I first started taking anti-malarial medicine as a child. My entire life I’ve been hearing of resistance to one drug and then another drug, and then another. Also, whenever we took chloroquine or any other drugs on a regular basis, we were well aware that having the medicine in our body would not prevent malaria—-we took it just to help reduce the severity of malaria when we’d become infected. Looks like there are already strains resistant to your drug of choice:
https://malariajournal.biomedcentral.com/articles/10.1186/14...
So preventing and even treating malaria has never been a sure thing with ANY drug that I’ve ever known.
The only solution then is rapid and large-scale intervention. Massive use of the most effective/least side-effect variety of drug for all at risk populations for 3(?) months, then bring in the alternatives and quickly and widely ensure their use in those areas where resistant strains still spread.
It would cost a fraction of what we spend on research for a vaccine, but no cigar.
Of course, there is the argument that we risk developing resistant bugs. But the truth is, if suddenly all mosquitoes were moved magically to the US, you would see the drug massively used for everybody without a second though.