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WHO Certifies GPO Facility for Efavirenz Production, Enhancing Access to HIV Treatment

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WHO Prequalification for GPO’s Efavirenz Production

The World Health Organization (WHO) has officially certified the Government Pharmaceutical Organization’s (GPO) facility in Pathum Thani under the WHO Prequalification Programme (WHO PQ) for the production of the antiretroviral drug Efavirenz. This certification marks a significant milestone as it is the first of its kind in Thailand and the ASEAN region.

Importance of WHO Certification for Efavirenz

GPO director Mingkwan Suphanpong stated that this certification ensures that Efavirenz tablets manufactured by the GPO remain on the WHO Prequalified List. The WHO had previously approved GPO’s request to include Efavirenz on its list in 2018, following an application submitted in 2016.

Role of Efavirenz in HIV Treatment

Efavirenz is a critical medication prescribed to all individuals diagnosed with HIV. It is commonly used in combination with tenofovir/emtricitabine for adults, adolescents, and children. Additionally, it plays a role in post-exposure prophylaxis regimens to reduce the risk of HIV infection among those exposed to significant risk.

Commitment to Quality and Safety

Dr. Mingkwan emphasized that this certification reflects GPO’s dedication to quality and safety, ensuring that Thai citizens have access to effective medications comparable to original formulations. The certification also opens doors for GPO to register the drug in other countries, enhancing export opportunities.

Compliance with WHO Standards

The certification followed a rigorous inspection conducted from August 12-16 last year, assessing compliance with WHO standards regarding manufacturing processes, production support systems, laboratory practices, and quality management. This certification is valid for three years.

Advancements in Generic Drug Production

Dr. Mingkwan highlighted that GPO’s success in producing Efavirenz exemplifies its capabilities in developing generic drugs, particularly essential medicines vital for the healthcare system. Generic medications provide affordable treatment options for Thais while maintaining international credibility.

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Future Directions for GPO

To continue benefiting patients after original drug patents expire, Dr. Mingkwan stressed the importance of ongoing research and development of generic drugs by GPO. This proactive approach ensures immediate access to affordable alternatives once patents lapse.

Enhancing Quality of Life for HIV Patients

The recent success of GPO also contributes to improving the quality of life for HIV patients, allowing them to live normal lives akin to non-HIV individuals. According to WHO guidelines, individuals living with HIV who maintain an undetectable viral load pose no risk of transmitting the virus to others.

Advocacy for PLHIV Rights

Jarunee Siriphan, director of the Foundation for Action on Inclusion Rights (Fair), emphasized the significance of the “undetectable equals untransmittable” (U=U) campaign. This public health initiative empowers people living with HIV (PLHIV) by promoting their health and potential without stigma.

Call for Public Health Integration

While acknowledging WHO’s stance on U=U, Jarunee urged the Public Health Ministry to officially certify this approach and integrate it into public policy. She cautioned against employers exploiting this concept by demanding proof of viral suppression during recruitment processes, which could violate individual rights.

A Step Forward in HIV Treatment Accessibility

The WHO certification of GPO’s facility represents a pivotal advancement in Thailand’s efforts to enhance access to effective HIV treatments. By fostering an environment that supports both medical innovation and patient rights, Thailand is making strides towards a healthier future for all individuals living with HIV.

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Alarming Red Tide Surge Endangers Marine Life in Thailand’s Gulf

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Red Tide Phenomenon Threatens Aquatic Ecosystems

Expert Warns of Potential Marine Devastation

A recent surge in red tide occurrences has raised serious concerns about the health of marine ecosystems in the Gulf of Thailand. The phenomenon, characterized by a rapid increase in certain plankton species, poses a significant threat to aquatic life and local industries.

Seasonal Pattern of Harmful Algal Blooms

Oxygen Depletion Risks Marine Biodiversity

According to Natthawadee Bantiwiwatkul, director of the marine research center, the red tide phenomenon typically occurs from February to April and October to December each year. These plankton blooms can drastically reduce oxygen levels in the water, potentially leading to mass fish deaths and disrupting the delicate balance of marine ecosystems.

Historical Context and Geographic Spread

Coastal Regions Face Recurring Challenges

Reports of red tide occurrences have been documented in various coastal provinces, including Prachuap Khiri Khan and Chumphon from 2019 to 2024, and in Surat Thani from 2011 to 2024. This widespread and persistent nature of the phenomenon underscores the need for comprehensive monitoring and management strategies.

