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Intermittent preventive treatment during infancy (IPTi) in malaria-endemic areas reduces episodes of falciparum malaria by 30% during infancy — but does it have unintended consequences, such as decreased antibody response to vaccines?
To explore this issue, investigators studied serologic responses to the WHO's Expanded Programme on Immunization (EPI) vaccines with and without concurrent IPTi at five sites in Africa. The study involved a subset of children enrolled in randomized trials comparing IPTi — usually sulfadoxine-pyrimethamine — with placebo (each administered 3 times, immediately after the second and third doses of diphtheria-tetanus-pertussis vaccine and measles vaccination). Blood samples were obtained before and 1 to 3 months af…