The World Health Organization declared Sri Lanka a malaria eliminated country in 2016[1-3].At present,the country is in the phase of preventing the re-establishment of malaria[4].However,travelers who contract the dis...The World Health Organization declared Sri Lanka a malaria eliminated country in 2016[1-3].At present,the country is in the phase of preventing the re-establishment of malaria[4].However,travelers who contract the disease overseas in malaria endemic countries continue to present a constant risk of re-establishing malaria in Sri Lanka,where malaria-transmitting mosquitos is prevalent.In this context,robust measures are being implemented in the country to prevent re-establishment of malaria and to stop travelers infected with malaria progressing into severe disease and death.展开更多
Malaria is a significant global health challenge.This devastating disease continues to affect millions,especially in tropical regions.It is caused by Plasmodium parasites transmitted by female Anopheles mosquitoes.Thi...Malaria is a significant global health challenge.This devastating disease continues to affect millions,especially in tropical regions.It is caused by Plasmodium parasites transmitted by female Anopheles mosquitoes.This study introduces a nonlinear mathematical model for examining the transmission dynamics of malaria,incorporating both human and mosquito populations.We aim to identify the key factors driving the endemic spread of malaria,determine feasible solutions,and provide insights that lead to the development of effective prevention and management strategies.We derive the basic reproductive number employing the next-generation matrix approach and identify the disease-free and endemic equilibrium points.Stability analyses indicate that the disease-free equilibrium is locally and globally stable when the reproductive number is below one,whereas an endemic equilibrium persists when this threshold is exceeded.Sensitivity analysis identifies the most influential mosquito-related parameters,particularly the bite rate and mosquito mortality,in controlling the spread of malaria.Furthermore,we extend our model to include a treatment compartment and three disease-preventive control variables such as antimalaria drug treatments,use of larvicides,and the use of insecticide-treated mosquito nets for optimal control analysis.The results show that optimal use of mosquito nets,use of larvicides for mosquito population control,and treatment can lower the basic reproduction number and control malaria transmission with minimal intervention costs.The analysis of disease control strategies and findings offers valuable information for policymakers in designing cost-effective strategies to combat malaria.展开更多
Introduction: A recent study in Kenya highlighted a promising advance in malaria control by demonstrating that infecting mosquitoes with the endosymbiont Microsporidia MB blocks Plasmodium transmission. However, the i...Introduction: A recent study in Kenya highlighted a promising advance in malaria control by demonstrating that infecting mosquitoes with the endosymbiont Microsporidia MB blocks Plasmodium transmission. However, the influence of biotic and abiotic factors such as diet, relative humidity (RH) and temperature on this infection remains poorly studied. This study, aimed to gain a better understanding of this relationship. Methods: To highlight the influence of diet quantity, we defined a range of 3 quantities: 0.00375 g, 0.015 g and 0.09 g. Each quantity was tested on two groups of larvae: a group of 150 larvae infected with Microsporidia MB (MB+), and a group of 150 larvae not infected with Microsporidia MB (MB−) (control group), each divided into three replicates of 50 larvae. Each replicate was fed each morning with the assigned quantity until the pupal stage. In addition to this factor, we investigated the influence of temperature and RH. We defined three temperature-RH combinations: 21˚C-80% RH, 39˚C-50% RH, and 27˚C-75% RH. Each combination was tested on two groups of larvae: a group of 150 MB+ larvae and a group of 150 MB− larvae, each divided into three replicates of 50 larvae. Each replicate was subjected to the assigned combination until pupation. Pupae that had reached the adult stage were tested by PCR to determine their Microsporidia MB infection status for each factor studied. Results: The results showed that only the lowest quantity (0.00375 g) significantly reduced the prevalence of Microsporidia MB compared with the medium quantity (chi-2 test, χ2 = 4.9088, df = 1, p = 0.02672) and the high quantity (chi-2 test, χ2 = 4.7958, df = 1, p = 0.02853). As for temperature and RH, the combination 39˚C-50% RH led to a significant reduction in the prevalence of Microsporidia MB compared with the combination 27˚C-75% RH (chi-2 test, χ2 = 6.3736, ddl = 1, p = 0.01158) and that 21˚C-80% RH (chi-2 test, χ2 = 9.983, ddl = 1, p = 0.00158). Conclusion: This work contributes to a better understanding of some key factors linked to Microsporidia MB infection in mosquitoes. However, further research on several generations is necessary to draw more comprehensive conclusions.展开更多
Malaria remains a major public health challenge necessitating accurate predictive models to inform effective intervention strategies in Sierra Leone. This study compares the performance of Holt-Winters’ Exponential S...Malaria remains a major public health challenge necessitating accurate predictive models to inform effective intervention strategies in Sierra Leone. This study compares the performance of Holt-Winters’ Exponential Smoothing, Harmonic, and Artificial Neural Network (ANN) models using data from January 2018 to December 2023, incorporating both historical case records from Sierra Leone’s Health Management Information System (HMIS) and meteorological variables including humidity, precipitation, and temperature. The ANN model demonstrated superior performance, achieving a Mean Absolute Percentage Error (MAPE) of 4.74% before including climatic variables. This was further reduced to 3.9% with the inclusion of climatic variables, outperforming traditional models like Holt-Winters and Harmonic, which yielded MAPEs of 22.53% and 17.90% respectively. The ANN’s success is attributed to its ability to capture complex, non-linear relationships in the data, particularly when enhanced with relevant climatic variables. Using the optimized ANN model, we forecasted malaria cases for the next 24 months, predicting a steady increase from January 2024 to December 2025, with seasonal peaks. This study underscores the potential of machine learning approaches, particularly ANNs, in epidemiological modelling and highlights the importance of integrating environmental factors into malaria prediction models, recommending the ANN model for informing more targeted and efficient malaria control strategies to improve public health outcomes in Sierra Leone and similar settings.展开更多
Malaria is a potentially lethal disease caused by parasites of the Plasmodium genus, transmitted to humans through the bite of infected female mosquitoes, primarily Anopheles. To control this disease, various strategi...Malaria is a potentially lethal disease caused by parasites of the Plasmodium genus, transmitted to humans through the bite of infected female mosquitoes, primarily Anopheles. To control this disease, various strategies are implemented, including biological control, which targets the vectors of the parasite. This approach uses biological agents such as entomopathogenic fungi, including Metarhizium pingshaense, a fungus capable of causing lethal infections in mosquitoes. The production of Metarhizium pingshaense is still limited in Burkina Faso, and local cultivation of this fungus could help fill this gap. A study was conducted to identify optimal local substrates that promote its growth. Indeed, after gathering information on the dietary habits of populations in Bobo-Dioulasso and Bama, three potential substrates were selected: rice, cornmeal dough (MFL), and beans. These substrates were inoculated with two strains of Metarhizium pingshaense (S10 and S26) to assess their ability to support fungal growth and their effectiveness. Experimental results showed that MFL and bean substrates favored optimal growth of Metarhizium pingshaense, with growths of 1.91 cm and 2.13 cm after 8 days, compared to 1.83 cm on a standard media (PDA). In terms of virulence, S26 strain caused 60% mosquito mortality on both the bean and PDA media, while S10 strain induced mortalities of 50% for bean and 62% for PDA.展开更多
