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Saving Lives, Buying Time: Economics of Malaria Drugs in an Age of Resistance
procuring, international system for, 112–121
production costs, 62–64 , 63
R&D, 10 , 74–75 , 301–311
reduction in malaria transmission, 212–213
resistance, 172 , 270–272 , 276–281
safe and user-friendly, 315–316
tiered pricing, 65
treatment, 67–74 , 252–253
APLs. See World Bank, Adaptable Program Loans and Credits
Apovia, 224
Artecef, 306
Arteether, 261 , 306
Artemether-lumefantrine.
See also Coartem
malaria control, 214–215
toxicity of, 266–267 , 268
treatment of malaria, 254 , 257
Artemisia annua , x , 6 , 12 , 62 , 81
Artemisinin combination therapy (ACT)
affordability issues, 61–62
availability, 42
clinical experience with, 263
cost-effectiveness, 66–67 , 70–71
delaying emergence of resistance, xi , 4–5
discoveries in, 133–134
economic considerations, 5–6
effectiveness, 19 , 69
effects, 70
evidence base for, 264–265
as first-line treatment, 3 , 79 , 80
global costs, 64–65
global subsidy for, 6–10 , 82–83 , 86–110 , 121 , 169 , 315
monotherapies, 94 , 115
negative impact of—use, 84–85
priming market for, 6
production costs, 62–64
purchase of, 52
resistance to, 2 , 68 , 81
role in malaria control, 22–23 , 214–215
stimulating—market, 81
therapeutic advantages, x , 1
treatment models, 67–74
Artemisinins, 261–262
basic properties, 255
botanical properties, 262
clinical experience with, 263
compounds, 253 , 293–294
mechanisms of action, 262–263
resistance to, 275–276
safety during pregnancy, 268–269
toxicity of, 266
Artemisone, 308
Artemotil, 306
Artesunate
artemisinins, 261–262
described, 265–266
drug class, 253
first-line drug, 43
national drug policy on, 235
public sector drug flows, 38
R&D, 307–309
social marketing, 41
treatment of malaria, 254 , 257
wholesale prices, 63
Aristophanes, 125
Aristotle, 125
Aryl aminoalcohol compounds, 253
Asia, malaria in, 24–25
Asian Collaborative Training Network for Malaria (ACTMalaria), 237
Association of the British Pharmaceutical Industry, 47–48 , 303
Atabrine (quinacrine, mepacrine), 131
Ataxia, 153
Atovaquone plus proguanil, 253 , 255 , 258 , 294 , 306 .
See also Malarone
Australia, 99
Austria, 105
Azithromycin, 306 , 309 , 310
B
Bacillus sphaericus (Bsph), 211
Bacillus thuringiensis subsp. israelensis (Bti), 211
Bagamoyo District, Tanzania, 59 , 175 , 176 , 209
Bamako, Mali, 43
Bandafassi, Senegal, 175
Bastianelli, Giovanni, 129
Bayer, 308
Bayer Dye Works, 131
Bednets, xii , 2 , 11 , 27 .
See also Insecticide-treated nets
Behavioral deficits, 153
Belgium, 105 , 224
Benin, 98
Bhutan, 236