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Table 1 Assumptions on malaria incidence rates, parasite density, and effects of HIV-1, sub-Saharan Africa*

From: The impact of HIV-1 on the malaria parasite biomass in adults in sub-Saharan Africa contributes to the emergence of antimalarial drug resistance

 

Age group

HIV-negative persons and HIV-infected persons with CD4 ≥ 500/μl

< 5 years

5–14 years

≥ 15 years

Incidence of symptomatic malaria (per person-year) low/high endemicity[10]

   

   Rural

0.18/1.4

0.18/0.59

0.09/0.11

   Urban

0.09/0.18

0.091/0.18

0.046/0.09

Proportion of symptomatic episodes with hyperparasitaemia (includes severe malaria): low endemic and high endemic urban areas/high endemic rural areas

4.0%/4.0%

4.0%/1.5%

4.0%/1.5%

Geometric mean parasite density (/μL) in uncomplicated malaria: low endemic and high endemic urban areas/high endemic rural areas [13]

30,000/30,000

25,000/20,000

20,000/15,000

Geometric mean parasite density (/μL) in severe malaria (all age groups and endemicities) [20]

458 000

Proportion of HIV-1 patients [6]

with CD4<200/μl

CD4 200–499/μL

 

Stabilized HIV epidemic

37%

25%

 

Rising HIV epidemic (e.g.Madagascar)

22%

15%

 

Relative change in HIV infection

with CD4<200/μl

CD4 200–499/μL

 

Relative risk of symptomatic malaria incidence (all age groups and endemicities) [1, 21–24]

5.0

3.0

 

Relative parasite density in symptomatic malaria (all age groups and endemicities) (Table 2)

3.0

1.5

 

Relative risk of progression to severe malaria (all age groups and endemicities) [16, 25, 26]

15.0

6

 

Relative parasite density during severe malaria (all age groups and endemicities)

1.0

1.0

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