{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T11:10:17Z","timestamp":1767179417347,"version":"build-2238731810"},"update-to":[{"DOI":"10.1371\/journal.pntd.0013096","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000}}],"reference-count":61,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosntds.org"],"crossmark-restriction":false},"short-container-title":["PLoS Negl Trop Dis"],"abstract":"<jats:sec id=\"sec034\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Isolated areas of malaria transmission can persist in countries nearing malaria elimination. To tailor interventions accordingly, smaller-scale surveillance and a deeper understanding of local conditions are needed, including human, environmental and vectorial parameters, and how these parameters interact. This study investigated the potential at-risk situations that could explain the dynamics of malaria persistence in an isolated recurrent high transmission area in French Guiana, using a transdisciplinary approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec035\">\n                    <jats:title>Methodology\/Principal Findings<\/jats:title>\n                    <jats:p>\n                      We implemented an ancillary study in Trois-Pal\u00e9tuviers (200 inhabitants), an isolated village in French Guiana bordering Brazil. This was based on two cross-sectional surveys conducted from September to December in 2017 and 2018 that collected both malaria prevalence and behavioural data. Entomological data were collected using 4 Mosquito Magnet traps for three consecutive nights each month. A total of 182 participants were included. The median age was 12.5 years in 2017 (IQR [5;27]). Malaria PCR prevalence was 51% (n\u2009=\u200992) in 2017 and 16% (n\u2009=\u200930) in 2018. Almost all participants used bed nets (99%, n\u2009=\u2009180) \u2013 but 88% had at least one factor of bed nets ineffectiveness (mainly inadequate drying and washing) \u2013, 63% (n\u2009=\u2009114) used indoor insecticides and 32% (n\u2009=\u200957) used skin repellents.\n                      <jats:italic>Anopheles darlingi<\/jats:italic>\n                      , representing 99.7% of the\n                      <jats:italic>Anopheles<\/jats:italic>\n                      caught, were captured throughout the night, with higher abundance in the evening and early morning. No\n                      <jats:italic>An. darlingi<\/jats:italic>\n                      were found in slash-and-burn fields. The high relative abundance of\n                      <jats:italic>An. darlingi<\/jats:italic>\n                      before bedtime exposed inhabitants to the vector\u2019s bites.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec036\">\n                    <jats:title>Conclusions\/Significance<\/jats:title>\n                    <jats:p>\n                      The absence of\n                      <jats:italic>An. darlingi<\/jats:italic>\n                      in expected locations, such as slash-and-burn fields, points to the complex ecology of malaria transmission and underscores the need for a nuanced understanding of environmental influences, with continuous surveillance. Cross-description of the data suggests a high risk of exposure to mosquito bites by residents before they are protected by bed nets. The inadequacy of anti-vectorial protective measures could be mitigated by education campaigns about protective tools, and by additional protective tools and a frequent distribution of bed nets.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pntd.0013096","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T13:56:49Z","timestamp":1750168609000},"page":"e0013096","update-policy":"https:\/\/doi.org\/10.1371\/journal.pntd.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Breaking down malaria outbreak: A multidisciplinary approach in a border village of French 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