Amazonian malaria: Asymptomatic human reservoirs, diagnostic challenges, environmentally driven changes in mosquito vector populations, and the mandate for sustainable control strategies

This article explores potential mechanisms for the persistence of malaria transmission in diverse environmental contexts in the low transmission regions of Amazonian Brazil and Peru. [Display omitted] ► Transmission of malaria continues but is declining in the Americas. ► Mortality rates are low wit...

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Bibliographic Details
Published inActa tropica Vol. 121; no. 3; pp. 281 - 291
Main Authors da Silva-Nunes, Mônica, Moreno, Marta, Conn, Jan E., Gamboa, Dionicia, Abeles, Shira, Vinetz, Joseph M., Ferreira, Marcelo U.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.03.2012
Subjects
Animals
Brazil - epidemiology
Carrier State - diagnosis
Carrier State - parasitology
Communicable Disease Control - methods
Communicable Disease Control - organization & administration
Culicidae
Culicidae - drug effects
Culicidae - parasitology
Culicidae - physiology
Diagnostics
Disease Transmission, Infectious - prevention & control
Disease Vectors
Ecology
Environment
Health Policy - legislation & jurisprudence
Humans
Insecticide-Treated Bednets
issues and policy
Malaria
Malaria - diagnosis
Malaria - prevention & control
Malaria - transmission
Mosquito Control - methods
parasites
Peru - epidemiology
Plasmodium - pathogenicity
Plasmodium vivax
Population Density
public health
Vector biology
villages
Brazil
Amazonia
Caribbean
Peru
Ecology
Malaria
Diagnostics
Vector biology
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Abstract This article explores potential mechanisms for the persistence of malaria transmission in diverse environmental contexts in the low transmission regions of Amazonian Brazil and Peru. [Display omitted] ► Transmission of malaria continues but is declining in the Americas. ► Mortality rates are low with fewer than 600,000 annual cases regionally. ► Amazonian countries are the main malaria-endemic regions. ► Asymptomatic parasite carriage is common in Amazonia. ► Environmental change affecting vector abundance contributes to malaria transmission. Across the Americas and the Caribbean, nearly 561,000 slide-confirmed malaria infections were reported officially in 2008. The nine Amazonian countries accounted for 89% of these infections; Brazil and Peru alone contributed 56% and 7% of them, respectively. Local populations of the relatively neglected parasite Plasmodium vivax, which currently accounts for 77% of the regional malaria burden, are extremely diverse genetically and geographically structured. At a time when malaria elimination is placed on the public health agenda of several endemic countries, it remains unclear why malaria proved so difficult to control in areas of relatively low levels of transmission such as the Amazon Basin. We hypothesize that asymptomatic parasite carriage and massive environmental changes that affect vector abundance and behavior are major contributors to malaria transmission in epidemiologically diverse areas across the Amazon Basin. Here we review available data supporting this hypothesis and discuss their implications for current and future malaria intervention policies in the region. Given that locally generated scientific evidence is urgently required to support malaria control interventions in Amazonia, we briefly describe the aims of our current field-oriented malaria research in rural villages and gold-mining enclaves in Peru and a recently opened agricultural settlement in Brazil.
AbstractList Across the Americas and the Caribbean, nearly 561,000 slide-confirmed malaria infections were reported officially in 2008. The nine Amazonian countries accounted for 89% of these infections; Brazil and Peru alone contributed 56% and 7% of them, respectively. Local populations of the relatively neglected parasite P. vivax, which currently accounts for 77% of the regional malaria burden, are extremely diverse genetically and geographically structured. At a time when malaria elimination is placed on the public health agenda of several endemic countries, it remains unclear why malaria proved so difficult to control in areas of relatively low levels of transmission such as the Amazon Basin. We hypothesize that asymptomatic parasite carriage and massive environmental changes that affect vector abundance and behavior are major contributors to malaria transmission in epidemiologically diverse areas across the Amazon Basin. Here we review available data supporting this hypothesis and discuss their implications for current and future malaria intervention policies in the region. Given that locally generated scientific evidence is urgently required to support malaria control interventions in Amazonia, we briefly describe the aims of our current field-oriented malaria research in rural villages and gold-mining enclaves in Peru and a recently opened agricultural settlement in Brazil.