BACKGROUND Type 1 diabetes is an autoimmune disease leading to insulin deficiency,and it is mainly diagnosed in young adults.One of the major acute complications of type 1 diabetes is diabetic ketoacidosis(DKA),which ...BACKGROUND Type 1 diabetes is an autoimmune disease leading to insulin deficiency,and it is mainly diagnosed in young adults.One of the major acute complications of type 1 diabetes is diabetic ketoacidosis(DKA),which is a metabolic emergency that can be triggered by stress,infection,or poor blood glucose control.The association of DKA with conditions such as acute pancreatitis and malaria is rare and therefore represents a major diagnostic and therapeutic challenge.CASE SUMMARY A 20-year-old female was admitted to the emergency room for abdominal pelvic pain,fever,asthenia,polyuria,and polydipsia with a progressive deterioration of her state of consciousness.At admission,she was in a mild coma(Glasgow score:9),had a fever of 38.5°C,and had hyperglycemia(6 g/dL).The tests revealed severe DKA,hypertriglyceridemia,hyperamylasemia,and hyperlipasemia as well as malaria parasite density.The computed tomography scan confirmed acute stage E pancreatitis.The diagnosis was that of inaugural ketoacidosis of type 1 diabetes unbalanced by pancreatitis and malaria.Treatment included insulin therapy,rehydration,and antimalarial and analgesic treatment.After 10 days,the outcome was favorable with a normalization of the blood sugar,and an endocrine follow-up was recommend.CONCLUSION Rapid and multidisciplinary management of DKA,pancreatitis,and malaria led to a favorable and stable prognosis.展开更多
Objective:To ascertain the prevalence and distribution of malaria parasites among the three monkeys species from three provinces in Sumatra Island,Indonesia.Methods:Infections with Plasmodium spp.were determined morph...Objective:To ascertain the prevalence and distribution of malaria parasites among the three monkeys species from three provinces in Sumatra Island,Indonesia.Methods:Infections with Plasmodium spp.were determined morphologically from the blood smears which were stained with Giemsa solution and molecularly through nested polymerase chain reaction(PCR)in DNA samples from 68 primates,which were captured at three locations:Jambi(Bungo district),Bengkulu(Muko-Muko district),and Riau Islands(Lingga district).Results:Out of 68 samples analyzed,46 were positive for various Plasmodium species,including Plasmodium knowlesi,Plasmodium cynamolgi,Plasmodium inui,and Plasmodium coatneyi.Over one-third of the population exhibited multiple infections,with Plasmodium inui being the most predominant strain.Conclusions:The high prevalence of multiple malaria infections in monkeys,coupled with the rising reports of primate malaria cases in human raises questions about the potential for human transmission.These findings emphasize the necessity for ongoing monitoring and endeavors to comprehend and alleviate the risk of zoonotic malaria transmission,particularly in areas experiencing environmental changes.展开更多
Objective:To evaluate the antimalarial activity of noscapine against Plasmodium falciparum 3D7 strain(Pf3D7),its clinical isolate(Pf140/SS),and Plasmodium berghei ANKA(PbA).Methods:Using ring-stage survival assay,phen...Objective:To evaluate the antimalarial activity of noscapine against Plasmodium falciparum 3D7 strain(Pf3D7),its clinical isolate(Pf140/SS),and Plasmodium berghei ANKA(PbA).Methods:Using ring-stage survival assay,phenotypic assessments,and SYBR-green-based fluorescence assay,the antimalarial activities of noscapine were assessed compared with dihydroartemisinin(DHA)in in vivo and in vitro studies.In addition,hemolysis and cytotoxicity tests were carried out to evaluate its safety.RT-PCR assay was also conducted to determine the effect of noscapine on papain-like cysteine protease Plasmodium falciparum falcipain-2(PfFP-2).Results:The antimalarial efficacy of noscapine against Pf3D7 and Pf140/SS was comparable to DHA,with IC50 values of(7.68±0.88)and(5.57±0.74)nM/mL,respectively,and>95%inhibition of PbA infected rats.Noscapine also showed a safe profile,as evidenced by low hemolysis and cytotoxicity even at high concentrations.Moreover,PfFP-2 expression was significantly inhibited in both noscapine-treated Pf3D7 and Pf140/SS(P<0.01).Conclusions:Noscapine has antimalarial properties comparable to standard antimalarial DHA with better safety profiles,which may be further explored as a therapeutic candidate for the treatment of malaria.展开更多
BACKGROUND On June 30,2021,China received certification from the World Health Organization for malaria elimination.However,this certification does not signify the absence of malaria within China.Due to the increasing ...BACKGROUND On June 30,2021,China received certification from the World Health Organization for malaria elimination.However,this certification does not signify the absence of malaria within China.Due to the increasing frequency of international exchanges and collaborations,the threat of imported malaria persists in China.Consequently,the prevention and control of imported malaria have become a primary focus for our country to maintain its malaria elimination status.CASE SUMMARY Herein,we present a case report of a 53-year-old Chinese man who worked in Africa for nearly two years.He was diagnosed with malaria in the Democratic Republic of the Congo between November 19 and November 23,2022.After receiving effective treatment with oral antimalarial drugs,his condition improved,allowing him to return to China.He was later admitted to our hospital on January 12,2023,during the coronavirus disease 2019 pandemic in Huangshi,China.Through a thorough evaluation of the patient's symptoms,clinical signs,imaging and laboratory test results,and epidemiological data,he was rapidly diagnosed with severe cerebral malaria.The patient underwent successful treatment through a series of intensive care unit interventions.CONCLUSION The successful treatment of this imported case of severe cerebral malaria provides a valuable reference for managing patients with similar malaria infections and has significant clinical implications.展开更多
This review aims to summarize the currently viable vaccine strategies including the approved vaccines and the those in trials for next-generation malaria vaccines.Data on malaria vaccine development was collected thro...This review aims to summarize the currently viable vaccine strategies including the approved vaccines and the those in trials for next-generation malaria vaccines.Data on malaria vaccine development was collected through a comprehensive review.The literature search was performed using databases including Google Scholar,PubMed,NIH,and Web of Science.Various novel approaches of vaccination are being developed,including those based on radiation-attenuated strategies,monoclonal antibodies,targeted immunogenic peptides,RNA and DNA vaccines,nanoparticle-based vaccines,protein-based vaccination protocols,and whole organism-based vaccination strategies.Trials on RTS,S have entered phase Ⅲtesting,and those based on blood-stage vaccines and vaccines to interrupt malarial transmission have advanced to higher stages of trials.Mathematical modeling,combined drug and vaccine strategies,mass drug administration,polyvalent vaccine formulations,and targeted vaccination campaigns is playing an important role in malarial prevention.Furthermore,assessing coverage,accessibility,acceptability,deployment,compilation,and adherence to specific vaccination strategies in endemic regions is essential for vaccination drives against malaria.展开更多
Background: Malaria in pregnancy causes maternal anemia, low birth weight, intrauterine growth retardation, and preterm deliveries. In malaria-endemic regions in Kenya, percentage of pregnant women hospitalized with m...Background: Malaria in pregnancy causes maternal anemia, low birth weight, intrauterine growth retardation, and preterm deliveries. In malaria-endemic regions in Kenya, percentage of pregnant women hospitalized with malaria reach up to 60%. WHO recommends at least three doses of sulphadoxine pyrimethamine for Intermittent Preventive Treatment of Malaria in Pregnancy (IPTp) antenatally. This study sought to ascertain the prevalence and individual-level factors influencing the uptake of IPTp-SP3+. Methods: A facility-based cross-sectional study at Busia County Referral Hospital. 384 mothers were consecutively sampled at the maternity unit during delivery. Semi-structured questionnaires were used to collect data. Odds ratio (OR) and adjusted OR were used to determine statistical significance of individual factors influencing uptake of three or more IPTp-SP. Results: 43.0% of participants took IPTp-SP3+. Individual factors that affected the uptake of IPTp-SP3+ included starting ANC visits in the first trimester (adjusted odds ratio (aOR) = 2.1, 95% CI: 1.23 – 3.67, p = 0.046), having more than four ANC visits (aOR = 3.1, 95% CI: 1.49 – 6.50, p = 0.002), having a higher monthly income (aOR = 2.6, 95% CI: 1.24 – 5.36, p = 0.012), being aware of the advantages of IPTp-SP medications (aOR = 3.7, 95% CI: 1.40 – 9.74, p = 0.008), and having a positive attitude toward ANC services (aOR = 3.2, 95% CI: 1.61 – 6.31, p = 0.001). Conclusion: Less than half of the pregnant mothers are complyingIPTp-SP3+. There should be aggressive efforts by the County and National Ministries of Health promoting initiation of ANC attendance early and attendance of all the recommended eight visits together with ensuring availability of the drugs.展开更多
