Epidemiology of Disappearing Plasmodium vivax Malaria: A Case Study in Rural Amazonia
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | BARBOSA, Susana | |
dc.contributor.author | GOZZE, Amanda B. | |
dc.contributor.author | LIMA, Nathalia F. | |
dc.contributor.author | BATISTA, Camilla L. | |
dc.contributor.author | BASTOS, Melissa da Silva | |
dc.contributor.author | NICOLETE, Vanessa C. | |
dc.contributor.author | FONTOURA, Pablo S. | |
dc.contributor.author | GONCALVES, Raquel M. | |
dc.contributor.author | VIANA, Susana Ariane S. | |
dc.contributor.author | MENEZES, Maria Jose | |
dc.contributor.author | SCOPEL, Kezia Katiani G. | |
dc.contributor.author | CAVASINI, Carlos E. | |
dc.contributor.author | MALAFRONTE, Rosely dos Santos | |
dc.contributor.author | SILVA-NUNES, Monica da | |
dc.contributor.author | VINETZ, Joseph M. | |
dc.contributor.author | CASTRO, Marcia C. | |
dc.contributor.author | FERREIRA, Marcelo U. | |
dc.date.accessioned | 2015-02-06T20:04:30Z | |
dc.date.available | 2015-02-06T20:04:30Z | |
dc.date.issued | 2014 | |
dc.description.abstract | Background: New frontier settlements across the Amazon Basin pose a major challenge for malaria elimination in Brazil. Here we describe the epidemiology of malaria during the early phases of occupation of farming settlements in Remansinho area, Brazilian Amazonia. We examine the relative contribution of low-density and asymptomatic parasitemias to the overall Plasmodium vivax burden over a period of declining transmission and discuss potential hurdles for malaria elimination in Remansinho and similar settings. Methods: Eight community-wide cross-sectional surveys, involving 584 subjects, were carried out in Remansinho over 3 years and complemented by active and passive surveillance of febrile illnesses between the surveys. We used quantitative PCR to detect low-density asexual parasitemias and gametocytemias missed by conventional microscopy. Mixed-effects multiple logistic regression models were used to characterize independent risk factors for P. vivax infection and disease. Principal Findings/Conclusions: P. vivax prevalence decreased from 23.8% (March-April 2010) to 3.0% (April-May 2013), with no P. falciparum infections diagnosed after March-April 2011. Although migrants from malaria-free areas were at increased risk of malaria, their odds of having P. vivax infection and disease decreased by 2-3% with each year of residence in Amazonia. Several findings indicate that low-density and asymptomatic P. vivax parasitemias may complicate residual malaria elimination in Remansinho: (a) the proportion of subpatent infections (i. e. missed by microscopy) increased from 43.8% to 73.1% as P. vivax transmission declined; (b) most (56.6%) P. vivax infections were asymptomatic and 32.8% of them were both subpatent and asymptomatic; (c) asymptomatic parasite carriers accounted for 54.4% of the total P. vivax biomass in the host population; (d) over 90% subpatent and asymptomatic P. vivax had PCR-detectable gametocytemias; and (e) few (17.0%) asymptomatic and subpatent P. vivax infections that were left untreated progressed to clinical disease over 6 weeks of follow-up and became detectable by routine malaria surveillance. | |
dc.description.index | MEDLINE | |
dc.description.sponsorship | National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), United States of America [U19 AI089681, D43TW007120, K24AI068903] | |
dc.description.sponsorship | Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP), Brazil [2009/52729-9] | |
dc.description.sponsorship | FAPESP [2013/23770-6, 2009/12180-8, 2010/51938-0, 2013/17259-7] | |
dc.description.sponsorship | Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq) of Brazil | |
dc.description.sponsorship | Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES), Brazil | |
dc.identifier.citation | PLOS NEGLECTED TROPICAL DISEASES, v.8, n.8, article ID e3109, 13p, 2014 | |
