This paper considers methods of statistical analysis for highly skewed
immune response data. Observations from population studies of immunol
ogical variables are rarely normally distributed between individuals;
typically the distribution shows extreme levels of skewness. In some s
ituations, skewness remains considerable even after transforming the d
ata. Using resampling techniques, applied to several actual datasets o
f ELISA assay data, we consider the robustness of normal parametric me
thods, e.g. t tests and linear regression. Despite the skewness of the
transformed data, we demonstrate that such methods are quite robust d
epending on the number of observations, type of analysis and severity
of skewness. We also illustrate how bootstrap resampling can be used t
o provide a valid alternative method of analysis that can be used eith
er for checking normal parametric analysis or as a direct method of an
alysis. We illustrate this combined approach by analysing real data to
test for association between human serum antibodies to malaria merozo
ite surface proteins, MSP1 and MSP2, and resistance to clinical malari
a, and confirm the protective effect of antibodies to MSP1 and demonst
rated a similar protective effect for some antibodies to MSP2.