Evidence map›Paper›PMID 38475793›Full record

Observational studyMalaria journal2024

Malaria transmission heterogeneity in different eco-epidemiological areas of western Kenya: a region-wide observational and risk classification study for adaptive intervention planning.

Guofa Zhou, John Githure, Ming-Chieh Lee, Daibin Zhong, Xiaoming Wang, Harrysone Atieli, Andrew K Githeko, James Kazura, Guiyun Yan

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Malaria journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
13.0field-weighted citation impact, top 1% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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  12. Comparative immunological roles of TEP1 inFrontiers in immunology · 2025
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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

9 authors at 3 institutions in 2 countries.

Guofa ZhouProgram in Public Health, University of California, Irvine, CA, USA. zhoug@hs.uci.edu.
John GithureSub-Saharan International Center of Excellence for Malaria Research, Tom Mboya University, Homa Bay, Kenya.
Ming-Chieh LeeProgram in Public Health, University of California, Irvine, CA, USA.
Daibin ZhongProgram in Public Health, University of California, Irvine, CA, USA.
Xiaoming WangProgram in Public Health, University of California, Irvine, CA, USA.
Harrysone AtieliSub-Saharan International Center of Excellence for Malaria Research, Tom Mboya University, Homa Bay, Kenya.
Andrew K GithekoCentre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
James KazuraCenter for Global Health and Diseases, School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Guiyun YanProgram in Public Health, University of California, Irvine, CA, USA.
University of California, Irvine · USCenter for Global Health · USKenya Medical Research Institute · KE

Funding

Vector Biology of Invasive Anopheles stephensi in Rural to Urban Landscapes in EthiopiaU19AI129326 · NIAID · UNIVERSITY OF CALIFORNIA-IRVINE · PI Delenasaw Yewhalaw · 2017 to 2026
$19.9M
Research Training in Mosquito Genomics and Bioinformat*D43TW001505 · FIC · UNIVERSITY OF CALIFORNIA-IRVINE · PI Guiyun Yan · 2000 to 2026
$6.0M
FIC NIH HHS D43 TW001505NIAID NIH HHS U19 AI129326NIH HHS D43 TW001505NIH HHS R01 A1050243NIH HHS U19 AI129326
6 · The paper itself

Abstract

backgroundUnderstanding of malaria ecology is a prerequisite for designing locally adapted control strategies in resource-limited settings. The aim of this study was to utilize the spatial heterogeneity in malaria transmission for the designing of adaptive interventions.

methodsField collections of clinical malaria incidence, asymptomatic Plasmodium infection, and malaria vector data were conducted from 108 randomly selected clusters which covered different landscape settings including irrigated farming, seasonal flooding area, lowland dryland farming, and highlands in western Kenya. Spatial heterogeneity of malaria was analyzed and classified into different eco-epidemiological zones.

resultsThere was strong heterogeneity and detected hot/cold spots in clinical malaria incidence, Plasmodium prevalence, and vector abundance. The study area was classified into four zones based on clinical malaria incidence, parasite prevalence, vector density, and altitude. The two irrigated zones have either the highest malaria incidence, parasite prevalence, or the highest malaria vector density; the highlands have the lowest vector density and parasite prevalence; and the dryland and flooding area have the average clinical malaria incidence, parasite prevalence and vector density. Different zones have different vector species, species compositions and predominant species. Both indoor and outdoor transmission may have contributed to the malaria transmission in the area. Anopheles gambiae sensu stricto (s.s.), Anopheles arabiensis, Anopheles funestus s.s., and Anopheles leesoni had similar human blood index and malaria parasite sporozoite rate.

conclusionThe multi-transmission-indicator-based eco-epidemiological zone classifications will be helpful for making decisions on locally adapted malaria interventions.

Indexed as

AnophelesMalariaAnimalsFeeding BehaviorHumansKenyaMosquito Vectors

Identifiers

PMID38475793
PMCPMC10935946
OpenAlexW4392682885

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.