Detection of subpatent malaria among febrile mobile and migratory population individuals: a strategy for malaria elimination

Kaura, Taruna and Mewara, Abhishek and Devi, Seema and Singh, Nazatinder and Takkar, Jaspreet and Kumar, Neeraj and Sehgal, Rakesh and Grover, Gagandeep Singh (2025) Detection of subpatent malaria among febrile mobile and migratory population individuals: a strategy for malaria elimination. TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE. ISSN 0035-9203

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Abstract

Background Imported malaria is a threat to malaria elimination. A case investigation (CI) with reactive active case detection (RACD) strategy is commonly used for the detection of malaria infections around the index cases.Methods CI with RACD was conducted for detection of subpatent malaria among febrile mobile and migratory population (MMP) individuals around index cases in the state of Punjab in India, by microscopy, rapid diagnostic tests (RDTs) and nested PCR (nPCR). Glucose-6-phosphate dehydrogenase deficiency (G6PDd) was determined in Plasmodium vivax-positive patients.Results A total of 119 malaria cases were reported, out of which 93.3% were P. vivax (111/119) and 6.7% (8/119) were Plasmodium falciparum. CI with RACD was initiated around 28 MMP index cases positive by RDT and microscopy. A total of 176 fingerprick samples were collected from febrile MMP individuals, from which 11 (11/176; 6.3%) infected individuals were detected: eight by RDT, microscopy and nPCR, and three (3/11; 27.3%) subpatent cases by only nPCR. None of the positive patients were found positive for G6PDd.Conclusions Subpatent malaria in MMP individuals can pose a challenge in malaria elimination. The RACD strategy around index cases may help to reduce the risk of spillover in the local population.

Item Type: Article
Uncontrolled Keywords: index case, malaria, migratory, Plasmodium vivax, reactive active case detection
Subjects: Medicine > Tropical Medicine
Divisions: Medicine > Aarupadai Veedu Medical College and Hospital, Puducherry, India > Pathology
Depositing User: Unnamed user with email techsupport@mosys.org
Last Modified: 06 Feb 2026 07:14
URI: https://ir.vmrfdu.edu.in/id/eprint/7218

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