I wrote about how artemisinin resistant malaria has done an 'end run' a few days ago.

For the past ten years people considered to be experts in malaria in Southeast Asia have been banging the drum about the inevitability of the spread of artemisinin resistant malaria from Asia to Africa.

Googling "malaria resistance "spread to africa"" produces seventy thousand results. Look at the first one or two pages and you will get the picture.

The Global Fund even funded a grant that did not originate in any country or any community in Southeast Asia. The Regional Artemisinin-resistance Initiative (RAI) is into a second phase to spend $US 243 million. It has been touted as our last chance to prevent spread to Africa. https://raifund.org/

The experts didn't listen to those few who said that selective pressure would in time produce resistance any place that artemisinin monotherapy was used. Indigenous resistance would be sure to develop de novo in Africa.

It did.

You can read about it here: https://www.nature.com/articles/s41591-020-1005-2.pdf.

I guess the experts were wrong.

Jamie

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