Prevalence of asymptomatic malaria in high- and low-transmission areas of Tanzania: The role of asymptomatic carriers in malaria persistence and the need for targeted surveillance and control efforts.

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Tác giả: Md Atique Ahmed, Seok Ho Cha, Wanjoo Chun, Fadhila Fitriana, Smart Geodfrey, Eun-Teak Han, Jin-Hee Han, Joon-Hee Han, Hojong Jun, Winifrida Kidima, Nyalali Kija, Se Jin Lee, Wang-Jong Lee, Johnsy Mary Louis, Feng Lu, Alphaxard Manjurano, Ernest Mazigo, Fauzi Muh, Sunghun Na, Won Sun Park, Jadidan Hada Syahada, Jim Todd

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: Korea (South) : Parasites, hosts and diseases , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 692954

As many countries implement different programs aimed at eliminating malaria, attention should be given to asymptomatic carriers that may interrupt the progress. This was a community-based cross-sectional study conducted in Tanzania from December 2022 to July 2023 within 4 villages from each of the 3 regions, Geita and Kigoma, which are high malaria transmission, and Arusha, which is low transmission. Malaria was diagnosed in asymptomatic individuals aged 1 year and older using the malaria rapid diagnostic test and light microscope. A total of 2,365 of 3,489 (67.9%) participants were enrolled from high-transmission villages. The overall prevalence was 25.5% and 15.8% by malaria rapid diagnostic test and light microscope, respectively. Using the respective tools, the prevalence was significantly higher at 35.6% (confidence interval (CI)=23.6-49.9) and 23.1% (CI=16.2-35.1) in the high-transmission regions (Geita and Kigoma) compared with 2.9% (CI=1.1-3.5) and 1.1% (CI=0.7-1.8) in the low-transmission region (Arusha). Children younger than 15 years and males accounted for the greatest proportion of infections. In the study area, the prevalence of asymptomatic cases was higher than that of reported symptomatic cases in health facilities. We hypothesize that these parasite reservoirs may contribute to the persistence of malaria in the country. Therefore, to achieve comprehensive malaria control in the country, the surveillance and screening of asymptomatic malaria cases are vital.
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