Serologic Markers for Detecting Malaria in Areas of Low Endemicity, Somalia, 2008

Areas in which malaria is not highly endemic are suitable for malaria elimination, but assessing transmission is difficult because of lack of sensitivity of commonly used methods. We evaluated serologic markers for detecting variation in malaria exposure in Somalia. Plasmodium falciparum or P. vivax...

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Main Authors: Teun Bousema, Randa M. Youssef, Jackie Cook, Jonathan Cox, Victor A. Alegana, Jamal Amran, Abdisalan M. Noor, Robert W. Snow, Chris J. Drakeley
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2010-03-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/16/3/09-0732_article
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author Teun Bousema
Randa M. Youssef
Jackie Cook
Jonathan Cox
Victor A. Alegana
Jamal Amran
Abdisalan M. Noor
Robert W. Snow
Chris J. Drakeley
author_facet Teun Bousema
Randa M. Youssef
Jackie Cook
Jonathan Cox
Victor A. Alegana
Jamal Amran
Abdisalan M. Noor
Robert W. Snow
Chris J. Drakeley
author_sort Teun Bousema
collection DOAJ
description Areas in which malaria is not highly endemic are suitable for malaria elimination, but assessing transmission is difficult because of lack of sensitivity of commonly used methods. We evaluated serologic markers for detecting variation in malaria exposure in Somalia. Plasmodium falciparum or P. vivax was not detected by microscopy in cross-sectional surveys of samples from persons during the dry (0/1,178) and wet (0/1,128) seasons. Antibody responses against P. falciparum or P. vivax were detected in 17.9% (179/1,001) and 19.3% (202/1,044) of persons tested. Reactivity against P. falciparum was significantly different between 3 villages (p<0.001); clusters of seroreactivity were present. Distance to the nearest seasonal river was negatively associated with P. falciparum (p = 0.028) and P. vivax seroreactivity (p = 0.016). Serologic markers are a promising tool for detecting spatial variation in malaria exposure and evaluating malaria control efforts in areas where transmission has decreased to levels below the detection limit of microscopy.
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spelling doaj.art-f8fc919cdd6c4aebb2bf53f203abdb5a2022-12-21T19:19:42ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592010-03-0116339239910.3201/eid1603.090732Serologic Markers for Detecting Malaria in Areas of Low Endemicity, Somalia, 2008Teun BousemaRanda M. YoussefJackie CookJonathan CoxVictor A. AleganaJamal AmranAbdisalan M. NoorRobert W. SnowChris J. DrakeleyAreas in which malaria is not highly endemic are suitable for malaria elimination, but assessing transmission is difficult because of lack of sensitivity of commonly used methods. We evaluated serologic markers for detecting variation in malaria exposure in Somalia. Plasmodium falciparum or P. vivax was not detected by microscopy in cross-sectional surveys of samples from persons during the dry (0/1,178) and wet (0/1,128) seasons. Antibody responses against P. falciparum or P. vivax were detected in 17.9% (179/1,001) and 19.3% (202/1,044) of persons tested. Reactivity against P. falciparum was significantly different between 3 villages (p<0.001); clusters of seroreactivity were present. Distance to the nearest seasonal river was negatively associated with P. falciparum (p = 0.028) and P. vivax seroreactivity (p = 0.016). Serologic markers are a promising tool for detecting spatial variation in malaria exposure and evaluating malaria control efforts in areas where transmission has decreased to levels below the detection limit of microscopy.https://wwwnc.cdc.gov/eid/article/16/3/09-0732_articlePlasmodium falciparumPlasmodium vivaxtransmissionmalariaparasitesserology
spellingShingle Teun Bousema
Randa M. Youssef
Jackie Cook
Jonathan Cox
Victor A. Alegana
Jamal Amran
Abdisalan M. Noor
Robert W. Snow
Chris J. Drakeley
Serologic Markers for Detecting Malaria in Areas of Low Endemicity, Somalia, 2008
Emerging Infectious Diseases
Plasmodium falciparum
Plasmodium vivax
transmission
malaria
parasites
serology
title Serologic Markers for Detecting Malaria in Areas of Low Endemicity, Somalia, 2008
title_full Serologic Markers for Detecting Malaria in Areas of Low Endemicity, Somalia, 2008
title_fullStr Serologic Markers for Detecting Malaria in Areas of Low Endemicity, Somalia, 2008
title_full_unstemmed Serologic Markers for Detecting Malaria in Areas of Low Endemicity, Somalia, 2008
title_short Serologic Markers for Detecting Malaria in Areas of Low Endemicity, Somalia, 2008
title_sort serologic markers for detecting malaria in areas of low endemicity somalia 2008
topic Plasmodium falciparum
Plasmodium vivax
transmission
malaria
parasites
serology
url https://wwwnc.cdc.gov/eid/article/16/3/09-0732_article
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