Published in

Nature Research, Nature Reviews Microbiology, 12(12), p. 833-840, 2014

DOI: 10.1038/nrmicro3364

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Asymptomatic malaria infections : detectability, transmissibility and public health relevance

Journal article published in 2014 by Teun Bousema, Lucy Okell, Ingrid Felger ORCID, Chris Drakeley
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Most Plasmodium falciparum infections that are detected in community surveys are characterized by low-density parasitaemia and the absence of clinical symptoms. Molecular diagnostics have shown that this asymptomatic parasitic reservoir is more widespread than previously thought, even in low-endemic areas. In this Opinion article, we describe the detectability of asymptomatic malaria infections and the relevance of submicroscopic infections for parasite transmission to mosquitoes and for community interventions that aim at reducing transmission. We argue that wider deployment of molecular diagnostic tools is needed to provide adequate insight into the epidemiology of malaria and infection dynamics to aid elimination efforts.