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Figure 1.4, cont'd
to the unstable transmission class. This re-assignment is shown in the final
limits presented in Fig. 1.3 A1-D2.
Relapse of Plasmodium vivax blood infections. The prevalence surveys
used detect parasites in the blood and not latent infections in the liver. Pri-
mary blood infections detected by these surveys are indistinguishable from
relapses caused by previously dormant parasites from the liver. The estimates
produced by the model were, therefore, the combined prevalence of pri-
mary infections and relapses.
The impact of low parasitaemia levels . Plasmodium vivax parasites are typ-
ically found in the blood at much lower densities than are found for
P. falciparum and so are less likely to be detected by some diagnostic meth-
ods. We made no direct adjustments for these 'sub-patent' infections. It
is important to note that P. vivax can cause fever and anaemia at lower
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