TY - JOUR
T1 - Investigating the association between household exposure to Anopheles stephensi and malaria in Sudan and Ethiopia: A case-control study protocol
AU - Ashine, Temesgen
AU - Ebstie, Yehenew Asmamaw
AU - Ibrahim, Rayyan
AU - Epstein, Adrienne
AU - Bradley, John
AU - Nouredayem, Mujahid
AU - Michael, Mikiyas G.
AU - Sidiahmed, Amani
AU - Negash, Nigatu
AU - Kochora, Abena
AU - Sulieman, Jihad Eltaher
AU - Reynolds, Alison
AU - Alemayehu, Eba
AU - Zemene, Endalew
AU - Eyasu, Adane
AU - Dagne, Alemayehu
AU - Hailemeskel, Elifaged
AU - Jaiteh, Fatou
AU - Geleta, Dereje
AU - Lejore, Ephrem
AU - Weetman, David
AU - Hussien, Ahmed Mahmoud
AU - Saad, Fadwa
AU - Assefa, Gudissa
AU - Solomon, Hiwot
AU - Bashir, Abdelgadir
AU - Massebo, Fekadu
AU - Peeters, Koen
AU - Yewhalaw, Delenasaw
AU - Kafy, Hmooda Toto
AU - Donnelly, Martin
AU - Gadisa, Endalamaw
AU - Malik, Elfatih M.
AU - Wilson, Anne
PY - 2024/9/3
Y1 - 2024/9/3
N2 - BackgroundEndemic African malaria vectors are poorly adapted to typical urban ecologies. However, Anopheles stephensi, an urban malaria vector formerly confined to South Asia and the Persian Gulf, was recently detected in Africa and may change the epidemiology of malaria across the continent. Little is known about the public health implications of An. stephensi in Africa. This study is designed to assess the relative importance of household exposure to An. stephensi and endemic malaria vectors for malaria risk in urban Sudan and Ethiopia.MethodsCase-control studies will be conducted in 3 urban settings (2 in Sudan, 1 in Ethiopia) to assess the association between presence of An. stephensi in and around households and malaria. Cases, defined as individuals positive for Plasmodium falciparum and/or P. vivax by microscopy/rapid diagnostic test (RDT), and controls, defined as age-matched individuals negative for P. falciparum and/or P. vivax by microscopy/RDT, will be recruited from public health facilities. Both household surveys and entomological surveillance for adult and immature mosquitoes will be conducted at participant homes within 48 hours of enrolment. Adult and immature mosquitoes will be identified by polymerase chain reaction (PCR). Conditional logistic regression will be used to estimate the association between presence of An. stephensi and malaria status, adjusted for co-occurrence of other malaria vectors and participant gender.ConclusionsFindings from this study will provide evidence of the relative importance of An. stephensi for malaria burden in urban African settings, shedding light on the need for future intervention planning and policy development.
AB - BackgroundEndemic African malaria vectors are poorly adapted to typical urban ecologies. However, Anopheles stephensi, an urban malaria vector formerly confined to South Asia and the Persian Gulf, was recently detected in Africa and may change the epidemiology of malaria across the continent. Little is known about the public health implications of An. stephensi in Africa. This study is designed to assess the relative importance of household exposure to An. stephensi and endemic malaria vectors for malaria risk in urban Sudan and Ethiopia.MethodsCase-control studies will be conducted in 3 urban settings (2 in Sudan, 1 in Ethiopia) to assess the association between presence of An. stephensi in and around households and malaria. Cases, defined as individuals positive for Plasmodium falciparum and/or P. vivax by microscopy/rapid diagnostic test (RDT), and controls, defined as age-matched individuals negative for P. falciparum and/or P. vivax by microscopy/RDT, will be recruited from public health facilities. Both household surveys and entomological surveillance for adult and immature mosquitoes will be conducted at participant homes within 48 hours of enrolment. Adult and immature mosquitoes will be identified by polymerase chain reaction (PCR). Conditional logistic regression will be used to estimate the association between presence of An. stephensi and malaria status, adjusted for co-occurrence of other malaria vectors and participant gender.ConclusionsFindings from this study will provide evidence of the relative importance of An. stephensi for malaria burden in urban African settings, shedding light on the need for future intervention planning and policy development.
U2 - 10.1371/journal.pone.0309058
DO - 10.1371/journal.pone.0309058
M3 - Article
VL - 19
JO - PLoS ONE
JF - PLoS ONE
IS - 9 September
M1 - e0309058
ER -