Evidence map›Paper›PMID 29155827›Full record

ArticlePLoS neglected tropical diseases2017

The Asian house shrew Suncus murinus as a reservoir and source of human outbreaks of plague in Madagascar.

Soanandrasana Rahelinirina, Minoarisoa Rajerison, Sandra Telfer, Cyril Savin, Elisabeth Carniel, Jean-Marc Duplantier

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

22 citing papers in PubMed, 40 citations in OpenAlex.

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  10. Cencurut virus: A novelOne health (Amsterdam, Netherlands) · 2023
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  13. Yersinia pestis ΔApplied and environmental microbiology · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Human plague: An old scourge that needs new answers.PLoS neglected tropical diseases · 2020
    Review
  20. Article
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 4 institutions in 3 countries.

Soanandrasana RahelinirinaPlague Unit, WHO Collaborating Center, Institut Pasteur, Antananarivo, Madagascar.ORCID http://orcid.org/0000-0002-4650-3979
Minoarisoa RajerisonPlague Unit, WHO Collaborating Center, Institut Pasteur, Antananarivo, Madagascar.
Sandra TelferPlague Unit, WHO Collaborating Center, Institut Pasteur, Antananarivo, Madagascar.
Cyril SavinYersinia Research Unit and National Reference Laboratory, Institut Pasteur, Paris, France.
Elisabeth CarnielYersinia Research Unit and National Reference Laboratory, Institut Pasteur, Paris, France.
Jean-Marc DuplantierIRD, Centre de Biologie et de Gestion des populations (ird/inra/cirad/montpelliersupagro), Montpellier, France.
Institut Pasteur · FRInstitut Pasteur de Madagascar · MGCentre de Biologie pour la Gestion des Populations · FRUniversity of Aberdeen · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Identifying key reservoirs for zoonoses is crucial for understanding variation in incidence. Plague re-emerged in Mahajanga, Madagascar in the 1990s but there has been no confirmed case since 1999. Here we combine ecological and genetic data, from during and after the epidemics, with experimental infections to examine the role of the shrew Suncus murinus in the plague epidemiological cycle. The predominance of S. murinus captures during the epidemics, their carriage of the flea vector and their infection with Yersinia pestis suggest they played an important role in the maintenance and transmission of plague. S. murinus exhibit a high but variable resistance to experimental Y. pestis infections, providing evidence of its ability to act as a maintenance host. Genetic analyses of the strains isolated from various hosts were consistent with two partially-linked transmission cycles, with plague persisting within the S. murinus population, occasionally spilling over into the rat and human populations. The recent isolation from a rat in Mahajanga of a Y. pestis strain genetically close to shrew strains obtained during the epidemics reinforces this hypothesis and suggests circulation of plague continues. The observed decline in S. murinus and Xenopsylla cheopis since the epidemics appears to have decreased the frequency of spillover events to the more susceptible rats, which act as a source of infection for humans. Although this may explain the lack of confirmed human cases in recent years, the current circulation of plague within the city highlights the continuing health threat.

Indexed as

Disease ReservoirsAnimalsDisease OutbreaksHumansInsect VectorsMadagascarPlagueRatsShrewsXenopsyllaYersinia pestisZoonoses

Identifiers

PMID29155827
PMCPMC5714386
OpenAlexW2770031047

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.