Mapping imported malaria in Bangladesh using parasite genetic and human mobility data

For countries aiming for malaria elimination, travel of infected individuals between endemic areas undermines local interventions. Quantifying parasite importation has therefore become a priority for national control programs. We analyzed epidemiological surveillance data, travel surveys, parasite g...

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Main Authors: Hsiao-Han Chang, Amy Wesolowski, Ipsita Sinha, Christopher G Jacob, Ayesha Mahmud, Didar Uddin, Sazid Ibna Zaman, Md Amir Hossain, M Abul Faiz, Aniruddha Ghose, Abdullah Abu Sayeed, M Ridwanur Rahman, Akramul Islam, Mohammad Jahirul Karim, M Kamar Rezwan, Abul Khair Mohammad Shamsuzzaman, Sanya Tahmina Jhora, M M Aktaruzzaman, Eleanor Drury, Sonia Gonçalves, Mihir Kekre, Mehul Dhorda, Ranitha Vongpromek, Olivo Miotto, Kenth Engø-Monsen, Dominic Kwiatkowski, Richard J Maude, Caroline Buckee
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2019-04-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/43481
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author Hsiao-Han Chang
Amy Wesolowski
Ipsita Sinha
Christopher G Jacob
Ayesha Mahmud
Didar Uddin
Sazid Ibna Zaman
Md Amir Hossain
M Abul Faiz
Aniruddha Ghose
Abdullah Abu Sayeed
M Ridwanur Rahman
Akramul Islam
Mohammad Jahirul Karim
M Kamar Rezwan
Abul Khair Mohammad Shamsuzzaman
Sanya Tahmina Jhora
M M Aktaruzzaman
Eleanor Drury
Sonia Gonçalves
Mihir Kekre
Mehul Dhorda
Ranitha Vongpromek
Olivo Miotto
Kenth Engø-Monsen
Dominic Kwiatkowski
Richard J Maude
Caroline Buckee
author_facet Hsiao-Han Chang
Amy Wesolowski
Ipsita Sinha
Christopher G Jacob
Ayesha Mahmud
Didar Uddin
Sazid Ibna Zaman
Md Amir Hossain
M Abul Faiz
Aniruddha Ghose
Abdullah Abu Sayeed
M Ridwanur Rahman
Akramul Islam
Mohammad Jahirul Karim
M Kamar Rezwan
Abul Khair Mohammad Shamsuzzaman
Sanya Tahmina Jhora
M M Aktaruzzaman
Eleanor Drury
Sonia Gonçalves
Mihir Kekre
Mehul Dhorda
Ranitha Vongpromek
Olivo Miotto
Kenth Engø-Monsen
Dominic Kwiatkowski
Richard J Maude
Caroline Buckee
author_sort Hsiao-Han Chang
collection DOAJ
description For countries aiming for malaria elimination, travel of infected individuals between endemic areas undermines local interventions. Quantifying parasite importation has therefore become a priority for national control programs. We analyzed epidemiological surveillance data, travel surveys, parasite genetic data, and anonymized mobile phone data to measure the spatial spread of malaria parasites in southeast Bangladesh. We developed a genetic mixing index to estimate the likelihood of samples being local or imported from parasite genetic data and inferred the direction and intensity of parasite flow between locations using an epidemiological model integrating the travel survey and mobile phone calling data. Our approach indicates that, contrary to dogma, frequent mixing occurs in low transmission regions in the southwest, and elimination will require interventions in addition to reducing imported infections from forested regions. Unlike risk maps generated from clinical case counts alone, therefore, our approach distinguishes areas of frequent importation as well as high transmission.
