scholarly journals Increased investment in gametocytes in asymptomatic Plasmodium falciparum infections in the wet season

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Colins O. Oduma ◽  
Sidney Ogolla ◽  
Harrysone Atieli ◽  
Bartholomew N. Ondigo ◽  
Ming-Chieh Lee ◽  
...  
Keyword(s):  
Plasmodium Falciparum ◽  
Limit Of Detection ◽  
Parasite Prevalence ◽  
Dry Season ◽  
Control Measures ◽  
Wet Season ◽  
Western Kenya ◽  
Vector Abundance ◽  
Asymptomatic Infections ◽  
Asymptomatic Individuals

Abstract Background Transmission stemming from asymptomatic infections is increasingly being recognized as a threat to malaria elimination. In many regions, malaria transmission is seasonal. It is not well understood whether Plasmodium falciparum modulates its investment in transmission to coincide with seasonal vector abundance. Methods We sampled 1116 asymptomatic individuals in the wet season, when vectors are abundant, and 1743 in the dry season, in two sites in western Kenya, representing different transmission intensities (Chulaimbo, moderate transmission, and Homa Bay, low transmission). Blood samples were screened for P. falciparum by qPCR, and gametocytes by pfs25 RT-qPCR. Results Parasite prevalence by qPCR was 27.1% (Chulaimbo, dry), 48.2% (Chulaimbo, wet), 9.4% (Homabay, dry), and 7.8% (Homabay, wet). Mean parasite densities did not differ between seasons (P = 0.562). pfs25 transcripts were detected in 119/456 (26.1%) of infections. In the wet season, fewer infections harbored detectable gametocytes (22.3% vs. 33.8%, P = 0.009), but densities were 3-fold higher (wet: 3.46 transcripts/uL, dry: 1.05 transcripts/uL, P < 0.001). In the dry season, 4.0% of infections carried gametocytes at moderate-to-high densities likely infective (> 1 gametocyte per 2 uL blood), compared to 7.9% in the wet season. Children aged 5–15 years harbored 76.7% of infections with gametocytes at moderate-to-high densities. Conclusions Parasites increase their investment in transmission in the wet season, reflected by higher gametocyte densities. Despite increased gametocyte densities, parasite density remained similar across seasons and were often below the limit of detection of microscopy or rapid diagnostic test, thus a large proportion of infective infections would escape population screening in the wet season. Seasonal changes of gametocytemia in asymptomatic infections need to be considered when designing malaria control measures.

scholarly journals Plasmodium falciparum increases its investment in gametocytes in the wet season in asymptomatic individuals

2020 ◽  
Author(s):  
Colins O. Oduma ◽  
Sidney Ogolla ◽  
Harrysone Atieli ◽  
Bartholomew N. Ondigo ◽  
Ming-Chieh Lee ◽  
...  
Keyword(s):  
Plasmodium Falciparum ◽  
Malaria Transmission ◽  
Parasite Prevalence ◽  
Dry Season ◽  
Wet Season ◽  
Western Kenya ◽  
Gametocyte Carriage ◽  
Vector Abundance ◽  
Asymptomatic Individuals

AbstractIn many regions, malaria transmission is seasonal, but it is not well understood whether P. falciparum modulates its investment in transmission in response to seasonal vector abundance. In two sites in western Kenya (Chulaimbo and Homa Bay), we sampled 1116 asymptomatic individuals in the wet season, when vectors are abundant, and 1743 in the dry season. We screened for P. falciparum by qPCR, and gametocytes by pfs25 RT-qPCR. Parasite prevalence in Chulaimbo and Homa Bay was 27.1% and 9.4% in the dry season, and 48.2% and 7.8% in the wet season respectively. Mean parasite densities did not differ between seasons (P=0.562). A contrasting pattern of gametocyte carriage was observed. In the wet season, fewer infections harbored gametocytes (22.3% vs. 33.8%, P=0.009), but densities were 3-fold higher (P<0.001). Thus, in the wet season, among gametocyte positive individuals, higher proportion of all parasites were gametocytes, reflecting an increased investment in transmission.

