Estimating spatiotemporally varying malaria reproduction numbers in a near elimination setting
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Published version
Author(s)
Routledge, I
Chevez, Jose Eduardo Romero
Cucunubá, Zulma M
Gomez Rogriguez, Manuel
Guinovart, Caterina
Type
Journal Article
Abstract
In 2016 the World Health Organization identified 21 countries that could eliminate malaria by 2020. Monitoring progress towards this goal requires tracking ongoing transmission. Here we develop methods that estimate individual reproduction numbers and their variation through time and space. Individual reproduction numbers, Rc, describe the state of transmission at a point in time and differ from mean reproduction numbers, which are averages of the number of people infected by a typical case. We assess elimination progress in El Salvador using data for confirmed cases of malaria from 2010 to 2016. Our results demonstrate that whilst the average number of secondary malaria cases was below one (0.61, 95% CI 0.55–0.65), individual reproduction numbers often exceeded one. We estimate a decline in Rc between 2010 and 2016. However we also show that if importation is maintained at the same rate, the country may not achieve malaria elimination by 2020.
Date Issued
2018-06-26
Date Acceptance
2018-05-02
Citation
Nature Communications, 2018, 9 (2476), pp.1-8
ISSN
2041-1723
Publisher
Nature Publishing Group
Start Page
1
End Page
8
Journal / Book Title
Nature Communications
Volume
9
Issue
2476
Copyright Statement
© The Author(s) 2018. This article is licensed under a Creative Commons
Attribution 4.0 International License, which permits use, sharing,
adaptation, distribution and reproduction in any medium or format, as long as you give
appropriate credit to the original author(s) and the source, provide a link to the Creative
Commons license, and indicate if changes were made. The images or other third party
material in this article are included in the article’s Creative Commons license, unless
indicated otherwise in a credit line to the material. If material is not included in the
article’s Creative Commons license and your intended use is not permitted by statutory
regulation or exceeds the permitted use, you will need to obtain permission directly from
the copyright holder. To view a copy of this license, visit http://creativecommons.org/
licenses/by/4.0/.
Attribution 4.0 International License, which permits use, sharing,
adaptation, distribution and reproduction in any medium or format, as long as you give
appropriate credit to the original author(s) and the source, provide a link to the Creative
Commons license, and indicate if changes were made. The images or other third party
material in this article are included in the article’s Creative Commons license, unless
indicated otherwise in a credit line to the material. If material is not included in the
article’s Creative Commons license and your intended use is not permitted by statutory
regulation or exceeds the permitted use, you will need to obtain permission directly from
the copyright holder. To view a copy of this license, visit http://creativecommons.org/
licenses/by/4.0/.
Sponsor
Wellcome Trust
Medical Research Council (MRC)
Bill & Melinda Gates Foundation
Medical Research Council (MRC)
Medical Research Council
Medical Research Council (MRC)
Identifier
https://www.nature.com/articles/s41467-018-04577-y
Grant Number
109310/Z/15/Z
MR/K010174/1B
1606H5002/JH6
MR/L012189/1
MR/K010174/1B
MR/R015600/1
Subjects
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
PLASMODIUM-FALCIPARUM MALARIA
TRANSMISSION INTENSITY
INFECTIOUS-DISEASE
CHALLENGES
EPIDEMIC
COVERAGE
IMPACT
Basic Reproduction Number
El Salvador
Endemic Diseases
Epidemiological Monitoring
Humans
Incidence
Likelihood Functions
Malaria
Malaria, Falciparum
Malaria, Vivax
Risk Factors
Time Factors
Humans
Malaria
Malaria, Falciparum
Malaria, Vivax
Incidence
Likelihood Functions
Risk Factors
Endemic Diseases
Time Factors
El Salvador
Basic Reproduction Number
Epidemiological Monitoring
Publication Status
Published
Article Number
ARTN 2476
Date Publish Online
2018-06-26