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Malaria transmission in two rural communities in the forest zone of Ghana

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Abstract

Malaria transmission was assessed in two rural communities, Kona and Afamanaso in Sekyere South district, Ashanti Region, in the forest zone of Ghana to provide baseline data for ongoing clinical studies and the evaluation of the effect of interventions. Altogether, 3,479 Anopheles gambiae and 1,157 Anopheles funestus were caught by human landing catches. Sporozoite rates determined by either microscopy of salivary glands or enzyme-linked immunosorbent assay (ELISA) for Plasmodium falciparum in the two villages were 6.6% vs. 8.9% for the main vector A. gambiae and 3.2% vs. 6.3% for A. funestus. ELISA tests of dissected specimens compared to microscopy of salivary glands were 1.3 and 2.0 times more positive for A. gambiae and A. funestus, respectively. Plasmodium infections of 122 microscopically positive salivary glands of A. gambiae were identified by real-time PCR as 95 (77.9%) P. falciparum, 7 (5.7%) Plasmodium malariae, 7 (5.7%) Plasmodium ovale and 1 (0.8%) mixed infection of P. falciparum and P. malariae. Transmission in the area was found to be intense and perennial with some seasonal variations during the study period from Dec. 2003 to Aug. 2005. Although the two villages were only 10 km apart from each other, Annual Biting Rates (ABRs) and Annual Entomological Inoculation Rates (AEIRs) were much higher at Afamanaso (11,643 vs. 866) than at Kona (5,329 vs. 490). Most of the transmission (91.4%) occurred during bedtime hours from 21 to 6 h. It is important to note that there was still a substantial transmission before 21 h with AEIRs of 57.3 at Afamanso and 38.7 at Kona. The distribution of impregnated bednets alone, therefore, may not be sufficiently effective.

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Acknowledgements

The study was partially funded by the Bundesministerium für Bildung und Forschung (grant 01KA0202). We are indebted to the vector collectors and the people in Kona and Afamanaso for continuous cooperation. We appreciate the support of the staff of Kumasi Centre for Collaborative Research in Tropical Medicine (KCCR). In particular we acknowledge the assistance of Dr. Christof Berberich, head of KCCR laboratories. Visits of Rolf Garms in Ghana were made possible by support of the German Senior Experten Service in 2003, 2005 and 2006. Ayimbire Abonuusum thanks the Bernhard Nocht Institute for Tropical Medicine for a 1-year scholarship and research stay in Hamburg, Germany and the Kwame Nkrumah University of Science and Technology, Kumasi, Ghana for a PhD grant. We thank Dr. Jean Pierre Lin for proofreading of the final version of the manuscript.

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Correspondence to Rolf Garms.

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Abonuusum, A., Owusu-Daako, K., Tannich, E. et al. Malaria transmission in two rural communities in the forest zone of Ghana. Parasitol Res 108, 1465–1471 (2011). https://doi.org/10.1007/s00436-010-2195-1

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