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THE cellphone systems may be particularly helpful in screening for malaria, said Yvonne Bryson, a professor and chief of the pediatric infectious diseases division at the David Geffen School of Medicine at U.C.L.A.
In collaboration with the Broad Institute of Harvard and the Massachusetts Institute of Technology, Genzyme's focus in Africa is on screening for malaria, on-site.
It was an individually randomised, open, controlled trial was undertaken to investigate whether screening for malaria with an RDT and treatment of women with a positive test with either SP or AS+AQ was not inferior to SP-IPTp in the prevention of anaemia in pregnancy or low birth weight.
Screening for malaria infection using a malaria rapid diagnostic test (RDT) at scheduled antenatal clinic visits and treatment of women who are positive with an effective antimalarial drug (IST), combined with effective vector control, provides a potential, alternative strategy to SP-IPTp.
The initial treatment comprised albendazole, amoxicillin, vitamin A (given once edema resolved in affected children), folic acid, measles vaccination, and screening for malaria.
In some cases, clinic staff, based on clinical suspicion, submitted blood samples to an outside commercial laboratory for screening for malaria and typhoid.
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In some areas, whole communities were screened for malaria and anyone who tested positive, even if they were not feeling sick, was treated.
Patients ≥6 month of age with suspected malaria were screened for malaria parasitemia with thick blood smears.
Pregnant women in treatment groups 2 and 3 were screened for malaria infection with an OptiMAL® dipstick, a lactate dehydrogenase (LDH) based RDT.
One hundred and fifty, 6 59 month-old febrile children were screened for malaria in July August 2006 and 87 children who fulfilled the inclusion criteria were enrolled (see figure 1).
Between October 2006 and June 2007, 926 asymptomatic 2 10 month-old infants were screened for malaria and 25 infants with parasitaemia were enrolled into the study arm.
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