Publications by authors named "Piyaporn Sai-Ngam"

Background: While human cases of Plasmodium knowlesi are now regularly recognized in Southeast Asia, infections with other simian malaria species, such as Plasmodium cynomolgi, are still rare. There has been a handful of clinical cases described, all from Malaysia, and retrospective studies of archived blood samples in Thailand and Cambodia have discovered the presence P. cynomolgi in isolates using polymerase chain reaction (PCR) assays.

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Background: In April 2017, the Thai Ministry of Public Health (MoPH) was alerted to a potential malaria outbreak among civilians and military personnel in Sisaket Province, a highly forested area bordering Cambodia. The objective of this study was to present findings from the joint civilian-military outbreak response.

Methods: A mixed-methods approach was used to assess risk factors among cases reported during the 2017 Sisaket malaria outbreak.

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We determined the prevalence of Kelch 13 mutations and pfmdr1 copy number in samples collected from the Thailand-Myanmar border, the Thailand-Cambodia border, and southern Thailand from 2002 to 2007. C580Y was the most prevalent in Trat (Thailand-Cambodia border) and Ranong (Thailand-Myanmar border) at 42% (24/57) and 13% (6/48), respectively. Less predominant mutations were also identified including R539T (7%, 4/57) and Y493H (2%, 1/57) in Trat, P574L (6%, 3/48) and P553L (2%, 1/48) in Ranong, and N537I and D452E (7%, 1/15) in Sangkhlaburi (Thailand-Myanmar border).

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Article Synopsis
  • Malaria remains a significant health issue in Thailand, particularly in border areas with mobile populations that facilitate its spread.
  • A study of 112 Plasmodium falciparum isolates showed prevalent resistance mutations, including pfmdr1-Y184F and various pfk13 point mutations, linked to increased survival rates against treatment.
  • The rise in resistant genotypes during 2014-2015 implies a connection with treatment failures in neighboring Cambodia, highlighting the need for coordinated efforts among countries to address malaria elimination.
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