Title
Hyperendemic malaria transmission in areas of occupation-related travel in the Peruvian Amazon
Date Issued
01 January 2013
Access level
open access
Resource Type
journal article
Author(s)
Parker B.S.
Peñataro Yori P.
Escobedo K.
Florin D.
Rengifo Pinedo S.
Cardenas Greffa R.
Capcha Vega L.
Rodriguez Ferrucci H.
Pan W.K.
Banda Chavez C.
University of California San Diego
Johns Hopkins Bloomberg School of Public Health
Abstract
Background: Plasmodium vivax and Plasmodium falciparum cause a significant illness burden in Peru. Anopheline indices for populated communities in the peri-Iquitos region of Loreto have been reported to be remarkably low, with entomological inoculation rates (EIR) estimated at one to 30 infective bites per year based on a few studies in close proximity to the urban centre of Iquitos and surrounding deforested areas. Local reports suggest that a large number of the reported cases are contracted outside of populated communities in undeveloped riverine areas frequented by loggers and fishermen. Methods. To better understand vectorial capacity in suspected high malaria transmission zones in a rural district near Iquitos, Peru, mosquito collections were conducted at different points in the seasonality of malaria transmission in 21 sites frequented by occupational labourers. Prevalence of Plasmodium spp in vectors was determined by circumsporozoite protein ELISA on individual mosquitoes. Slide surveillance was performed for humans encountered in the zone. Results: In total, of 8,365 adult female mosquitoes examined, 98.5% were identified as Anopheles darlingi and 117 (1.4%) tested positive for sporozoites (P. falciparum, P. vivax VK210 or P. vivax VK247). Measured human biting rates at these sites ranged from 0.102 to 41.13 bites per person per hour, with EIR values as high as 5.3 infective bites per person per night. Six percent of the 284 blood films were positive for P. vivax or P. falciparum; however, 88% of the individuals found to be positive were asymptomatic at the time of sampling. Conclusions: The results of this study provide key missing indices of prominent spatial and temporal heterogeneity of vectorial capacity in the Amazon Basin of Peru. The identification of a target human subpopulation as a principal reservoir and dispersion source of Plasmodium species has important implications for vaccine development and the delivery of effective targeted malaria control strategies. © 2013 Parker et al.; licensee BioMed Central Ltd.
Volume
12
Issue
1
Language
English
OCDE Knowledge area
Epidemiología
Scopus EID
2-s2.0-84878375873
PubMed ID
Source
Malaria Journal
Sponsor(s)
This work was principally supported by a faculty pilot grant from the Johns Hopkins Molecular Microbiology and Immunology Center to MK. Additional funding was contributed by the Military Infectious Disease Research Program Project GLI0015_06_RC to DF.
Sources of information: Directorio de Producción Científica Scopus