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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Evidence for a role of Anopheles stephensi in the spread of drug and diagnosis-resistant malaria in Africa
AU - Emiru, Tadele
AU - Getachew, Dejene
AU - Murphy, Maxwell
AU - Sedda, Luigi
AU - Ejigu, Legesse Alamerie
AU - Bulto, Mikiyas Gebremichael
AU - Byrne, Isabel
AU - Demisse, Mulugeta
AU - Abdo, Melat
AU - Chali, Wakweya
AU - Elliott, Aaron
AU - Vickers, Eric Neubauer
AU - Aranda-Díaz, Andrés
AU - Alemayehu, Lina
AU - Behaksera, Sinknesh W.
AU - Jebessa, Gutema
AU - Dinka, Hunduma
AU - Tsegaye, Tizita
AU - Teka, Hiwot
AU - Chibsa, Sheleme
AU - Mumba, Peter
AU - Girma, Samuel
AU - Hwang, Jimee
AU - Yoshimizu, Melissa
AU - Sutcliffe, Alice
AU - Taffese, Hiwot Solomon
AU - Bayissa, Gudissa Aseffa
AU - Zohdy, Sarah
AU - Tongren, Jon Eric
AU - Drakeley, Chris
AU - Greenhouse, Bryan
AU - Bousema, Teun
AU - Tadesse, Fitsum G.
PY - 2023/10/26
Y1 - 2023/10/26
N2 - 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. 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 malaria patients and febrile controls revealed spatial clustering of P. falciparum infections around malaria patients in strong association with An. stephensi presence 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. This study provides the strongest evidence to date for a role of An. stephensi in driving an urban malaria outbreak in Africa, highlighting the major public health threat this fast-spreading mosquito poses.
AB - 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. 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 malaria patients and febrile controls revealed spatial clustering of P. falciparum infections around malaria patients in strong association with An. stephensi presence 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. This study provides the strongest evidence to date for a role of An. stephensi in driving an urban malaria outbreak in Africa, highlighting the major public health threat this fast-spreading mosquito poses.
U2 - 10.1038/s41591-023-02641-9
DO - 10.1038/s41591-023-02641-9
M3 - Journal article
JO - Nature Medicine
JF - Nature Medicine
SN - 1078-8956
ER -