Evidence map›Paper›PMID 26384971›Full record

ArticleBMC public health2015

Absence of asymptomatic malaria in a cohort of 133 individuals in a malaria endemic area of Assam, India.

Sunil Dhiman, Diganta Goswami, Bipul Rabha, Kavita Yadav, Pronobesh Chattopadhyay, Vijay Veer

Open access · goldAbstract read
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Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact, top 90% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Sunil DhimanDepartment of Medical Entomology, Defence Research Laboratory, Tezpur, Assam, India, 784 001. sunildhiman81@gmail.com.
Diganta GoswamiDepartment of Medical Entomology, Defence Research Laboratory, Tezpur, Assam, India, 784 001. digantagos@yahoo.co.in.
Bipul RabhaDepartment of Medical Entomology, Defence Research Laboratory, Tezpur, Assam, India, 784 001. rabha_bipul05@rediffmail.com.
Kavita YadavDepartment of Medical Entomology, Defence Research Laboratory, Tezpur, Assam, India, 784 001. kavitanami@gmail.com.
Pronobesh ChattopadhyayDepartment of Medical Entomology, Defence Research Laboratory, Tezpur, Assam, India, 784 001. chattopadhyay.drdo@gmail.com.
Vijay VeerDepartment of Medical Entomology, Defence Research Laboratory, Tezpur, Assam, India, 784 001. director_drl@yahoo.com.
Defence Research Laboratory · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalaria in northeast India affects children and adults annually. The number of malaria cases reported has declined over the past few years. Nevertheless, it is not clear whether there is an actual decline in parasitaemia or whether asymptomatic malaria infections are on the rise, especially in forested and forest-fringed areas. Asymptomatic malaria forms a parasite reservoir that acts as an epicentre for malaria spread during high-transmission season. Therefore it is important to understand the quantum of asymptomatic malaria infections among the vulnerable population.

methodFour forest fringed historically malaria endemic villages were selected for the study. A total of 133 individuals without a fever history in the past four weeks were tested for malaria parasite using rapid diagnostic test (RDT), microscopy and polymerase chain reaction (PCR) assay during January - February 2014. Indoor resting Anopheles vectors were collected, identified and tested for sporozoite using VectorTest™ panel assay during October 2013 to March 2014, which is a low transmission season for malaria. Social and demographic data were recorded during the study.

resultsMean age (± SEM) of the participants was 16.1 ± 1.2 years (95 % CI: 13.8-18.4). All participants (100 %) reported to use mosquito nets. Altogether, 43.6 % of participants had education below primary level and only 9 % reported a travel history during the past four weeks. All RDT, microscopy and PCR assays were found negative indicating no asymptomatic malaria parasitaemia. Seven known malaria vector species namely, Anopheles nivipes, An. minimus, An. annularis, An. vagus, An. aconitus, An. philippinensis and An. culicifacies, were recorded in the present study. VectorTest™ sporozoite panel assay conducted on 45 pools (N = 224) of vector mosquitoes were found negative for Plasmodium sporozoite. DISCUSSION: Northeastern states of India report asymptomatic malaria parasitemia along with high malaria transmission. An. minimus and An. dirus are recognised as efficient vectors, but An. culicifacies, An. philippinensis and An. annularis also play role in malaria transmission. Currently all participants were found negative for asymptomatic malaria, however the small sample size may restrict the scope of present results to the population living in more remote areas.

conclusionNo cases of asymptomatic malaria infections parasitaemia was found in the present study conducted during a low transmission season indicating that asymptomatic malaria parasitaemia may not be prevalent in the region. Mosquito specimens were tested negative for the malaria sporozoites. Study findings encourage the ongoing malaria intervention efforts and recommends similar investigations in different ecological areas involving large populations.

Indexed as

Endemic DiseasesPlasmodiumAdolescentAdultAnimalsAnophelesChildChild, PreschoolCohort StudiesFemaleHumansIndiaInfantMalariaMaleMiddle Aged

Identifiers

PMID26384971
PMCPMC4575429
OpenAlexW2162377534

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Registered trials

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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.