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    Identifying malaria transmission foci for elimination using human mobility data

    Humans move frequently, potentially carrying malaria parasites with them. This mobility causes malaria parasites to move between areas with malaria and into areas where local transmission is unsustainable. Across landscapes, then, this mobility causes some areas to be sources of parasites and others to be sinks. Identifying these sources is critical for malaria elimination programs, as ending transmission in these areas will cause lower malaria burden in other areas, as well. Sinks, on the other hand, are lower priorities for elimination efforts as transmission will naturally cease in these areas once parasites no longer flow from sources.

    Data describing human mobility and malaria epidemiology can help classify landscapes into sources and sinks, ecological concepts that have parallels in malaria control discussions of transmission foci. By linking transmission to parasite flow, it is possible to stratify landscapes for malaria control and elimination. We identify malaria sources and sinks for pre-elimination Namibia using malaria parasite rate maps and call data records from mobile phones, using a steady-state analysis of a malaria transmission model to infer where infections most likely occurred. This research, then, yields highly policy-relevant maps of parasite sources and sinks that can be directly used to target malaria elimination efforts.



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    Figure 1. Sources and sinks throughout Namibia. Blue areas represent areas with malaria where parasite populations are sustained through importation (sinks), and red areas represent areas with self-sustaining parasite populations (sources).

    Contact people:

    Andy Tatem, Nick Ruktanonchai WorldPop, Geography and Environment University of Southampton

    A.J.Tatem@soton.ac.uk, V.A.Alegana@soton.ac.uk (023) 8059 2636


    Collaborators/Funders

    Namibia National Vector Borne Disease Control Program, MTC Namibia, Bill and Melinda Gates Foundation, Clinton Health Access Initiative


    References

    Ruktanonchai et al (2016) Identifying Malaria Transmission Foci for Elimination Using Human Mobility Data, PLoS Computational Biology


    Tatem et al (2014) Integrating rapid risk mapping and mobile phone call record data for strategic malaria elimination planning,

    Malaria Journal