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Page 21
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Other
malaria research conducted at AFRIMS is aimed both at enhancing
malaria diagnosis and at an increased understanding of host-parasite
and parasite-vector interactions. A method to complete the
life cycle of P. falciparum in vitro was pioneered
at AFRIMS, and it is being developed into a model for testing
drugs active against the pre-erythrocytic stages of the
parasite. An in vitro hepatocyte model for assessing
the efficacy of antimalarial agents and candidate malaria
vaccines against exo-erythrocytic (liver) stage parasites
is being developed. The mosquito salivary gland proteins
that are involved in sporozoite invasion are being identified
and characterized. Studies are being conducted on the molecular
taxonomy of anopheline vectors of malaria, and on the identification
of naturally occurring transposable genetic elements which
may eventually be adapted to reduce the ability of vectors
to transmit malaria. Finally, AFRIMS continues to field
test new forward-deployable diagnostic test kits for the
rapid and accurate diagnosis of malaria.
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Preparing
malaria blood smears for diagnostic evaluation.

Malaria
endemic village, Thai-Myanmar border, near Three-Pagoda
Pass, Thailand.
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Tafenoquine
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Tafenoquine
(WR238605) is a primaquine analog with activity against the
liver, blood and sexual stages of the parasite. It has been
tested at the AFRIMS for the radical cure of vivax malaria
in collaboration with Mahidol University, Thailand. It has
also been tested for prophylaxis against malaria in deployed
troops of the Royal Thai Army, in collaboration with the ARIMS,
Thai component. Phase III studies for FDA licensure will soon
commence.
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