Evidence map›Paper›PMID 34234124›Full record

ArticleNature communications2021

The epidemiology of Plasmodium vivax among adults in the Democratic Republic of the Congo.

Nicholas F Brazeau, Cedar L Mitchell, Andrew P Morgan, Molly Deutsch-Feldman, Oliver John Watson, Kyaw L Thwai, Pere Gelabert, Lucy van Dorp, Corinna Y Keeler, Andreea Waltmann and 12 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  18. Relationship between Duffy Genotype/Phenotype and Prevalence ofTropical medicine and infectious disease · 2023
    Review
  19. Plasmodium vivax in Sub-Saharan Africa: An Advancing Threat to Malaria Elimination?The American journal of tropical medicine and hygiene · 2023
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 7 institutions in 5 countries.

Nicholas F BrazeauDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA. nbrazeau@med.unc.edu.
Cedar L MitchellDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Andrew P MorganMedical Scientist Training Program, School of Medicine, University of North Carolina, Chapel Hill, NC, USA.
Molly Deutsch-FeldmanDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Oliver John WatsonMedical Research Council Centre for Outbreak Analysis and Modelling, Department of Infectious Disease Epidemiology, Imperial College London, London, UK.ORCID 0000-0003-2374-0741
Kyaw L ThwaiDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Pere GelabertUCL Genetics Institute, University College London, London, UK.ORCID 0000-0003-3019-0725
Lucy van DorpUCL Genetics Institute, University College London, London, UK.ORCID 0000-0002-6211-2310
Corinna Y KeelerDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0002-3445-6589
Andreea WaltmannInstitute for Global Health and Infectious Diseases, School of Medicine, University of North Carolina, Chapel Hill, NC, USA.
Michael EmchDepartment of Geography, University of North Carolina, Chapel Hill, NC, USA.
Valerie GartnerDepartment of Biology, Duke University, Durham, NC, USA.ORCID 0000-0001-5171-401X
Ben RedelingsDepartment of Biology, Duke University, Durham, NC, USA.
Gregory A WrayDepartment of Biology, Duke University, Durham, NC, USA.ORCID 0000-0001-5634-5081
Melchior K MwandagalirwaKinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo.
Antoinette K TshefuKinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo.
Joris L LikwelaProgramme National de la Lutte Contre le Paludisme, Kinshasa, Democratic Republic of Congo.
Jessie K EdwardsDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0002-1741-335X
Robert VerityMedical Research Council Centre for Outbreak Analysis and Modelling, Department of Infectious Disease Epidemiology, Imperial College London, London, UK.ORCID 0000-0002-3902-8567
Jonathan B ParrDivision of Infectious Diseases, School of Medicine, University of North Carolina, Chapel Hill, NC, USA.
Steven R Meshnick *Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Jonathan J Juliano *Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · USDuke University · USImperial College London · GBMinistry of Public Health · CDProgramme National Multisectoriel de Lutte contre le sida · CDUniversity College London · GBUniversity of Vienna · AT

Funding

Training in Infectious Disease Epidemiology (TIDE)T32AI070114 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Brian W Pence · 2007 to 2026
$4.0M
Epidemiological and Spatial Models of Malaria TransmissionR01AI107949 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MESHNICK, STEVEN RICHARD · 2014 to 2018
$2.5M
Collaborative Research: Impacts of the African Origin of Plasmodium vivax on Contemporary Parasite PopulationsR01TW010870 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JULIANO, JONATHAN J · 2017 to 2021
$2.4M
Mentoring in Translational Malaria GenomicsK24AI134990 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Jonathan J Juliano · 2018 to 2026
$1.6M
Identifying the Distribution, Origin, and Threat of Plasmodium vivax in the DRCF30AI143172 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BRAZEAU, NICHOLAS FORD · 2019 to 2022
$171k
Effects of advanced paternal age on germline genome stabilityF30MH103925 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, ANDREW PARKER · 2014 to 2017
$151k
FIC NIH HHS R01 TW010870Medical Research Council MR/R015600/1NIAID NIH HHS F30 AI143172NIAID NIH HHS K24 AI134990NIAID NIH HHS R01 AI107949NIAID NIH HHS T32 AI070114NIMH NIH HHS F30 MH103925Wellcome TrustWellcome Trust 109312/Z/15/Z
6 · The paper itself

Abstract

Reports of P. vivax infections among Duffy-negative hosts have accumulated throughout sub-Saharan Africa. Despite this growing body of evidence, no nationally representative epidemiological surveys of P. vivax in sub-Saharan Africa have been performed. To overcome this gap in knowledge, we screened over 17,000 adults in the Democratic Republic of the Congo (DRC) for P. vivax using samples from the 2013-2014 Demographic Health Survey. Overall, we found a 2.97% (95% CI: 2.28%, 3.65%) prevalence of P. vivax infections across the DRC. Infections were associated with few risk-factors and demonstrated a relatively flat distribution of prevalence across space with focal regions of relatively higher prevalence in the north and northeast. Mitochondrial genomes suggested that DRC P. vivax were distinct from circulating non-human ape strains and an ancestral European P. vivax strain, and instead may be part of a separate contemporary clade. Our findings suggest P. vivax is diffusely spread across the DRC at a low prevalence, which may be associated with long-term carriage of low parasitemia, frequent relapses, or a general pool of infections with limited forward propagation.

Indexed as

AdolescentAdultAge FactorsCarrier StateCross-Sectional StudiesDemocratic Republic of the CongoFemaleHumansMalaria, VivaxMaleMass ScreeningParasitemiaPlasmodium vivaxPrevalenceRisk FactorsYoung Adult

Identifiers

PMID34234124
PMCPMC8263614
OpenAlexW3182136967

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.