1. Spatio-temporal dynamics of Plasmodium falciparum transmission within a spatial unit on the Colombian Pacific Coast
- Author
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Carlos Fernandez-del Castillo, Samanda Aponte, Julian C. Rayner, Felipe González-Casabianca, Alejandro Feged-Rivadeneira, Vladimir Corredor, Giovanni Apráez, Angélica Knudson, Myriam Salazar-Terreros, Christopher G Jacob, Manuela Carrasquilla, Venkatachalam Udhayakumar, Ricardo Sánchez-Pedraza, Maria Fernanda Pedreros, Alena Pance, Naomi W. Lucchi, Elvira Mancilla, Jairo Andrés Angel, Anderson Piamba-Dorado, Adriana Olaya, Feged-Rivadeneira, Alejandro [0000-0001-8649-4213], Pance, Alena [0000-0002-9017-2644], Carrasquilla, Manuela [0000-0002-7953-4376], Rayner, Julian C [0000-0002-9835-1014], Corredor, Vladimir [0000-0002-8597-8125], Apollo - University of Cambridge Repository, and Rayner, Julian C. [0000-0002-9835-1014]
- Subjects
0301 basic medicine ,Male ,Plasmodium ,Epidemiology ,Drug Resistance ,Protozoan Proteins ,lcsh:Medicine ,law.invention ,within ,falciparum ,0302 clinical medicine ,law ,692/308/174 ,129 ,Malaria, Falciparum ,lcsh:Science ,Child ,Coast ,Aged, 80 and over ,Multidisciplinary ,Network topology ,biology ,631/326/417/2550 ,transmission ,Diagnostic test ,dynamics ,Middle Aged ,3. Good health ,Colombian ,Transmission (mechanics) ,Geography ,Child, Preschool ,631/208/727/728 ,Female ,Genetic and epidemiological data ,Malaria control ,Cartography ,Adult ,Adolescent ,unit ,030231 tropical medicine ,Plasmodium falciparum ,45/23 ,Antigens, Protozoan ,Colombia ,631/114/2408 ,Article ,Unit (housing) ,03 medical and health sciences ,Malaria transmission ,Malaria elimination ,Transmission heterogeneity ,631/158/1469 ,parasitic diseases ,medicine ,Parasite genetics ,Humans ,Understanding of malaria ,Aged ,Ecological epidemiology ,lcsh:R ,Infant ,biology.organism_classification ,medicine.disease ,Pacific ,spatial ,030104 developmental biology ,Haplotypes ,Spatio-temporal ,lcsh:Q ,119 ,Malaria ,Gene Deletion - Abstract
As malaria control programmes concentrate their efforts towards malaria elimination a better understanding of malaria transmission patterns at fine spatial resolution units becomes necessary. Defining spatial units that consider transmission heterogeneity, human movement and migration will help to set up achievable malaria elimination milestones and guide the creation of efficient operational administrative control units. Using a combination of genetic and epidemiological data we defined a malaria transmission unit as the area contributing 95% of malaria cases diagnosed at the catchment facility located in the town of Guapi in the South Pacific Coast of Colombia. We provide data showing that P. falciparum malaria transmission is heterogeneous in time and space and analysed, using topological data analysis, the spatial connectivity, at the micro epidemiological level, between parasite populations circulating within the unit. To illustrate the necessity to evaluate the efficacy of malaria control measures within the transmission unit in order to increase the efficiency of the malaria control effort, we provide information on the size of the asymptomatic reservoir, the nature of parasite genotypes associated with drug resistance as well as the frequency of the Pfhrp2/3 deletion associated with false negatives when using Rapid Diagnostic Tests.
- Published
- 2020