1989
DOI: 10.1016/0035-9203(89)90251-4
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The interrelationship of Plasmodium falciparum and P. vivax in the Punjab

Abstract: Analysis of data obtained from Giemsa-stained blood films from patients with mixed Plasmodium vivax and P. falciparum parasitaemias seen in outpatient clinics held over 20 consecutive months in 4 villages in the Pakistani Punjab suggest that infections with P. falciparum and P. vivax were independent of each other. There was no evidence to support the hypothesis that P. falciparum suppressed P. vivax. A likely explanation for the seasonal variation in species parasitaemia rates in the Punjab is that P. vivax w… Show more

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Cited by 19 publications
(21 citation statements)
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“…While this appears to have brought about a further reduction in P. vivax prevalence, P. falciparum increased. The free use of CQ might have suppressed P. vivax more than P. falciparum (Clyde 1984;Fox & Strickland 1989). In 2000, the villages were sprayed with deltamethrin, which perhaps caused a sharp decline in malaria incidence.…”
Section: Discussionmentioning
confidence: 99%
“…While this appears to have brought about a further reduction in P. vivax prevalence, P. falciparum increased. The free use of CQ might have suppressed P. vivax more than P. falciparum (Clyde 1984;Fox & Strickland 1989). In 2000, the villages were sprayed with deltamethrin, which perhaps caused a sharp decline in malaria incidence.…”
Section: Discussionmentioning
confidence: 99%
“…This result is misleading because relapses of vivax malaria from pre-trial infections would occur at equal frequency in insecticide-treated and untreated sectors and could not be distinguished from new infections. The relapse rate is high during the spring in Pakistan, just before the monsoon, and coincides with a growth in anopheline populations (Fox & Strickland 1989;Rowland et al 1997b). The phenomenon of relapse makes it more difficult to eliminate vivax malaria from subtropical areas by vector control compared to falciparum malaria, which does not relapse.…”
Section: Discussionmentioning
confidence: 99%
“…In mixed-species malaria infections of humans, one of the constituent Plasmodium species typically dominates (e.g., Mayne and Young 1938, Molineaux and Grammicia 1980, Looareesuwan et al 1987, Fox and Strickland 1989. Cohen (1973) analyzed the epidemiological literature and reported a general deficit of detectable mixed-species infections, associated this deficit with splenomegaly, and inferred an underlying heterologous immunity.…”
Section: Introductionmentioning
confidence: 99%
“…Recently Dobson (1985Dobson ( , 1990 and Dobson and Roberts (1994) have stressed the role of species life-histories in structuring helminth communities and have extended the general ecological principle that as a constituent species becomes more aggregated in its distribution, the relative importance of interspecific competition declines in its population regulation. Although data on the aggregation of Plasmodium species in Anopheles is essentially anecdotal, its variability indicates that Plasmodium species interactions may warrant more concerted investigation.In mixed-species malaria infections of humans, one of the constituent Plasmodium species typically dominates (e.g., Mayne and Young 1938, Molineaux and Grammicia 1980, Looareesuwan et al 1987, Fox and Strickland 1989. Cohen (1973) analyzed the epidemiological literature and reported a general deficit of detectable mixed-species infections, associated this deficit with splenomegaly, and inferred an underlying heterologous immunity.…”
mentioning
confidence: 99%