Evidence for a role of Anopheles stephensi in the spread of drug- and diagnosis-resistant malaria in Africa.
Nat Med
; 29(12): 3203-3211, 2023 Dec.
Article
em En
| MEDLINE
| ID: mdl-37884028
ABSTRACT
Anopheles stephensi, an Asian malaria vector, continues to expand across Africa. The vector is now firmly established in urban settings in the Horn of Africa. Its presence in areas where malaria resurged suggested a possible role in causing malaria outbreaks. Here, using a prospective case-control design, we investigated the role of An. stephensi in transmission following a malaria outbreak in Dire Dawa, Ethiopia in April-July 2022. Screening contacts of patients with malaria and febrile controls revealed spatial clustering of Plasmodium falciparum infections around patients with malaria in strong association with the presence of An. stephensi in the household vicinity. Plasmodium sporozoites were detected in these mosquitoes. This outbreak involved clonal propagation of parasites with molecular signatures of artemisinin and diagnostic resistance. To our knowledge, this study provides the strongest evidence so far for a role of An. stephensi in driving an urban malaria outbreak in Africa, highlighting the major public health threat posed by this fast-spreading mosquito.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
/
3_ND
Base de dados:
MEDLINE
Assunto principal:
Malária Falciparum
/
Malária
/
Anopheles
Limite:
Animals
/
Humans
País/Região como assunto:
Africa
Idioma:
En
Revista:
Nat Med
Ano de publicação:
2023
Tipo de documento:
Article