarial drugs silently saved millions
of lives and cured billions of debilitating infections. Today, however, these
drugs no longer work against the deadliest form of malaria that exists
throughout the world. Malaria deaths in sub-Saharan Africa—currently just
over one million per year—are rising because of increased resistance to the
old, inexpensive drugs. Although effective new drugs called "artemisinins"
are available, they are unaffordable for the majority of the affected population,
even at a cost of one dollar per course.
Saving Lives, Buying Time: Economics of Malaria Drugs in an Age of
Resistance examines the history of malaria treatments, provides an overview
of the current drug crisis, and offers recommendations on maximizing
access to and effectiveness of antimalarial drugs. The book finds that most people
in endemic countries will not have access to currently effective combination
treatments, which should include an artemisinin, without financing from the global community. Without funding for effective treatment, malaria mortality could double over the next 10 to 20 years and transmission will intensify.
Institute of Medicine. 2004. Saving Lives, Buying Time: Economics of Malaria Drugs in an Age of Resistance. Washington, DC: The National Academies Press.
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