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Malaria rapid diagnostic test performance : results of WHO product testing of malaria RDTs : round 5 (2013)

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TLDR
In 2012, there were an estimated 207 million cases (with an uncertainty range of 135 million to 287 million) and an estimated 627 000 deaths as discussed by the authors, and approximately 90% of all malaria deaths occur in sub-Saharan Africa, and 77% occur in children under 5 years.
Abstract
WHO estimates that half the world’s population is at risk of malaria. In 2012, there were an estimated 207 million cases (with an uncertainty range of 135 million to 287 million) and an estimated 627 000 deaths (with an uncertainty range of 473 000 to 789 000). Approximately 90% of all malaria deaths occur in sub-Saharan Africa, and 77% occur in children under 5 years. Malaria remains endemic in 104 countries, and, while parasite-based diagnosis is increasing, most suspected cases of malaria are still not properly confirmed, resulting in over-use of antimalarial drugs and poor disease monitoring (1)...

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Targeting asymptomatic malaria infections: active surveillance in control and elimination.

TL;DR: It is argued that the evidence for its effectiveness is sparse and that targeted mass drug administration should be evaluated as an alternative or addition to active case detection.
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Malaria rapid diagnostic tests: challenges and prospects.

TL;DR: Recent developments in malaria RDTs are described, reviewing R DTs detecting PfHRP2, pLDH and plasmodial aldolase and the prospect of overcoming the problems associated with current RDT's with a new generation of alternative malaria antigen targets is described.
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Plasmodium falciparum parasites lacking histidine-rich protein 2 and 3: a review and recommendations for accurate reporting

TL;DR: In this paper, the available evidence and molecular basis for identifying malaria parasites lacking the PfHRP2 protein, the most common target antigen for detection of P. falciparum, have been reviewed.
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Intermittent screening and treatment or intermittent preventive treatment with dihydroartemisinin-piperaquine versus intermittent preventive treatment with sulfadoxine-pyrimethamine for the control of malaria during pregnancy in western Kenya: an open-label, three-group, randomised controlled superiority trial.

TL;DR: Assessment of the efficacy and safety of two alternative strategies for intermittent screening with malaria rapid diagnostic tests and treatment of women who test positive with dihydroartemisinin-piperaquine and intermittent preventive treatment with sulfadoxine-pyrimethamine found both were associated with a lower incidence of malaria infection during pregnancy.
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Clinical Evaluation of a Loop-Mediated Amplification Kit for Diagnosis of Imported Malaria

TL;DR: Malaria LAMP had a diagnostic accuracy similar to that of nested PCR, with a greatly reduced time to result, and was superior to expert microscopy, suggesting that the primary analysis had underestimated diagnostic accuracy.
References
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Journal ArticleDOI

The silent threat: asymptomatic parasitemia and malaria transmission

TL;DR: The evidence that asymptomatic malaria infection plays an important role in malaria transmission is reviewed and that interventions to target this parasite reservoir may be needed to achieve malaria elimination in both low- and high-transmission areas.
Journal ArticleDOI

Beyond malaria : causes of fever in outpatient tanzanian children

TL;DR: Evidence of a viral process was found more commonly than evidence of a bacterial or parasitic process in the spectrum of causes of fever in African children in two representative settings.
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