Evidence map›Paper›PMID 25336725›Full record

ArticleThe Journal of infectious diseases2015

Clonal outbreak of Plasmodium falciparum infection in eastern Panama.

Nicanor Obaldia, Nicholas K Baro, Jose E Calzada, Ana M Santamaria, Rachel Daniels, Wesley Wong, Hsiao-Han Chang, Elizabeth J Hamilton, Myriam Arevalo-Herrera, Socrates Herrera and 4 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed.

  1. Trial
  2. Towards an evolutionary baseline model ofbioRxiv : the preprint server for biology · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Genomics reveals heterogeneousmedRxiv : the preprint server for health sciences · 2024
    Article
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  8. Article
  9. Sampling for malaria molecular surveillance.Trends in parasitology · 2023
    Review
  10. Article
  11. Molecular epidemiology of continuedFrontiers in tropical diseases · 2023
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Life (Basel, Switzerland) · 2020
    Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Nicanor ObaldiaDepartment of Immunology and Infectious Diseases.
Nicholas K BaroDepartment of Immunology and Infectious Diseases.
Jose E CalzadaInstituto Conmemorativo Gorgas de Estudios de la Salud, Panama City, Panama.
Ana M SantamariaInstituto Conmemorativo Gorgas de Estudios de la Salud, Panama City, Panama.
Rachel DanielsDepartment of Organismic and Evolutionary Biology, Harvard University.
Wesley WongDepartment of Immunology and Infectious Diseases.
Hsiao-Han ChangDepartment of Epidemiology, Harvard School of Public Health.
Elizabeth J HamiltonDepartment of Immunology and Infectious Diseases.
Myriam Arevalo-HerreraCentro de Investigación Científica Caucaseco/Centro Latino Americano de Investigación en Malaria, Cali, Colombia.
Socrates HerreraCentro de Investigación Científica Caucaseco/Centro Latino Americano de Investigación en Malaria, Cali, Colombia.
Dyann F WirthDepartment of Immunology and Infectious Diseases Broad Institute, Cambridge, Massachusetts.
Daniel L HartlDepartment of Organismic and Evolutionary Biology, Harvard University.
Matthias MartiDepartment of Immunology and Infectious Diseases.
Sarah K VolkmanDepartment of Immunology and Infectious Diseases Simmons College, Boston Broad Institute, Cambridge, Massachusetts.

Funding

Vector Biology Research and Integrated Vector Management For Malaria ControlU19AI089702 · NIAID · CAUCASECO SCIENTIFIC RESEARCH CENTER · PI RAMIREZ, OSCAR · 2010 to 2016
$11.5M
The Graduate Program in Tropical Infectious Diseases (GPiTID)T32AI049928 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Flaminia Catteruccia, Phyllis J. Kanki · 2001 to 2026
$5.0M
Evolutionary medicine in the development of antimalaria drugsR01AI106734 · NIAID · HARVARD UNIVERSITY · PI HARTL, DANIEL L · 2014 to 2017
$1.6M
NIAID NIH HHS 5U19AI089702NIAID NIH HHS R01 AI106734NIAID NIH HHS T32 AI049928NIAID NIH HHS U19 AI089702PHS HHS R01A1077558
6 · The paper itself

Abstract

Identifying the source of resurgent parasites is paramount to a strategic, successful intervention for malaria elimination. Although the malaria incidence in Panama is low, a recent outbreak resulted in a 6-fold increase in reported cases. We hypothesized that parasites sampled from this epidemic might be related and exhibit a clonal population structure. We tested the genetic relatedness of parasites, using informative single-nucleotide polymorphisms and drug resistance loci. We found that parasites were clustered into 3 clonal subpopulations and were related to parasites from Colombia. Two clusters of Panamanian parasites shared identical drug resistance haplotypes, and all clusters shared a chloroquine-resistance genotype matching the pfcrt haplotype of Colombian origin. Our findings suggest these resurgent parasite populations are highly clonal and that the high clonality likely resulted from epidemic expansion of imported or vestigial cases. Malaria outbreak investigations that use genetic tools can illuminate potential sources of epidemic malaria and guide strategies to prevent further resurgence in areas where malaria has been eliminated.

Indexed as

Disease OutbreaksAdolescentAdultAgedAntimalarialsChildChild, PreschoolChloroquineCluster AnalysisColombiaDNA Barcoding, TaxonomicDrug ResistanceFemaleGenetic LociHaplotypesHumansAntimalarialsChloroquineProtozoan Proteinsdrug resistancemolecular surveillanceoutbreak, epidemicPlasmodium falciparumtropical diseases

Identifiers

PMID25336725
PMCPMC4366603

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.