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Estimating sources and sinks of malaria parasites in Madagascar

Author(s): Ihantamalala, Felana Angella; Herbreteau, Vincent; Rakotoarimanana, Feno M.J.; Rakotondramanga, Jean Marius; Cauchemez, Simon; et al

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Abstract: In areas where malaria epidemiology is spatially and temporally heterogeneous, human-mediated parasite importation can result in non-locally acquired clinical cases and outbreaks in low-transmission areas. Using mobility estimates derived from the mobile phone data and spatial malaria prevalence data, we identify travel routes relevant to malaria transmission in Madagascar. We find that the primary hubs of parasite importation are in a spatially connected area of the central highlands. Surprisingly, sources of these imported infections are not spatially clustered. We then related these source locations directly to clinical cases in the low-transmission area of the capital. We find that in the capital, a major sink, the primary sources of infection are along the more populated coastal areas, although these sources are seasonally variable. Our results have implications for targeting interventions at source locations to achieve local or national malaria control goals.
Publication Date: 25-Sep-2018
Citation: Ihantamalala, FA, Herbreteau, V, Rakotoarimanana, FMJ, Rakotondramanga, JM, Cauchemez, S, Rahoilijaona, B, Pennober, G, Buckee, CO, Rogier, C, Metcalf, CJE, Wesolowski, A. (2018). Estimating sources and sinks of malaria parasites in Madagascar. Nat Commun, 9 (1), 3897 - 3897. doi:10.1038/s41467-018-06290-2
DOI: doi:10.1038/s41467-018-06290-2
ISSN: 2041-1723
Pages: 3897 - 3897
Type of Material: Journal Article
Journal/Proceeding Title: Nat Commun
Version: Final published version. This is an open access article.

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