Evidence map›Paper›PMID 35836171›Full record

ArticleMalaria journal2022

Heterogeneity in prevalence of subclinical Plasmodium falciparum and Plasmodium vivax infections but no parasite genomic clustering in the Chittagong Hill Tracts, Bangladesh.

Tiffany Huwe, Mohammad Golam Kibria, Fatema Tuj Johora, Ching Swe Phru, Nusrat Jahan, Mohammad Sharif Hossain, Wasif Ali Khan, Ric N Price, Benedikt Ley, Mohammad Shafiul Alam and 1 more

Open access · goldAbstract read
In one paragraph

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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. UnderstandingiScience · 2026
    Article
  4. Article
  5. Article
  6. Asymptomatic/submicroscopicParasite epidemiology and control · 2025
    Article
  7. UnderstandingmedRxiv : the preprint server for health sciences · 2025
    Article
  8. 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

11 authors at 4 institutions in 5 countries.

Tiffany Huwe *Department of Biological Sciences and Eck Institute for Global Health, University of Notre Dame, Notre Dame, USA.
Mohammad Golam Kibria *Infectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh (Icddr, B), Dhaka, Bangladesh.
Fatema Tuj JohoraInfectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh (Icddr, B), Dhaka, Bangladesh.
Ching Swe PhruInfectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh (Icddr, B), Dhaka, Bangladesh.
Nusrat JahanInfectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh (Icddr, B), Dhaka, Bangladesh.
Mohammad Sharif HossainInfectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh (Icddr, B), Dhaka, Bangladesh.
Wasif Ali KhanInfectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh (Icddr, B), Dhaka, Bangladesh.
Ric N PriceGlobal and Tropical Health Division, Menzies School of Health Research and Charles Darwin University, Darwin, Australia.
Benedikt LeyGlobal and Tropical Health Division, Menzies School of Health Research and Charles Darwin University, Darwin, Australia. Benedikt.Ley@menzies.edu.au.
Mohammad Shafiul AlamInfectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh (Icddr, B), Dhaka, Bangladesh. shafiul@icddrb.org.
Cristian KoepfliDepartment of Biological Sciences and Eck Institute for Global Health, University of Notre Dame, Notre Dame, USA. ckoepfli@nd.edu.
International Centre for Diarrhoeal Disease Research · BDMenzies School of Health Research · AUUniversity of Notre Dame · USGeorgia State University · US

Funding

Quality Assurance and Quality Control Project Management: Improving Submissions and Study Conduct in the Human Subjects Research Prior Approval ProcessUL1TR002529 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M, WIEHE, SARAH ELIZABETH · 2018 to 2022
$27.2M
A Novel Droplet Digital PCR Method for Population-based Plasmodium falciparum hrp2 Deletion DiagnosisR21AI137891 · NIAID · UNIVERSITY OF NOTRE DAME · PI KOEPFLI, CRISTIAN · 2018 to 2019
$425k
NCATS NIH HHS UL1 TR002529NIAID NIH HHS R21 AI137891Wellcome Trust 200909Wellcome Trust 200909/Z/16/Z
6 · The paper itself

Abstract

backgroundMalaria remains endemic in Bangladesh, with the majority of cases occurring in forested, mountainous region in the Chittagong Hill Tracts (CHT). This area is home to Bengali and diverse groups of indigenous people (Pahari) residing largely in mono-ethnic villages.

methods1002 individuals of the 9 most prominent Pahari and the Bengali population were randomly selected and screened by RDT and qPCR. Parasites were genotyped by msp2 and deep sequencing of 5 amplicons (ama1-D3, cpmp, cpp, csp, and msp7) for Plasmodium falciparum (n = 20), and by microsatellite (MS) typing of ten loci and amplicon sequencing of msp1 for Plasmodium vivax (n = 21). Population structure was analysed using STRUCTURE software. Identity-by-state (IBS) was calculated as a measure of parasite relatedness and used to generate relatedness networks.

resultsThe prevalence of P. falciparum and P. vivax infection was 0.7% by RDT (P. falciparum 6/1002; P. vivax 0/1002, mixed: 1/1002) and 4% by qPCR (P. falciparum 21/1002; P. vivax 16/1002, mixed: 5/1002). Infections were highly clustered, with 64% (27/42) of infections occurring in only two Pahari groups, the Khumi and Mro. Diversity was high; expected heterozygosity was 0.93 for P. falciparum and 0.81 for P. vivax. 85.7% (18/21) of P. vivax and 25% (5/20) of P. falciparum infections were polyclonal. No population structure was evident for either species, suggesting high transmission and gene flow among Pahari groups.

conclusionsHigh subclinical infection prevalence and genetic diversity mirror ongoing transmission. Control activities should be specifically directed to Pahari groups at greatest risk.

Indexed as

Malaria, FalciparumMalaria, VivaxParasitesAnimalsBangladeshCluster AnalysisGenomicsHumansPlasmodium falciparumPlasmodium vivaxPrevalenceBangladeshChittagong Hill TractsClusteringEthnic groupsGenotypingMalariaPahariPlasmodium falciparumPlasmodium vivaxPopulation structure

Identifiers

PMID35836171
PMCPMC9281141
OpenAlexW4285391100

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.