Host Immune and Metabolic Determinants of Sexual Conversion in Plasmodium Parasites IMMETASEX
Understanding the sexual conversion of the malaria parasite is essential to interrupt malaria transmission. A new tool is developed that, based on expression analysis of sexual stage biomarkers, will estimate sexual conversion rates in natural infections.
⁃ Age: ≥ 1 year
⁃ Willing and able to provide written informed consent (or assent for minors with written informed consent by parent(s) and/or guardian(s).
∙ Pilot:
• symptomatic for P. falciparum
• /Travel to P. falciparum endemic area within the last month
∙ WP1:
⁃ Resident in Nanoro district
⁃ non-symptomatic individuals
∙ WP2:
⁃ Positive for P. falciparum infection via Rapid Diagnostic Tests (RDT)
⁃ Age: ≥ 1 and ≤ 12 years
⁃ Patients are included when suspected of the following conditions:
∙ I. Severe malaria by infection with P. falciparum is defined in the presence of P. falciparum asexual parasitemia, and as one or more of the following:
‣ Impaired consciousness: A Blantyre coma score \< 3 (when patients are ≤ 6 years) or Glasgow coma score \< 10 (when patients are ≥ 6 years).
‣ Prostration: Generalized weakness so that the person is unable to sit, stand or walk without assistance.
‣ Multiple convulsions: More than two episodes within 24 hours.
‣ Clinical manifestation of respiratory distress (e.g., rapid, deep and labored breathing).
‣ Diagnosis through exclusion: absence of an identified alternative cause.
∙ II. Uncomplicated malaria by infection with P. falciparum is defined as a patient who presents with lethargic profile (e.g. fever) and a positive parasitological test for P. falciparum, but with no features of severe malaria.