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Thread: Hellfire, 3 Pagodas & a Ferry

  1. #21
    Revered Old Git
    Join Date
    Jan 2010
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    Bora Bora, French Polynesia
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    Re: Hellfire, 3 Pagodas & a Ferry



    Today being ANZAC DAY.........did anyone get down to Kanchanaburi????

  2. #22
    Revered Old Git
    Join Date
    Jan 2010
    Location
    Bora Bora, French Polynesia
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    Re: Hellfire, 3 Pagodas & a Ferry



    There are many who take the run out to Hellfire Pass each Anzac Day. Some venture on to the Three Pagodas Pass, a true gem & lacking no less history than Hellfire Pass. The most adventurous continue on from there through the largest wild animal thoroughfare in SE Asia to Umphang in the north.

    Add to this the current craze to tour Myanmar.

    Adventurers in the areas concerned should be aware of the increased risks associated with malaria as this recent article from the University of Washington outline:


    Thailand: Drug resistant malaria on the rise along the Thai-Myanmar border

    The number of artemisinin/mafloquine-resistant cases is on the rise along the Thai-Myanmar border, according to Kanchanaburi health workers.


    In October 2012, a girl from Myanmar’s Karen ethnic minority tested positive for malaria. She was back for a follow-up test after a combined treatment of the anti-malarial drugs artemisinin and mefloquine. “She has tested negative,” Malaria Post worker Laksanna Kaewlere said. Had she tested positive, she would have joined the growing ranks of patients for whom the most recent drug against the malaria parasite — artemisinin — has failed.

    Artemisinin is usually used in combination with other anti-malarial drugs, such as mafloquine. The number of artemisinin/mafloquine-resistant cases is on the rise along the Thai-Myanmar border, according to Kanchanaburi health workers. “In 2012, 41 out of 207 cases of malaria proved resistant to artemisinin/mafloquine treatment,” said Wittaya Saiphromsud, head of the Vector Borne Disease Centre in Sai Yok district, Kanchanaburi, 125 kilometers west of Bangkok. Wittaya asks patients with a resistant strain of malaria to go for follow-up treatment at Sai Yok Hospital, but not all do. “Some people don’t want to pay the bus fare to the hospital. Others don’t have Thai identity papers so they are afraid of being harassed by police if they leave their village, and others are just disobedient.”

    By refusing follow-up treatment, malaria carriers increase the risk of transmitting via mosquitoes their drug-resilient malaria parasites to others, including across the border in Myanmar, where health services are rudimentary after decades of neglect.


    The rise in drug-resistant malaria is also due to counterfeit or sub-standard anti-malaria drugs, usually made in India or China, in the remote border regions of Myanmar and Cambodia. Sub-standard, or weaker artemisinin, allows the parasite to build up resistance, as it has to previous anti-malaria drugs including chloroquine, sulfadoxine-pyrimethamine and quinine-tetracycline, all of which have lost their effectiveness over the past 6 decades.
    There are now growing fears among international health agencies that artemisinin, still widely used and effective in Africa, is losing its punch.

    The porous border regions of Thailand, Myanmar and Cambodia, have a long history as the cradle of antimalarial resistance, and have now become the breeding ground for artemisinin-resistant parasites. “The problem is still located in the western part of Cambodia and western part of Thailand,” said Charles Delacolet, Thailand director for the World Health Organisation. “These are the only two confirmed hot spots for artemisinin-resistant malaria.”
    The fear is that these artemisinin-resistant malarial strains will migrate across Myanmar to India and eventually Africa, which accounts for about 90% of the world’s annual death toll of 650,000 malaria victims. “Our country is the gateway for the spread of drug-resistant parasites westward, down to Africa,” said Saw Lwin, deputy director-general of Myanmar’s Health Department. “If we can’t contain the problem at the source of the infection, it can spread to other regions, so this is a global issue,” he told a recent seminar in Kanchanaburi.

    The appearance of artemisinin-resistant malaria comes at a time when the Global Fund, which contributes 60% of the three billion dollars spent annually on internationally financed anti-malarial campaigns worldwide, is experiencing a budget crunch. The Global Fund will decide on its new malaria budget in Decem*ber 2012. The Roll Back Malaria Partnership, set up in 1998 to coordinate international efforts to wipe out malaria, is hoping that new funding will be focused on the hot spots on Thailand’s bor*ders to nip artemisinin-resistant malaria in the bud.

    The opportunity to deal with this resistance is relatively short,” said Roll Back Malaria’s executive director Fatoumata Nafo-Traore. “So what needs to be done is to say now that we have a small window of opportunity to contain the resistance, so let’s contain it.“
    Last edited by Rod Page; 6th January 2013 at 08:46 AM.

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