Malaria with other antimalarials (known as artemisinin-combination therapy, or ACT), which decreases resistance to any single drug component. These additional antimalarials include: amodiaquine, lumefantrine, mefloquine or sulfadoxine/pyrimethamine. Another recommended combination is dihydroartemisinin and piperaquine. ACT is about 90% effective when used to treat uncomplicated malaria. To treat malaria during pregnancy, the WHO recommends the use of quinine plus clindamycin early in the pregnancy (1st trimester), and ACT in later stages (2nd and 3rd trimesters). In the 2000s (decade), malaria with partial resistance to artemisins emerged in Southeast Asia. Infection with "P. vivax", "P. ovale" or "P. malariae" usually do not require
Malaria vaccine Navy were immunized against Plasmodium falciparum by the bites of 1001 to 2927 mosquitos that had been irradiated with 15,000 rads of gamma rays from a Co-60 or Cs-137 source. This level of radiation being sufficient to attenuate the malaria parasites so that while they could still enter hepatic cells, they could not develop into schizonts or infect red blood cells. Over a span of 42 weeks, 24 of 26 tests on the volunteers showed that they were protected from malaria infection. Malaria vaccine Malaria vaccine is a vaccine that is used to prevent malaria. The only approved vaccine as