Juan B. Gutierrez

Prospects for malaria elimination in non-Amazonian regions of Latin America

Latin America contributes 1-1.2 million clinical malaria cases to the global malaria burden of about 300 million per year. In 21 malaria endemic countries, the population at risk in this region represents less than 10% of the total population exposed worldwide. Factors such as rapid deforestation, inadequate agricultural practices, climate change, political instability, and both increasing parasite drug resistance and vector resistance to insecticides contribute to malaria transmission. Recently, several malaria endemic countries have experienced a significant reduction in numbers of malaria cases. This is most likely due to actions taken by National Malaria Control Programs (NMCP) with the support from international funding agencies. We describe here the research strategies and activities to be undertaken by the Centro Latino Americano de Investigación en Malaria (CLAIM), a new research center established for the non-Amazonian region of Latin America by the National Institute of Allergy and Infectious Diseases (NIAID). Throughout a network of countries in the region, initially including Colombia, Guatemala, Panama, and Peru, CLAIM will address major gaps in our understanding of changing malaria epidemiology, vector biology and control, and clinical malaria mainly due to Plasmodium vivax. In close partnership with NMCPs, CLAIM seeks to conduct research on how and why malaria is decreasing in many countries of the region as a basis for developing and implementing new strategies that will accelerate malaria elimination.

Knowledge, attitudes and practices of malaria in Colombia.

BackgroundAlthough Colombia has witnessed an important decrease in malaria transmission, the disease remains a public health problem with an estimated ~10 million people currently living in areas with malaria risk and ~61,000 cases reported in 2012. This study aimed to determine and compare the level of knowledge, attitudes and practices (KAP) about malaria in three endemic communities of Colombia to provide the knowledge framework for development of new intervention strategies for malaria elimination.MethodsA cross-sectional KAP survey was conducted in the municipalities of Tierralta, Buenaventura and Tumaco, categorized according to high risk (HR) and moderate risk (MR) based on the annual parasite index (API). Surveys were managed using REDCap and analysed using MATLAB and GraphPad Prism.ResultsA total of 267 residents, mostly women (74%) were surveyed. Although no differences were observed on the knowledge of classical malaria symptoms between HR and MR regions, significant differences were found in knowledge and attitudes about transmission mechanisms, anti-malarial use and malaria diagnosis. Most responders in both regions (93.5% in MR, and 94.3% in HR areas) indicated use of insecticide-treated nets (ITNs) to protect themselves from malaria, and 75.5% of responders in HR indicated they did nothing to prevent malaria transmission outdoors. Despite a high level of knowledge in the study regions, significant gaps persisted relating to practices. Self-medication and poor adherence to treatment, as well as lack of both indoor and outdoor vector control measures, were significantly associated with higher malaria risk.ConclusionsAlthough significant efforts are currently being made by the Ministry of Health to use community education as one of the main components of the control strategy, these generic education programmes may not be applicable to all endemic regions of Colombia given the substantial geographic, ethnic and cultural diversity.

Analysis of the Trojan Y chromosome model for eradication of invasive species in a dendritic riverine system

The use of Trojan Y chromosomes has been proposed as a genetic strategy for the eradication of invasive species. The strategy is particularly relevant to invasive fish species that have XY sex determination system and are amenable to sex-reversal. In this paper we study the dynamics of an invasive fish population occupying a dendritic domain in which Trojan individuals bearing multiple Y chromosomes have been released as a means of eradication. We demonstrate the existence of a bounded absorbing set that represents extinction of the invasive species irrespective of the dendritic configuration. The method of analysis used to obtain global estimates could be applied to other population problems and other geometries.

Text Summarization Techniques: A Brief Survey

In recent years, there has been a explosion in the amount of text data from a variety of sources. This volume of text is an invaluable source of information and knowledge which needs to be effectively summarized to be useful. In this review, the main approaches to automatic text summarization are described. We review the different processes for summarization and describe the effectiveness and shortcomings of the different methods.

