High malaria transmission areas remain a problem for elimination

Aug 10, 2010

Current tools for combating malaria, such as artemisinin-combination therapy and increasing coverage of long-lasting insecticide bednets can result in major reductions in Plasmodium falciparum malaria transmission and the associated disease burden in Africa. Furthermore, if such interventions can be rolled out to achieve a comprehensive and sustained intervention program, a parasite prevalence threshold of 1% may be achievable in areas where there is a low- to moderate transmission of malaria and where mosquitoes mainly rest indoors. These are the findings from a modeling study by Jamie Griffin and colleagues from Imperial College London and the London School of Hygiene and Tropical Medicine, published in this week's PLoS Medicine.

The authors reached these conclusions by developing a mathematical simulation model for P. falciparum transmission in Africa, which incorporated three major types of mosquito, parasite prevalence data in 34 areas of Africa with differing P. falciparum malaria transmission levels, and the effect of switching to artemisinin-combination therapy and increasing coverage of long-lasting insecticide treated bednets. Then the authors explored the impact on transmission of continued roll-out of long-lasting insecticide treated bednets, additional rounds of indoor residual spraying, mass screening and treatment and a future vaccine in six representative settings with varying transmission intensity with the aim of reaching a realistic target of 80% coverage. The model predicted some success in low and moderate transmission settings but in high-transmission areas and those in which mosquitoes are mainly outdoor-resting, additional new tools that target outdoor-biting mosquitoes and substantial social improvements will be required as higher levels of intervention coverage are unrealistic.

The authors say, "Our model is necessarily a simplification of the more complex dynamics underlying and control, so numerical results should be interpreted more as providing intuitive insight into potential scenarios than as firm predictions of what might happen in a given setting."

Explore further: Afferent's P2X3 inhibitor shows 75 percent reduction in chronic cough frequency

More information: Griffin JT, Hollingsworth TD, Okell LC, Churcher TS, White M, et al. (2010) Reducing Plasmodium falciparum Malaria Transmission in Africa: A Model-Based Evaluation of Intervention Strategies. PLoS Med 7 (8): e1000324. doi:10.1371/journal.pmed.1000324

add to favorites email to friend print save as pdf

Related Stories

New insecticide created for mosquitoes

Jul 18, 2007

French scientists have developed an effective insecticide-repellent compound that can be used against mosquitoes resistant to current chemicals.

Recommended for you

Chinese-built Ebola center dedicated in Liberia

2 hours ago

China, one of the first countries to send aid to battle Ebola in West Africa, ramped up the assistance significantly Tuesday by opening a 100-bed treatment center in Liberia as rows of uniformed Chinese army ...

Superbug in SE Michigan shows recent decline

5 hours ago

A new study finds a decrease in an emergent strain of methicillin-resistant S. aureus (MRSA) that is resistant to last line defense antibiotics. Researchers examined the prevalence of vancomycin-resistant Staphylococcus aureus (V ...

First Italian with Ebola takes trial drug

5 hours ago

An Italian doctor battling the deadly Ebola virus on Tuesday began treatment with an experimental drug in Italy's leading hospital for infectious diseases.

User comments : 0

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.