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EPIDEMIOLOGYThe exact geographic distribution of the various species is notwell documented; it is reported that Plasmodium vivax is moreprevalent in India, Pakistan, Bangladesh, Sri Lanka, and CentralAmerica; whereas P falciparum is predominant in Africa, Haiti,Dominican Republic, the Amazon region of South America, andNew Guinea. Most of the infections with Plasmodium ovale occur inAfrica, and the distribution of Plasmodium malariae is consideredworldwide. 7 , 49 , 60In the United States, most cases of malaria are reported in immigrantsfrom endemic areas and in American travelers. Blood transfusionalso has been cited as a cause of malarial infection. 48 , 51
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