🛠️ Invention or technique

Artesunate-mefloquine combination therapy on the Thai border

Terapia combinada con artesunato y mefloquina en la frontera tailandesa

Date
c. 1991-1996 · confidence medium
Place
Mae Sot, Tak, Thailand
Credited to
Shoklo Malaria Research Unit (Nosten, White and colleagues)
Field
Life & health

⚠️ Disputed: the sources disagree.

What it is

A combination of artesunate (an artemisinin derivative) with mefloquine for falciparum malaria, trialled on the Thai-Burmese border and adopted in Thailand from the mid-1990s. It reduced malaria and slowed mefloquine resistance.

Priority for the artemisinin combination concept is disputed: Chinese and Vietnamese researchers tested combinations in the 1980s and 1990s, and Nosten and White's work (with trials of 1991-1994 published in 2000) set the standard of fixed combination.

What it led to

  • artemisinin combination therapies (ACT) as the world standard
  • WHO recommendations (2001-2006) on ACT
  • monitoring of artemisinin resistance in the Mekong
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Sources✓ verified 2026-11-04