dc.identifier.doi | 10.1371/journal.pntd.0003109 | |
dc.identifier.issn | 1935-2735 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/8820 | |
dc.language.iso | eng | |
dc.publisher | PUBLIC LIBRARY SCIENCE | |
dc.relation.ispartof | Plos Neglected Tropical Diseases | |
dc.rights | openAccess | |
dc.rights.holder | Copyright PUBLIC LIBRARY SCIENCE | |
dc.subject.other | peruvian amazon | |
dc.subject.other | asymptomatic parasitemia | |
dc.subject.other | transmission dynamics | |
dc.subject.other | falciparum infections | |
dc.subject.other | hypoendemic malaria | |
dc.subject.other | anopheles-darlingi | |
dc.subject.other | brazil | |
dc.subject.other | region | |
dc.subject.other | rondonia | |
dc.subject.other | risk | |
dc.subject.wos | Infectious Diseases | |
dc.subject.wos | Parasitology | |
dc.subject.wos | Tropical Medicine | |
dc.title | Epidemiology of Disappearing Plasmodium vivax Malaria: A Case Study in Rural Amazonia | |
dc.type | article | |
dc.type.category | original article | |
dc.type.version | publishedVersion | |
dspace.entity.type | Publication | |
hcfmusp.affiliation.country | Estados Unidos | |
hcfmusp.affiliation.country | Peru | |
hcfmusp.affiliation.countryiso | pe | |
hcfmusp.affiliation.countryiso | us | |
hcfmusp.author.external | BARBOSA, Susana:Univ Sao Paulo, Inst Biomed Sci, Dept Parasitol, Sao Paulo, Brazil | |
hcfmusp.author.external | GOZZE, Amanda B.:Univ Sao Paulo, Inst Biomed Sci, Dept Parasitol, Sao Paulo, Brazil | |
hcfmusp.author.external | LIMA, Nathalia F.:Univ Sao Paulo, Inst Biomed Sci, Dept Parasitol, Sao Paulo, Brazil | |
hcfmusp.author.external | BATISTA, Camilla L.:Univ Sao Paulo, Inst Biomed Sci, Dept Parasitol, Sao Paulo, Brazil | |
hcfmusp.author.external | BASTOS, Melissa da Silva:Univ Sao Paulo, Inst Biomed Sci, Dept Parasitol, Sao Paulo, Brazil | |
hcfmusp.author.external | NICOLETE, Vanessa C.:Univ Sao Paulo, Inst Biomed Sci, Dept Parasitol, Sao Paulo, Brazil | |
hcfmusp.author.external | FONTOURA, Pablo S.:Univ Sao Paulo, Inst Biomed Sci, Dept Parasitol, Sao Paulo, Brazil | |
hcfmusp.author.external | GONCALVES, Raquel M.:Univ Sao Paulo, Inst Biomed Sci, Dept Parasitol, Sao Paulo, Brazil | |
hcfmusp.author.external | VIANA, Susana Ariane S.:Univ Sao Paulo, Inst Biomed Sci, Dept Parasitol, Sao Paulo, Brazil | |
hcfmusp.author.external | MENEZES, Maria Jose:Univ Sao Paulo, Inst Biomed Sci, Dept Parasitol, Sao Paulo, Brazil | |
hcfmusp.author.external | SCOPEL, Kezia Katiani G.:Univ Fed Juiz de Fora, Inst Biol Sci, Dept Parasitol Microbiol & Immunol, Juiz De Fora, MG, Brazil | |
hcfmusp.author.external | CAVASINI, Carlos E.:Fac Med Sao Jose do Rio Preto, Dept Dermatol Infect & Parasit Dis, Sao Paulo, Brazil | |
hcfmusp.author.external | SILVA-NUNES, Monica da:Univ Fed Acre, Ctr Hlth Sci & Sports, Rio Branco, Acre, Brazil | |
hcfmusp.author.external | VINETZ, Joseph M.:Univ Calif San Diego, Dept Med, Div Infect Dis, La Jolla, CA 92093 USA; Univ Peruana Cayetano Heredia, Res & Dev Lab, Alexander von Humboldt Inst Trop Med, Lima, Peru; Univ Peruana Cayetano Heredia, Res & Dev Lab, Dept Cellular & Mol Sci, Fac Sci, Lima, Peru | |
hcfmusp.author.external | CASTRO, Marcia C.:Harvard Univ, Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA 02115 USA | |
hcfmusp.author.external | FERREIRA, Marcelo U.:Univ Sao Paulo, Inst Biomed Sci, Dept Parasitol, Sao Paulo, Brazil | |
hcfmusp.citation.scopus | 78 | |
hcfmusp.contributor.author-fmusphc | ROSELY DOS SANTOS MALAFRONTE | |
hcfmusp.description.articlenumber | e3109 | |
hcfmusp.description.issue | 8 | |
hcfmusp.description.volume | 8 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.scopus | 2-s2.0-84928966112 | |
hcfmusp.origem.wos | WOS:000341574700066 | |
hcfmusp.publisher.city | SAN FRANCISCO | |
hcfmusp.publisher.country | USA | |
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hcfmusp.scopus.lastupdate | 2024-05-10 | |
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