Multiplex serology demonstrate cumulative prevalence and spatial distribution of malaria in Ethiopia

Autor: Ashenafi Assefa, Ahmed Ali Ahmed, Wakgari Deressa, Heven Sime, Hussein Mohammed, Amha Kebede, Hiwot Solomon, Hiwot Teka, Kevin Gurrala, Brian Matei, Brian Wakeman, G. Glenn Wilson, Ipsita Sinha, Richard J. Maude, Ruth Ashton, Jackie Cook, Ya Ping Shi, Chris Drakeley, Lorenz von Seidlein, Eric Rogier, Jimee Hwang
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Malaria Journal, Vol 18, Iss 1, Pp 1-14 (2019)
Druh dokumentu: article
ISSN: 1475-2875
DOI: 10.1186/s12936-019-2874-z
Popis: Abstract Background Measures of malaria burden using microscopy and rapid diagnostic tests (RDTs) in cross-sectional household surveys may incompletely describe the burden of malaria in low-transmission settings. This study describes the pattern of malaria transmission in Ethiopia using serological antibody estimates derived from a nationwide household survey completed in 2015. Methods Dried blood spot (DBS) samples were collected during the Ethiopian Malaria Indicator Survey in 2015 from malarious areas across Ethiopia. Samples were analysed using bead-based multiplex assays for IgG antibodies for six Plasmodium antigens: four human malaria species-specific merozoite surface protein-1 19kD antigens (MSP-1) and Apical Membrane Antigen-1 (AMA-1) for Plasmodium falciparum and Plasmodium vivax. Seroprevalence was estimated by age, elevation and region. The seroconversion rate was estimated using a reversible catalytic model fitted with maximum likelihood methods. Results Of the 10,278 DBS samples available, 93.6% (9622/10,278) had valid serological results. The mean age of participants was 15.8 years and 53.3% were female. National seroprevalence for antibodies to P. falciparum was 32.1% (95% confidence interval (CI) 29.8–34.4) and 25.0% (95% CI 22.7–27.3) to P. vivax. Estimated seroprevalences for Plasmodium malariae and Plasmodium ovale were 8.6% (95% CI 7.6–9.7) and 3.1% (95% CI 2.5–3.8), respectively. For P. falciparum seroprevalence estimates were significantly higher at lower elevations (
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