While the standard-of-care for clinical management of malaria and vector control interventions (e.g., LLINs, IRS) will not be withheld in either the study arm, these interventions will be monitored and recorded throughout the trial. At baseline, children enrolled into the cohorts will be provided a 3-day course of standard, first-line antimalarials (Coartem® or ASAQ Winthrop®, both Artemisinin combination therapies (ACTs) recommended by the NMCP in Côte d’Ivoire) to clear any malaria parasite infections as well as a new LLIN. In addition, subjects will be provided treatment for malaria infection throughout the follow-up period. Lastly, participants will be encouraged to continue LLIN use and not instructed to avoid alternative vector control tools (e.g., coils, topicals, aerosol sprays, repellents) which will allow for an estimation of the ET effect assuming all other measures are still occurring for malaria prevention, essentially providing insight on an additive benefit above that provided by currently recommended WHO malaria preventive measures.
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