Evidence map›Paper›PMID 35300703›Full record

SynthesisMalaria journal2022

Is there evidence of sustained human-mosquito-human transmission of the zoonotic malaria Plasmodium knowlesi? A systematic literature review.

Pablo Ruiz Cuenca, Stephanie Key, Kim A Lindblade, Indra Vythilingam, Chris Drakeley, Kimberly Fornace

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Malaria journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.8field-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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Emerging malaria in Indonesia: An overview ofParasite epidemiology and control · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Tropical medicine and infectious disease · 2023
    Review
  12. Article
  13. Updating estimates ofmedRxiv : the preprint server for health sciences · 2023
    Article
  14. Article
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

6 authors at 4 institutions in 3 countries.

Pablo Ruiz CuencaCentre for Health Informatics, Computing, and Statistics (CHICAS), Lancaster University Medical School, Lancaster, UK. p.ruizcuenca@lancaster.ac.uk.ORCID http://orcid.org/0000-0002-2180-9509
Stephanie KeyFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Kim A LindbladeGlobal Malaria Programme, World Health Organization, Geneva, Switzerland.
Indra VythilingamDepartment of Parasitology, Faculty of Medicine, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.
Chris DrakeleyFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Kimberly FornaceFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
London School of Hygiene & Tropical Medicine · GBUniversity of London · GBUniversity of Malaya · MYWorld Health Organization · CH

Funding

Wellcome TrustWellcome Trust and Royal Society 221963/Z/20/ZWorld Health Organization 001World Health Organization Global Malaria Programme
6 · The paper itself

Abstract

backgroundThe zoonotic malaria parasite Plasmodium knowlesi has emerged across Southeast Asia and is now the main cause of malaria in humans in Malaysia. A critical priority for P. knowlesi surveillance and control is understanding whether transmission is entirely zoonotic or is also occurring through human-mosquito-human transmission.

methodsA systematic literature review was performed to evaluate existing evidence which refutes or supports the occurrence of sustained human-mosquito-human transmission of P. knowlesi. Possible evidence categories and study types which would support or refute non-zoonotic transmission were identified and ranked. A literature search was conducted on Medline, EMBASE and Web of Science using a broad search strategy to identify any possible published literature. Results were synthesized using the Synthesis Without Meta-analysis (SWiM) framework, using vote counting to combine the evidence within specific categories.

resultsOf an initial 7,299 studies screened, 131 studies were included within this review: 87 studies of P. knowlesi prevalence in humans, 14 studies in non-human primates, 13 studies in mosquitoes, and 29 studies with direct evidence refuting or supporting non-zoonotic transmission. Overall, the evidence showed that human-mosquito-human transmission is biologically possible, but there is limited evidence of widespread occurrence in endemic areas. Specific areas of research were identified that require further attention, notably quantitative analyses of potential transmission dynamics, epidemiological and entomological surveys, and ecological studies into the sylvatic cycle of the disease.

conclusionThere are key questions about P. knowlesi that remain within the areas of research that require more attention. These questions have significant implications for malaria elimination and eradication programs. This paper considers limited but varied research and provides a methodological framework for assessing the likelihood of different transmission patterns for emerging zoonotic diseases.

Indexed as

CulicidaeMalariaPlasmodium knowlesiAnimalsAsia, SoutheasternHumansZoonosesDisease emergenceMacaquesMalariaNon-zoonotic transmissionPlasmodium knowlesiSimian malariaSystematic literature reviewZoonoses

Identifiers

PMID35300703
PMCPMC8929260
OpenAlexW4221079199

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.