Evidence map›Paper›PMID 25996619›Full record

ArticlePLoS neglected tropical diseases2015

High Rates of Asymptomatic, Sub-microscopic Plasmodium vivax Infection and Disappearing Plasmodium falciparum Malaria in an Area of Low Transmission in Solomon Islands.

Andreea Waltmann, Andrew W Darcy, Ivor Harris, Cristian Koepfli, John Lodo, Ventis Vahi, David Piziki, G Dennis Shanks, Alyssa E Barry, Maxine Whittaker and 2 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed
17.2field-weighted citation impact, top 1% of its field
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

78 citing papers in PubMed, 130 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Asymptomatic/submicroscopicParasite epidemiology and control · 2025
    Article
  7. Article
  8. Article
  9. Seasonal variation and interspecies dynamics amongmedRxiv : the preprint server for health sciences · 2025
    Article
  10. Article
  11. Article
  12. Mathematical assessment of the role of intervention programs for malaria control.medRxiv : the preprint server for health sciences · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Identification of novelFrontiers in cellular and infection microbiology · 2023
    Article
  18. Article
  19. Article
  20. Article

18 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

12 authors at 4 institutions in 3 countries.

Andreea WaltmannThe Walter & Eliza Hall Institute, Melbourne, Australia; University of Melbourne, Melbourne, Australia.
Andrew W DarcyNational Health Training and Research Institute, Ministry of Health, Honiara, Solomon Islands.
Ivor HarrisAustralian Army Malaria Institute, Brisbane, Australia.
Cristian KoepfliThe Walter & Eliza Hall Institute, Melbourne, Australia; University of Melbourne, Melbourne, Australia.
John LodoNational Vector Borne Disease Control Program, Ministry of Health, Honiara, Solomon Islands.
Ventis VahiNational Health Training and Research Institute, Ministry of Health, Honiara, Solomon Islands.
David PizikiNational Health Training and Research Institute, Ministry of Health, Honiara, Solomon Islands.
G Dennis ShanksAustralian Army Malaria Institute, Brisbane, Australia.
Alyssa E BarryThe Walter & Eliza Hall Institute, Melbourne, Australia; University of Melbourne, Melbourne, Australia.
Maxine WhittakerSchool of Population Health, University of Queensland, Brisbane, Australia.
James W KazuraCase Western Reserve University, Cleveland, Ohio, United States of America.
Ivo MuellerThe Walter & Eliza Hall Institute, Melbourne, Australia; University of Melbourne, Melbourne, Australia; Barcelona Centre for International Health Research (CRESIB), Barcelona, Spain.
University of Melbourne · AUWalter and Eliza Hall Institute of Medical Research · AUCase Western Reserve University · USUniversity of Queensland · AU

Funding

TransmissionU19AI089686 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI KAZURA, JAMES WALTER · 2010 to 2016
$9.9M
NIAID NIH HHS U19 AI089686NIAID NIH HHS U19AI089686
6 · The paper itself

Abstract

introductionSolomon Islands is intensifying national efforts to achieve malaria elimination. A long history of indoor spraying with residual insecticides, combined recently with distribution of long lasting insecticidal nets and artemether-lumefantrine therapy, has been implemented in Solomon Islands. The impact of these interventions on local endemicity of Plasmodium spp. is unknown.

methodsIn 2012, a cross-sectional survey of 3501 residents of all ages was conducted in Ngella, Central Islands Province, Solomon Islands. Prevalence of Plasmodium falciparum, P. vivax, P. ovale and P. malariae was assessed by quantitative PCR (qPCR) and light microscopy (LM). Presence of gametocytes was determined by reverse transcription quantitative PCR (RT-qPCR).

resultsBy qPCR, 468 Plasmodium spp. infections were detected (prevalence = 13.4%; 463 P. vivax, five mixed P. falciparum/P. vivax, no P. ovale or P. malariae) versus 130 by LM (prevalence = 3.7%; 126 P. vivax, three P. falciparum and one P. falciparum/P. vivax). The prevalence of P. vivax infection varied significantly among villages (range 3.0-38.5%, p<0.001) and across age groups (5.3-25.9%, p<0.001). Of 468 P. vivax infections, 72.9% were sub-microscopic, 84.5% afebrile and 60.0% were both sub-microscopic and afebrile. Local residency, low education level of the household head and living in a household with at least one other P. vivax infected individual increased the risk of P. vivax infection. Overall, 23.5% of P. vivax infections had concurrent gametocytaemia. Of all P. vivax positive samples, 29.2% were polyclonal by MS16 and msp1F3 genotyping. All five P. falciparum infections were detected in residents of the same village, carried the same msp2 allele and four were positive for P. falciparum gametocytes.

conclusionP. vivax infection remains endemic in Ngella, with the majority of cases afebrile and below the detection limit of LM. P. falciparum has nearly disappeared, but the risk of re-introductions and outbreaks due to travel to nearby islands with higher malaria endemicity remains.

Indexed as

AdolescentAdultAntigens, ProtozoanChildChild, PreschoolCross-Sectional StudiesFemaleHumansMalaria, FalciparumMalaria, VivaxMaleMelanesiaMicroscopyPlasmodium falciparumPlasmodium vivaxPrevalenceAntigens, Protozoanmerozoite surface protein 2, PlasmodiumProtozoan Proteins

Identifiers

PMID25996619
PMCPMC4440702
OpenAlexW1548928837

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.