Background: Malaria remains a global health threat affecting approximately 97% of the population in sub-Saharan African countries, particularly Nigeria. Despite efforts made to reduce the mortality rate in Nigeria, th...Background: Malaria remains a global health threat affecting approximately 97% of the population in sub-Saharan African countries, particularly Nigeria. Despite efforts made to reduce the mortality rate in Nigeria, the disease still poses a major morbidity challenge. Aim: This study, therefore, was aimed at identifying malaria prevalence in symptomatic febrile patients attending David Umahi Federal University Teaching Hospital, Uburu Ebonyi State, Nigeria. Methods: A hospital-based cross-sectional study was conducted with primarily structured data collected from the hospital medical laboratory between September 2023 and April 2024 among 613 febrile patients attending David Umahi Federal University Teaching Hospital, Uburu Ebonyi State, Nigeria using microscopy (thick and thin blood films). Primarily structured data was used to collect data on sociodemographic characteristics and factors perceived to be associated with Plasmodium infection. Malaria Parasitological Record Book data was collected, while thin and thick blood films were prepared from capillary blood buffy coat samples. Data were analyzed using Excel, Python, and Google Sheets. Out of 613 febrile patients, 480 were confirmed to be infected by Plasmodium species. Results: Our results, thus, showed a malaria prevalence of (78%) of the study population. The age groups 31 - 40 years constituted the greater proportions of the population with malaria parasite infection 18.5% (89). On the basis of gender, the highest prevalence occurred in females (297) constituting 61.9% of the positive malaria cases observed in this study. Conclusion: It is recommended that a malaria surveillance unit be established to help standardize data collection and monitoring of malaria patients in teaching hospitals, while Molecular Malaria Surveillance (MMS) also needs to be introduced in teaching hospitals in line with international best practices.展开更多
Objective:To investigate the role of CRX-527,a Toll-like receptor 4 agonist,as the possible adjuvant for recombinant Mycobacterium bovis Bacillus Calmette-Guerin expressing merozoite surface protein 1C(BCG-MSP-1C).Met...Objective:To investigate the role of CRX-527,a Toll-like receptor 4 agonist,as the possible adjuvant for recombinant Mycobacterium bovis Bacillus Calmette-Guerin expressing merozoite surface protein 1C(BCG-MSP-1C).Methods:The mice were immunized with BCG and BCG-MSP-1C in the presence and absence of CRX-527.The untreated mice(injected with PBS-T80 only)were the negative control.The ability of CRX-527 to enhance IgG and its subclasses,as well as IL-4 and IFN-γproduction in the serum and spleen supernatant was evaluated using ELISA.Results:Mice immunized with BCG-MSP-1C exhibited the highest production of IgGs,IL-4 and IFN-γafter third immunization.In addition,CRX-527 further promoted the production of total IgG and IgG subclasses as well as IFN-γand IL-4 in the serum and splenocytes of immunized mice.Conclusions:CRX-527 has the potential as an adjuvant candidate for the candidate vaccines.Further study is needed to verify appropriate dosage for immunization and its efficacy.展开更多
Objective:To investigate the environmental and social aspects of poverty contributing to malaria incidence in Indonesia from 2016 to 2020.Methods:Random forest regression was used to analyse the independent variables ...Objective:To investigate the environmental and social aspects of poverty contributing to malaria incidence in Indonesia from 2016 to 2020.Methods:Random forest regression was used to analyse the independent variables contributing to malaria incidence.Environmental conditions were extracted from remotely sensed data,including vegetation,land temperature,soil moisture,precipitation,and elevation.In contrast,the social aspects of poverty were obtained from government statistical reports.Results:From 2016 to 2020,the contribution of each environmental and social aspect of poverty to malaria incidence fluctuated annually.Generally,the top three essential variables were people aged 15 years and above,experiencing poverty(variable importance/VI=32.0%),people experiencing poverty who work in the agricultural sector(VI=14.4%),and precipitation(VI=9.8%).It was followed by people experiencing poverty who are unemployed(VI=9.2%),land temperature(VI=5.2%),people experiencing poverty who have low education(VI=8.0%),soil moisture(VI=7.4%),elevation(VI=6.0%),and vegetation(VI=3.8%).Conclusions:Poverty and variables related to climate have become the crucial determinants of malaria in Indonesia.The government must strengthen malaria surveillance through climate change mitigation and adaptation programs and accelerate poverty alleviation programs to support malaria elimination.展开更多
Malaria presents a significant global public health challenge,with severe malarial anaemia being a primary manifestation of the disease.The understanding of anaemia caused by malaria remains incomplete,making the trea...Malaria presents a significant global public health challenge,with severe malarial anaemia being a primary manifestation of the disease.The understanding of anaemia caused by malaria remains incomplete,making the treatment more complex.Iron is a crucial micronutrient essential for haemoglobin synthesis,oxygen delivery,and other vital metabolic functions in the body.It is indispensable for the growth of human beings,as well as bacteria,protozoa,and viruses in vitro and in vivo.Iron deficiency is among the most common nutritional deficiencies and can have detrimental effects during developmental stages of life.Malaria-induced iron deficiency occurs due to the hemolysis of erythrocytes and the suppression of erythropoiesis,leading to anaemia.Meeting iron requirements is particularly critical during pivotal life stages such as pregnancy,infancy,and childhood.Dietary intake alone may not suffice to meet adequate iron requirements,thus highlighting the vital role of iron supplementation.While iron supplementation can alleviate iron deficiency,it can exacerbate malaria infection by providing additional iron for the parasites.However,in the context of pregnancy and childhood,iron supplementation combined with malaria prevention and treatment has been shown to be beneficial in improving birth outcomes and ensuring proper growth and development,respectively.This review aims to identify the role and impact of iron supplementation in malaria infection during the life stages of pregnancy and childhood.展开更多
Despite a considerable global effort to eradicate malaria in the last few years,the disease burden in 2020 was 241 million,with 627000 deaths.India accounted for 83%of cases reported in the World Health Organization(W...Despite a considerable global effort to eradicate malaria in the last few years,the disease burden in 2020 was 241 million,with 627000 deaths.India accounted for 83%of cases reported in the World Health Organization(WHO)South-East Asia Region(WHO malaria report 2021).Nevertheless,India has shown its commitment to eliminating malaria from the country by framing the National Strategic Plan(NSP),according to which the districts have been stratified into four categories based on the malaria transmission intensity and the indicator used for categorization of the districts was annual parasite incidence(API).In North-East India,many highly endemic districts(API>2)are in the“Intensified Control Phase”and fall under category栿[1].A few pockets in such districts have disproportionate(API>10)due to forest and tribal dominance in those regions.The previous reports demonstrated a high malaria burden(API>10)in the district East Garo Hills[2];however,a few pockets of the district Udalguri are malaria hotspots with the API>5[3].展开更多
