Molecular xenomonitoring as an indicator of microfilaraemia prevalence for lymphatic filariasis in Samoa in 2019.

Autor: Howlett M; School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, QLD, 4006, Australia., Mayfield HJ; School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, QLD, 4006, Australia.; Centre for Clinical Research, The University of Queensland, Brisbane, QLD, 4006, Australia., McPherson B; Australian Defence Force Malaria and Infectious Disease Institute, Enoggera, 4051, Australia., Rigby L; Australian Defence Force Malaria and Infectious Disease Institute, Enoggera, 4051, Australia., Thomsen R; Samoa Ministry of Health, Apia, WS, 1330, Samoa., Williams SA; Department of Biological Sciences, Smith College, Northampton, MA, 01063, USA., Pilotte N; Department of Biological Sciences, Quinnipiac University, Hamden, CT, 06518, USA., Hedtke SM; Department of Environment and Genetics, La Trobe University, Bundoora, VIC, 3086, Australia., Graves PM; College of Public Health, Medical and Veterinary Sciences, James Cook University, Cairns, 4878, Australia., Kearns T; Menzies School of Health Research, Charles Darwin University, Casuarina, NT, 0810, Australia., Naseri T; Samoa Ministry of Health, Apia, WS, 1330, Samoa., Sheridan S; National Centre for Immunisation Research and Surveillance, Westmead, Sydney, Australia., McLure A; National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia. angus.mclure@anu.edu.au., Lau CL; School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, QLD, 4006, Australia.; Centre for Clinical Research, The University of Queensland, Brisbane, QLD, 4006, Australia.
Jazyk: angličtina
Zdroj: Parasites & vectors [Parasit Vectors] 2024 Sep 09; Vol. 17 (1), pp. 382. Date of Electronic Publication: 2024 Sep 09.
DOI: 10.1186/s13071-024-06463-7
Abstrakt: Background: Lymphatic filariasis (LF) is a globally significant, vector-borne, neglected tropical disease that can result in severe morbidity and disability. As the World Health Organization (WHO) Global Programme to Eliminate Lymphatic Filariasis makes progress towards LF elimination, there is greater need to develop sensitive strategies for post-intervention surveillance. Molecular xenomonitoring (MX), the detection of pathogen DNA in vectors, may provide a sensitive complement to traditional human-based surveillance techniques, including detection of circulating filarial antigen and microfilaraemia (Mf). This study aims to explore the relationship between human Mf prevalence and the prevalence of polymerase chain reaction (PCR)-positive mosquitoes using MX.
Methods: This study compared Mf and MX results from a 2019 community-based survey conducted in 35 primary sampling units (PSUs) in Samoa. This study also investigated concordance between presence and absence of PCR-positive mosquitoes and Mf-positive participants at the PSU level, and calculated sensitivity and negative predictive values for each indicator using presence of any Mf-positive infection in humans or PCR-positive mosquitoes as a reference. Correlation between prevalence of filarial DNA in mosquitoes and Mf in humans was estimated at the PSU and household/trap level using mixed-effect Bayesian multilevel regression analysis.
Results: Mf-positive individuals were identified in less than half of PSUs in which PCR-positive mosquito pools were present (13 of 28 PSUs). Prevalence of PCR-positive mosquitoes (each species separately) was positively correlated with Mf prevalence in humans at the PSU level. Analysed at the species level, only Aedes polynesiensis demonstrated strong evidence of positive correlation (r) with human Mf prevalence at both PSU (r: 0.5, 95% CrI 0.1-0.8) and trap/household levels (r: 0.6, 95% CrI 0.2-0.9).
Conclusions: Findings from this study demonstrate that MX can be a sensitive surveillance method for identifying residual infection in low Mf prevalence settings. MX identified more locations with signals of transmission than Mf-testing. Strong correlation between estimated PCR-positive mosquitoes in the primary vector species and Mf in humans at small spatial scales demonstrates the utility of MX as an indicator for LF prevalence in Samoa and similar settings. Further investigation is needed to develop MX guidelines to strengthen the ability of MX to inform operational decisions.
(© 2024. The Author(s).)
Databáze: MEDLINE
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