Molecular Malaria Epidemiology: Mapping and Burden Estimates for the Democratic Republic of the Congo, 2007
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{"title"=>"Molecular malaria epidemiology: Mapping and burden estimates for the democratic Republic of the Congo, 2007", "type"=>"journal", "authors"=>[{"first_name"=>"Steve M.", "last_name"=>"Taylor", "scopus_author_id"=>"7404757651"}, {"first_name"=>"Jane P.", "last_name"=>"Messina", "scopus_author_id"=>"57201191629"}, {"first_name"=>"Carla C.", "last_name"=>"Hand", "scopus_author_id"=>"6507924549"}, {"first_name"=>"Jonathan J.", "last_name"=>"Juliano", "scopus_author_id"=>"16444870200"}, {"first_name"=>"Jeremie", "last_name"=>"Muwonga", "scopus_author_id"=>"16234314800"}, {"first_name"=>"Antoinette K.", "last_name"=>"Tshefu", "scopus_author_id"=>"21234303400"}, {"first_name"=>"Benjamin", "last_name"=>"Atua", "scopus_author_id"=>"36930006900"}, {"first_name"=>"Michael", "last_name"=>"Emch", "scopus_author_id"=>"6603096379"}, {"first_name"=>"Steven R.", "last_name"=>"Meshnick", "scopus_author_id"=>"7007154303"}], "year"=>2011, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-79551644914", "pui"=>"361218379", "doi"=>"10.1371/journal.pone.0016420", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "sgr"=>"79551644914", "pmid"=>"21305011"}, "id"=>"d8a15177-7c17-31eb-973b-881b420e70f3", "abstract"=>"BACKGROUND: Epidemiologic data on malaria are scant in many high-burden countries including the Democratic Republic of the Congo (DRC), which suffers the second-highest global burden of malaria. Malaria control efforts in regions with challenging infrastructure require reproducible and efficient surveillance. We employed new high-throughput molecular testing to characterize the state of malaria control in the DRC and estimate childhood mortality attributable to excess malaria transmission. METHODS AND FINDINGS: The Demographic and Health Survey was a cross-sectional, population-based cluster household survey of adults aged 15-59 years in 2007 employing structured questionnaires and dried blood spot collection. Parasitemia was detected by real-time PCR, and survey responses measured adoption of malaria control measures and under-5 health indices. The response rate was 99% at the household level, and 8,886 households were surveyed in 300 clusters; from 8,838 respondents molecular results were available. The overall prevalence of parasitemia was 33.5% (95% confidence interval [C.I.] 32-34.9); P. falciparum was the most prevalent species, either as monoinfection (90.4%; 95% C.I. 88.8-92.1) or combined with P. malariae (4.9%; 95% C.I. 3.7-5.9) or P. ovale (0.6%; 95% C.I. 0.1-0.9). Only 7.7% (95% CI 6.8-8.6) of households with children under 5 owned an insecticide-treated bednet (ITN), and only 6.8% (95% CI 6.1-7.5) of under-fives slept under an ITN the preceding night. The overall under-5 mortality rate was 147 deaths per 1,000 live births (95% C.I. 141-153) and between clusters was associated with increased P. falciparum prevalence; based on the population attributable fraction, 26,488 yearly under-5 deaths were attributable to excess malaria transmission. CONCLUSIONS: Adult P. falciparum prevalence is substantial in the DRC and is associated with under-5 mortality. Molecular testing offers a new, generalizable, and efficient approach to characterizing malaria endemicity in underserved countries.", "link"=>"http://www.mendeley.com/research/molecular-malaria-epidemiology-mapping-burden-estimates-democratic-republic-congo-2007", "reader_count"=>61, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>4, "Student > Doctoral Student"=>3, "Researcher"=>12, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>4, "Other"=>7, "Student > Master"=>11, "Student > Bachelor"=>4, "Lecturer"=>3, "Professor"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>4, "Student > Doctoral Student"=>3, "Researcher"=>12, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>4, "Other"=>7, "Student > Master"=>11, "Student > Bachelor"=>4, "Lecturer"=>3, "Professor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Environmental Science"=>2, "Biochemistry, Genetics and Molecular Biology"=>2, "Nursing and Health Professions"=>3, "Agricultural and Biological Sciences"=>15, "Medicine and Dentistry"=>24, "Arts