Evidence map›Paper›PMID 27059182›Full record

ArticleMalaria journal2016

High heterogeneity of malaria transmission and a large sub-patent and diverse reservoir of infection in Wusab As Safil district, Republic of Yemen.

Jackie Cook, Lynn Grignard, Samira Al-Eryani, Mustafa Al-Selwei, Abraham Mnzava, Hafed Al-Yarie, Alison Rand, Immo Kleinschmidt, Chris Drakeley

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 13 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

9 authors at 3 institutions in 3 countries.

Jackie CookMRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK. jackie.cook@lshtm.ac.uk.
Lynn GrignardFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Samira Al-EryaniDepartment of Medical Parasitology, Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen.
Mustafa Al-SelweiMalaria Control Programme, Ministry of Public Health and Population, Sana'a, Yemen.
Abraham MnzavaGlobal Malaria Programme, World Health Organization, Geneva, Switzerland.
Hafed Al-YarieMalaria Control Programme, Ministry of Public Health and Population, Sana'a, Yemen.
Alison RandFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Immo KleinschmidtMRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK.
Chris DrakeleyFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
London School of Hygiene & Tropical Medicine · GBSana'a University · YEWorld Health Organization · CH

Funding

Medical Research Council MR/K012126/1World Health Organization 001
6 · The paper itself

Abstract

backgroundYemen remains the country with the highest malaria transmission within the Arabian Peninsula and a source of imported cases to neighbouring countries.

methodsThis study collected samples from individuals resident in a valley in Western Yemen as a baseline to examine infection prevalence for a future trial. As well as rapid diagnostic test (RDT) and microscopy, a filter paper blood spot was collected for molecular and serological analyses.

resultsSamples were collected from 2261 individuals from 12 clusters across a study area of approximately 100 km(2). Plasmodium falciparum infection prevalence was 12.4, 11.1 and 19.6% by RDT, microscopy and polymerase chain reaction (PCR), respectively. RDT and microscopy did not detect 45% of infections present, suggesting many infections were low-density. Infection prevalence and seroprevalence were highly heterogeneous between clusters, with evidence of higher exposure in clusters close to the wadi. The mean multiplicity of infection (MOI) was 2.3 and high heterozygosity and allelic richness were detected.

conclusionsThis highly diverse parasite population suggests a high degree of transmissibility and coupled with the substantial proportion of low-density infections, may pose challenges for malaria control and elimination efforts.

Indexed as

Disease Transmission, InfectiousAdolescentAdultAgedAnimalsChildChild, PreschoolChromatography, AffinityFemaleHumansInfantInfant, NewbornMalaria, FalciparumMaleMicroscopyMiddle AgedHeterogeneityHeterozygosityMalaria transmissionMolecularMultiplicity of infectionPCR

Identifiers

PMID27059182
PMCPMC4826523
OpenAlexW2331665869

What OpenQuestion holds

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LicenceCC BY
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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.