Defining the relationship between infection prevalence and clinical incidence of Plasmodium falciparum malaria
Author(s)
Type
Journal Article
Abstract
In many countries health system data remain too weak to accurately enumerate Plasmodium falciparum malaria cases. In response, cartographic approaches have been developed that link maps of infection prevalence with mathematical relationships to predict the incidence rate of clinical malaria. Microsimulation (or ‘agent-based’) models represent a powerful new paradigm for defining such relationships; however, differences in model structure and calibration data mean that no consensus yet exists on the optimal form for use in disease-burden estimation. Here we develop a Bayesian statistical procedure combining functional regression-based model emulation with Markov Chain Monte Carlo sampling to calibrate three selected microsimulation models against a purpose-built data set of age-structured prevalence and incidence counts. This allows the generation of ensemble forecasts of the prevalence–incidence relationship stratified by age, transmission seasonality, treatment level and exposure history, from which we predict accelerating returns on investments in large-scale intervention campaigns as transmission and prevalence are progressively reduced.
Date Issued
2015-09-08
Date Acceptance
2015-07-24
Citation
Nature Communications, 2015, 6
ISSN
2041-1723
Publisher
Nature Publishing Group
Journal / Book Title
Nature Communications
Volume
6
Copyright Statement
This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
License URL
Subjects
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
SUB-SAHARAN AFRICA
SEASONAL MALARIA
TRANSMISSION INTENSITY
WEST-AFRICA
EPIDEMIOLOGIC MODEL
MATHEMATICAL-MODEL
BURKINA-FASO
CHILDREN
MORBIDITY
DISEASE
Adolescent
Adult
Africa
Aged
Aged, 80 and over
Bayes Theorem
Child
Child, Preschool
Computer Simulation
Humans
Incidence
Infant
Infant, Newborn
Malaria, Falciparum
Markov Chains
Middle Aged
Models, Statistical
Monte Carlo Method
Prevalence
Young Adult
MD Multidisciplinary
Publication Status
Published
Article Number
8170