scholarly journals Impact of an Irrigation Dam on the Transmission and Diversity of Plasmodium falciparum in a Seasonal Malaria Transmission Area of Northern Ghana

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Eric Kyei-Baafour ◽  
Bernard Tornyigah ◽  
Benjamin Buade ◽  
Langbong Bimi ◽  
Abraham R. Oduro ◽  
...  
Keyword(s):  
Plasmodium Falciparum ◽  
Malaria Transmission ◽  
Parasite Density ◽  
Parasite Prevalence ◽  
Dry Season ◽  
Water Bodies ◽  
Northern Ghana ◽  
Wet Season ◽  
Transmission Area ◽  
Dam Site

Water bodies such as dams are known to alter the local transmission patterns of a number of infectious diseases, especially those transmitted by insects and other arthropod vectors. The impact of an irrigation dam on submicroscopic asexual parasite carriage in individuals living in a seasonal malaria transmission area of northern Ghana was investigated. A total of 288 archived DNA samples from two cross-sectional surveys in two communities in the Bongo District of Northern Ghana were analysed. Parasite density was determined by light microscopy and PCR, and parasite diversity was assessed by genotyping of the polymorphic Plasmodium falciparum msp2 block-3 region. Submicroscopic parasitaemia was estimated as the proportional difference between positive samples identified by PCR and microscopy. Dry season submicroscopic parasite prevalence was significantly higher (71.0%, p=0.013) at the dam site compared with the nondam site (49.2%). Similarly, wet season submicroscopic parasite prevalence was significantly higher at the dam site (54.5%, p=0.008) compared with the nondam site (33.0%). There was no difference in parasite density between sites in the dry season (p=0.90) and in the wet season (p=0.85). Multiplicity of infection (MOI) based on PCR data was significantly higher at the dam site compared with the nondam site during the dry season (p<0.0001) but similar between sites during the wet season. MOI at the nondam site was significantly higher in the wet season than in the dry season (2.49, 1.26, p<0.0001) but similar between seasons at the dam site. Multivariate analysis showed higher odds of carrying submicroscopic parasites at the dam site in both dry season (OR = 7.46, 95% CI = 3.07–18.15) and in wet season (OR = 1.73, 95% CI = 1.04–2.86). The study findings suggest that large water bodies impact year-round carriage of submicroscopic parasites and sustain Plasmodium transmission.

scholarly journals Genotyping cognate Plasmodium falciparum in humans and mosquitoes to estimate onward transmission of asymptomatic infections

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Kelsey M. Sumner ◽  
Elizabeth Freedman ◽  
Lucy Abel ◽  
Andrew Obala ◽  
Brian W. Pence ◽  
...  
Keyword(s):  
Plasmodium Falciparum ◽  
Odds Ratio ◽  
Asymptomatic Malaria ◽  
Major Contributor ◽  
Western Kenya ◽  
High Transmission ◽  
Transmission Reduction ◽  
Asymptomatic Infections ◽  
Infection Types ◽  
Natural Settings

AbstractMalaria control may be enhanced by targeting reservoirs of Plasmodium falciparum transmission. One putative reservoir is asymptomatic malaria infections and the scale of their contribution to transmission in natural settings is not known. We assess the contribution of asymptomatic malaria to onward transmission using a 14-month longitudinal cohort of 239 participants in a high transmission site in Western Kenya. We identify P. falciparum in asymptomatically- and symptomatically-infected participants and naturally-fed mosquitoes from their households, genotype all parasites using deep sequencing of the parasite genes pfama1 and pfcsp, and use haplotypes to infer participant-to-mosquito transmission through a probabilistic model. In 1,242 infections (1,039 in people and 203 in mosquitoes), we observe 229 (pfcsp) and 348 (pfama1) unique parasite haplotypes. Using these to link human and mosquito infections, compared with symptomatic infections, asymptomatic infections more than double the odds of transmission to a mosquito among people with both infection types (Odds Ratio: 2.56; 95% Confidence Interval (CI): 1.36–4.81) and among all participants (OR 2.66; 95% CI: 2.05–3.47). Overall, 94.6% (95% CI: 93.1–95.8%) of mosquito infections likely resulted from asymptomatic infections. In high transmission areas, asymptomatic infections are the major contributor to mosquito infections and may be targeted as a component of transmission reduction.

