1.
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Exploration of safe yet efficacious doses of 8-aminoquinolines for the radical cure of vivax malaria and the reduction of falciparum transmission.
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2.
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Definition of the relationship between genotype, enzyme activity and co-factors.
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3.
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Understanding of the relationship between 8-aminoquinoline dose and risk of haemolysis in G6PD normal and deficient individuals.
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4.
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Determining the correlation between enzyme activity and the severity of haemolysis.
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5.
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Definition of a threshold of G6PD activity that stakeholders, including regulatory agencies consider sufficient to administer safely standard 8-aminoquinoline regimens.
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6.
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Consensus on the degree of haemolysis (i e, proportion of red cell lysis) that constitutes an unacceptable clinical risk to the patient.
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7.
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Investigation of the mean level of haemolysis in uncomplicated malaria without primaquine treatment.
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8.
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What are acceptable test characteristics (e g, sensitivity and specificity) of rapid tests in various populations and field conditions?
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9.
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High resolution mapping of G6PD deficiency and haemolysis risks across major malaria endemic settings.
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10. |
Analysis of the cost-effectiveness of G6PD deficiency tests and the risk benefit of deploying or withholding primaquine regimens for P. vivax infections. |