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. 2023 Dec 5:152:e1.
doi: 10.1017/S0950268823001929.

High prevalence of asymptomatic malaria in Forest Guinea: Results from a rapid community survey

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High prevalence of asymptomatic malaria in Forest Guinea: Results from a rapid community survey

Charlotte C Hammer et al. Epidemiol Infect. .

Abstract

Malaria is endemic in Guinea; however, the extent and role in transmission of asymptomatic malaria are not well understood. In May 2023, we conducted a rapid community survey to determine Plasmodium falciparum (P. falciparum) prevalence among asymptomatic individuals in Middle Guinea (Prefecture Dalaba) and Forest Guinea (Prefecture Guéckédou). In Dalaba, 6 of 239 (2.1%, confidence interval (CI) 0.9-4.8%) individuals tested positive for P. falciparum by a rapid diagnostic test (RDT), while in Guéckédou, 147 of 235 (60.9%, CI 54.5-66.9%) participants tested positive. Asymptomatic malaria needs to be considered more strongly as a driver of transmission when designing control strategies, especially in Forest Guinea and potentially other hyper-endemic settings.

Keywords: Guinea; infectious disease epidemiology; malaria; prevalence of disease; public health.

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Conflict of interest statement

The authors declare none.

Figures

Figure 1.
Figure 1.
Demographic characteristics of study participants by prefecture. Participants aged below 6 were not eligible for inclusion.

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