scholarly journals Effect of Seasonality and Ecological Factors on the Prevalence of the Four Malaria Parasite Species in Northern Mali

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Ousmane A. Koita ◽  
Lansana Sangaré ◽  
Hammadoun A. Sango ◽  
Sounkalo Dao ◽  
Naffet Keita ◽  
...  
Keyword(s):  
Plasmodium Falciparum ◽  
Malaria Parasite ◽  
Parasite Species ◽  
Ecological Factors ◽  
Seasonal Fluctuation ◽  
Parasite Prevalence ◽  
Dry Season ◽  
Sahara Desert ◽  
Cross Sectional ◽  
Hot Dry Season

Background. We performed 2 cross-sectional studies in Ménaka in the Northeastern Mali across 9 sites in different ecological settings: 4 sites have permanent ponds, 4 without ponds, and one (City of Ménaka) has a semipermanent pond. We enrolled 1328 subjects in May 2004 (hot dry season) and 1422 in February 2005 (cold dry season) after the rainy season.Objective.To examine the seasonality of malaria parasite prevalence in this dry northern part of Mali at the edge of the Sahara desert.Results. Slide prevalence was lower in hot dry than cold dry season (4.94 versus 6.85%,P=0.025). Gametocyte rate increased to 0.91% in February. Four species were identified.Plasmodium falciparumwas most prevalent (74.13 and 63.72%).P. malariaeincreased from 9.38% to 22.54% in February. In contrast, prevalence ofP. vivaxwas higher (10.31%) without seasonal variation. Smear positivity was associated with splenomegaly (P=0.007). Malaria remained stable in the villages with ponds (P=0.221); in contrast, prevalence varied between the 2 seasons in the villages without ponds (P=0.004).Conclusion. Malaria was mesoendemic; 4 species circulates with a seasonal fluctuation forPlasmodium falciparum.

scholarly journals The prevalence and density of asymptomatic Plasmodium falciparum infections among children and adults in three communities of western Kenya

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Christina Salgado ◽  
George Ayodo ◽  
Michael D. Macklin ◽  
Meetha P. Gould ◽  
Srinivas Nallandhighal ◽  
...  
Keyword(s):  
Plasmodium Falciparum ◽  
Malaria Transmission ◽  
Malaria Incidence ◽  
Experimental Studies ◽  
Low Density ◽  
Healthy Children ◽  
Cross Sectional Survey ◽  
Western Kenya ◽  
Transcriptional Pattern ◽  
Asymptomatic Infections