We applaud the authors for their illuminating perspective on India's malaria slide bank(MSB),featured in the recent publication in your esteemed journal[1].The article provides a comprehensive overview of the esta...We applaud the authors for their illuminating perspective on India's malaria slide bank(MSB),featured in the recent publication in your esteemed journal[1].The article provides a comprehensive overview of the establishment,challenges,and future potential of MSBs,offering valuable insights into the complexities and opportunities inherent in this critical asset for India's malaria elimination program.展开更多
Introduction: Malaria control needs the development of complementary and/or alternative strategies such as biological controls. Despite, malaria’s current control efforts, the spread and the emergence of insecticide ...Introduction: Malaria control needs the development of complementary and/or alternative strategies such as biological controls. Despite, malaria’s current control efforts, the spread and the emergence of insecticide resistance in vectors undermine the fight against vectors. Endonsymbiotic fungi can be a good candidate to include in the existence of Arsenal. However, we know little about endosymbiotic fungi transmission and its impact on malaria transmission. In this paper, the authors aimed to investigate Microsporidia sp MB transgenerational and sexual autodissemination and malaria parasites within Anopheline mosquitoes. Methods: An entomology survey was conducted in Burkina Faso for one year (June 2020 to June 2021) using the Residual Fauna Capture method. Infection rates in collected females, sexual autodissemination of Microsporidia sp MB in both Microsporidia sp MB negative females and Microsporidia sp MB negative males through mating, transgenerational prevalence from parents to offsprings and the correlation between Microsporidia sp MB and Plasmodium falciparum were investigated. Results: Results show Microsporidia sp MB infection in An. gambaie s.l in Burkina Faso. The prevalence was significantly higher (21.78%) in An. coluzzii than An. gambiae s.s (16.89%) (p-value = 0.03). Sexual auto-dissemination of Microsporidia sp MB in Microsporidia sp MB uninfected females was significantly 3-fold lower than those in Microsporidia sp MB uninfected males (9.23% and 33.33%, p-value = 0.03) during mating for An. coluzzii lines. Microsporidia sp MB prevalence was significantly higher through mosquitos’ generations in An. gambaie s.s than An. coluzzii (30.23% vs 26.41%, p-value Microsporidia sp MB and Plasmodium infection rate with 73% of Microsporidia sp MB positive mosquitoes which were negative at Plasmodium infection (p-value Conclusions: Our findings pave the road to developing new malaria control technologies by making Microsporidia sp MB-positive males sexually competitive with wild males to spread the fungus to wild female mosquitoes.展开更多
Introduction: Malaria remains a public health priority in Senegal, particularly in Tambacounda, where it is one of the main causes of child mortality. The objective of this work was to evaluate the care of children un...Introduction: Malaria remains a public health priority in Senegal, particularly in Tambacounda, where it is one of the main causes of child mortality. The objective of this work was to evaluate the care of children under 10 years of age hospitalized at the Tambacounda Health Center and the factors associated with recovery. Methods: An analytical, retrospective, and descriptive cross-sectional study with exhaustive recruitment of children 0 to 120 months hospitalized at the Tambacounda reference health center for severe malaria (according to WHO criteria) between 1 January 2018 and 31 December 2021 was performed. Data collection was done through a questionnaire. Records, hospitalization records, and treatment records were the sources of collection. Data entry and analysis were performed on Epi Info 7.2 and R. Results: A total of 481 children hospitalized with severe malaria were recruited. The highest number of cases was recorded in 2018 (33.05%). In the four years of the study, peaks were always observed between October and November and the highest peak in November 2020 with 95 cases. The mean age was 65.64 months with a standard deviation of 29.28 months and a predominance of male (53.43%). The majority of people were admitted from the outpatient clinic (57.79%) and the rest (42.21%) on the recommendation of a peripheral health post. All hospitalized patients had a positive RDT and/or a positive thick drop. However, the sharp decline at admission or during hospitalization was positive in 93.80% of patients in our series, negative in 5.20% and not achieved in 1.00%. Seizures and severe anemia topped the list of signs of severity with 45.94% and 8.11%, respectively. In terms of evolution, for all hospitalized patients, there were 81.29% recovery, 10.19% referral to the Tambacounda regional hospital center for hospitalization, 4.99% death, 0.83% discharge and 2.70% unknown evolution. There was a statistically significant association between recovery without referral from a health post (OR = 1.85), absence of 2 or more signs of severity (OR = 1.82), absence of seizures (OR = 1.51), prostration (OR = 2.78), cardiovascular shock (OR = 6.67), coma (OR = 7.69), lack of evidence of biological severity (OR = 3.70), and hypoglycemia with blood glucose less than 0.4 g/L (OR = 5.88). Conclusion: In addition to the routine malaria prevention and management strategies implemented in Tambacounda, and the early referral of cases of severe malaria from health posts to the health center, all children hospitalized for severe malaria with certain symptomatology such as coma, prostration, cardiovascular shock, etc. Seizures and/or hypoglycemia should be systematically referred to the regional hospital to increase their chance of recovery.展开更多
The resurgence of locally acquired malaria cases in the USA and the persistent global challenge of malaria transmission highlight the urgent need for research to prevent this disease. Despite significant eradication e...The resurgence of locally acquired malaria cases in the USA and the persistent global challenge of malaria transmission highlight the urgent need for research to prevent this disease. Despite significant eradication efforts, malaria remains a serious threat, particularly in regions like Africa. This study explores how integrating Gregor’s Type IV theory with Geographic Information Systems (GIS) improves our understanding of disease dynamics, especially Malaria transmission patterns in Uganda. By combining data-driven algorithms, artificial intelligence, and geospatial analysis, the research aims to determine the most reliable predictors of Malaria incident rates and assess the impact of different factors on transmission. Using diverse predictive modeling techniques including Linear Regression, K-Nearest Neighbor, Neural Network, and Random Forest, the study found that;Random Forest model outperformed the others, demonstrating superior predictive accuracy with an R<sup>2</sup> of approximately 0.88 and a Mean Squared Error (MSE) of 0.0534, Antimalarial treatment was identified as the most influential factor, with mosquito net access associated with a significant reduction in incident rates, while higher temperatures correlated with increased rates. Our study concluded that the Random Forest model was effective in predicting malaria incident rates in Uganda and highlighted the significance of climate factors and preventive measures such as mosquito nets and antimalarial drugs. We recommended that districts with malaria hotspots lacking Indoor Residual Spraying (IRS) coverage prioritize its implementation to mitigate incident rates, while those with high malaria rates in 2020 require immediate attention. By advocating for the use of appropriate predictive models, our research emphasized the importance of evidence-based decision-making in malaria control strategies, aiming to reduce transmission rates and save lives.展开更多
文摘The World Health Organization declared Sri Lanka a malaria eliminated country in 2016[1-3].At present,the country is in the phase of preventing the re-establishment of malaria[4].However,travelers who contract the disease overseas in malaria endemic countries continue to present a constant risk of re-establishing malaria in Sri Lanka,where malaria-transmitting mosquitos is prevalent.In this context,robust measures are being implemented in the country to prevent re-establishment of malaria and to stop travelers infected with malaria progressing into severe disease and death.
