Evidence map›Paper›PMID 34714821›Full record

ArticlePLoS neglected tropical diseases2021

Asymptomatic Plasmodium vivax malaria in the Brazilian Amazon: Submicroscopic parasitemic blood infects Nyssorhynchus darlingi.

Gregório Guilherme Almeida, Pedro Augusto Carvalho Costa, Maísa da Silva Araujo, Gabriela Ribeiro Gomes, Alex Fiorini Carvalho, Maria Marta Figueiredo, Dhelio Batista Pereira, Mauro Shugiro Tada, Jansen Fernandes Medeiros, Irene da Silva Soares and 7 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 31 citations in OpenAlex.

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  7. Open forum infectious diseases · 2026
    Article
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  11. Asymptomatic/submicroscopicParasite epidemiology and control · 2025
    Article
  12. Article
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  16. Malaria in areas under mining activity in the Amazon: A review.Revista da Sociedade Brasileira de Medicina Tropical · 2024
    Review
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 2 countries.

Gregório Guilherme AlmeidaLaboratório de Biologia e Imunologia de Doenças Infecciosas e Parasitárias, Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil.
Pedro Augusto Carvalho CostaLaboratório de Biologia e Imunologia de Doenças Infecciosas e Parasitárias, Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil.ORCID 0000-0002-3240-7513
Maísa da Silva AraujoLaboratório de Entomologia, Fiocruz Rondônia, Porto Velho, Rondônia, Brazil.ORCID 0000-0003-3607-0433
Gabriela Ribeiro GomesLaboratório de Biologia e Imunologia de Doenças Infecciosas e Parasitárias, Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil.ORCID 0000-0002-0539-3021
Alex Fiorini CarvalhoCT vacinas, Universidade Federal de Minas Gerais e Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil.
Maria Marta FigueiredoCT vacinas, Universidade Federal de Minas Gerais e Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil.ORCID 0000-0003-2538-5878
Dhelio Batista PereiraAmbulatório de Malária, Centro de Pesquisa em Medicina Tropical, Porto Velho, Rondônia, Brazil.ORCID 0000-0002-7761-5498
Mauro Shugiro TadaAmbulatório de Malária, Centro de Pesquisa em Medicina Tropical, Porto Velho, Rondônia, Brazil.ORCID 0000-0003-2470-8559
Jansen Fernandes MedeirosLaboratório de Entomologia, Fiocruz Rondônia, Porto Velho, Rondônia, Brazil.ORCID 0000-0003-4196-8985
Irene da Silva SoaresDepartamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.
Luzia Helena CarvalhoLaboratório de Biologia Molecular e Imunologia da Malária, Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil.ORCID 0000-0001-5822-4187
Flora Satiko KanoLaboratório de Biologia Molecular e Imunologia da Malária, Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil.
Marcia Caldas de CastroDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America.ORCID 0000-0003-4606-2795
Joseph Michael VinetzSection of Infectious Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, United States of America.ORCID 0000-0001-8344-2004
Douglas Taylor GolenbockDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, United States of America.
Lis Ribeiro do Valle AntonelliLaboratório de Biologia e Imunologia de Doenças Infecciosas e Parasitárias, Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil.ORCID 0000-0002-4969-8812
Ricardo Tostes GazzinelliLaboratório de Imunopatologia, Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil.ORCID 0000-0003-2427-7699
Fundação Oswaldo Cruz · BRUniversidade Federal de Minas Gerais · BRUniversidade Federal de Rondônia · BRUniversity of Massachusetts Chan Medical School · USHarvard Global Health Institute · USUniversidade Federal de São Paulo · BRYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Sugar-feeding behavior of the malaria vector Nyssorhynchus darlingi and development of effective attractive toxic sugar baits (ATSB) to increase intervention success in PeruU19AI089681 · NIAID · YALE UNIVERSITY · PI FERREIRA, MARCELO URBANO · 2010 to 2023
$20.1M
Innate Immune Activation in MalariaR01AI079293 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI FITZGERALD, KATHERINE A., GOLENBOCK, DOUGLAS T · 2009 to 2024
$10.9M
NCATS NIH HHS UL1 TR001863NIAID NIH HHS R01 AI079293NIAID NIH HHS U19 AI089681
6 · The paper itself

Abstract

Individuals with asymptomatic infection due to Plasmodium vivax are posited to be important reservoirs of malaria transmission in endemic regions. Here we studied a cohort of P. vivax malaria patients in a suburban area in the Brazilian Amazon. Overall 1,120 individuals were screened for P. vivax infection and 108 (9.6%) had parasitemia detected by qPCR but not by microscopy. Asymptomatic individuals had higher levels of antibodies against P. vivax and similar hematological and biochemical parameters compared to uninfected controls. Blood from asymptomatic individuals with very low parasitemia transmitted P. vivax to the main local vector, Nyssorhynchus darlingi. Lower mosquito infectivity rates were observed when blood from asymptomatic individuals was used in the membrane feeding assay. While blood from symptomatic patients infected 43.4% (199/458) of the mosquitoes, blood from asymptomatic infected 2.5% (43/1,719). However, several asymptomatic individuals maintained parasitemia for several weeks indicating their potential role as an infectious reservoir. These results suggest that asymptomatic individuals are an important source of malaria parasites and Science and Technology for Vaccines granted by Conselho Nacional de may contribute to the transmission of P. vivax in low-endemicity areas of malaria.

Indexed as

AnimalsAnophelesAsymptomatic InfectionsBloodBrazilCohort StudiesCross-Sectional StudiesFemaleHumansMalaria, VivaxMaleMiddle AgedPlasmodium vivaxSeasons

Identifiers

PMID34714821
PMCPMC8555776
OpenAlexW3209370670

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.