Socio-demographics and the development of malaria elimination strategies in the low transmission setting

Vinetz, Joseph Michael; Peñataro, P.; Torres, S.; Paredes, M.; Gilman, Robert Hugh; Marin, S.; Chuquiyauri, R.; Llanos Cuentas, Elmer Alejandro; Kosek, M.; Tenorio, A.; Brouwer, K.C.; Abeles, S.

dc.contributor.author	Chuquiyauri, R.
dc.contributor.author	Paredes, M.
dc.contributor.author	Peñataro, P.
dc.contributor.author	Torres, S.
dc.contributor.author	Marin, S.
dc.contributor.author	Tenorio, A.
dc.contributor.author	Brouwer, K.C.
dc.contributor.author	Abeles, S.
dc.contributor.author	Llanos Cuentas, Elmer Alejandro
dc.contributor.author	Gilman, Robert Hugh
dc.contributor.author	Kosek, M.
dc.contributor.author	Vinetz, Joseph Michael
dc.date.accessioned	2022-01-18T19:26:45Z
dc.date.available	2022-01-18T19:26:45Z
dc.date.issued	2012
dc.identifier.uri	https://hdl.handle.net/20.500.12866/10839
dc.description.abstract	This analysis presents a comprehensive description of malaria burden and risk factors in Peruvian Amazon villages where malaria transmission is hypoendemic. More than 9000 subjects were studied in contrasting village settings within the Department of Loreto, Peru, where most malaria occurs in the country. Plasmodium vivax is responsible for more than 75% of malaria cases; severe disease from any form of malaria is uncommon and death rare. The association between lifetime malaria episodes and individual and household covariates was studied using polychotomous logistic regression analysis, assessing effects on odds of some vs. no lifetime malaria episodes. Malaria morbidity during lifetime was strongly associated with age, logging, farming, travel history, and living with a logger or agriculturist. Select groups of adults, particularly loggers and agriculturists acquire multiple malaria infections in transmission settings outside of the main domicile, and may be mobile human reservoirs by which malaria parasites move within and between micro-regions within malaria endemic settings. For example, such individuals might well be reservoirs of transmission by introducing or reintroducing malaria into their home villages and their own households, depending on vector ecology and the local village setting. Therefore, socio-demographic studies can identify people with the epidemiological characteristic of transmission risk, and these individuals would be prime targets against which to deploy transmission blocking strategies along with insecticide treated bednets and chemoprophylaxis.	en_US
dc.language.iso	eng
dc.publisher	Elsevier
dc.relation.ispartofseries	Acta Tropica
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	Aged 80 And Over	en_US
dc.subject	Humans	en_US
dc.subject	Logistic Models	en_US
dc.subject	Peru	en_US
dc.subject	Young \|Communicable Disease Control	en_US
dc.subject	Endemic Disease	en_US
dc.subject	Geographic Distribution	en_US
dc.subject	Malaria	en_US
dc.subject	Malaria Control	en_US
dc.subject	Parasite Transmission	en_US
dc.subject	Plasmodium Vivax	en_US
dc.subject	Population Research	en_US
dc.subject	Age Distribution	en_US
dc.subject	Age Factors	en_US
dc.subject	Agricultural Worker	en_US
dc.subject	Cause Of Death	en_US
dc.subject	Covariance Analysis	en_US
dc.subject	Data Collection	en_US
dc.subject	Demography	en_US
dc.subject	Disease Association	en_US
dc.subject	Disease Severity	en_US
dc.subject	Epidemiology	en_US
dc.subject	Infant	en_US
dc.subject	Insecticide	en_US
dc.subject	Loreto	en_US
dc.subject	Morbidity	en_US
dc.subject	Neotropical	en_US
dc.subject	Occupational Health	en_US
dc.subject	Plasmodium Falciparum	en_US
dc.subject	Population Dispersal	en_US
dc.subject	Prevalence	en_US
dc.subject	Regression Analysis	en_US
dc.subject	Retrospective Studies	en_US
dc.subject	Sex Difference	en_US
dc.subject	Socioeconomic Factors	en_US
dc.subject	South America	en_US
dc.subject	Transmission	en_US
dc.subject	Village	en_US
dc.title	Socio-demographics and the development of malaria elimination strategies in the low transmission setting	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1016/j.actatropica.2011.11.003
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.06
dc.relation.issn	1873-6254