Impact of seasonal variations in Plasmodium falciparum malaria transmission on the surveillance of pfhrp2 gene deletions

Ten countries have reported pfhrp2/pfhrp3 gene deletions since the first observation of pfhrp2-deleted parasites in 2012. In a previous study (Watson et al., 2017), we characterised the drivers selecting for pfhrp2/3 deletions and mapped the regions in Africa with the greatest selection pressure. In...

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Main Authors: Oliver John Watson, Robert Verity, Azra C Ghani, Tini Garske, Jane Cunningham, Antoinette Tshefu, Melchior K Mwandagalirwa, Steven R Meshnick, Jonathan B Parr, Hannah C Slater
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2019-05-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/40339
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author Oliver John Watson
Robert Verity
Azra C Ghani
Tini Garske
Jane Cunningham
Antoinette Tshefu
Melchior K Mwandagalirwa
Steven R Meshnick
Jonathan B Parr
Hannah C Slater
author_facet Oliver John Watson
Robert Verity
Azra C Ghani
Tini Garske
Jane Cunningham
Antoinette Tshefu
Melchior K Mwandagalirwa
Steven R Meshnick
Jonathan B Parr
Hannah C Slater
author_sort Oliver John Watson
collection DOAJ
description Ten countries have reported pfhrp2/pfhrp3 gene deletions since the first observation of pfhrp2-deleted parasites in 2012. In a previous study (Watson et al., 2017), we characterised the drivers selecting for pfhrp2/3 deletions and mapped the regions in Africa with the greatest selection pressure. In February 2018, the World Health Organization issued guidance on investigating suspected false-negative rapid diagnostic tests (RDTs) due to pfhrp2/3 deletions. However, no guidance is provided regarding the timing of investigations. Failure to consider seasonal variation could cause premature decisions to switch to alternative RDTs. In response, we have extended our methods and predict that the prevalence of false-negative RDTs due to pfhrp2/3 deletions is highest when sampling from younger individuals during the beginning of the rainy season. We conclude by producing a map of the regions impacted by seasonal fluctuations in pfhrp2/3 deletions and a database identifying optimum sampling intervals to support malaria control programmes.
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spelling doaj.art-ec7f18e440e7433daad632926d7913ad2022-12-22T04:32:15ZengeLife Sciences Publications LtdeLife2050-084X2019-05-01810.7554/eLife.40339Impact of seasonal variations in Plasmodium falciparum malaria transmission on the surveillance of pfhrp2 gene deletionsOliver John Watson0https://orcid.org/0000-0003-2374-0741Robert Verity1Azra C Ghani2Tini Garske3Jane Cunningham4Antoinette Tshefu5Melchior K Mwandagalirwa6Steven R Meshnick7Jonathan B Parr8Hannah C Slater9MRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, Imperial College London, London, United KingdomMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, Imperial College London, London, United KingdomMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, Imperial College London, London, United KingdomMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, Imperial College London, London, United KingdomGlobal Malaria Programme, World Health Organization, Geneva, SwitzerlandSchool of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the CongoSchool of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo; Department of Epidemiology, Gillings School for Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, United StatesDepartment of Epidemiology, Gillings School for Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, United States; Division of Infectious Diseases, Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, United StatesDivision of Infectious Diseases, Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, United StatesMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, Imperial College London, London, United KingdomTen countries have reported pfhrp2/pfhrp3 gene deletions since the first observation of pfhrp2-deleted parasites in 2012. In a previous study (Watson et al., 2017), we characterised the drivers selecting for pfhrp2/3 deletions and mapped the regions in Africa with the greatest selection pressure. In February 2018, the World Health Organization issued guidance on investigating suspected false-negative rapid diagnostic tests (RDTs) due to pfhrp2/3 deletions. However, no guidance is provided regarding the timing of investigations. Failure to consider seasonal variation could cause premature decisions to switch to alternative RDTs. In response, we have extended our methods and predict that the prevalence of false-negative RDTs due to pfhrp2/3 deletions is highest when sampling from younger individuals during the beginning of the rainy season. We conclude by producing a map of the regions impacted by seasonal fluctuations in pfhrp2/3 deletions and a database identifying optimum sampling intervals to support malaria control programmes.https://elifesciences.org/articles/40339radid diagnostic testspfhrp2-deletionmappingmathematical modelling
spellingShingle Oliver John Watson
Robert Verity
Azra C Ghani
Tini Garske
Jane Cunningham
Antoinette Tshefu
Melchior K Mwandagalirwa
Steven R Meshnick
Jonathan B Parr
Hannah C Slater
Impact of seasonal variations in Plasmodium falciparum malaria transmission on the surveillance of pfhrp2 gene deletions
eLife
radid diagnostic tests
pfhrp2-deletion
mapping
mathematical modelling
title Impact of seasonal variations in Plasmodium falciparum malaria transmission on the surveillance of pfhrp2 gene deletions
title_full Impact of seasonal variations in Plasmodium falciparum malaria transmission on the surveillance of pfhrp2 gene deletions
title_fullStr Impact of seasonal variations in Plasmodium falciparum malaria transmission on the surveillance of pfhrp2 gene deletions
title_full_unstemmed Impact of seasonal variations in Plasmodium falciparum malaria transmission on the surveillance of pfhrp2 gene deletions
title_short Impact of seasonal variations in Plasmodium falciparum malaria transmission on the surveillance of pfhrp2 gene deletions
title_sort impact of seasonal variations in plasmodium falciparum malaria transmission on the surveillance of pfhrp2 gene deletions
topic radid diagnostic tests
pfhrp2-deletion
mapping
mathematical modelling
url https://elifesciences.org/articles/40339
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