基金supported by the Deanship of Scientific Research,Vice Presidency for Graduate Studies and Scientific Research,King Faisal University,Saudi Arabia[Grant No.KFU252959].
文摘Malaria is a significant global health challenge.This devastating disease continues to affect millions,especially in tropical regions.It is caused by Plasmodium parasites transmitted by female Anopheles mosquitoes.This study introduces a nonlinear mathematical model for examining the transmission dynamics of malaria,incorporating both human and mosquito populations.We aim to identify the key factors driving the endemic spread of malaria,determine feasible solutions,and provide insights that lead to the development of effective prevention and management strategies.We derive the basic reproductive number employing the next-generation matrix approach and identify the disease-free and endemic equilibrium points.Stability analyses indicate that the disease-free equilibrium is locally and globally stable when the reproductive number is below one,whereas an endemic equilibrium persists when this threshold is exceeded.Sensitivity analysis identifies the most influential mosquito-related parameters,particularly the bite rate and mosquito mortality,in controlling the spread of malaria.Furthermore,we extend our model to include a treatment compartment and three disease-preventive control variables such as antimalaria drug treatments,use of larvicides,and the use of insecticide-treated mosquito nets for optimal control analysis.The results show that optimal use of mosquito nets,use of larvicides for mosquito population control,and treatment can lower the basic reproduction number and control malaria transmission with minimal intervention costs.The analysis of disease control strategies and findings offers valuable information for policymakers in designing cost-effective strategies to combat malaria.
文摘Introduction: A recent study in Kenya highlighted a promising advance in malaria control by demonstrating that infecting mosquitoes with the endosymbiont Microsporidia MB blocks Plasmodium transmission. However, the influence of biotic and abiotic factors such as diet, relative humidity (RH) and temperature on this infection remains poorly studied. This study, aimed to gain a better understanding of this relationship. Methods: To highlight the influence of diet quantity, we defined a range of 3 quantities: 0.00375 g, 0.015 g and 0.09 g. Each quantity was tested on two groups of larvae: a group of 150 larvae infected with Microsporidia MB (MB+), and a group of 150 larvae not infected with Microsporidia MB (MB−) (control group), each divided into three replicates of 50 larvae. Each replicate was fed each morning with the assigned quantity until the pupal stage. In addition to this factor, we investigated the influence of temperature and RH. We defined three temperature-RH combinations: 21˚C-80% RH, 39˚C-50% RH, and 27˚C-75% RH. Each combination was tested on two groups of larvae: a group of 150 MB+ larvae and a group of 150 MB− larvae, each divided into three replicates of 50 larvae. Each replicate was subjected to the assigned combination until pupation. Pupae that had reached the adult stage were tested by PCR to determine their Microsporidia MB infection status for each factor studied. Results: The results showed that only the lowest quantity (0.00375 g) significantly reduced the prevalence of Microsporidia MB compared with the medium quantity (chi-2 test, χ2 = 4.9088, df = 1, p = 0.02672) and the high quantity (chi-2 test, χ2 = 4.7958, df = 1, p = 0.02853). As for temperature and RH, the combination 39˚C-50% RH led to a significant reduction in the prevalence of Microsporidia MB compared with the combination 27˚C-75% RH (chi-2 test, χ2 = 6.3736, ddl = 1, p = 0.01158) and that 21˚C-80% RH (chi-2 test, χ2 = 9.983, ddl = 1, p = 0.00158). Conclusion: This work contributes to a better understanding of some key factors linked to Microsporidia MB infection in mosquitoes. However, further research on several generations is necessary to draw more comprehensive conclusions.
文摘Malaria remains a major public health challenge necessitating accurate predictive models to inform effective intervention strategies in Sierra Leone. This study compares the performance of Holt-Winters’ Exponential Smoothing, Harmonic, and Artificial Neural Network (ANN) models using data from January 2018 to December 2023, incorporating both historical case records from Sierra Leone’s Health Management Information System (HMIS) and meteorological variables including humidity, precipitation, and temperature. The ANN model demonstrated superior performance, achieving a Mean Absolute Percentage Error (MAPE) of 4.74% before including climatic variables. This was further reduced to 3.9% with the inclusion of climatic variables, outperforming traditional models like Holt-Winters and Harmonic, which yielded MAPEs of 22.53% and 17.90% respectively. The ANN’s success is attributed to its ability to capture complex, non-linear relationships in the data, particularly when enhanced with relevant climatic variables. Using the optimized ANN model, we forecasted malaria cases for the next 24 months, predicting a steady increase from January 2024 to December 2025, with seasonal peaks. This study underscores the potential of machine learning approaches, particularly ANNs, in epidemiological modelling and highlights the importance of integrating environmental factors into malaria prediction models, recommending the ANN model for informing more targeted and efficient malaria control strategies to improve public health outcomes in Sierra Leone and similar settings.
