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Malaria control activities in Thailand have been very successful in reducing malaria transmission. However, as malaria control programs are being integrated into the routine health system at the provincial level, local health systems must be strengthened to maintain vigilant control efforts. More than half of the confirmed cases of malaria in Thailand occur among migrants living and working in the border areas, and high cross-border traffic from Cambodia and Myanmar represents a potential threat for the reemergence of malaria in Thailand. There have also been reports of reduced efficacy of artemisinin combination therapy (ACT ) in the adjoining remote areas of neighboring Cambodia and Myanmar where counterfeit and substandard antimalarial medicines reduce treatment successes and increase drug resistance.

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