Abstract Background Further reductions in malaria incidence as more countries approach malaria elimination require the identification and treatment of asymptomatic individuals who carry mosquito-infective Plasmodium gametocytes that are responsible for furthering malaria transmission. Assessing the relationship between total parasitaemia and gametocytaemia in field surveys can provide insight as to whether detection of low-density, asymptomatic Plasmodium falciparum infections with sensitive molecular methods can adequately detect the majority of infected individuals who are potentially capable of onward transmission. Methods In a cross-sectional survey of 1354 healthy children and adults in three communities in western Kenya across a gradient of malaria transmission (Ajigo, Webuye, and Kapsisywa–Kipsamoite), asymptomatic P. falciparum infections were screened by rapid diagnostic tests, blood smear, and quantitative PCR of dried blood spots targeting the varATS gene in genomic DNA. A multiplex quantitative reverse-transcriptase PCR assay targeting female and male gametocyte genes (pfs25, pfs230p), a gene with a transcriptional pattern restricted to asexual blood stages (piesp2), and human GAPDH was also developed to determine total parasite and gametocyte densities among parasitaemic individuals. Results The prevalence of varATS-detectable asymptomatic infections was greatest in Ajigo (42%), followed by Webuye (10%). Only two infections were detected in Kapsisywa. No infections were detected in Kipsamoite. Across all communities, children aged 11–15 years account for the greatest proportion total and sub-microscopic asymptomatic infections. In younger age groups, the majority of infections were detectable by microscopy, while 68% of asymptomatically infected adults (> 21 years old) had sub-microscopic parasitaemia. Piesp2-derived parasite densities correlated poorly with microscopy-determined parasite densities in patent infections relative to varATS-based detection. In general, both male and female gametocytaemia increased with increasing varATS-derived total parasitaemia. A substantial proportion (41.7%) of individuals with potential for onward transmission had qPCR-estimated parasite densities below the limit of microscopic detection, but above the detectable limit of varATS qPCR. Conclusions This assessment of parasitaemia and gametocytaemia in three communities with different transmission intensities revealed evidence of a substantial sub-patent infectious reservoir among asymptomatic carriers of P. falciparum. Experimental studies are needed to definitively determine whether the low-density infections in communities such as Ajigo and Webuye contribute significantly to malaria transmission.

scholarly journals Asymptomatic SARS-CoV-2 infection and the demography of COVID-19

2021 ◽  
Author(s):  
Zengmiao Wang ◽  
Peiyi Wu ◽  
Jingyuan Wang ◽  
Jose Lourenco ◽  
Bingying Li ◽  
...  
Keyword(s):  
Age Distribution ◽  
Geographic Location ◽  
Compartment Model ◽  
Control Measures ◽  
Contact Tracing ◽  
Age Group ◽  
Age Dependent ◽  
Geographic Differences ◽  
Asymptomatic Infections ◽  
Asymptomatic Individuals

Asymptomatic individuals carrying SARS CoV 2 can transmit the virus and contribute to outbreaks of COVID 19, but it is not yet clear how the proportion of asymptomatic infections varies by age and geographic location. Here we use detailed surveillance data gathered during COVID 19 resurgences in six cities of China at the beginning of 2021 to investigate this question. Data were collected by multiple rounds of city wide PCR test with detailed contact tracing, where each patient was monitored for symptoms through the whole course of infection. We find that the proportion of asymptomatic infections declines with age (coefficient =-0.006, P<0.01), falling from 56% in age group 0~9 years to 12% in age group >60 years. Using an age-stratified compartment model, we show that this age-dependent asymptomatic pattern together with the age distribution of overall cases can explain most of the geographic differences in reported asymptomatic proportions. Combined with demography and contact matrices from other countries worldwide, we estimate that a maximum of 22%~55% of SARS CoV 2 infections would come from asymptomatic cases in an uncontrolled epidemic based on asymptomatic proportions in China. Our analysis suggests that flare ups of COVID 19 are likely if only adults are vaccinated and that surveillance and possibly control measures among children will be still needed in the future to contain epidemic resurgence.

scholarly journals Impact of Mosquito Bites on Asexual Parasite Density and Gametocyte Prevalence in Asymptomatic Chronic Plasmodium falciparum Infections and Correlation with IgE and IgG Titers

2012 ◽  
Vol 80 (6) ◽  
pp. 2240-2246 ◽  
Author(s):  
Ramatoulaye Lawaly ◽  
Lassana Konate ◽  
Laurence Marrama ◽  
Ibrahima Dia ◽  
Diawo Diallo ◽  
...  
Keyword(s):  
Immune Response ◽  
Plasmodium Falciparum ◽  
Salivary Gland ◽  
Parasite Density ◽  
Parasite Prevalence ◽  
Asexual Parasite ◽  
Salivary Gland Extract ◽  
Th2 Response ◽  
Content Type ◽  
Asymptomatic Infections

