WHO clears first malaria treatment for newborns

Adds new diagnostic tests to tackle detection gaps

IV Report

KARACHI: Ahead of World Malaria Day, the World Health Organization (WHO) prequalified the first malaria treatment developed specifically for newborns and young infants, and approved three new diagnostic tests to address emerging detection challenges.

The newly approved formulation of artemether-lumefantrine is designed for babies weighing between two and five kilograms — a group long treated with medicines intended for older children, increasing the risk of dosing errors and side effects. WHO prequalification confirms the drug meets global standards of quality, safety and efficacy, enabling wider public-sector procurement and improving access for vulnerable infants.

The move is expected to help close a longstanding treatment gap affecting millions of babies born annually in malaria-endemic regions, particularly in Africa, WHO said in a statement.

                                                  Source: World Malaria Report 2025
Separately, WHO on April 14 prequalified three rapid diagnostic tests (RDTs) to address growing concerns over false-negative results. Conventional tests for Plasmodium falciparum detect the HRP2 protein, but parasite strains lacking the gene for this protein have emerged in multiple countries, rendering such tests ineffective. In parts of the Horn of Africa, up to 80 per cent of infections have reportedly gone undetected due to this issue.

The new RDTs instead target an alternative parasite protein (pf-LDH), offering more reliable detection where HRP2-based tests fail. WHO recommends switching to these alternatives when more than 5 per cent of cases are missed due to such genetic deletions.

The announcements coincided with the 2026 global campaign themed “Driven to End Malaria: Now We Can. Now We Must.”

According to WHO’s latest malaria report, an estimated 282 million cases and 610,000 deaths were recorded in 2024, marking an increase from the previous year. While dozens of countries have achieved malaria-free status or reported low case numbers, global progress has slowed amid challenges such as drug and insecticide resistance, diagnostic gaps and reduced international funding.

Photo courtesy: EMJ

 

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