Evidence map›Paper›PMID 39174028›Full record

ArticleEmerging infectious diseases2024

Lower Microscopy Sensitivity with Decreasing Malaria Prevalence in the Urban Amazon Region, Brazil, 2018-2021.

Priscila T Rodrigues, Igor C Johansen, Winni A Ladeia, Fabiana D Esquivel, Rodrigo M Corder, Juliana Tonini, Priscila R Calil, Anderson R J Fernandes, Pablo S Fontoura, Carlos E Cavasini and 4 more

Abstract readHistorical Article
In one paragraph

Article in Emerging infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  5. Article
  6. Parasitology · 2025
    Article
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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

14 authors.

Priscila T Rodrigues
Igor C Johansen
Winni A Ladeia
Fabiana D Esquivel
Rodrigo M Corder
Juliana Tonini
Priscila R Calil
Anderson R J Fernandes
Pablo S Fontoura
Carlos E Cavasini
Joseph M Vinetz
Marcia C Castro
Marcelo U Ferreira
Mâncio Lima Cohort Study Working Group

Funding

Sugar-feeding behavior of the malaria vector Nyssorhynchus darlingi and development of effective attractive toxic sugar baits (ATSB) to increase intervention success in PeruU19AI089681 · NIAID · YALE UNIVERSITY · PI GAZZINELLI, RICARDO TOSTES · 2010 to 2023
$20.1M
NIAID NIH HHS U19 AI089681
6 · The paper itself

Abstract

Malaria is increasingly diagnosed in urban centers across the Amazon Basin. In this study, we combined repeated prevalence surveys over a 4-year period of a household-based random sample of 2,774 persons with parasite genotyping to investigate the epidemiology of malaria in Mâncio Lima, the main urban transmission hotspot in Amazonian Brazil. We found that most malarial infections were asymptomatic and undetected by point-of-care microscopy. Our findings indicate that as malaria transmission decreases, the detection threshold of microscopy rises, resulting in more missed infections despite similar parasite densities estimated by molecular methods. We identified genetically highly diverse populations of Plasmodium vivax and P. falciparum in the region; occasional shared lineages between urban and rural residents suggest cross-boundary propagation. The prevalence of low-density and asymptomatic infections poses a significant challenge for routine surveillance and the effectiveness of malaria control and elimination strategies in urbanized areas with readily accessible laboratory facilities.

Indexed as

MicroscopyAdolescentAdultBrazilChildChild, PreschoolFemaleHistory, 21st CenturyHumansInfantMalariaMalaria, FalciparumMalaria, VivaxMaleMiddle AgedPlasmodium falciparumAmazon BasinBrazilepidemiologymalariamicroscopyparasitesPlasmodium falciparumPlasmodium vivaxSouth Americaurbanvector-borne infections

Identifiers

PMID39174028
PMCPMC11346994

What Socratic holds

Textmetadata
LicenceCC BY
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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.