文摘Malaria is a potentially lethal disease caused by parasites of the Plasmodium genus, transmitted to humans through the bite of infected female mosquitoes, primarily Anopheles. To control this disease, various strategies are implemented, including biological control, which targets the vectors of the parasite. This approach uses biological agents such as entomopathogenic fungi, including Metarhizium pingshaense, a fungus capable of causing lethal infections in mosquitoes. The production of Metarhizium pingshaense is still limited in Burkina Faso, and local cultivation of this fungus could help fill this gap. A study was conducted to identify optimal local substrates that promote its growth. Indeed, after gathering information on the dietary habits of populations in Bobo-Dioulasso and Bama, three potential substrates were selected: rice, cornmeal dough (MFL), and beans. These substrates were inoculated with two strains of Metarhizium pingshaense (S10 and S26) to assess their ability to support fungal growth and their effectiveness. Experimental results showed that MFL and bean substrates favored optimal growth of Metarhizium pingshaense, with growths of 1.91 cm and 2.13 cm after 8 days, compared to 1.83 cm on a standard media (PDA). In terms of virulence, S26 strain caused 60% mosquito mortality on both the bean and PDA media, while S10 strain induced mortalities of 50% for bean and 62% for PDA.
文摘BACKGROUND Type 1 diabetes is an autoimmune disease leading to insulin deficiency,and it is mainly diagnosed in young adults.One of the major acute complications of type 1 diabetes is diabetic ketoacidosis(DKA),which is a metabolic emergency that can be triggered by stress,infection,or poor blood glucose control.The association of DKA with conditions such as acute pancreatitis and malaria is rare and therefore represents a major diagnostic and therapeutic challenge.CASE SUMMARY A 20-year-old female was admitted to the emergency room for abdominal pelvic pain,fever,asthenia,polyuria,and polydipsia with a progressive deterioration of her state of consciousness.At admission,she was in a mild coma(Glasgow score:9),had a fever of 38.5°C,and had hyperglycemia(6 g/dL).The tests revealed severe DKA,hypertriglyceridemia,hyperamylasemia,and hyperlipasemia as well as malaria parasite density.The computed tomography scan confirmed acute stage E pancreatitis.The diagnosis was that of inaugural ketoacidosis of type 1 diabetes unbalanced by pancreatitis and malaria.Treatment included insulin therapy,rehydration,and antimalarial and analgesic treatment.After 10 days,the outcome was favorable with a normalization of the blood sugar,and an endocrine follow-up was recommend.CONCLUSION Rapid and multidisciplinary management of DKA,pancreatitis,and malaria led to a favorable and stable prognosis.
基金Center of Research and Development for Biomedical and Basic Health Technology of The National Institute of Research and Development,the Ministry of Health(Reference No HK.02.04/II/4579/2015).
文摘Objective:To ascertain the prevalence and distribution of malaria parasites among the three monkeys species from three provinces in Sumatra Island,Indonesia.Methods:Infections with Plasmodium spp.were determined morphologically from the blood smears which were stained with Giemsa solution and molecularly through nested polymerase chain reaction(PCR)in DNA samples from 68 primates,which were captured at three locations:Jambi(Bungo district),Bengkulu(Muko-Muko district),and Riau Islands(Lingga district).Results:Out of 68 samples analyzed,46 were positive for various Plasmodium species,including Plasmodium knowlesi,Plasmodium cynamolgi,Plasmodium inui,and Plasmodium coatneyi.Over one-third of the population exhibited multiple infections,with Plasmodium inui being the most predominant strain.Conclusions:The high prevalence of multiple malaria infections in monkeys,coupled with the rising reports of primate malaria cases in human raises questions about the potential for human transmission.These findings emphasize the necessity for ongoing monitoring and endeavors to comprehend and alleviate the risk of zoonotic malaria transmission,particularly in areas experiencing environmental changes.
文摘Objective:To evaluate the antimalarial activity of noscapine against Plasmodium falciparum 3D7 strain(Pf3D7),its clinical isolate(Pf140/SS),and Plasmodium berghei ANKA(PbA).Methods:Using ring-stage survival assay,phenotypic assessments,and SYBR-green-based fluorescence assay,the antimalarial activities of noscapine were assessed compared with dihydroartemisinin(DHA)in in vivo and in vitro studies.In addition,hemolysis and cytotoxicity tests were carried out to evaluate its safety.RT-PCR assay was also conducted to determine the effect of noscapine on papain-like cysteine protease Plasmodium falciparum falcipain-2(PfFP-2).Results:The antimalarial efficacy of noscapine against Pf3D7 and Pf140/SS was comparable to DHA,with IC50 values of(7.68±0.88)and(5.57±0.74)nM/mL,respectively,and>95%inhibition of PbA infected rats.Noscapine also showed a safe profile,as evidenced by low hemolysis and cytotoxicity even at high concentrations.Moreover,PfFP-2 expression was significantly inhibited in both noscapine-treated Pf3D7 and Pf140/SS(P<0.01).Conclusions:Noscapine has antimalarial properties comparable to standard antimalarial DHA with better safety profiles,which may be further explored as a therapeutic candidate for the treatment of malaria.
基金Local Special Projects in Major Health of Hubei Provincial Science and Technology Department,No.2022BCE054Key Scientific Research Projects of Hubei Polytechnic University,No.23xjz08AHubei polytechnic University Huangshi Daye Lake hightech Zone University Science Park joint open fund project,No.23xjz04AK.
文摘BACKGROUND On June 30,2021,China received certification from the World Health Organization for malaria elimination.However,this certification does not signify the absence of malaria within China.Due to the increasing frequency of international exchanges and collaborations,the threat of imported malaria persists in China.Consequently,the prevention and control of imported malaria have become a primary focus for our country to maintain its malaria elimination status.CASE SUMMARY Herein,we present a case report of a 53-year-old Chinese man who worked in Africa for nearly two years.He was diagnosed with malaria in the Democratic Republic of the Congo between November 19 and November 23,2022.After receiving effective treatment with oral antimalarial drugs,his condition improved,allowing him to return to China.He was later admitted to our hospital on January 12,2023,during the coronavirus disease 2019 pandemic in Huangshi,China.Through a thorough evaluation of the patient's symptoms,clinical signs,imaging and laboratory test results,and epidemiological data,he was rapidly diagnosed with severe cerebral malaria.The patient underwent successful treatment through a series of intensive care unit interventions.CONCLUSION The successful treatment of this imported case of severe cerebral malaria provides a valuable reference for managing patients with similar malaria infections and has significant clinical implications.
文摘This review aims to summarize the currently viable vaccine strategies including the approved vaccines and the those in trials for next-generation malaria vaccines.Data on malaria vaccine development was collected through a comprehensive review.The literature search was performed using databases including Google Scholar,PubMed,NIH,and Web of Science.Various novel approaches of vaccination are being developed,including those based on radiation-attenuated strategies,monoclonal antibodies,targeted immunogenic peptides,RNA and DNA vaccines,nanoparticle-based vaccines,protein-based vaccination protocols,and whole organism-based vaccination strategies.Trials on RTS,S have entered phase Ⅲtesting,and those based on blood-stage vaccines and vaccines to interrupt malarial transmission have advanced to higher stages of trials.Mathematical modeling,combined drug and vaccine strategies,mass drug administration,polyvalent vaccine formulations,and targeted vaccination campaigns is playing an important role in malarial prevention.Furthermore,assessing coverage,accessibility,acceptability,deployment,compilation,and adherence to specific vaccination strategies in endemic regions is essential for vaccination drives against malaria.
