Evidence map›Paper›PMID 41024392›Full record

ArticleThe Journal of infectious diseases2026

Seasonal Variation and Interspecies Dynamics Among Plasmodium falciparum and ovale Species in Bagamoyo, Tanzania.

Kelly Carey-Ewend, Aidan Marten, Julia Muller, Editruda Ernest Peter, Melic Odas, Msolo Credo Dominick, Meredith Muller, Srijana Chhetri, Kano Amagai, Isaack Rutha and 10 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Complex non-Research square · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Kelly Carey-EwendDivision of Infectious Diseases, Institute of Global Health and Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0000-0002-3200-1644
Aidan MartenDivision of Infectious Diseases, Institute of Global Health and Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Julia MullerDivision of Infectious Diseases, Institute of Global Health and Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0009-0009-0962-5975
Editruda Ernest PeterDepartment of Parasitology and Medical Entomology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Melic OdasDepartment of Parasitology and Medical Entomology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Msolo Credo DominickDepartment of Parasitology and Medical Entomology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Meredith MullerDivision of Infectious Diseases, Institute of Global Health and Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Srijana ChhetriDivision of Infectious Diseases, Institute of Global Health and Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Kano AmagaiDivision of Infectious Diseases, Institute of Global Health and Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Isaack RuthaDepartment of Parasitology and Medical Entomology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Fatuma KisanduDepartment of Parasitology and Medical Entomology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Lusekelo BekaDepartment of Parasitology and Medical Entomology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Oksana KharaboraDivision of Infectious Diseases, Institute of Global Health and Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Zachary R Popkin-HallDivision of Infectious Diseases, Institute of Global Health and Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0000-0002-8308-5294
Jeffrey BaileyDepartment of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island, USA.
Jessie K EdwardsDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.
Emily W GowerDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.ORCID 0000-0003-1016-9910
Jonathan J JulianoDivision of Infectious Diseases, Institute of Global Health and Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0000-0002-0591-0850
Billy E NgasalaDepartment of Parasitology and Medical Entomology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0000-0001-9300-7719
Jessica T LinDivision of Infectious Diseases, Institute of Global Health and Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0000-0002-4516-723X

Funding

Determinants of malaria transmission by submicroscopic gametocytemiaR01AI137395 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LIN, JESSICA · 2018 to 2022
$3.3M
Mentoring in Translational Malaria GenomicsK24AI134990 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Jonathan J Juliano · 2018 to 2026
$1.6M
Plasmodium ovale hypnozoite development and relapse: a coordinated in vivo in vitro studyR21AI152260 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ADAMS, JOHN H, LIN, JESSICA · 2021 to 2022
$418k
Population genomics and relapse epidemiology of Plasmodium ovale in sub-Saharan AfricaF30AI179111 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Kelly Carey-Ewend · 2024 to 2026
$144k
Infectious Disease Society of American FoundationNational Institute of Allergy and Infectious DiseasesNIAID NIH HHS F30 AI179111NIAID NIH HHS K24 AI134990NIAID NIH HHS R01 AI137395NIAID NIH HHS R21 AI152260NIH HHS F30AI179111NIH HHS K24AI134990NIH HHS R01AI137395NIH HHS R21AI152260
6 · The paper itself

Abstract

backgroundMalaria control in sub-Saharan Africa is typically focused on Plasmodium falciparum (Pf), but non-falciparum species like P. ovale curtisi (Poc) and P. ovale wallikeri (Pow) appear to be rising in prevalence, especially in parts of East Africa.

methodsWe conducted polymerase chain reaction (PCR)-based screening of 7173 asymptomatic individuals over 5 years of age in coastal Tanzania from 2018-2022, employing real-time 18S rRNA PCR assays for P. falciparum and P. ovale, followed by Poc/Pow detection. Plasmodium positivity was compared across seasons and demographic groups, and interactions between species were analyzed via binomial regression.

resultsPlasmodium falciparum infection (prevalence 27.4%) was associated with younger age, male sex, and higher recent cumulative rainfall, whereas these associations were not apparent for P. ovale (Po, prevalence 11.5%). P. ovale infections appeared to peak during months with lower Pf prevalence, especially during the long wet season, when Po mono-infections predominated and fewer Pf-Po co-infections were detected than expected by independent assortment. This apparent antagonism was reversed during the short wet season: Pf-Po co-infections were comparatively enriched despite low overall Po prevalence. In contrast, excess mixed Poc/Pow infections were detected across all seasons, composing 23% of the Po-positive isolates in which a specific Po species could be detected.

conclusionsThe epidemiology of P. ovale species in coastal Tanzania suggests they are frequently present when P. falciparum recedes, but also co-infect the same hosts during the short wet season. Meanwhile, the individual Poc and Pow species often co-exist within individuals, perhaps due to co-transmission or concurrent relapse.

Indexed as

MalariaMalaria, FalciparumPlasmodium falciparumPlasmodium ovaleSeasonsAdolescentAdultAgedChildChild, PreschoolFemaleHumansMaleMiddle AgedPrevalenceRNA, Ribosomal, 18SRNA, Ribosomal, 18Sasymptomatic malariainterspecies interactionmolecular surveillancePlasmodium falciparumPlasmodium ovale

Identifiers

PMID41024392
PMCPMC12521942

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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.