Evidence map›Paper›PMID 32203520›Full record

ArticlePLoS computational biology2020

Tracking progress towards malaria elimination in China: Individual-level estimates of transmission and its spatiotemporal variation using a diffusion network approach.

Isobel Routledge, Shengjie Lai, Katherine E Battle, Azra C Ghani, Manuel Gomez-Rodriguez, Kyle B Gustafson, Swapnil Mishra, Juliette Unwin, Joshua L Proctor, Andrew J Tatem and 2 more

Abstract read
In one paragraph

Article in PLoS computational biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Mapping residual malaria transmission in Vietnam.The Lancet regional health. Western Pacific · 2025
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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

12 authors.

Isobel RoutledgeImperial College London, London, United Kingom.ORCID 0000-0002-0354-4076
Shengjie LaiUniversity of Southampton, Southampton, United Kingdom.
Katherine E BattleUniversity of Oxford, Oxford, United Kingdom.ORCID 0000-0003-2401-2615
Azra C GhaniImperial College London, London, United Kingom.
Manuel Gomez-RodriguezMax Planck Institute for Software Systems, Saarbrücken, Germany.
Kyle B GustafsonInstitute for Disease Modelling, Bellevue, Washington, United States of America.ORCID 0000-0002-1903-9015
Swapnil MishraImperial College London, London, United Kingom.ORCID 0000-0002-8759-5902
Juliette UnwinImperial College London, London, United Kingom.ORCID 0000-0002-9120-4003
Joshua L ProctorInstitute for Disease Modelling, Bellevue, Washington, United States of America.
Andrew J TatemUniversity of Southampton, Southampton, United Kingdom.
Zhongjie LiChinese Centers for Disease Control and Prevention, Beijing, China.
Samir BhattImperial College London, London, United Kingom.ORCID 0000-0002-0891-4611

Funding

Medical Research Council MR/R015600/1Wellcome TrustWellcome Trust 109310/Z/15/Z
6 · The paper itself

Abstract

In order to monitor progress towards malaria elimination, it is crucial to be able to measure changes in spatio-temporal transmission. However, common metrics of malaria transmission such as parasite prevalence are under powered in elimination contexts. China has achieved major reductions in malaria incidence and is on track to eliminate, having reporting zero locally-acquired malaria cases in 2017 and 2018. Understanding the spatio-temporal pattern underlying this decline, especially the relationship between locally-acquired and imported cases, can inform efforts to maintain elimination and prevent re-emergence. This is particularly pertinent in Yunnan province, where the potential for local transmission is highest. Using a geo-located individual-level dataset of cases recorded in Yunnan province between 2011 and 2016, we introduce a novel Bayesian framework to model a latent diffusion process and estimate the joint likelihood of transmission between cases and the number of cases with unobserved sources of infection. This is used to estimate the case reproduction number, Rc. We use these estimates within spatio-temporal geostatistical models to map how transmission varied over time and space, estimate the timeline to elimination and the risk of resurgence. We estimate the mean Rc between 2011 and 2016 to be 0.171 (95% CI = 0.165, 0.178) for P. vivax cases and 0.089 (95% CI = 0.076, 0.103) for P. falciparum cases. From 2014 onwards, no cases were estimated to have a Rc value above one. An unobserved source of infection was estimated to be moderately likely (p>0.5) for 19/ 611 cases and high (p>0.8) for 2 cases, suggesting very high levels of case ascertainment. Our estimates suggest that, maintaining current intervention efforts, Yunnan is unlikely to experience sustained local transmission up to 2020. However, even with a mean of 0.005 projected up to 2020, locally-acquired cases are possible due to high levels of importation.

Indexed as

Epidemiological MonitoringMalariaChinaComputational BiologyDisease EradicationGeographic Information SystemsHumansSpatio-Temporal Analysis

Identifiers

PMID32203520
PMCPMC7117777

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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.