ArticleMalaria journal2022
On multifactorial drivers for malaria rebound in Brazil: a spatio-temporal analysis.
Article in Malaria journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 14 citations in OpenAlex.
- Climate change and Plasmodium vivax Malaria Risk in Brazil: Developing adaptive tool for Brazilian Municipalities.PLoS neglected tropical diseases · 2026Article
- Assessing the spatial influence of deforestation on malaria incidence in Pará State, Amazon region, Brazil, 2008-2019.Memorias do Instituto Oswaldo Cruz · 2025Article
- Ecological change increases malaria risk in the Brazilian Amazon.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- Disentangling the seasonality effects of malaria transmission in the Brazilian Amazon basin.Royal Society open science · 2024Article
- Malaria Risk Drivers in the Brazilian Amazon: Land Use-Land Cover Interactions and Biological Diversity.International journal of environmental research and public health · 2023Article
- Malaria is increasing in Indigenous and artisanal mining areas in the Brazilian Amazon.Nature medicine · 2023Article
- Notification of malaria cases in the Brazilian Amazon Basin from 2010 to 2020: an analysis of the reporting times.Malaria journal · 2023Article
- Vectorial capacities for malaria in eastern Amazonian Brazil depend on village, vector species, season, and parasite species.Malaria journal · 2022Article
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3 authors at 1 institution in 1 country.
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Abstract
backgroundMalaria incidence in Brazil reversed its decreasing trend when cases from recent years, as recent as 2015, exhibited an increase in the Brazilian Amazon basin, the area with the highest transmission of Plasmodium vivax and Plasmodium falciparum. In fact, an increase of more than 20% in the years 2016 and 2017 revealed possible vulnerabilities in the national malaria-control programme.
methodsFactors potentially associated with this reversal, including migration, economic activities, and deforestation, were studied. Past incidences of malaria cases due to P. vivax and P. falciparum were analysed with a spatio-temporal Bayesian model using more than 5 million individual records of malaria cases from January of 2003 to December of 2018 in the Brazilian Amazon to establish the municipalities with unexpected increases in cases.
resultsPlasmodium vivax incidence surpassed the past trends in Amazonas (AM), Amapá (AP), Acre (AC), Pará (PA), Roraima (RR), and Rondônia (RO), implying a rebound of these states between 2015 and 2018. On the other hand, P. falciparum also surpassed the past trends in AM, AC, AP, and RR with less severity than P. vivax incidence. Outdoor activities, agricultural activities, accumulated deforestation, and travelling might explain the rebound in malaria cases in RR, AM, PA, and RO, mainly in P. vivax cases. These variables, however, did not explain the rebound of either P. vivax and P. falciparum cases in AC and AP states or P. falciparum cases in RR and RO states.
conclusionThe Amazon basin has experienced an unexpected increase in malaria cases, mainly in P. vivax cases, in some regions of the states of Amazonas, Acre, Pará, Amapá, Roraima, and Rondônia from 2015 to 2018 and agricultural activities, outdoor activities, travelling activities, and accumulated deforestation appear linked to this rebound of cases in particular regions with different impact. This shows the multifactorial effects and the heterogeneity of the Amazon basin, boosting the necessity of focusing the malaria control programme on particular social, economic, and environmental conditions.
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