Evidence map›Paper›PMID 33008438›Full record

ArticleMalaria journal2020

Anopheline and human drivers of malaria risk in northern coastal, Ecuador: a pilot study.

James A Martin, Allison L Hendershot, Iván Alejandro Saá Portilla, Daniel J English, Madeline Woodruff, Claudia A Vera-Arias, Bibiana E Salazar-Costa, Juan José Bustillos, Fabián E Saénz, Sofía Ocaña-Mayorga and 2 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 19 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

12 authors at 2 institutions in 2 countries.

James A MartinEck Institute for Global Health, University of Notre Dame, Notre Dame, IN, 46556, USA.
Allison L HendershotEck Institute for Global Health, University of Notre Dame, Notre Dame, IN, 46556, USA.
Iván Alejandro Saá PortillaCentro de Investigación Para La Salud en América Latina, Facultad de Ciencias Exactas Y Naturales, Pontificia Universidad Católica del Ecuador, Calle San Pedro Y Pambahacienda, 170530, Nayón, Ecuador.
Daniel J EnglishEck Institute for Global Health, University of Notre Dame, Notre Dame, IN, 46556, USA.
Madeline WoodruffEck Institute for Global Health, University of Notre Dame, Notre Dame, IN, 46556, USA.
Claudia A Vera-AriasEck Institute for Global Health, University of Notre Dame, Notre Dame, IN, 46556, USA.
Bibiana E Salazar-CostaCentro de Investigación Para La Salud en América Latina, Facultad de Ciencias Exactas Y Naturales, Pontificia Universidad Católica del Ecuador, Calle San Pedro Y Pambahacienda, 170530, Nayón, Ecuador.
Juan José BustillosCentro de Investigación Para La Salud en América Latina, Facultad de Ciencias Exactas Y Naturales, Pontificia Universidad Católica del Ecuador, Calle San Pedro Y Pambahacienda, 170530, Nayón, Ecuador.
Fabián E SaénzCentro de Investigación Para La Salud en América Latina, Facultad de Ciencias Exactas Y Naturales, Pontificia Universidad Católica del Ecuador, Calle San Pedro Y Pambahacienda, 170530, Nayón, Ecuador.
Sofía Ocaña-MayorgaCentro de Investigación Para La Salud en América Latina, Facultad de Ciencias Exactas Y Naturales, Pontificia Universidad Católica del Ecuador, Calle San Pedro Y Pambahacienda, 170530, Nayón, Ecuador. sbocana@puce.edu.ec.ORCID http://orcid.org/0000-0003-3861-9784
Cristian KoepfliEck Institute for Global Health, University of Notre Dame, Notre Dame, IN, 46556, USA.
Neil F LoboEck Institute for Global Health, University of Notre Dame, Notre Dame, IN, 46556, USA.
University of Notre Dame · USPontificia Universidad Católica del Ecuador · EC

Funding

Pontificia Universidad Católica del Ecuador QINV0076Pontificia Universidad Católica del Ecuador QINV0084
6 · The paper itself

Abstract

backgroundUnderstanding local anopheline vector species and their bionomic traits, as well as related human factors, can help combat gaps in protection.

methodsIn San José de Chamanga, Esmeraldas, at the Ecuadorian Pacific coast, anopheline mosquitoes were sampled by both human landing collections (HLCs) and indoor-resting aspirations (IAs) and identified using both morphological and molecular methods. Human behaviour observations (HBOs) (including temporal location and bed net use) were documented during HLCs as well as through community surveys to determine exposure to mosquito bites. A cross-sectional evaluation of Plasmodium falciparum and Plasmodium vivax infections was conducted alongside a malaria questionnaire.

resultsAmong 222 anopheline specimens captured, based on molecular analysis, 218 were Nyssorhynchus albimanus, 3 Anopheles calderoni (n = 3), and one remains unidentified. Anopheline mean human-biting rate (HBR) outdoors was (13.69), and indoors (3.38) (p = 0.006). No anophelines were documented resting on walls during IAs. HBO-adjusted human landing rates suggested that the highest risk of being bitten was outdoors between 18.00 and 20.00 h. Human behaviour-adjusted biting rates suggest that overall, long-lasting insecticidal bed nets (LLINs) only protected against 13.2% of exposure to bites, with 86.8% of exposure during the night spent outside of bed net protection. The malaria survey found 2/398 individuals positive for asymptomatic P. falciparum infections. The questionnaire reported high (73.4%) bed net use, with low knowledge of malaria.

conclusionThe exophagic feeding of anopheline vectors in San Jose de Chamanga, when analysed in conjunction with human behaviour, indicates a clear gap in protection even with high LLIN coverage. The lack of indoor-resting anophelines suggests that indoor residual spraying (IRS) may have limited effect. The presence of asymptomatic infections implies the presence of a human reservoir that may maintain transmission.

Indexed as

AdolescentAdultAgedAged, 80 and overAnimalsAnophelesChildChild, PreschoolCross-Sectional StudiesCulicidaeEcuadorFemaleHumansMalaria, FalciparumMalaria, VivaxMaleAnopheles calderoniBionomicsEcuadorHuman behaviourIndoor residual spraying (IRS)Long-lasting insecticide-treated nets (LLINs)MalariaNyssorhynchus albimanusPlasmodium falciparum

Identifiers

PMID33008438
PMCPMC7532652
OpenAlexW3090084496

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.