Across the Americas and the Caribbean, nearly 561,000 slide-confirmed malaria infections were reported officially in 2008. The nine Amazonian countries accounted for 89% of these infections; Brazil and Peru alone contributed 56% and 7% of them, respectively. Local populations of the relatively neglected parasite Plasmodium vivax, which currently accounts for 77% of the regional malaria burden, are extremely diverse genetically and geographically structured. At a time when malaria elimination is placed on the public health agenda of several endemic countries, it remains unclear why malaria proved so difficult to control in areas of relatively low levels of transmission such as the Amazon Basin. We hypothesize that asymptomatic parasite carriage and massive environmental changes that affect vector abundance and behavior are major contributors to malaria transmission in epidemiologically diverse areas across the Amazon Basin. Here we review available data supporting this hypothesis and discuss their implications for current and future malaria intervention policies in the region. Given that locally generated scientific evidence is urgently required to support malaria control interventions in Amazonia, we briefly describe the aims of our current field-oriented malaria research in rural villages and gold-mining enclaves in Peru and a recently opened agricultural settlement in Brazil.
This article explores potential mechanisms for the persistence of malaria transmission in diverse environmental contexts in the low transmission regions of Amazonian Brazil and Peru. [Display omitted] ► Transmission of malaria continues but is declining in the Americas. ► Mortality rates are low with fewer than 600,000 annual cases regionally. ► Amazonian countries are the main malaria-endemic regions. ► Asymptomatic parasite carriage is common in Amazonia. ► Environmental change affecting vector abundance contributes to malaria transmission. Across the Americas and the Caribbean, nearly 561,000 slide-confirmed malaria infections were reported officially in 2008. The nine Amazonian countries accounted for 89% of these infections; Brazil and Peru alone contributed 56% and 7% of them, respectively. Local populations of the relatively neglected parasite Plasmodium vivax, which currently accounts for 77% of the regional malaria burden, are extremely diverse genetically and geographically structured. At a time when malaria elimination is placed on the public health agenda of several endemic countries, it remains unclear why malaria proved so difficult to control in areas of relatively low levels of transmission such as the Amazon Basin. We hypothesize that asymptomatic parasite carriage and massive environmental changes that affect vector abundance and behavior are major contributors to malaria transmission in epidemiologically diverse areas across the Amazon Basin. Here we review available data supporting this hypothesis and discuss their implications for current and future malaria intervention policies in the region. Given that locally generated scientific evidence is urgently required to support malaria control interventions in Amazonia, we briefly describe the aims of our current field-oriented malaria research in rural villages and gold-mining enclaves in Peru and a recently opened agricultural settlement in Brazil.
Author Moreno, Marta
Vinetz, Joseph M.
Ferreira, Marcelo U.
Gamboa, Dionicia
da Silva-Nunes, Mônica
Conn, Jan E.
Abeles, Shira
AuthorAffiliation b Division of Infectious Diseases, Department of Medicine, University of California San Diego, La Jolla, CA, USA
d Alexander von Humboldt Institute of Tropical Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru
c Wadsworth Center, Griffin Laboratory, New York State Department of Health, Slingerlands, NY, USA; Department of Biomedical Sciences, School of Public Health, State University of New York-Albany, Empire Plaza, Albany, NY 12201, USA
a Center for Health Sciences, Federal University of Acre, Rio Branco, Acre, Brazil
e Department of Parasitology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
AuthorAffiliation_xml – name: d Alexander von Humboldt Institute of Tropical Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru
– name: b Division of Infectious Diseases, Department of Medicine, University of California San Diego, La Jolla, CA, USA
– name: a Center for Health Sciences, Federal University of Acre, Rio Branco, Acre, Brazil
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– name: e Department of Parasitology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
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  givenname: Mônica
  surname: da Silva-Nunes
  fullname: da Silva-Nunes, Mônica
  organization: Center for Health Sciences, Federal University of Acre, Rio Branco, Acre, Brazil
– sequence: 2
  givenname: Marta
  surname: Moreno
  fullname: Moreno, Marta
  organization: Division of Infectious Diseases, Department of Medicine, University of California San Diego, La Jolla, CA, USA
– sequence: 3
  givenname: Jan E.