Impact on Local Industries and Tourism

Authorities Urge Caution and Vigilance

The center has called upon relevant agencies to closely monitor the situation, advising tourism operators and locals to avoid water activities to prevent potential skin irritation. Aquatic farmers are also warned to remain vigilant, as the red tide phenomenon can lead to significant losses in fish populations.

Scientific Understanding and Future Outlook

Research Efforts Aim to Mitigate Red Tide Effects

While red tides are natural occurrences, their frequency and intensity may be exacerbated by various factors, including pollution and climate change. Ongoing research aims to better understand the dynamics of these harmful algal blooms and develop effective strategies to mitigate their impact on marine ecosystems and coastal communities. 

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Thailand Prepares for Intense Weather: Summer Storms and Temperature Fluctuations Ahead

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Severe Weather Warning

High-Pressure System Approaches

A strong high-pressure system from China is set to extend over upper Thailand, where hot to very hot conditions currently prevail. This weather pattern is expected to trigger outbreaks of summer storms, accompanied by strong winds and hail in some areas during the initial period.

Temperature Changes

Significant Drops Expected

Following the storms, the Northeast region is anticipated to experience a substantial temperature drop of 5-8°C, along with strong winds. Other regions across Thailand will also see temperature declines of 2-4°C, coupled with similarly strong winds.

Safety Precautions

Public Advisory

Residents in upper Thailand and the upper South are strongly advised to exercise caution during these severe weather conditions. It is recommended to avoid outdoor areas, especially near large trees and unsecured buildings. Farmers are urged to take preventive measures to protect their crops and livestock from potential damage.

Coastal Impacts

Maritime Warnings

The Gulf of Thailand, the South, and the Andaman Sea will be affected by intensifying easterly and southeasterly winds. This is expected to bring increased rainfall and isolated heavy showers to the South from March 17-20. Wave heights in the lower Gulf could reach two to three meters, potentially exceeding three meters in areas experiencing thunderstorms.

Marine Safety

Shipping Advisories

All vessels in the Gulf and Andaman Sea are advised to proceed with extreme caution and avoid areas with thunderstorms. Small boats in the lower Gulf and offshore areas of the Andaman Sea are recommended to remain ashore during this period of increased maritime risk.

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Long-term Weather Outlook

Seasonal Transitions

As Thailand transitions from its hot season into a period of increased storm activity, residents and visitors alike should stay informed about weather updates and adhere to safety guidelines provided by local authorities to navigate this challenging weather period safely.

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Border Pass Operations Resume Amid Security Measures After Sungai Kolok Blasts

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Sungai Kolok Border Pass Services Suspended Due to Attack

Extensive Damage to District Office Compound

The Sungai Kolok district office in Narathiwat province temporarily halted issuing border passes following a devastating attack by separatist insurgents. The explosions caused significant damage to the district office compound, including the auditorium that housed the border pass section. Authorities are working to clear an area behind the conference center to establish a temporary office for border pass issuance.

Attack Details and Impact on Operations

Insurgents Use Car Bomb in Coordinated Assault

On Saturday night, insurgents launched a coordinated attack using a driverless car bomb that exploded near the auditorium. The ground floor of the main district office building was also destroyed, suspending revenue collection operations. At least 10 armed attackers dressed in black threw explosives and fired at defense volunteers before fleeing in a pickup truck.

Border Security Tightened Following Blasts

Malaysian Police Heighten Vigilance Along Border

In response to the attack, Malaysian police have intensified security along the Malaysia-Thailand border. Patrols at illegal crossing points and hotspots have been increased to prevent perpetrators from escaping into Malaysia. Malaysians have been advised to postpone travel to southern Thailand due to heightened risks.

Plans for Temporary Border Pass Office

Efforts Underway to Restore Services

Despite the disruption, applicants can still obtain temporary travel documents at other district offices in Narathiwat province. The Sungai Kolok office is preparing a new location for border pass services behind its conference center. On average, 300 people apply daily for border passes to travel to Malaysia’s Kelantan state.

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Regional Security Overhaul Amid Ramadan Attacks

Authorities Respond to Increased Threats

The Sungai Kolok attack is part of broader violence in Thailand’s southern provinces during Ramadan. Security forces have implemented revised protocols across Narathiwat and Pattani provinces after twin attacks killed five and injured 13 security personnel. Intelligence units are closely monitoring cross-border activities to prevent further incidents.

Public Safety Advisory Issued

Travelers Urged to Exercise Caution

Authorities have recommended postponing non-essential visits to southern Thailand due to ongoing security concerns. Malaysians residing in affected areas are encouraged to register with the Consulate General of Malaysia in Songkhla for safety updates.

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