Manslaughter by fake artesunate in Asia—Will Africa be next?
2006

Fake Artesunate and Its Impact on Malaria Control

publication Evidence: moderate

Author Information

Author(s): P. N. Newton, R. McGready, F. Fernandez, M. D. Green, M. Sunjio, P. Millet, C. Bruneton, S. Phanouvong, C. J. M. Whitty, H. Kaur, B. M. Greenwood, A. O. Talisuna, E. M. Christophel, K. Palmer, G. Malenga, K. Bojang

Primary Institution: Centre for Clinical Vaccinology and Tropical Medicine, University of Oxford

Hypothesis

Can counterfeit artesunate compromise malaria treatment in Africa and Asia?

Conclusion

Fake artesunate poses a significant threat to malaria control efforts, potentially leading to increased mortality and drug resistance.

Supporting Evidence

  • Counterfeit artesunate tablets have been found to contain no active ingredient.
  • The counterfeit drug trade is sophisticated and targets the poorest populations.
  • Deaths from fake artesunate are likely underreported in mortality statistics.
  • The presence of counterfeit drugs could lead to increased drug resistance.

Takeaway

Some fake malaria medicines look real but don't work, which can make people very sick or even die. We need to be careful about what medicines we buy.

Limitations

The study relies on anecdotal evidence and lacks comprehensive data on the prevalence of counterfeit drugs.

Digital Object Identifier (DOI)

10.1371/journal.pmed.0030197

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