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Peer reviewedOpen accessMalaria

Updating estimates of Plasmodium knowlesi malaria risk in response to changing land use patterns across Southeast Asia

PLOS Neglected Tropical Diseases·

Ruarai J. Tobin, Lucinda E. Harrison, Meg K. Tully, Inke N. D. Lubis, Rintis Noviyanti, Nicholas M. Anstey, Giri S. Rajahram, Matthew J. Grigg, Jennifer A. Flegg, David J. Price, Freya M. Shearer

DOI
10.1371/journal.pntd.0011570
PMID
PMCID
OpenAlex
W4391094223
Study type
Journal article
Publisher
Public Library of Science (PLoS)
Article type
journal-article
Integrity
current

Why this research matters now

The findings may help inform geographic prioritization for P. knowlesi diagnosis, treatment planning, surveillance and sampling, as described by the authors. The abstract also places the work in the context of malaria elimination planning.

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Structured evidence summary

Research question

How do updated environmental risk estimates for Plasmodium knowlesi malaria vary across Southeast Asia after incorporating newer occurrence records and land-use-related covariates?

Study design

The study updated and extended an environmental niche modelling framework previously used to map P. knowlesi transmission suitability. It incorporated literature records identified from October 2015 through March 2020 and added covariates related to deforestation and urbanisation.

Population and setting

The analysis concerned P. knowlesi occurrence and estimated transmission suitability across Southeast Asia, with reported geographic coverage including Malaysia, Indonesia, the Greater Mekong Subregion, the Philippines and Northeast India. The dataset contained 524 consolidated occurrence records.

Main findings

The model estimated the highest relative transmission suitability in Malaysia and Indonesia, with additional localized high-risk areas in the Greater Mekong Subregion, the Philippines and Northeast India. The authors identified these areas as priorities for surveillance and prospective sampling in relation to malaria elimination planning.

Public-health relevance

The findings may help inform geographic prioritization for P. knowlesi diagnosis, treatment planning, surveillance and sampling, as described by the authors. The abstract also places the work in the context of malaria elimination planning.

Important limitations

The authors state that available occurrence data are biased toward areas with greater surveillance and sampling effort, and the modelling framework was designed to account for spatial detection bias. This summary is limited to the supplied single-article abstract and metadata; the original paper is required for decision-grade assessment of model assumptions, validation, uncertainty and other limitations.

GIDS interpretation

The article is discoverable in the supplied evidence as a malaria, environmental and transmission-dynamics study with relevance to surveillance and One Health topics. Its geographic context includes Indonesia, India, Malaysia and the Philippines; this classification does not establish or confirm a current surveillance signal.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 9 auditable classifier relationships to diseases, places, topics, and study design.

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