Target Diseases
Malaria
Recommendations for research relative to malaria are:
- understanding and applying knowledge of drug action and resistance with the emphasis on obtaining information which will be useful in clinical situations in Thailand ;
- identification, validation and expression of targets for drugs, diagnostics and vaccines, which could well develop as a niche area for Thailand ;
- generation of new compounds both from combinatorial biosynthesis or from natural products known through traditional knowledge of herbal remedies for malaria; and
- production, formulation and pre-clinical studies of a few drug candidates suited to the needs of Thailand and neighbouring countries.
Dengue Haemorragic Fever
Recommendations for research relative to dengue are:
- new technology in dengue diagnosis;
- basic pathogenic mechanisms of shock, leakage, and haemorrhagic diathesis, emphasising studies of autopsy or necropsy tissues or clinical specimen;
- viral physiology in Aedes aegypti, vector control;
- molecular epidemiology of dengue virus in Thailand: evolution of the viruses in different regions of the country, genotypes associated with virulence;
- vaccine
- clinical and physiology research; and
- basic research: molecular and cellular pathophysiology of dengue virus infection.
Tuberculosis
Recommendations for research relative to tuberculosis are:
- development of new antituberculous drugs through screening of natural products
- improvement in screening methods
- characterisation of M. tuberculosis strains in Thailand and elucidation of the phenotype characteristics of various genotypes
- development of new diagnostic tests and new treatment protocols
- application of new methods in the study of the epidemiology of tuberculosis
AIDS Related Infections
Recommendations for research relative to AIDS/HIV-related infections are:
- development of practical diagnostic kits which could be affordable in developing countries where the majority of patients live
- development of vaccines for the infections involved in AIDS/HIV, at the moment far from reality, at a cost which would make them accessible where needed.
Hepatitis
Recommendations for research relative to hepatitis are:
- development of diagnostic kits for the detection of hepatitis B surface antigen (HBS Ag) in patients' sera;
- research on the problems of hepatitis B vaccine failure including detection and analysis of vaccine-escape mutants of hepatitis B viruses; and
- development of diagnostic kits that can be used to detect antigenically variant hepatitis C viruses, necessary due to high mutation rate of the hepatitis C viruses.