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Both terms refer to people who do not have symptoms. The difference is that ‘asymptomatic’ refers to people who are infected but never develop any symptoms, while ‘pre-symptomatic’ refers to infected people who have not yet developed symptoms but go on to develop symptoms later.

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Ivermectin has a longer duration of activity and thus may be effective against some level of reinfection from parasites overwintering on pastures. Fenbendazole does not have any residual activity and it may appear that fenbendazole is not as effective simply due to this difference.

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