and Humanities"=>1, "Chemistry"=>1, "Social Sciences"=>4, "Immunology and Microbiology"=>2, "Earth and Planetary Sciences"=>2, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>24}, "Chemistry"=>{"Chemistry"=>1}, "Social Sciences"=>{"Social Sciences"=>4}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>2}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>15}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Unspecified"=>{"Unspecified"=>4}, "Environmental Science"=>{"Environmental Science"=>2}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"Pakistan"=>1, "United States"=>3, "United Kingdom"=>1}, "group_count"=>9}

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  • {"files"=>["https://ndownloader.figshare.com/files/802398"], "description"=>"<p>A. U5MR (deaths per 1000 live births) by survey cluster. B. Cluster U5MR by adult <i>P. falciparum</i> prevalence. Black dots represent actual U5MRs, weighted relative to the number of births in each cluster; black line represents trend line from an unadjusted linear regression model (R<sup>2</sup> = 0.0538; p<0.001) weighted for differences in numbers of births between clusters (gray area is 95% confidence interval). C. Cluster U5MR by malaria endemicity category. Boxes represent interquartile range, midline is median, individual dots are outliers. p = 0.001 for overall comparison of medians by Kruskal-Wallis analysis of variance.</p>", "links"=>[], "tags"=>["malaria"], "article_id"=>472768, "categories"=>["Biotechnology", "Infectious Diseases"], "users"=>["Steve M. Taylor", "Jane P. Messina", "Carla C. Hand", "Jonathan J. Juliano", "Jeremie Muwonga", "Antoinette K. Tshefu", "Benjamin Atua", "Michael Emch", "Steven R. Meshnick"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0016420.g004", "stats"=>{"downloads"=>2, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Under_5_mortality_and_malaria_endemicity_/472768", "title"=>"Under-5 mortality and malaria endemicity.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 20:55:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/802560"], "description"=>"<p>Proportions weighted to account for sampling design. ITN, insecticide-treated bednet. HIV, human immunodeficiency virus. ACT, artemisinin-combination therapy.</p>", "links"=>[], "tags"=>["indices"], "article_id"=>472923, "categories"=>["Biotechnology", "Infectious Diseases"], "users"=>["Steve M. Taylor", "Jane P. Messina", "Carla C. Hand", "Jonathan J. Juliano", "Jeremie Muwonga", "Antoinette K. Tshefu", "Benjamin Atua", "Michael Emch", "Steven R. Meshnick"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0016420.t001", "stats"=>{"downloads"=>3, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Malaria_indices_from_household_survey_/472923", "title"=>"Malaria indices from household survey.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 20:56:44"}
  • {"files"=>["https://ndownloader.figshare.com/files/802183"], "description"=>"<p>(note difference in visual scales). A. Proportion of households with children under 5 years of age by cluster who reported owning an insecticide-treated net. B. Proportion of children under 5 years of age by cluster that were reported to have slept under an insecticide-treated net the night prior to the survey. C. Proportion of pregnant women by cluster who reported sleeping under an insecticide-treated net the night prior to the survey. D. Proportion of women by cluster who reported taking any antimalarial during their most recent pregnancy within the preceding 5 years.</p>", "links"=>[], "tags"=>["malaria"], "article_id"=>472551, "categories"=>["Biotechnology", "Infectious Diseases"], "users"=>["Steve M. Taylor", "Jane P. Messina", "Carla C. Hand", "Jonathan J. Juliano", "Jeremie Muwonga", "Antoinette K. Tshefu", "Benjamin Atua", "Michael Emch", "Steven R. Meshnick"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0016420.g002", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Penetration_of_malaria_control_measures_/472551", "title"=>"Penetration of malaria control measures.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 20:54:43"}
