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Tafenoquine following G6PD screening versus primaquine for the treatment of vivax malaria in Brazil: A cost-effectiveness analysis using a transmission model

Author summary Why was this study done? Radical cure with primaquine or recently approved tafenoquine is required to clear the dormant liver parasites of vivax malaria. While single-dose tafenoquine overcomes the barrier of patient adherence to the current 7-day primaquine treatment, it costs more and requires screening for glucose-6-phosphate dehydrogenase (G6PD) deficiency. While the impact of changing policies to tafenoquine after G6PD screening on transmission has been evaluated, the associated costs and cost-effectiveness will be important considerations for policymakers. What did the researchers find? Using an economic evaluation model coupled with a transmission model, we found that prescribing tafenoquine to vivax malaria patients without G6PD deficiency would be highly likely to be cost-effective in Brazil. Tafenoquine will be particularly cost-effective in settings where patient adherence to the current 7-day treatment is low and when paediatric tafenoquine is available ....

Papua New Guinea , United States , South Korea , Republic Of Korea , Monte Carlo , Jamesg Beeson , Brazilian Unified Health System , National Malaria Control Programme , Ministry Of Health Brazil , Burnet Institute , Technological Development Cnpq , World Health Organisation , Melinda Gates Foundation , National Council For Scientific , National Commission For The Incorporation Of Technologies , Ministry Of Health , National Malaria Prevention , Creative Commons Attribution License , National Council , Technological Development , United States Dollars , South America , While Scenarios , Epidemiological Surveillance Information System , National Commission , Brazilian Unified Health ,

Why 2023 was a bittersweet year for Brazilian science

Expectations were high after Luiz Inácio Lula da Silva won the presidency. But some scientists are frustrated at the slow pace of change. Expectations were high after Luiz Inácio Lula da Silva won the presidency. But some scientists are frustrated at the slow pace of change. ....

United States , Minas Gerais , Sao Paulo , Michigan State University , Rio De Janeiro , Estado Do Rio , Santa Catarina , East Lansing , Oswaldo Cruz , Rio Grande Do Sul , Belo Horizonte , Michel Temer , Carlos Nobre , Luciana Santos , Leonel Perondi , Luiz Inacio Lula , Ricardo Galv , Adele Benzaken , Marcus Vin , Denise Carvalho , Nelson Almeida , Luis Fernandes , Renato Janine Ribeiro , Brazil Ministry Of Economy , Technological Development Cnpq , University Of Minas Gerais ,