{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:25:53Z","timestamp":1790144753513,"version":"4.0.1"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2020,8,21]],"date-time":"2020-08-21T00:00:00Z","timestamp":1597968000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100007197","name":"U.S. Public Health Service","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007197","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["U19AI089681"],"award-info":[{"award-number":["U19AI089681"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Malaria is highly heterogeneous: its changing malaria microepidemiology needs to be addressed to support malaria elimination efforts at the regional level.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A 3-year, population-based cohort study in 2 settings in the Peruvian Amazon (Lupuna, Cahuide) followed participants by passive and active case detection from January 2013 to December 2015. Incidence and prevalence rates were estimated using microscopy and polymerase chain reaction (PCR).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Lupuna registered 1828 infections (1708 Plasmodium vivax, 120 Plasmodium falciparum; incidence was 80.7 infections\/100 person-years (95% confidence interval [CI] , 77.1\u201384.5). Cahuide detected 1046 infections (1024 P vivax, 20 P falciparum, 2 mixed); incidence was 40.2 infections\/100 person-years (95% CI, 37.9\u201342.7). Recurrent P vivax infections predominated onwards from 2013. According to PCR data, submicroscopic predominated over microscopic infections, especially in periods of low transmission. The integration of parasitological, entomological, and environmental observations evidenced an intense and seasonal transmission resilient to standard control measures in Lupuna and a persistent residual transmission after severe outbreaks were intensively handled in Cahuide.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In 2 exemplars of complex local malaria transmission, standard control strategies failed to eliminate submicroscopic and hypnozoite reservoirs, enabling persistent transmission.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/infdis\/jiaa526","type":"journal-article","created":{"date-parts":[[2020,8,17]],"date-time":"2020-08-17T19:14:08Z","timestamp":1597691648000},"page":"1466-1477","source":"Crossref","is-referenced-by-count":16,"title":["Temporal and Microspatial Heterogeneity in Transmission Dynamics of Coendemic <i>Plasmodium vivax<\/i> and <i>Plasmodium falciparum<\/i> in Two Rural Cohort Populations in the Peruvian Amazon"],"prefix":"10.1093","volume":"223","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3271-7028","authenticated-orcid":false,"given":"Angel","family":"Rosas-Aguirre","sequence":"first","affiliation":[{"name":"Research Institute of Health and Society, Universit\u00e9 Catholique de Louvain, Brussels, Belgium"},{"name":"Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchel","family":"Guzman-Guzman","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Per\u00fa"},{"name":"Laboratorio International Centers of Excellence in Malaria Research-Amazonia, Laboratorios de Investigaci\u00f3n y Desarrollo, Facultad de Ciencias y Filosof\u00eda, Universidad Peruana Cayetano Heredia, Lima, 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Per\u00fa"},{"name":"Laboratorio International Centers of Excellence in Malaria Research-Amazonia, Laboratorios de Investigaci\u00f3n y Desarrollo, Facultad de Ciencias y Filosof\u00eda, Universidad Peruana Cayetano Heredia, Lima, Per\u00fa"},{"name":"Division of Infectious Diseases, Department of Medicine, University of California San Diego, La Jolla, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Direcci\u00f3n Regional de Salud Loreto DIRESA Loreto, Loreto, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niko","family":"Speybroeck","sequence":"additional","affiliation":[{"name":"Research Institute of Health and Society, Universit\u00e9 Catholique de Louvain, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan E","family":"Conn","sequence":"additional","affiliation":[{"name":"Wadsworth Center, New York State 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