Evidence map›Paper›PMID 31992305›Full record

ArticleMalaria journal2020

Falciparum malaria from coastal Tanzania and Zanzibar remains highly connected despite effective control efforts on the archipelago.

Andrew P Morgan, Nicholas F Brazeau, Billy Ngasala, Lwidiko E Mhamilawa, Madeline Denton, Mwinyi Msellem, Ulrika Morris, Dayne L Filer, Ozkan Aydemir, Jeffrey A Bailey and 4 more

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 69 citations in OpenAlex.

  1. Article
  2. Imported malaria predominates in near-elimination settings in Southwestern Uganda.medRxiv : the preprint server for health sciences · 2026
    Article
  3. Genetic metrics decodeFrontiers in genetics · 2026
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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

14 authors at 6 institutions in 4 countries.

Andrew P MorganDivision of Infectious Diseases, Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.
Nicholas F BrazeauDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, 27599, USA.
Billy NgasalaDepartment of Parasitology and Medical Entomology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Lwidiko E MhamilawaDepartment of Parasitology and Medical Entomology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Madeline DentonDivision of Infectious Diseases, Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.
Mwinyi MsellemTraining and Research, Mnazi Mmoja Hospital, Zanzibar, Tanzania.
Ulrika MorrisDepartment of Microbiology, Tumor and Cell Biology, Karolinska Institutet, 17177, Stockholm, Sweden.
Dayne L FilerCurriculum in Bioinformatics and Computational Biology, University of North Carolina, Chapel Hill, NC, 27599, USA.
Ozkan AydemirDepartment of Laboratory Medicine and Pathology, Brown University, Providence, RI, 02912, USA.
Jeffrey A BaileyDepartment of Laboratory Medicine and Pathology, Brown University, Providence, RI, 02912, USA.
Jonathan B ParrDivision of Infectious Diseases, Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.
Andreas MårtenssonDepartment of Women's and Children's Health, International Maternal and Child Health (IMCH), Uppsala University, Uppsala, Sweden.
Anders BjorkmanDepartment of Microbiology, Tumor and Cell Biology, Karolinska Institutet, 17177, Stockholm, Sweden.
Jonathan J JulianoDivision of Infectious Diseases, Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA. jjuliano@med.unc.edu.ORCID http://orcid.org/0000-0002-0591-0850
University of North Carolina at Chapel Hill · USBrown University · USKarolinska Institutet · SEUppsala University · SEMuhimbili University of Health and Allied Sciences · TZZanzibar University · TZ

Funding

Variation in Resistance and Fitness to Artemisinins in African MalariaR01AI121558 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JULIANO, JONATHAN J · 2016 to 2020
$3.3M
Mentoring in Translational Malaria GenomicsK24AI134990 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Jonathan J Juliano · 2018 to 2026
$1.6M
Identifying the Distribution, Origin, and Threat of Plasmodium vivax in the DRCF30AI143172 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BRAZEAU, NICHOLAS FORD · 2019 to 2022
$171k
Effects of advanced paternal age on germline genome stabilityF30MH103925 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, ANDREW PARKER · 2014 to 2017
$151k
Expanding the utility of prenatal genetic testingF30HD101228 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FILER, DAYNE LEWIS · 2019 to 2022
$121k
NIAID NIH HHS F30 AI143172NIAID NIH HHS K24 AI134990NIAID NIH HHS R01 AI121558NICHD NIH HHS F30 HD101228NIMH NIH HHS F30 MH103925NIMH NIH HHS F30MH103925
6 · The paper itself

Abstract

backgroundTanzania's Zanzibar archipelago has made significant gains in malaria control over the last decade and is a target for malaria elimination. Despite consistent implementation of effective tools since 2002, elimination has not been achieved. Importation of parasites from outside of the archipelago is thought to be an important cause of malaria's persistence, but this paradigm has not been studied using modern genetic tools.

methodsWhole-genome sequencing (WGS) was used to investigate the impact of importation, employing population genetic analyses of Plasmodium falciparum isolates from both the archipelago and mainland Tanzania. Ancestry, levels of genetic diversity and differentiation, patterns of relatedness, and patterns of selection between these two populations were assessed by leveraging recent advances in deconvolution of genomes from polyclonal malaria infections.

resultsSignificant decreases in the effective population sizes were inferred in both populations that coincide with a period of decreasing malaria transmission in Tanzania. Identity by descent analysis showed that parasites in the two populations shared long segments of their genomes, on the order of 5 cM, suggesting shared ancestry within the last 10 generations. Even with limited sampling, two of isolates between the mainland and Zanzibar were identified that are related at the expected level of half-siblings, consistent with recent importation.

conclusionsThese findings suggest that importation plays an important role for malaria incidence on Zanzibar and demonstrate the value of genomic approaches for identifying corridors of parasite movement to the island.

Indexed as

Cohort StudiesDemographyGene LibraryGenetic VariationHaploidyHaplotypesHumansIncidenceIslandsMalaria, FalciparumMutationPlasmodium falciparumTanzaniaTravelWhole Genome SequencingMalariaPlasmodiumPopulation genetics

Identifiers

PMID31992305
PMCPMC6988337
OpenAlexW3013046077

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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.