Kenyan adult sites

Prior studies have suggested that peak clinical malaria incidence occurs between 25 and 27 °C, in agreement with mechanistic modelling studies of malaria transmission [17].

Yet peak malaria transmission occurring at intermediate temperatures is not widely recognized, in part because data linking field malaria risk to ambient temperature are limited [15].

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The mean temperature and range in the 30 days prior to presentation was 23.8 °C (22.5–26.5 °C) in Chulaimbo, 26.1 °C (24.1–29.3 °C) in Kisumu, 27.5 °C (24.9–31.0 °C) in Msambweni, and 27.5 °C (25.2–30.2 °C) in Ukunda.Temperature, rainfall, and humidity affect the survival and transmission of malaria parasites.Aridity restricts Anopheles survival and ability for adult vectors to contribute to parasite transmission, explaining the lack of malaria north of the Saharan desert [2, 3].However, the link between ambient temperature and human malaria incidence remains poorly resolved.To evaluate the relationship between ambient temperature and malaria risk, 5833 febrile children (The borders of the malaria belt in Africa are largely determined by climactic factors that limit suitability for both the Anopheles mosquito vector and the Plasmodium parasite [1].

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