  surname: Conn
  fullname: Conn, Jan E.
  organization: Wadsworth Center, Griffin Laboratory, New York State Department of Health, Slingerlands, NY, USA
– sequence: 4
  givenname: Dionicia
  surname: Gamboa
  fullname: Gamboa, Dionicia
  organization: Alexander von Humboldt Institute of Tropical Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru
– sequence: 5
  givenname: Shira
  surname: Abeles
  fullname: Abeles, Shira
  organization: Division of Infectious Diseases, Department of Medicine, University of California San Diego, La Jolla, CA, USA
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  surname: Vinetz
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  organization: Division of Infectious Diseases, Department of Medicine, University of California San Diego, La Jolla, CA, USA
– sequence: 7
  givenname: Marcelo U.
  surname: Ferreira
  fullname: Ferreira, Marcelo U.
  email: muferrei@usp.br
  organization: Department of Parasitology, Institute of Biomedical Sciences, University of São Paulo, Av. Prof. Lineu Prestes 1374, 05508-900 São Paulo, SP, Brazil
BackLink https://www.ncbi.nlm.nih.gov/pubmed/22015425$$D View this record in MEDLINE/PubMed
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ID FETCH-LOGICAL-c506t-6cd27bf5185f2134a428cb9b5a18a57e74516d2945303a122f1b0697998b539e3
IEDL.DBID AIKHN
ISSN 0001-706X
IngestDate Tue Sep 17 20:53:05 EDT 2024
Thu Sep 26 19:25:10 EDT 2024
Sat Sep 28 07:49:44 EDT 2024
Wed Dec 27 19:17:01 EST 2023
Fri Feb 23 02:22:37 EST 2024
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Issue 3
Keywords Ecology
Malaria
Diagnostics
Vector biology
Language English
License Copyright © 2011 Elsevier B.V. All rights reserved.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c506t-6cd27bf5185f2134a428cb9b5a18a57e74516d2945303a122f1b0697998b539e3
Notes http://dx.doi.org/10.1016/j.actatropica.2011.10.001
OpenAccessLink https://europepmc.org/articles/pmc3308722?pdf=render
PMID 22015425
PageCount 11
ParticipantIDs pubmedcentral_primary_oai_pubmedcentral_nih_gov_3308722
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PublicationDate 2012-03-01
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  year: 2012
  text: 2012-03-01
  day: 01
PublicationDecade 2010
PublicationPlace Netherlands
PublicationPlace_xml – name: Netherlands
PublicationTitle Acta tropica
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PublicationYear 2012
Publisher Elsevier B.V
Publisher_xml – name: Elsevier B.V
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Snippet This article explores potential mechanisms for the persistence of malaria transmission in diverse environmental contexts in the low transmission regions of...
Across the Americas and the Caribbean, nearly 561,000 slide-confirmed malaria infections were reported officially in 2008. The nine Amazonian countries...
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SubjectTerms Animals
Brazil - epidemiology
Carrier State - diagnosis
Carrier State - parasitology
Communicable Disease Control - methods
Communicable Disease Control - organization & administration
Culicidae
Culicidae - drug effects
Culicidae - parasitology
Culicidae - physiology
Diagnostics
Disease Transmission, Infectious - prevention & control
Disease Vectors
Ecology
Environment
Health Policy - legislation & jurisprudence
Humans
Insecticide-Treated Bednets
issues and policy
Malaria
Malaria - diagnosis
Malaria - prevention & control
Malaria - transmission
Mosquito Control - methods
parasites
Peru - epidemiology
Plasmodium - pathogenicity
Plasmodium vivax
Population Density
public health
Vector biology
villages
Title Amazonian malaria: Asymptomatic human reservoirs, diagnostic challenges, environmentally driven changes in mosquito vector populations, and the mandate for sustainable control strategies
URI https://dx.doi.org/10.1016/j.actatropica.2011.10.001
https://www.ncbi.nlm.nih.gov/pubmed/22015425
https://pubmed.ncbi.nlm.nih.gov/PMC3308722
Volume 121
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