The mosquito carries the malaria parasite
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Two thousand children aged one to four will be given the vaccine
in a study to measure how effective it is at preventing infection.
About 3,000 African children die of malaria every day.
A number of vaccines are being developed to prevent deaths and
illness, but research into this particular vaccine, created by
pharmaceutical company GlaxoSmithKline, is the most advanced.
Trials in Europe, the US and Gambia and Mozambique have already
suggested the vaccine is safe and effective for adults.
This latest research, which will be carried out in an area where
malaria is endemic, will also check the vaccine is safe for small
children to take.
The children will be monitored for up to 18 months, longer than
previous trials of the vaccine, to see if they develop the disease.
Prevention
In previous short-term trials of the vaccine, its effectiveness
has appeared to wear off after two months. It is hoped that its
protection will last longer in children.
If the trial is successful, further research will be needed.
Researchers estimate it could be between five and eight years
until the vaccine, RTS,S/AS02, is available, even if the trials are
successful.
When a mosquito bites, it transmits an early form of the malaria
parasite called the sporozoite into the bloodstream.
From there, it moves to the liver, where the full parasite
develops.
Researchers hope that by interrupting the life cycle of the
parasite at the early sporozoite stage, it will be possible to arm
the immune system against infection.
The vaccine is made from a surface protein from the sporozoite.
This is then combined with two substances which will trigger the
immune system to attack.
Delay
Dr Pedro Alonso, who is heading the study in Mozambique, said:
"We are looking at whether it could be delivered early in life in a
programme where it could be delivered to young infants."
"Our team is committed to finding ways to prevent malaria from
remaining the number one killer of Africa's children.
"This trial is an important contribution to that effort and
brings us that much closer to the goal of immunising children
against malaria."
Dr Ripley Ballou, of GlaxoSmithKline, who has been involved in
the development of the vaccine, said: "We will be looking to see how
many children become infected, do they develop anaemia, or other
complications of malaria."
Dr Melinda Moree, director of the Malaria Vaccine Initiative
which is backing the Mozambique research, said: "For each month of
delay, 120,000 children die of malaria.
"Each year, a million more children vanish from the face of the
Earth because we don't have a vaccine."