ABSTRACTAn immunomodulatory role of arthropod saliva has been well documented, but evidence for an effect onPlasmodiumsp. infectiousness remains controversial. Mosquito saliva may orient the immune response toward a Th2 profile, thereby priming a Th2 response against subsequent antigens, includingPlasmodium. Orientation toward a Th1 versus a Th2 profile promotes IgG and IgE proliferation, respectively, where the former is crucial for the development of an efficient antiparasite immune response. Here we assessed the direct effect of mosquito bites on the density ofPlasmodium falciparumasexual parasites and the prevalence of gametocytes in chronic, asymptomatic infections in a longitudinal cohort study of seasonal transmission. We additionally correlated these parasitological measures with IgE and IgG antiparasite and anti-salivary gland extract titers. The mosquito biting density was positively correlated with the asexual parasite density but not asexual parasite prevalence and was negatively correlated with gametocyte prevalence. Individual anti-salivary gland IgE titers were also negatively correlated with gametocyte carriage and were strongly positively correlated with antiparasite IgE titers, consistent with the hypothesis that mosquito bites predispose individuals to develop an IgE antiparasite response. We provide evidence that mosquito bites have an impact on asymptomatic infections and differentially so for the production of asexual and sexual parasites. An increased research focus on the immunological impact of mosquito bites during asymptomatic infections is warranted, to establish whether strategies targeting the immune response to saliva can reduce the duration of infection and the onward transmission of the parasite.

scholarly journals The contribution of asymptomatic SARS-CoV-2 infections to transmission on the Diamond Princess cruise ship

eLife ◽  
2020 ◽  
Vol 9 ◽  
Author(s):  
Jon C Emery ◽  
Timothy W Russell ◽  
Yang Liu ◽  
Joel Hellewell ◽  
Carl AB Pearson ◽  
...  
Keyword(s):  
Reproduction Number ◽  
Disease Onset ◽  
Control Measures ◽  
Transmission Model ◽  
Cruise Ship ◽  
Transmission Control ◽  
Asymptomatic Infections ◽  
Potential Impact ◽  
Asymptomatic Individuals ◽  
Net Reproduction

A key unknown for SARS-CoV-2 is how asymptomatic infections contribute to transmission. We used a transmission model with asymptomatic and presymptomatic states, calibrated to data on disease onset and test frequency from the Diamond Princess cruise ship outbreak, to quantify the contribution of asymptomatic infections to transmission. The model estimated that 74% (70–78%, 95% posterior interval) of infections proceeded asymptomatically. Despite intense testing, 53% (51–56%) of infections remained undetected, most of them asymptomatic. Asymptomatic individuals were the source for 69% (20–85%) of all infections. The data did not allow identification of the infectiousness of asymptomatic infections, however low ranges (0–25%) required a net reproduction number for individuals progressing through presymptomatic and symptomatic stages of at least 15. Asymptomatic SARS-CoV-2 infections may contribute substantially to transmission. Control measures, and models projecting their potential impact, need to look beyond the symptomatic cases if they are to understand and address ongoing transmission.

scholarly journals Determining the Levels of Some Heavy Metals in Springs and Groundwater Wells in the Northeastern Region of Libya

2020 ◽  
Vol 35 (4) ◽  
pp. 326-338
Author(s):  
Ifdial O. El Awamy ◽  
Ruqayah. A. Abduljalil ◽  
Omukalthum A. Abduljalil
Keyword(s):  
Heavy Metals ◽  
Drinking Water ◽  
Limit Of Detection ◽  
Dry Season ◽  
World Health ◽  
Wet Season ◽  
Limit Of Quantification ◽  
Northeastern Region ◽  
Relative Standard ◽  
Groundwater Wells

