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A box of 200 mosquitoes did the vaccinating in this malaria trial. That's not a joke!

Volunteers for the trial put an arm over a box with hundreds of mosquitoes carrying a genetically modified malaria parasite. Here's why they did it that way — and why the trial holds promise.
Sean Murphy, lead author of a new malaria vaccine study, demonstrates how participants got their dose: by placing an arm over a mesh-covered container filled with 200 mosquitoes whose bites delivered genetically modified malaria parasites.

One Seattle morning, Carolina Reid sat in a room with nine other volunteers, each waiting to take part in a clinical trial for a new, experimental malaria vaccine.

Reid's turn came. She put her arm over a cardboard box filled with 200 mosquitoes and covered with a mesh that keeps them in but still lets them bite. "Literally a Chinese food takeout container" is how she remembers it. A scientist then covered her arm with a black cloth, because mosquitoes like to bite at night.

Then the feeding frenzy began.

"My whole forearm swelled and blistered," says Reid. "My family was laughing,

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