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9 [95% CI 1.4 to 2.7]). The spleen rate in children 2-9y of age was 17.9% (602/3368) and the enlarged spleen index was 1.6. Children between 8 and 14y showed higher odds for asymptomatic (adjusted OR [aOR] 1.75 [95% CI 1.4 to 2.2]) and low-density infections (aOR 0.63 [95% CI 0.4 to 1.] than adults. The prevalence of asymptomatic and low-density Plasmodium infection undermines the usefulness of standard diagnostic tools used by health agencies. This necessitates deploying molecular tools in areas where malaria microscopy/RDTs indicate
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