This study was designed to detect heavy metals (Zn, Cd, Pb, and Cu) in several springs and groundwater wells in the northeastern region of Libya. Samples were collected from different regions in both seasons (dry and wet). An atomic absorption spectrophotometry equipped with Slotted Tube Atomic Trap (STAT) was used. The limit of detection (LOD) was in the range of 0.008 to 0.03 μg mL-1, and the limit of quantification (LOQ) was in the range of 0.02 to 0.09 μg mL-1. % RSD (relative standard deviations) ranged between 0.0001 to 0.329%. Results showed the presence of heavy metal residues in the regions in two seasons (dry-wet) during the study in some springs and groundwater wells. The zinc (Zn), cadmium (Cd), and Copper (Cu) values were below permitted limits, according to the World Health Organization (WHO), Libyan National Center for Standardization (LNCSM), and Food and Agriculture Organization (FAO). Lead (Pb) in the dry season was much higher than the wet season in accordance with WHO and LNCSM. The other values were below permissable limits according to WHO,  LNCSM, and FAO. This study’s results show the presence of dangerous levels of lead during the dry season in the groundwater wells on SahlAlmarj I, Alabyar III. Overall, the investigation of chemical and agricultural fertilizers is an effective method of monitoring the quality of drinking water. Such investigations are needed to identify possible sources of contamination of storage tanks and pipelines to ensure the delivery of safe drinking water to end-users.

scholarly journals Risk factors for Plasmodium falciparum infection in pregnant women in Burkina Faso: a community-based cross-sectional survey

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Jean Baptiste Yaro ◽  
Alphonse Ouedraogo ◽  
Amidou Diarra ◽  
Salif Sombié ◽  
Z. Amidou Ouedraogo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Plasmodium Falciparum ◽  
Burkina Faso ◽  
Pregnant Women ◽  
Malaria Control ◽  
Dry Season ◽  
Malaria In Pregnancy ◽  
Wet Season ◽  
Cross Sectional ◽  
In Pregnancy

Abstract Background Malaria in pregnancy remains a public health problem in sub-Saharan Africa. Identifying risk factors for malaria in pregnancy could assist in developing interventions to reduce the risk of malaria in Burkina Faso and other countries in the region. Methods Two cross-sectional surveys were carried out to measure Plasmodium falciparum infection using microscopy in pregnant women in Saponé Health District, central Burkina Faso. Data were collected on individual, household and environmental variables and their association with P. falciparum infection assessed using multivariable analysis. Results A total of 356 pregnant women were enrolled in the surveys, 174 during the dry season and 182 during the wet season. The mean number of doses of sulfadoxine–pyrimethamine for Intermittent Preventive Treatment in pregnancy (IPTp-SP) was 0.4 doses during the first trimester, 1.1 doses at the second and 2.3 doses at the third. Overall prevalence of P. falciparum infection by microscopy was 15.7%; 17.8% in the dry season and 13.7% in the wet season. 88.2% of pregnant women reported sleeping under an insecticide-treated net (ITN) on the previous night. The odds of P. falciparum infection was 65% lower in women who reported using an ITN compared to those that did not use an ITN (Odds ratio, OR = 0.35, 95% CI 0.14–0.86, p = 0.02). IPTp-SP was also associated with reduced P. falciparum infection, with each additional dose of IPTp-SP reducing the odds of infection by 44% (OR = 0.56, 95% CI 0.39–0.79, p = 0.001). Literate women had a 2.54 times higher odds of P. falciparum infection compared to illiterate women (95% CI 1.31–4.91, p = 0.006). Conclusions The prevalence of P. falciparum infection among pregnant women remains high in Burkina Faso, although use of IPTp-SP and ITNs were found to reduce the odds of infection. Despite this, compliance with IPTp-SP remains far from that recommended by the National Malaria Control Programme and World Health Organization. Behaviour change communication should be strengthened to encourage compliance with protective malaria control tools during pregnancy.

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