Hōʻike ʻia nā hōʻailona ma waena 10 a me 15 mau lā ma hope o ka nahu ʻana o ka iniseti maʻi. ʻO kekahi mau ʻano o ka malaria parasite (ʻO Plasmodium vivax et Plasmodium ovale) hiki ke noho ʻole i loko o ke ake no nā pule a i ʻole mau mahina ma mua o ka ʻike ʻana o nā hōʻailona mua.

Hōʻike ʻia ka maʻi malaria e nā hoʻouka hou ʻana i ʻekolu mau ʻāpana:

• ʻO Chills;
• Poʻomanaʻo poʻo;
• Ka luhi a me ka ʻeha ʻiʻo;
• Puka a luwau;
• ʻO ka maʻi maʻi (i kekahi manawa).

Hoʻokahi hola a ʻelua paha hola ma hope:

• ʻO ke kuni kiʻekiʻe;
• E wela a maloʻo ka ʻili.

A laila hāʻule ka mahana o ke kino:

• Ka hoʻohuehu nui;
• Ka luhi a me ka nawaliwali;
• Moe ka mea i hoʻopilikia ʻia.

Hiki ke hoʻi hou ka maʻi maʻi P. vivax a me P. ovale i kekahi mau pule a i ʻole mau mahina ma hope o ka maʻi mua inā ua haʻalele ka mea maʻi i kahi o ka maʻi. ʻO kēia mau ʻāpana hou ma muli o nā ʻano hepatic "dormant".