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Most people get malaria when bitten by an infective mosquito carrying the malaria parasite. Only female Anopheles mosquitoes can spread malaria from one person to another. For the Anopheles mosquito to become infective, they must bite, or take a blood meal, from a person already infected with the malaria parasites.
Malaria is caused by protozoa of the genus Plasmodium. Four species cause disease in humans: P falciparum, P vivax, P ovale and P malariae. Other species of plasmodia infect reptiles, birds and other mammals.
Plasmodium falciparum is the most severe form of malaria that can lead to cerebral malaria and death. The incubation period for this species is 7-14 days. Plasmodium vivax is a less severe type of malaria, but it can cause severe symptoms if left untreated.
Plasmodium falciparum is the predominant species in the world. P. vivax and P. ovale are traditionally thought to occupy complementary niches, with P. ovale predominating in Sub-Saharan Africa and P. vivax in the other areas; but their geographical ranges do overlap.
P. falciparum is the deadliest malaria parasite and the most prevalent on the African continent. P. vivax is the dominant malaria parasite in most countries outside of sub-Saharan Africa. The other malaria species which can infect humans are P. malariae, P. ovale and P. knowlesi.
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Plasmodium falciparum the most prevalent, causes the majority of severe malaria cases and deaths. Plasmodium vivax the main cause of relapsing malaria, with a blood and a liver infection causing acute and ongoing symptoms.

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