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Suggested Citation:"Appendix F List of Tables, Figures, and Boxes." Institute of Medicine. 2008. Assessment of the Role of Intermittent Preventive Treatment for Malaria in Infants: Letter Report. Washington, DC: The National Academies Press. doi: 10.17226/12180.
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Appendix F List of Tables, Figures, and Boxes TABLES Table 1 World Health Organization—Recommended EPI Schedule, 8 Table 2 Characteristics of the Six IPTi-SP Trials, 18 Table 3 Primary Outcome and Power of the Six IPTi-SP Trials, 21 Table 4 Summary of Outcomes of the Six IPTi-SP Studies and the Kisumu Trial During the First Year of Life, 22 Table 5 Summary of Outcomes of the Six IPTi-SP Trials Through 12 Months of Age, 25 Table 6 Mortality in the First Year of Life for the Six IPTi-SP Trials, 26 Table 7 Effect of SP During Treatment Period, Rebound Period, and Time from Randomization to End of Follow-Up, 29 Table 8 Incidence of Malaria During Prophylactic Effect 1 (Period of 35 Days After Dose at 3 Months), 30 Table 9 Incidence of Malaria During Prophylactic Effect 2 (Period of 35 Days After Dose at 9 Months), 30 Table 10 Incidence of Malaria During the Inter-Dose 1 Period, 32 Table 11 Protective Efficacy (PE) and Reported 95% Confidence Intervals (CI) for Outcomes During the 5 Months After Last Dose of SP or Placebo, 35 Table 12 Incidence of Malaria from Randomization up to 5 Months After the Last Dose of SP, 36 Table 13 Risk of Anemia from Randomization Up to 5 Months After the Last Dose of SP, 36 Table 14 Incidence of Hospital Admission with Malaria Parasites from Randomization Up to 5 Months After the Last Dose of SP, 37 Table 15 Incidence of All-Cause Hospital Admissions from Randomization Up to 5 Months After the Last Dose of SP, 37 Table 16 Protective efficacy (PE) and Reported 95% Confidence Intervals (CI) for Outcomes During the 11 Months After Last Dose of SP or Placebo, 39 Table 17 Protective Efficacy (PE) and Reported 95% Confidence Intervals (CI) for Outcomes from Randomization Through 11 Months After Last Dose of SP or Placebo, 40 Table 18 Overall Pooled Estimates of Efficacy Against Clinical Malaria and Other Relevant Outcomes During Two Periods of Follow-Up, 43 Table 19 Safety Monitoring for IPTi Surveillance Methods of the Six IPTi-SP Studies and the Kisumu Trial, 48 FIGURES Figure 1 Incidence of first clinical malaria episodes over the course of the malaria season among subjects who received curative sulfadoxine-pyrimethamine, 13 BOXES Box 1 A Summary of the Methods Used in Each IPTi-SP Study to Detect Critical Outcomes Including Clinical Malaria and (Depending on the Specific Study) Anemia, Hospitalization of Patients with Malaria Parasites, and All Cause Hospitalizations, 15 Box 2 List of Committee Findings and Conclusions by Order of Appearance in the Letter Report, 59 Box 3 Committee Recommendations in Order of Significance, 63 80

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Intermittent Preventive Treatment for Malaria in Infants (IPTi) is a new strategy which aims to combine the short-term protection of chemoprophylaxis with the long-term protection of naturally-acquired immunity to reduce morbidity from malaria infections during infancy. The Bill and Melinda Gates Foundation requested that the Institute of Medicine (IOM) conduct an independent assessment of the IPTi efficacy studies using sulfadoxine-pyrimethamine (IPTi-SP) that have been previously conducted by the IPTi Consortium. The IOM convened a committee to evaluate the evidence concerning IPTi-SP, which included addressing issues related to its utility and safety, as well as program management aspects of IPTi. The resulting letter report contains the findings, conclusions, and recommendations of the IOM committee. Overall, the committee found that the evidence presented makes IPTi-SP a promising public health strategy to diminish the morbidity from malaria infections, especially for the incidence of clinical malaria, among infants at high risk who reside in areas of high- or moderate-intensity transmission and is worthy of continued investment. The committee also cautioned that during large-scale implementation problems such as drug supply and logistics; monitoring and resistance; and community acceptance and reaction to IPTi-SP could arise. To maximize the greatest public health impact, the committee advised that these issues would best be addressed in an appropriate local context.

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