Every 4 months! Damn that must be hard. I have a colleague over here from Nigeria, I remember him vaguely mentioning how bad the malaria problem is in his country. And he was writing a paper on that. I even helped with stat analysis, but those numbers didn't hit me then. After reading your post I kind of have a bit more context to those numbers. These recurrences every 2-3 months are they relapses from the parasite sitting dormant in the hepatocytes of the liver. Or are we talking about frequency of reinfection with the parasite?
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Whatever statistics that is out there on malaria in Nigeria, the reality is probably worse because most cases won't even make it into the stats.
It is more of the former. Although the potential for the latter remains in areas with large mosquito population. Can't remember the last time I saw a mosquito around here but I'm a regular customer to the disease.