{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:55:13Z","timestamp":1791258913977,"version":"4.1.0"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T00:00:00Z","timestamp":1767657600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["R01 AI163201"],"award-info":[{"award-number":["R01 AI163201"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["K24 AI144048"],"award-info":[{"award-number":["K24 AI144048"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["K23 AI166009"],"award-info":[{"award-number":["K23 AI166009"]}],"id":[{"id":"10.13039\/100000060","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"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Parasite importation remains a challenge to malaria elimination. The extent to which human travel contributes to sustained transmission in low-to-moderate burden areas is poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a 14-month longitudinal cohort study in Southwest Uganda. A total of 1918 individuals from 400 households were followed bimonthly. Travel histories and household characteristics were collected through surveys. Symptomatic and asymptomatic Plasmodium falciparum infections were captured through health facility surveillance and household reports (for symptomatic cases) and qPCR (for asymptomatic infections). Multilevel logistic regression models estimated associations between travel and infection. Population attributable fractions quantified travel's contribution to malaria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over the study, 283 infections (244 symptomatic episodes and 39 asymptomatic infections) were recorded. Associations between travel and malaria varied spatially and temporally, with positive associations in lower transmission villages (OR = 4.38, 95% CI 1.80\u201310.64) and during periods of low transmission. Associations were strongest for short-distance trips to nearby areas of higher incidence. Population attributable fraction analyses suggested travel accounted directly for 14% of malaria cases in low-transmission villages overall, rising to 30% during periods of low transmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overnight travel contributed to malaria burden, particularly in low-transmission villages and during low seasons, highlighting the need for strategies that address both local transmission and importation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/infdis\/jiag008","type":"journal-article","created":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T12:26:57Z","timestamp":1767443217000},"page":"e872-e881","source":"Crossref","is-referenced-by-count":4,"title":["Quantifying the Role of Importation on Sustained Malaria Transmission in a Low-to-Moderate Burden Region of Southwest Uganda"],"prefix":"10.1093","volume":"233","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8253-6102","authenticated-orcid":false,"given":"Adrienne","family":"Epstein","sequence":"first","affiliation":[{"name":"Department of Medicine, University of California San Francisco , San Francisco, California ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Okiria","family":"Aramanzan","sequence":"additional","affiliation":[{"name":"Infectious Diseases Research Collaboration , Kampala ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaiah","family":"Nabende","sequence":"additional","affiliation":[{"name":"Infectious Diseases Research Collaboration , Kampala ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonny Max","family":"Kayondo","sequence":"additional","affiliation":[{"name":"Infectious Diseases Research Collaboration , Kampala ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Obbo","sequence":"additional","affiliation":[{"name":"Infectious Diseases Research Collaboration , Kampala ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5288-5098","authenticated-orcid":false,"given":"Robert","family":"Tumwesigye","sequence":"additional","affiliation":[{"name":"Infectious Diseases Research Collaboration , Kampala ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Innocent","family":"Wiringilimaana","sequence":"additional","affiliation":[{"name":"Infectious Diseases Research Collaboration , Kampala ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Mbabazi","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of California San Francisco , San Francisco, California ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian A","family":"Kagurusi","sequence":"additional","affiliation":[{"name":"Infectious Diseases Research Collaboration , Kampala ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6469-6516","authenticated-orcid":false,"given":"Stephen","family":"Tukwasibwe","sequence":"additional","affiliation":[{"name":"Infectious Diseases Research Collaboration , Kampala ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac","family":"Ssewanyana","sequence":"additional","affiliation":[{"name":"Infectious Diseases Research Collaboration , Kampala ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isobel","family":"Routledge","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of California San Francisco , San Francisco, California ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8078-3898","authenticated-orcid":false,"given":"Jessica","family":"Briggs","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of California San Francisco , San Francisco, California ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6320-3575","authenticated-orcid":false,"given":"Amy","family":"Wesolowski","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Johns Hopkins School of Public Health , Baltimore, Maryland ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan","family":"Greenhouse","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of California San Francisco , San Francisco, California 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