A prospective cohort study linking migration, climate, and malaria risk in the Peruvian Amazon

Migration is an important risk factor for malaria transmission for malaria transmission, creating networks that connect Plasmodium between communities. This study aims to understand the timing of why people in the Peruvian Amazon migrated and how characteristics of these migrants are associated with malaria risk. A cohort of 2,202 participants was followed for three years (July 2006 - October 2009), with thrice-weekly active surveillance to record infection and recent travel, which included travel destination(s) and duration away. Migration occurred more frequently in the dry season, but the 7-day rolling mean (7DRM) streamflow was positively correlated with migration events (OR 1.25 (95% CI: 1.138, 1.368)). High-frequency and low-frequency migrant populations reported 9.7 (IRR 7.59 (95% CI:.381, 13.160)) and 4.1 (IRR 2.89 (95% CI: 1.636, 5.099)) times more P. vivax cases than those considered non-migrants and 30.7 (IRR 32.42 (95% CI: 7.977, 131.765)) and 7.4 (IRR 7.44 (95% CI: 1.783, 31.066)) times more P. falciparum cases, respectively. High-frequency migrants employed in manual labour within their community were at 2.45 (95% CI: 1.113, 5.416) times higher risk than non-employed low-frequency migrants. This study confirms the importance of migration for malaria risk as well as factors increasing risk among the migratory community, including, sex, occupation, and educational status.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:151

Enthalten in:

Epidemiology and infection - 151(2023) vom: 30. Nov., Seite e202

Sprache:

Englisch

Beteiligte Personen:

Gunderson, Annika K [VerfasserIn]
Recalde-Coronel, Cristina [VerfasserIn]
Zaitchick, Benjamin F [VerfasserIn]
Yori, Pablo Peñataro [VerfasserIn]
Rengifo Pinedo, Silvia [VerfasserIn]
Paredes Olortegui, Maribel [VerfasserIn]
Kosek, Margaret [VerfasserIn]
Vinetz, Joseph M [VerfasserIn]
Pan, William K [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Malaria
Migration
Peru Amazon
Plasmodium falciparum
Plasmodium vivax

Anmerkungen:

Date Completed 22.12.2023

Date Revised 10.02.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1017/S0950268823001838

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36522636X