文摘Background: Malaria in pregnancy causes maternal anemia, low birth weight, intrauterine growth retardation, and preterm deliveries. In malaria-endemic regions in Kenya, percentage of pregnant women hospitalized with malaria reach up to 60%. WHO recommends at least three doses of sulphadoxine pyrimethamine for Intermittent Preventive Treatment of Malaria in Pregnancy (IPTp) antenatally. This study sought to ascertain the prevalence and individual-level factors influencing the uptake of IPTp-SP3+. Methods: A facility-based cross-sectional study at Busia County Referral Hospital. 384 mothers were consecutively sampled at the maternity unit during delivery. Semi-structured questionnaires were used to collect data. Odds ratio (OR) and adjusted OR were used to determine statistical significance of individual factors influencing uptake of three or more IPTp-SP. Results: 43.0% of participants took IPTp-SP3+. Individual factors that affected the uptake of IPTp-SP3+ included starting ANC visits in the first trimester (adjusted odds ratio (aOR) = 2.1, 95% CI: 1.23 – 3.67, p = 0.046), having more than four ANC visits (aOR = 3.1, 95% CI: 1.49 – 6.50, p = 0.002), having a higher monthly income (aOR = 2.6, 95% CI: 1.24 – 5.36, p = 0.012), being aware of the advantages of IPTp-SP medications (aOR = 3.7, 95% CI: 1.40 – 9.74, p = 0.008), and having a positive attitude toward ANC services (aOR = 3.2, 95% CI: 1.61 – 6.31, p = 0.001). Conclusion: Less than half of the pregnant mothers are complyingIPTp-SP3+. There should be aggressive efforts by the County and National Ministries of Health promoting initiation of ANC attendance early and attendance of all the recommended eight visits together with ensuring availability of the drugs.
文摘Background: Malaria remains a global health threat affecting approximately 97% of the population in sub-Saharan African countries, particularly Nigeria. Despite efforts made to reduce the mortality rate in Nigeria, the disease still poses a major morbidity challenge. Aim: This study, therefore, was aimed at identifying malaria prevalence in symptomatic febrile patients attending David Umahi Federal University Teaching Hospital, Uburu Ebonyi State, Nigeria. Methods: A hospital-based cross-sectional study was conducted with primarily structured data collected from the hospital medical laboratory between September 2023 and April 2024 among 613 febrile patients attending David Umahi Federal University Teaching Hospital, Uburu Ebonyi State, Nigeria using microscopy (thick and thin blood films). Primarily structured data was used to collect data on sociodemographic characteristics and factors perceived to be associated with Plasmodium infection. Malaria Parasitological Record Book data was collected, while thin and thick blood films were prepared from capillary blood buffy coat samples. Data were analyzed using Excel, Python, and Google Sheets. Out of 613 febrile patients, 480 were confirmed to be infected by Plasmodium species. Results: Our results, thus, showed a malaria prevalence of (78%) of the study population. The age groups 31 - 40 years constituted the greater proportions of the population with malaria parasite infection 18.5% (89). On the basis of gender, the highest prevalence occurred in females (297) constituting 61.9% of the positive malaria cases observed in this study. Conclusion: It is recommended that a malaria surveillance unit be established to help standardize data collection and monitoring of malaria patients in teaching hospitals, while Molecular Malaria Surveillance (MMS) also needs to be introduced in teaching hospitals in line with international best practices.
基金supported by the Ministry of Higher Education Malaysia for Fundamental Research Grant Scheme with Project Code:FRGS/1/2021/SKK06/USM/002/4.
文摘Objective:To investigate the role of CRX-527,a Toll-like receptor 4 agonist,as the possible adjuvant for recombinant Mycobacterium bovis Bacillus Calmette-Guerin expressing merozoite surface protein 1C(BCG-MSP-1C).Methods:The mice were immunized with BCG and BCG-MSP-1C in the presence and absence of CRX-527.The untreated mice(injected with PBS-T80 only)were the negative control.The ability of CRX-527 to enhance IgG and its subclasses,as well as IL-4 and IFN-γproduction in the serum and spleen supernatant was evaluated using ELISA.Results:Mice immunized with BCG-MSP-1C exhibited the highest production of IgGs,IL-4 and IFN-γafter third immunization.In addition,CRX-527 further promoted the production of total IgG and IgG subclasses as well as IFN-γand IL-4 in the serum and splenocytes of immunized mice.Conclusions:CRX-527 has the potential as an adjuvant candidate for the candidate vaccines.Further study is needed to verify appropriate dosage for immunization and its efficacy.
文摘Objective:To investigate the environmental and social aspects of poverty contributing to malaria incidence in Indonesia from 2016 to 2020.Methods:Random forest regression was used to analyse the independent variables contributing to malaria incidence.Environmental conditions were extracted from remotely sensed data,including vegetation,land temperature,soil moisture,precipitation,and elevation.In contrast,the social aspects of poverty were obtained from government statistical reports.Results:From 2016 to 2020,the contribution of each environmental and social aspect of poverty to malaria incidence fluctuated annually.Generally,the top three essential variables were people aged 15 years and above,experiencing poverty(variable importance/VI=32.0%),people experiencing poverty who work in the agricultural sector(VI=14.4%),and precipitation(VI=9.8%).It was followed by people experiencing poverty who are unemployed(VI=9.2%),land temperature(VI=5.2%),people experiencing poverty who have low education(VI=8.0%),soil moisture(VI=7.4%),elevation(VI=6.0%),and vegetation(VI=3.8%).Conclusions:Poverty and variables related to climate have become the crucial determinants of malaria in Indonesia.The government must strengthen malaria surveillance through climate change mitigation and adaptation programs and accelerate poverty alleviation programs to support malaria elimination.
文摘Malaria presents a significant global public health challenge,with severe malarial anaemia being a primary manifestation of the disease.The understanding of anaemia caused by malaria remains incomplete,making the treatment more complex.Iron is a crucial micronutrient essential for haemoglobin synthesis,oxygen delivery,and other vital metabolic functions in the body.It is indispensable for the growth of human beings,as well as bacteria,protozoa,and viruses in vitro and in vivo.Iron deficiency is among the most common nutritional deficiencies and can have detrimental effects during developmental stages of life.Malaria-induced iron deficiency occurs due to the hemolysis of erythrocytes and the suppression of erythropoiesis,leading to anaemia.Meeting iron requirements is particularly critical during pivotal life stages such as pregnancy,infancy,and childhood.Dietary intake alone may not suffice to meet adequate iron requirements,thus highlighting the vital role of iron supplementation.While iron supplementation can alleviate iron deficiency,it can exacerbate malaria infection by providing additional iron for the parasites.However,in the context of pregnancy and childhood,iron supplementation combined with malaria prevention and treatment has been shown to be beneficial in improving birth outcomes and ensuring proper growth and development,respectively.This review aims to identify the role and impact of iron supplementation in malaria infection during the life stages of pregnancy and childhood.