  • {"files"=>["https://ndownloader.figshare.com/files/802061"], "description"=>"<p>Geographic clusters from which households were selected for sampling.</p>", "links"=>[], "tags"=>["clusters", "households"], "article_id"=>472424, "categories"=>["Biotechnology", "Infectious Diseases"], "users"=>["Steve M. Taylor", "Jane P. Messina", "Carla C. Hand", "Jonathan J. Juliano", "Jeremie Muwonga", "Antoinette K. Tshefu", "Benjamin Atua", "Michael Emch", "Steven R. Meshnick"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0016420.g001", "stats"=>{"downloads"=>1, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Geographic_clusters_from_which_households_were_selected_for_sampling_/472424", "title"=>"Geographic clusters from which households were selected for sampling.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 20:54:05"}
  • {"files"=>["https://ndownloader.figshare.com/files/802311"], "description"=>"<p>Parasite prevalence within 300 survey clusters. (note difference in visual scales). A. <i>P. Falciparum</i>. B. <i>P. ovale</i>. C. <i>P. malariae.</i></p>", "links"=>[], "tags"=>["epidemiology"], "article_id"=>472675, "categories"=>["Biotechnology", "Infectious Diseases"], "users"=>["Steve M. Taylor", "Jane P. Messina", "Carla C. Hand", "Jonathan J. Juliano", "Jeremie Muwonga", "Antoinette K. Tshefu", "Benjamin Atua", "Michael Emch", "Steven R. Meshnick"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0016420.g003", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Spatial_epidemiology_of_P_falciparum_ovale_and_malariae_parasitemias_/472675", "title"=>"Spatial epidemiology of <i>P. falciparum</i>, <i>ovale</i>, and <i>malariae</i> parasitemias.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 20:55:23"}
  • {"files"=>["https://ndownloader.figshare.com/files/802514"], "description"=>"<p>Values are expressed as percentages unless otherwise indicated; those in parentheses are 95% confidence intervals. ITN, insecticide-treated bednet.</p>a<p>Quintiles of 1 (poorest) – 5 (wealthiest) based on household ownership of goods owned and lodging characteristics.</p>b<p>Includes mixed-species parasitemias.</p>", "links"=>[], "tags"=>["characteristics", "malaria"], "article_id"=>472880, "categories"=>["Biotechnology", "Infectious Diseases"], "users"=>["Steve M. Taylor", "Jane P. Messina", "Carla C. Hand", "Jonathan J. Juliano", "Jeremie Muwonga", "Antoinette K. Tshefu", "Benjamin Atua", "Michael Emch", "Steven R. Meshnick"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0016420.t002", "stats"=>{"downloads"=>1, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Individual_and_cluster_characteristics_by_malaria_endemicity_/472880", "title"=>"Individual and cluster characteristics by malaria endemicity.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 20:56:33"}
  • {"files"=>["https://ndownloader.figshare.com/files/802484"], "description"=>"<p>C.I.: confidence interval. Odds ratios are adjusted for other covariates. 1<sup>st</sup> quartile are clusters with the lowest proportion of the indicated variable, 4<sup>th</sup> quartile with the highest proportion of the indicated variable. All children born to female respondents in or since 2003 were included (n = 8290).</p>a<p>Proportion of adults in each cluster who were parasitemic with <i>P. falciparum</i> by real-time PCR testing.</p>b<p>Proportion children under 5 in each cluster who had ever received any vaccination for any disease (as reported by the child's mother).</p>c<p>Proportion of children under 5 in each cluster who had diarrhea, fever, or cough in the preceding two weeks, (as reported by the child's mother).</p>", "links"=>[], "tags"=>["multilevel", "cluster-level", "indicators", "under-5"], "article_id"=>472843, "categories"=>["Biotechnology", "Infectious Diseases"], "users"=>["Steve M. Taylor", "Jane P. Messina", "Carla C. Hand", "Jonathan J. Juliano", "Jeremie Muwonga", "Antoinette K. Tshefu", "Benjamin Atua", "Michael Emch", "Steven R. Meshnick"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0016420.t003", "stats"=>{"downloads"=>2, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Results_of_a_multilevel_model_of_cluster_level_indicators_on_under_5_deaths_/472843", "title"=>"Results of a multilevel model of cluster-level indicators on under-5 deaths.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 20:56:20"}

PMC Usage Stats | Further Information

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