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Muay Thai for Children
In Thailand, children as young as 13 years old have died competing in kickboxing matches known as Muay Thai. Many children take part in this demanding sport because this is often the only way their families can climb out of poverty. Kickboxing matches in Thailand occur in rural areas and competitors usually do not wear protective gear. However, the deaths and life-long injuries that the sport has inflicted on competing children have inspired a debate on the dangers of kickboxing for children in Thailand. Here is some information that contextualizes Thailand’s debate on Muay Thai for children.

The Current Situation

Currently, the debate over Muay Thai for children has led legislators in Thailand to consider proposals that may raise the age or facilitate using more protective gear for fighters. A major risk for competitors is brain damage or death. On the other hand, families in rural areas oppose this proposal because it could jeopardize their ability to put food on the table. Child kickboxers in Thailand can win up to $150 SDG in one match, the equivalent of about $111 USD if they are professional fighters or are competing in a prestigious competition. For small bouts, in which most Thai children compete, the pay is far less, with the maximum being the equivalent of $60.

Although $60 may seem like a trivial amount, for some families, this sum makes a significant difference in their lives. These winnings are equivalent to almost half of one month’s salary in rural and impoverished areas. Hence, many of the child fighters in Thailand find themselves in matches to ensure they make enough money. Another avenue is to start competing at a very young age so that by the time they are teenagers, they may be able to generate enough income as a professional fighter in Muay Thai.

The Price They Pay

Alongside the newly earned money from Muay Thai competitions, there are still prices the families and children of Thailand have to pay. The competitors and their families must face the constant reality of death and brain damage. According to a study by Thailand’s Mahidol University, permitting children under 15 to box could result in various types of brain damage, such as brain hemorrhages, which could lead to stroke-like symptoms or death if the fighters succumb to the injuries. No matter their age, the lack of protective gear for the fighters prevails as the major cause of injuries during competitions.

The Government’s Response

In response to the recent deaths and the brain damage that has taken place among the youth of Thailand, legislators have found themselves drafting bills that will bar children from participating in Muay Thai kickboxing matches if they are 12 or under.

Currently, the only measure in place to offer safety towards children who kickbox is that boxers must be 15 or older to compete. However, younger fighters are still able to engage as long as there is parental permission, which is why many young children are losing their lives to the sport as there are no enforced restrictions.

What Must Change

A solution to ensure that child fighters remain safe while making a steady income for their families may be for fighters aged 15 or younger to use headgear. Through the debate regarding Muay Thai for children in Thailand, it may be valuable for kickboxing enthusiasts to understand that while including headgear may not provide the same entertaining result, it is vital so that children may win the money necessary from their competitions while also being protected from trauma to their still-developing brains.

Gowri Abhinanda
Photo: Flickr

Drug Resistant Malaria
A new variation of the parasite causing malaria has captured the attention of medical professionals in South East Asia. They first noticed a strain of drug-resistant malaria in 2013 and it has spread aggressively throughout the region. Medical researchers from the Wellcome Sanger Institute, University of Oxford and Mahidol University noticed that the new strain has replaced local malaria strains in Vietnam, Laos and northeastern Thailand. They have also seen the strain developing new mutations from when they initially identified it in 2013 and this may be enhancing resistance even further.

Resistance Through Time

In 2018, studies showed that the usual first-line drug used for malaria failed to cure the disease at an overall rate of 50 percent, 13 percent in northeastern Thailand, 38 percent in western Cambodia, 73 percent in northeast Cambodia and 47 percent in southwestern Vietnam.

The advancement of the new drug-resistant malaria might stem from the heavy usage of anti-malaria drugs in the region. Medical professionals commonly distribute the drug throughout the area, forcing the parasite to evolve or die out. Patient usage is also giving the parasite a leg up, as often people are taking a weaker dosage or do not finish the treatment but terminate usage when they begin feeling better.

Cause of Malaria

Malaria is the result of the Plasmodium parasite that transmits through a mosquito bite. The drug-resistant malaria strain is called KEL1/PLA1 because of its combination of genetic mutations. A recent study has noted that KEL1/PLA1 has diversified into a subgroup of strains that contain the genetical modifications causing resistance. These parasites are also showing resistance to several classes of anti-malarial drugs. The new adaptations are limiting treatment options and making them increasingly expensive. Currently, clinical trials have begun to test the effectiveness of a triple combination treatment for the new drug-resistant malaria.

The current front-line defense is a two-drug combination of dihydroartemisinin and piperaquine or DHA-PPQ. But a 2018 study showed the resistance to dihydroartemisinin-piperaquine spread undetected for five years in Cambodia, giving the drug time to mutate further and wipe out existing non-resistant strains. One solution is to change the partner drug, piperaquine, to a drug that is currently effective such as mefloquine or pyronaridine. Cambodia and Thailand have implemented this solution but it could be logistically challenging on a large scale.

Consequences of Infection

For now, health officials believe they will be able to manage the situation as malaria rates are lower in Southeast Asia. Officials, however, believe if the drug-resistant malaria parasite spreads to Africa, the consequence could be dire. Sub-Saharan Africa sees the most substantial numbers of malaria and faces the most significant logistical problems when attempting to treat it. In the 1960s, a similar situation occurred where a strain developed in Asia and spread to sub-Saharan Africa, where due to a lack of alternative medications, malaria-related deaths double.

People are currently using rapid test kits to help prevent and treat drug-restraint malaria. The kits can identify which parasite strain is causing malaria, allowing medical professionals to treat malaria accordingly. This tool will be increasingly important if the drug restraint parasite spreads to Africa. Sub-Saharan Africa alone accounted for 66 percent of the 276 million rapid diagnostic test sales worldwide in 2017. The test allows for professionals to best allocate supplies that are scarce in sub-Saharan Africa. As the fight against drug-resistant malaria continues, the rapid test kits are a cost-efficient way to increase their odds of eradicating the parasite.

– Carly Campbell
Photo: Flickr