{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T05:32:39Z","timestamp":1789882359032,"version":"4.0.1"},"reference-count":79,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T00:00:00Z","timestamp":1703116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Health and Medical Research Council Postgraduate Scholarship","award":["APP2002792"],"award-info":[{"award-number":["APP2002792"]}]},{"name":"NHMRC Senior Research Fellowship","award":["GNT1155005"],"award-info":[{"award-number":["GNT1155005"]}]},{"name":"NHMRC Senior Research Fellowship","award":["GNT1158469"],"award-info":[{"award-number":["GNT1158469"]}]},{"name":"NHMRC Senior Research Fellowship","award":["GNT2017229"],"award-info":[{"award-number":["GNT2017229"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Malaria continues to pose a significant burden in endemic countries, many of which lack access to molecular surveillance. Insights from malaria cases in travellers returning to non-endemic areas can provide valuable data to inform endemic country programmes. To evaluate the potential for novel global insights into malaria, we examined epidemiological and molecular data from imported malaria cases to Australia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We analysed malaria cases reported in Australia from 2012 to 2022 using National Notifiable Disease Surveillance System data. Molecular data on imported malaria cases were obtained from literature searches.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Between 2012 and 2022, 3204 malaria cases were reported in Australia. Most cases (69%) were male and 44% occurred in young adults aged 20\u201339\u00a0years. Incidence rates initially declined between 2012 and 2015, then increased until 2019. During 2012\u20132019, the incidence in travellers ranged from 1.34 to 7.71 per 100\u2009000 trips. Cases were primarily acquired in Sub-Saharan Africa (n\u2009=\u20091433; 45%), Oceania (n\u2009=\u2009569; 18%) and Southern and Central Asia (n\u2009=\u2009367; 12%). The most common countries of acquisition were Papua New Guinea (n\u2009=\u2009474) and India (n\u2009=\u2009277). Plasmodium falciparum accounted for 58% (1871\/3204) of cases and was predominantly acquired in Sub-Saharan Africa, and Plasmodium vivax accounted for 32% (1016\/3204), predominantly from Oceania and Asia. Molecular studies of imported malaria cases to Australia identified genetic mutations and deletions associated with drug resistance and false-negative rapid diagnostic test results, and led to the establishment of reference genomes for P. vivax and Plasmodium malariae.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Our analysis highlights the continuing burden of imported malaria into Australia. Molecular studies have offered valuable insights into drug resistance and diagnostic limitations, and established reference genomes. Integrating molecular data into national surveillance systems could provide important infectious disease intelligence to optimize treatment guidelines for returning travellers and support endemic country surveillance programmes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jtm\/taad164","type":"journal-article","created":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T19:18:25Z","timestamp":1703186305000},"source":"Crossref","is-referenced-by-count":15,"title":["Imported malaria into Australia: surveillance insights and opportunities"],"prefix":"10.1093","volume":"31","author":[{"given":"Asma","family":"Sohail","sequence":"first","affiliation":[{"name":"School of Public Health and Preventive Medicine, Monash University , Melbourne 3004 , Australia"},{"name":"Department of Infectious Diseases, Grampians Health , Ballarat 3350 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Barry","sequence":"additional","affiliation":[{"name":"Institute for Physical and Mental Health and Clinical Translation (IMPACT) and School of Medicine, Deakin University , Geelong 3220 , Australia"},{"name":"Disease Elimination Program, Burnet Institute , Melbourne 3004 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Auburn","sequence":"additional","affiliation":[{"name":"Global and Tropical Health Division , Menzies School of Health Research, , Darwin 0800 , Australia"},{"name":"Charles Darwin University , Menzies School of Health Research, , Darwin 0800 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qin","family":"Cheng","sequence":"additional","affiliation":[{"name":"Drug Resistance and Diagnostics, Australian Defence Force Malaria and Infectious Disease Institute , Brisbane 4051 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen L","family":"Lau","sequence":"additional","affiliation":[{"name":"School of Public Health , Faculty of Medicine, , Herston 4006 , Australia"},{"name":"The University of Queensland , Faculty of Medicine, , Herston 4006 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rogan","family":"Lee","sequence":"additional","affiliation":[{"name":"Parasitology Unit, Institute of Clinical Pathology and Medical Research , Sydney 2145 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ric N","family":"Price","sequence":"additional","affiliation":[{"name":"Global and Tropical Health Division , Menzies School of Health Research, , Darwin 0800 , Australia"},{"name":"Charles Darwin University , Menzies School of Health Research, , Darwin 0800 , Australia"},{"name":"Centre for Tropical Medicine and Global Health , Nuffield Department of Clinical Medicine, , Oxford OX1 2JD , UK"},{"name":"University of Oxford , Nuffield Department of Clinical Medicine, , Oxford OX1 2JD , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Furuya-Kanamori","sequence":"additional","affiliation":[{"name":"School of Public Health , Faculty of Medicine, , Herston 4006 , Australia"},{"name":"The University of Queensland , Faculty of Medicine, , Herston 4006 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Bareng","sequence":"additional","affiliation":[{"name":"Institute for Physical and Mental Health and Clinical Translation (IMPACT) and School of Medicine, Deakin University , Geelong 3220 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5725-0102","authenticated-orcid":false,"given":"Sarah L","family":"McGuinness","sequence":"additional","affiliation":[{"name":"School of Public Health and Preventive Medicine, Monash University , Melbourne 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