Table 1

Comparison of studies during which a rebound effect was observed upon termination of drug treatment. Studies are in the order they are cited in the text.

Drug used (country)
Ages of study group
Duration of treatment
Duration of post-intervention follow-up
Effect on malaria morbidity
Rebound effect
Reference

P-D1 (Tanzania)
2 mo. at start of study
Weekly for one year
One year after termination of treatment
Reduced incidence of clinical malaria by 40% during treatment period
80% higher incidence of clinical episodes in treated group during the year following termination of treatment
[17]
P-D (The Gambia)
3 mo. at start of study
Every 2 weeks for maximum of 5 years
5 years
65% reduction in malaria episodes after 3 years of chemoprophylaxis
52% more cases in treated group during the year following termination of treatment
[18, 22]
SP2 + artesunate (The Gambia)
Entire villages, all ages
MDA3 1 dose
20 weeks
Reduced rate of malaria attacks in children <11 yr by 60%
Rate of clinical malaria was 69% higher in treated groups 3 months after treatment
[25]
SP (Mali)
3 mo. to 20 years
MDA 1 dose
24 weeks
Reduced incidence of first malaria episode from 26% to 3% during first month
Incidence of first malaria episodes in treated group rose to 42% compared to 17% (untreated group) during the third month after treatment
[26]

1P-D: pyrimethamine-dapsone

2SP: sulfadoxine-pyrimethamine

3MDA: mass drug administration

O'Meara et al. Malaria Journal 2005 4:33   doi:10.1186/1475-2875-4-33