Figure 2From: Mass campaigns with antimalarial drugs: a modelling comparison of artemether-lumefantrine and DHA-piperaquine with and without primaquine as tools for malaria control and eliminationParasite killing rates of antimalarial drugs are calibrated to clearance time, prevalence, and infectivity. (A) Asexual parasite clearance time is within 3 days post-treatment for AL (red) and DP (blue) in both naive (solid bar) and semi-immune (hashed bar) populations. Black bars: 95% confidence interval. (B) AL (red) and DP (blue) pharmacodynamics are calibrated in a semi-immune population to <3% recrudescence rate (solid lines) at day 42 post-treatment and 50% and 20% reinfection rate (dashed lines) at day 42 post-treatment with a background EIR of 3/month. Shaded areas: 95% confidence interval. (C) Fraction of patients clear of parasites at day 42 post-treatment is dependent on patient age for DP-treated population (blue) but not AL-treated population (red). Young children are more likely to experience recrudescence (solid line) and reinfection (dashed line) than older patients when treated with DP. Shaded areas: 95% confidence interval. (D) Gametocyte clearance time for AL-treated patients of all ages is calibrated to 7–10 days (red lines) post-treatment. Addition of single-dose PQ at 0.75 mg/kg reduces gametocyte clearance time to < 7 days. Shaded areas: 95% confidence interval. (E) Mean fraction of mosquitoes infected on day 2 post-treatment with AL, PQ, AL + PQ, or no drug in a semi-immune population challenged with an infectious bite 25 days prior to treatment. Primaquine was given with a single dose at 0.065, 0.10, 0.25, 0.40, and 0.75 mg/kg. Bars: 95% confidence interval (smaller than dot radius for PQ alone and AL + PQ).Back to article page