Epidemiological situation of malaria in Madagascar: baseline data for monitoring the impact of malaria control programmes using serological markers

Acta Trop. 2009 Aug;111(2):160-7. doi: 10.1016/j.actatropica.2009.04.007. Epub 2009 Apr 17.

Abstract

The aim of this study was to provide baseline information of the epidemiological situation of malaria in Madagascar using serological markers. We carried out cross-sectional studies in schoolchildren from eight sites in the four different malarious epidemiological strata of Madagascar. We studied the prevalence of anti-MSP1 antibodies to assess the burden, and anti-CSP antibodies to estimate the transmission intensity, of malaria. The overall prevalence of each antibody tested was 46.1% for anti-PfMSP-1, 15.2% for anti-PvMSP-1, 14.9% for anti-PfCSP, 4.9% for anti-PvCSP and 2.4% for anti-PmCSP. The prevalence of the five antibodies varied significantly between the sites (P<10(-6)). We also found significant effects of ethnic origin on the prevalence of anti-PfMSP1 antibodies. With regular testing in the same target populations, this data will be particularly useful for managing the elimination strategy supported by the Malagasy Government.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Antibodies, Protozoan / blood
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Ethnicity
  • Female
  • Geography
  • Humans
  • Madagascar / epidemiology
  • Malaria / epidemiology*
  • Male
  • Merozoite Surface Protein 1 / immunology
  • Seroepidemiologic Studies

Substances

  • Antibodies, Protozoan
  • Merozoite Surface Protein 1