Drug resistance

WHO EMRO - Intercountry Workshop on Monitoring Therapeutic Efficacy of Antimalarial

Prorgamme

Sunday, 21 April 2002
08:30 – 09:00 Registration
09:00 – 09:45 Opening Session
  • Message from the Regional Director, WHO/EMRO
Dr H. El Zein, WR/Yemen
  • Address from H.E. the Minister of Health, Yemen
  • Introduction of participants
  • Election of officers
DR H. Atta
09:45 - 10:00 Coffee Break
10:00 - 10:30 Malaria in EMR –the challenge of drug resistance and regional response Dr H. Atta
10:30 - 11:00 Global overview of the status of antimalarial drug resistance and RBM response Dr P. Ringwald
11:00 -11:30 Epidemiology of drug resistance in malaria Dr A. Adeel
11:30 - 12:00 Overview of various methods used in monitoring (in vivo, in vitro, molecular, etc.) Dr P. Ringwald
12:00 - 12:30 New Antimalarials and drug Combinations
Review of Fixed Combinations
Prof. Wernsdorfer
12:30-13:00 Rational use of antimalarials DR Adeel
Dr Abd Rabbo
13:00 - 14:00 Coffee break
14:00 - 15:00 Countries’ presentation on the situation of drug resistance ands monitoring activities (Group1: Sudan , Somalia, Djibouti, Blue Nile, Yemen)
15:00-15:15 Discussion and concluding remarks for group 1
15;15-15:30 Coffee break
15:30 – 16:30 Countries’ presentation on the situation of drug resistance ands monitoring activities ( Afghanistan, Iran, Pakistan, Saudi Arabia )
16:30 – 16:45 Discussion and concluding remarks for group 2
Monday, 22 April 2002
9:00 – 9:45 In vivo methodologies: Update on WHO protocols for monitoring antimalarial therapeutic efficacy of antimalarial drugs for falciparum and (briefly) vivax malaria. Framework for monitoring in vivo data Dr R. Ringwald
9:45-10:30 Overview of the protocol for in vivo test for monitoring therapeutic efficacy of antimalarial drugs for P.falciparum Dr A Adeel
10:30 - 10:45 Coffee break
10.45 - 11.00 Discussions
11.00 – 13-00 Group work on Operational issues with the current WHO protocol (Epidemiological basis for the choice of sentinel sites, teams, training, quality control of drugs, Statistical methods in therapeutic efficacy test –sampling and analytical plan, quality control of the data, analysis of the data in different epidemiological setting)
13:00 - 14:00 Coffee break
14:00 - 16:00 Group work on Technical issues with the current WHO protocol (inclusion/exclusion criteria, classification criteria, urinary test, haemoglobin, adaptation according to transmission area or drugs)
16:00 – 16:15 Coffee break
16.15 - 17.30 Plenary session:

Presentation of group work

Discussion on the operational and technical issues of the WHO protocols for in vivo tests, lessons learnt from the field

Tuesday, 23 April 2002
9:00 – 10:00 In vitro methodologies: WHO standard in vitro test (Mark III ), analysis of in vitro data Prof. Wernsdorfer
10:00- 10:30 PCR based methods and molecular genetics Dr Ringwald
10:30-10:45 Coffee break
10.45 - 13.00 Basic Excel and Basic Epi-Info 6.04
13:00 - 14:00 Coffee break
14:00 - 15:30 Basic Excel and Basic Epi-Info 6.04
15:30 - 15:45 Coffee break
15.45 - 17.00 Analysis of the results of therapeutic efficacy test and in vitro method using Excel and Epi-Info
Wednesday, 24 April 2002
09:00 - 9:30 Framework of antimalarial drug policy Dr H. Atta
9:30 – 10:00 Antimalarial drug policy change Prof. Wernsdorfer
10:00-10:30 Plenary dissuasion on the development and updating countries’ drug policy
10:30 – 10:45 Coffee break
10:45 – 13:00 Work groups for drafting the national plan for monitoring the therapeutic efficacy
13:00 - 14:00 Coffee break
14:00 – 15:30 Work group (continued)
15:30 - 15:45 Coffee break
15:45 – 17:00 Work group (continued)
Thursday, 25 April 2002
09:00 – 10:30 Presentation and discussion of the draft plans
10.30 – 10:45 Coffee break
10.45 – 12:30 Conclusions and evaluation of the workshop

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