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Comment
. 2018 Aug 21:7:e40150.
doi: 10.7554/eLife.40150.

Age, exposure and immunity

Affiliations
Comment

Age, exposure and immunity

Michael White et al. Elife. .

Abstract

The acquisition of immunity to malaria by an individual depends on their age and the number of infectious mosquito bites they have received.

Keywords: p. falciparum; anti-disease immunity; anti-parasite immunity; epidemiology; global health; immunity; malaria.

PubMed Disclaimer

Conflict of interest statement

MW, JW No competing interests declared

Figures

Figure 1.
Figure 1.. The network of factors used by Rodriguez-Barraquer et al. to model immunity to malaria.
Malaria develops in stages (progression shown by green arrows). First, a mosquito bite can lead to a low-level infection (which can only be detected by techniques such as PCR). Rodriguez-Barraquer et al. focused on high-density infections, where there are enough parasites in the blood to be viewed using microscopy. These infections can lead to clinical malaria, which produces a fever. Two forms of immunity can inhibit the progression of the disease (red lines): anti-parasite immunity reduces the density of blood-stage infections, and anti-disease immunity reduces the temperature caused by a given parasite density. The plots show how each type of immunity varies with age (left) and exposure (right) in the model developed by Rodriguez-Barraquer et al. Exposure is measured in terms of the number of infectious mosquito bites per year, which is also known as the annual entomological inoculation rate (aEIR).

Comment on

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