基金funded by Indian Council of Medical Research India(grant No.NER/55/2015-ECD-I).
文摘Despite a considerable global effort to eradicate malaria in the last few years,the disease burden in 2020 was 241 million,with 627000 deaths.India accounted for 83%of cases reported in the World Health Organization(WHO)South-East Asia Region(WHO malaria report 2021).Nevertheless,India has shown its commitment to eliminating malaria from the country by framing the National Strategic Plan(NSP),according to which the districts have been stratified into four categories based on the malaria transmission intensity and the indicator used for categorization of the districts was annual parasite incidence(API).In North-East India,many highly endemic districts(API>2)are in the“Intensified Control Phase”and fall under category栿[1].A few pockets in such districts have disproportionate(API>10)due to forest and tribal dominance in those regions.The previous reports demonstrated a high malaria burden(API>10)in the district East Garo Hills[2];however,a few pockets of the district Udalguri are malaria hotspots with the API>5[3].
文摘We applaud the authors for their illuminating perspective on India's malaria slide bank(MSB),featured in the recent publication in your esteemed journal[1].The article provides a comprehensive overview of the establishment,challenges,and future potential of MSBs,offering valuable insights into the complexities and opportunities inherent in this critical asset for India's malaria elimination program.
文摘Introduction: Malaria control needs the development of complementary and/or alternative strategies such as biological controls. Despite, malaria’s current control efforts, the spread and the emergence of insecticide resistance in vectors undermine the fight against vectors. Endonsymbiotic fungi can be a good candidate to include in the existence of Arsenal. However, we know little about endosymbiotic fungi transmission and its impact on malaria transmission. In this paper, the authors aimed to investigate Microsporidia sp MB transgenerational and sexual autodissemination and malaria parasites within Anopheline mosquitoes. Methods: An entomology survey was conducted in Burkina Faso for one year (June 2020 to June 2021) using the Residual Fauna Capture method. Infection rates in collected females, sexual autodissemination of Microsporidia sp MB in both Microsporidia sp MB negative females and Microsporidia sp MB negative males through mating, transgenerational prevalence from parents to offsprings and the correlation between Microsporidia sp MB and Plasmodium falciparum were investigated. Results: Results show Microsporidia sp MB infection in An. gambaie s.l in Burkina Faso. The prevalence was significantly higher (21.78%) in An. coluzzii than An. gambiae s.s (16.89%) (p-value = 0.03). Sexual auto-dissemination of Microsporidia sp MB in Microsporidia sp MB uninfected females was significantly 3-fold lower than those in Microsporidia sp MB uninfected males (9.23% and 33.33%, p-value = 0.03) during mating for An. coluzzii lines. Microsporidia sp MB prevalence was significantly higher through mosquitos’ generations in An. gambaie s.s than An. coluzzii (30.23% vs 26.41%, p-value Microsporidia sp MB and Plasmodium infection rate with 73% of Microsporidia sp MB positive mosquitoes which were negative at Plasmodium infection (p-value Conclusions: Our findings pave the road to developing new malaria control technologies by making Microsporidia sp MB-positive males sexually competitive with wild males to spread the fungus to wild female mosquitoes.
文摘Introduction: Malaria remains a public health priority in Senegal, particularly in Tambacounda, where it is one of the main causes of child mortality. The objective of this work was to evaluate the care of children under 10 years of age hospitalized at the Tambacounda Health Center and the factors associated with recovery. Methods: An analytical, retrospective, and descriptive cross-sectional study with exhaustive recruitment of children 0 to 120 months hospitalized at the Tambacounda reference health center for severe malaria (according to WHO criteria) between 1 January 2018 and 31 December 2021 was performed. Data collection was done through a questionnaire. Records, hospitalization records, and treatment records were the sources of collection. Data entry and analysis were performed on Epi Info 7.2 and R. Results: A total of 481 children hospitalized with severe malaria were recruited. The highest number of cases was recorded in 2018 (33.05%). In the four years of the study, peaks were always observed between October and November and the highest peak in November 2020 with 95 cases. The mean age was 65.64 months with a standard deviation of 29.28 months and a predominance of male (53.43%). The majority of people were admitted from the outpatient clinic (57.79%) and the rest (42.21%) on the recommendation of a peripheral health post. All hospitalized patients had a positive RDT and/or a positive thick drop. However, the sharp decline at admission or during hospitalization was positive in 93.80% of patients in our series, negative in 5.20% and not achieved in 1.00%. Seizures and severe anemia topped the list of signs of severity with 45.94% and 8.11%, respectively. In terms of evolution, for all hospitalized patients, there were 81.29% recovery, 10.19% referral to the Tambacounda regional hospital center for hospitalization, 4.99% death, 0.83% discharge and 2.70% unknown evolution. There was a statistically significant association between recovery without referral from a health post (OR = 1.85), absence of 2 or more signs of severity (OR = 1.82), absence of seizures (OR = 1.51), prostration (OR = 2.78), cardiovascular shock (OR = 6.67), coma (OR = 7.69), lack of evidence of biological severity (OR = 3.70), and hypoglycemia with blood glucose less than 0.4 g/L (OR = 5.88). Conclusion: In addition to the routine malaria prevention and management strategies implemented in Tambacounda, and the early referral of cases of severe malaria from health posts to the health center, all children hospitalized for severe malaria with certain symptomatology such as coma, prostration, cardiovascular shock, etc. Seizures and/or hypoglycemia should be systematically referred to the regional hospital to increase their chance of recovery.
文摘The resurgence of locally acquired malaria cases in the USA and the persistent global challenge of malaria transmission highlight the urgent need for research to prevent this disease. Despite significant eradication efforts, malaria remains a serious threat, particularly in regions like Africa. This study explores how integrating Gregor’s Type IV theory with Geographic Information Systems (GIS) improves our understanding of disease dynamics, especially Malaria transmission patterns in Uganda. By combining data-driven algorithms, artificial intelligence, and geospatial analysis, the research aims to determine the most reliable predictors of Malaria incident rates and assess the impact of different factors on transmission. Using diverse predictive modeling techniques including Linear Regression, K-Nearest Neighbor, Neural Network, and Random Forest, the study found that;Random Forest model outperformed the others, demonstrating superior predictive accuracy with an R<sup>2</sup> of approximately 0.88 and a Mean Squared Error (MSE) of 0.0534, Antimalarial treatment was identified as the most influential factor, with mosquito net access associated with a significant reduction in incident rates, while higher temperatures correlated with increased rates. Our study concluded that the Random Forest model was effective in predicting malaria incident rates in Uganda and highlighted the significance of climate factors and preventive measures such as mosquito nets and antimalarial drugs. We recommended that districts with malaria hotspots lacking Indoor Residual Spraying (IRS) coverage prioritize its implementation to mitigate incident rates, while those with high malaria rates in 2020 require immediate attention. By advocating for the use of appropriate predictive models, our research emphasized the importance of evidence-based decision-making in malaria control strategies, aiming to reduce transmission rates and save lives.
