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Asymptomatic malaria infections: detectability, transmissibility and public health relevance
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Journal Article
Asymptomatic malaria infections: detectability, transmissibility and public health relevance
2014
Overview
Recent studies have shown that submicroscopic
Plasmodium falciparum
infections are an important, but often undetected, reservoir of malaria and are major contributors to transmission. In this Opinion article, Bousema and colleagues discuss the epidemiology of these infections and the prospects for intervention strategies, and they argue for the wider deployment of molecular diagnostic tools to understand and quantify infection dynamics.
Most
Plasmodium falciparum
infections that are detected in community surveys are characterized by low-density parasitaemia and the absence of clinical symptoms. Molecular diagnostics have shown that this asymptomatic parasitic reservoir is more widespread than previously thought, even in low-endemic areas. In this Opinion article, we describe the detectability of asymptomatic malaria infections and the relevance of submicroscopic infections for parasite transmission to mosquitoes and for community interventions that aim at reducing transmission. We argue that wider deployment of molecular diagnostic tools is needed to provide adequate insight into the epidemiology of malaria and infection dynamics to aid elimination efforts.
Publisher
Nature Publishing Group UK,Nature Publishing Group
Subject
/ Animals
/ Disease Reservoirs - parasitology
/ Female
/ Humans
/ Insect Vectors - parasitology
/ Malaria
/ Malaria, Falciparum - diagnosis
/ Malaria, Falciparum - parasitology
/ Malaria, Falciparum - prevention & control
/ Malaria, Falciparum - transmission
/ Male
/ Methods
/ Molecular diagnostic techniques
/ Plasmodium falciparum - isolation & purification
/ Protozoa
/ Virology