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spelling doaj.art-574796120a8d46b392cc18d0184a9d942022-12-22T04:32:27ZengeLife Sciences Publications LtdeLife2050-084X2019-04-01810.7554/eLife.43481Mapping imported malaria in Bangladesh using parasite genetic and human mobility dataHsiao-Han Chang0https://orcid.org/0000-0001-8016-1530Amy Wesolowski1https://orcid.org/0000-0001-6320-3575Ipsita Sinha2https://orcid.org/0000-0002-6574-310XChristopher G Jacob3Ayesha Mahmud4Didar Uddin5Sazid Ibna Zaman6Md Amir Hossain7M Abul Faiz8Aniruddha Ghose9Abdullah Abu Sayeed10M Ridwanur Rahman11Akramul Islam12Mohammad Jahirul Karim13M Kamar Rezwan14Abul Khair Mohammad Shamsuzzaman15Sanya Tahmina Jhora16M M Aktaruzzaman17Eleanor Drury18Sonia Gonçalves19Mihir Kekre20Mehul Dhorda21Ranitha Vongpromek22Olivo Miotto23Kenth Engø-Monsen24https://orcid.org/0000-0003-1618-7597Dominic Kwiatkowski25Richard J Maude26Caroline Buckee27https://orcid.org/0000-0002-8386-5899Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, United States; The Center for Communicable Disease Dynamics, Harvard T.H. Chan School of Public Health, Boston, United StatesDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, United StatesMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United KingdomWellcome Sanger Institute, Cambridge, United KingdomDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, United States; The Center for Communicable Disease Dynamics, Harvard T.H. Chan School of Public Health, Boston, United StatesMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, ThailandMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, ThailandDepartment of Medicine, Chittagong Medical College, Chittagong, BangladeshMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Dev Care Foundation, Dhaka, BangladeshChittagong Medical College Hospital, Chittagong, BangladeshChittagong Medical College Hospital, Chittagong, BangladeshShaheed Suhrawardy Medical College, Dhaka, BangladeshBRAC Centre, Dhaka, BangladeshNational Malaria Elimination Programme, Dhaka, BangladeshVector-Borne Disease Control, World Health Organization, Dhaka, BangladeshCommunicable Disease Control, Directorate General of Health Services, Dhaka, BangladeshCommunicable Disease Control, Directorate General of Health Services, Dhaka, BangladeshNational Malaria Elimination Programme, Dhaka, BangladeshWellcome Sanger Institute, Cambridge, United KingdomWellcome Sanger Institute, Cambridge, United KingdomWellcome Sanger Institute, Cambridge, United KingdomMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom; Worldwide Antimalarial Resistance Network, Asia Regional Centre, Bangkok, ThailandWorldwide Antimalarial Resistance Network, Asia Regional Centre, Bangkok, ThailandMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Wellcome Sanger Institute, Cambridge, United Kingdom; Big Data Institute, Oxford University, Oxford, United KingdomTelenor Research, Telenor Group, Fornebu, NorwayWellcome Sanger Institute, Cambridge, United Kingdom; Big Data Institute, Oxford University, Oxford, United KingdomDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, United States; The Center for Communicable Disease Dynamics, Harvard T.H. Chan School of Public Health, Boston, United States; Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United KingdomDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, United States; The Center for Communicable Disease Dynamics, Harvard T.H. Chan School of Public Health, Boston, United StatesFor countries aiming for malaria elimination, travel of infected individuals between endemic areas undermines local interventions. Quantifying parasite importation has therefore become a priority for national control programs. We analyzed epidemiological surveillance data, travel surveys, parasite genetic data, and anonymized mobile phone data to measure the spatial spread of malaria parasites in southeast Bangladesh. We developed a genetic mixing index to estimate the likelihood of samples being local or imported from parasite genetic data and inferred the direction and intensity of parasite flow between locations using an epidemiological model integrating the travel survey and mobile phone calling data. Our approach indicates that, contrary to dogma, frequent mixing occurs in low transmission regions in the southwest, and elimination will require interventions in addition to reducing imported infections from forested regions. Unlike risk maps generated from clinical case counts alone, therefore, our approach distinguishes areas of frequent importation as well as high transmission.https://elifesciences.org/articles/43481travel surveyparasite flowgenetic barcodesmobilityimportation
spellingShingle Hsiao-Han Chang
Amy Wesolowski
Ipsita Sinha
Christopher G Jacob
Ayesha Mahmud
Didar Uddin
Sazid Ibna Zaman
Md Amir Hossain
M Abul Faiz
Aniruddha Ghose
Abdullah Abu Sayeed
M Ridwanur Rahman
Akramul Islam
Mohammad Jahirul Karim
M Kamar Rezwan
Abul Khair Mohammad Shamsuzzaman
Sanya Tahmina Jhora
M M Aktaruzzaman
Eleanor Drury
Sonia Gonçalves
Mihir Kekre
Mehul Dhorda
Ranitha Vongpromek
Olivo Miotto
Kenth Engø-Monsen
Dominic Kwiatkowski
Richard J Maude
Caroline Buckee
Mapping imported malaria in Bangladesh using parasite genetic and human mobility data
eLife
travel survey
parasite flow
genetic barcodes
mobility
importation
title Mapping imported malaria in Bangladesh using parasite genetic and human mobility data
title_full Mapping imported malaria in Bangladesh using parasite genetic and human mobility data
title_fullStr Mapping imported malaria in Bangladesh using parasite genetic and human mobility data
title_full_unstemmed Mapping imported malaria in Bangladesh using parasite genetic and human mobility data
title_short Mapping imported malaria in Bangladesh using parasite genetic and human mobility data
title_sort mapping imported malaria in bangladesh using parasite genetic and human mobility data
topic travel survey
parasite flow
genetic barcodes
mobility
importation
url https://elifesciences.org/articles/43481
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