Evidence map›Paper›PMID 37949851›Full record

ArticleNature communications2023

Malaria surveillance reveals parasite relatedness, signatures of selection, and correlates of transmission across Senegal.

Stephen F Schaffner, Aida Badiane, Akanksha Khorgade, Medoune Ndiop, Jules Gomis, Wesley Wong, Yaye Die Ndiaye, Younouss Diedhiou, Julie Thwing, Mame Cheikh Seck and 24 more

Abstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
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

28 citing papers in PubMed.

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  7. Imported malaria predominates in near-elimination settings in Southwestern Uganda.medRxiv : the preprint server for health sciences · 2026
    Article
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  15. Review
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  17. Sensitive and modular amplicon sequencing ofbioRxiv : the preprint server for biology · 2025
    Article
  18. Article
  19. Systematic in vitro evolution inScience (New York, N.Y.) · 2024
    Article
  20. BMJ open · 2024
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors.

Stephen F SchaffnerInfectious Disease and Microbiome Program, The Broad Institute, Cambridge, MA, USA.ORCID 0000-0001-6699-3568
Aida BadianeCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Akanksha KhorgadeInfectious Disease and Microbiome Program, The Broad Institute, Cambridge, MA, USA.ORCID 0009-0008-0735-158X
Medoune NdiopProgramme National de Lutte Contre le Paludisme (PNLP), Dakar, Senegal.ORCID 0009-0005-5116-0201
Jules GomisCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Wesley WongDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Yaye Die NdiayeCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Younouss DiedhiouCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Julie ThwingCenters for Disease Control and Prevention, Atlanta, GA, USA.
Mame Cheikh SeckCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Angela EarlyInfectious Disease and Microbiome Program, The Broad Institute, Cambridge, MA, USA.
Mouhamad SyCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Awa DemeCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Mamadou Alpha DialloCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Ngayo SySection de Lutte Anti-Parasitaire (SLAP) Clinic, Thies, Senegal.
Aita SeneCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Tolla NdiayeCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Djiby SowCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Baba DieyeCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Ibrahima Mbaye NdiayeCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Amy GayeCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Aliou NdiayeCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Katherine E BattleInstitute for Disease Modeling in Global Health, Bill and Melinda Gates Foundation, Seattle, WA, USA.ORCID 0000-0003-2401-2615
Joshua L ProctorInstitute for Disease Modeling in Global Health, Bill and Melinda Gates Foundation, Seattle, WA, USA.
Caitlin BeverInstitute for Disease Modeling in Global Health, Bill and Melinda Gates Foundation, Seattle, WA, USA.
Fatou Ba FallProgramme National de Lutte Contre le Paludisme (PNLP), Dakar, Senegal.
Ibrahima DialloProgramme National de Lutte Contre le Paludisme (PNLP), Dakar, Senegal.
Seynabou GayeProgramme National de Lutte Contre le Paludisme (PNLP), Dakar, Senegal.
Doudou SeneProgramme National de Lutte Contre le Paludisme (PNLP), Dakar, Senegal.
Daniel L HartlDepartment of Organismic and Evolutionary Biology, Harvard University, Cambridge, MA, USA.ORCID 0000-0002-0302-306X
Dyann F WirthInfectious Disease and Microbiome Program, The Broad Institute, Cambridge, MA, USA.
Bronwyn MacInnisInfectious Disease and Microbiome Program, The Broad Institute, Cambridge, MA, USA.ORCID 0000-0003-0082-968X
Daouda NdiayeCentre International de recherche, de Formation en Genomique Appliquee et de Surveillance Sanitaire (CIGASS), Dakar, Senegal.
Sarah K VolkmanInfectious Disease and Microbiome Program, The Broad Institute, Cambridge, MA, USA. svolkman@hsph.harvard.edu.

Funding

Defining the resistome in P. falciparum: evolution and mechanismR01AI169892 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Daniel E. Goldberg, Elizabeth A Winzeler · 2023 to 2026
$4.4M
Malaria Genomic Epidemiology for Identifying Sources of Malaria Infection and TransmissionR21AI141843 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI VOLKMAN, SARAH KAY · 2019 to 2020
$439k
NIAID NIH HHS R01 AI169892NIAID NIH HHS R21 AI141843
6 · The paper itself

Abstract

We here analyze data from the first year of an ongoing nationwide program of genetic surveillance of Plasmodium falciparum parasites in Senegal. The analysis is based on 1097 samples collected at health facilities during passive malaria case detection in 2019; it provides a baseline for analyzing parasite genetic metrics as they vary over time and geographic space. The study's goal was to identify genetic metrics that were informative about transmission intensity and other aspects of transmission dynamics, focusing on measures of genetic relatedness between parasites. We found the best genetic proxy for local malaria incidence to be the proportion of polygenomic infections (those with multiple genetically distinct parasites), although this relationship broke down at low incidence. The proportion of related parasites was less correlated with incidence while local genetic diversity was uninformative. The type of relatedness could discriminate local transmission patterns: two nearby areas had similarly high fractions of relatives, but one was dominated by clones and the other by outcrossed relatives. Throughout Senegal, 58% of related parasites belonged to a single network of relatives, within which parasites were enriched for shared haplotypes at known and suspected drug resistance loci and at one novel locus, reflective of ongoing selection pressure.

Indexed as

MalariaMalaria, FalciparumParasitesAnimalsHumansPlasmodium falciparumSenegal

Identifiers

PMID37949851
PMCPMC10638404

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Registered trials

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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.