From within host dynamics to the epidemiology of infectious disease: Scientific overview and challenges

Since their earliest days, humans have been struggling with infectious diseases. Caused by viruses, bacteria, protozoa, or even higher organisms like worms, these diseases depend critically on numerous intricate interactions between parasites and hosts, and while we have learned much about these interactions, many details are still obscure. It is evident that the combined host-parasite dynamics constitutes a complex system that involves components and processes at multiple scales of time, space, and biological organization. At one end of this hierarchy we know of individual molecules that play crucial roles for the survival of a parasite or for the response and survival of its host. At the other end, one realizes that the spread of infectious diseases by far exceeds specific locales and, due to todays easy travel of hosts carrying a multitude of organisms, can quickly reach global proportions. The community of mathematical modelers has been addressing specific aspects of infectious diseases for a long time. Most of these efforts have focused on one or two select scales of a multi-level disease and used quite different computational approaches. This restriction to a molecular, physiological, or epidemiological level was prudent, as it has produced solid pillars of a foundation from which it might eventually be possible to launch comprehensive, multi-scale modeling efforts that make full use of the recent advances in biology and, in particular, the various high-throughput methodologies accompanying the emerging -omics revolution. This special issue contains contributions from biologists and modelers, most of whom presented and discussed their work at the workshop From within Host Dynamics to the Epidemiology of Infectious Disease, which was held at the Mathematical Biosciences Institute at Ohio State University in April 2014. These contributions highlight some of the forays into a deeper understanding of the dynamics between parasites and their hosts, and the consequences of this dynamics for the spread and treatment of infectious diseases.

Combining the Trojan Y chromosome and daughterless carp eradication strategies

The Trojan Y chromosome (TYC) strategy and the daughterless carp (DC) strategy represent two autocidal genetic biocontrol methods for eliminating invasive fish by changing the sex ratio of the population. Each strategy is designed to reduce the number of females in a target population, ultimately leading to local extinction of the population. In the DC approach, the proportion of males in the population is increased as a result of introducing an autocidal fish containing a transgenic aromatase gene insertion into multiple autosome sites. In the TYC approach, matings of an autocidal fish containing two Y sex chromosomes results in an increased proportion of males in the population. A mathematical model based upon coupled ordinary differential equations was constructed to observe the effect of an autocidal fish with the combined genetic features of both strategies (TYCDC) on a target population. The model incorporated a fitness parameter associated with fish bearing aromatase inhibitor genes and for fish bearing two Y chromosomes. Under conditions where the fitness penalty of the autocidal fish was negligible, modeling results showed that a combined strategy produced a modest reduction in the time required for female eradication, and that fewer autocidal fish were required to achieve extinction. However, increasing the fitness penalty associated with the autocidal fish neutralized the benefits of the TYCDC strategy, and suggested that the effort and expense of a combined strategy may not be warranted if the fitness cost of the TYCDC autocidal fish is significant.

A comparison of the Trojan Y Chromosome and daughterless carp eradication strategies

Two autocidal genetic biocontrol methods have been proposed as a means to eliminate invasive fish by changing the sex ratio of the population: the Trojan Y Chromosome (TYC) strategy and the Daughterless Carp (DC) strategy. Both strategies were modeled using ordinary differential equations that allow the kinetics of female decline to be assessed under identical modeling conditions. When compared directly in an ordinary differential equation (ODE) model, the TYC strategy was found to result in female extinction more rapidly than a DC strategy (in each of three models tested in which the Daughterless autocidal fish contained an aromatase inhibitor gene in either two or eight copies). The TYC strategy additionally required the introduction of fewer autocidal fish to the target population to achieve local extinction of females as compared to the DC approach. The results suggest that the relatively lower efficiency of female reduction associated with the DC approach is a consequence of a greater capacity to produce females and also a reduced capacity to produce males as compared to the TYC system.

Shape analysis for automated sulcal classification and parcellation of MRI data

Abstract We describe geometric invariants that characterize the shape of curves and surfaces in 3D space: curvature, Gauss integrals and moments. We apply these invariants to neuroimaging data to determine if they have application for automatically classifying and parcellating cortical data. The curves of sulci and gyri on the cortical surface can be obtained by reconstructing cortical surface representations of the human brain from magnetic resonance imaging (MRI) data. We reconstructed gray matter surfaces for 15 subjects, traced 10 sulcal curves on each surface and computed geometric invariants for each curve. These geometric features were used classify the curves into sulcal and hemispheric classes. The best classification results were obtained when moment-based features were computed on the sulcal curves in native space. Gauss integral measures showed that they were useful for differentiating the hemispheric location of a single sulcus. These promising results may indicate that moment invariants are useful for characterizing shape on a global scale. Gauss integral invariants are potentially useful measures for characterizing cortical shape on a local, rather than global scale. Gauss integrals have found biological significance in characterizing proteins so it is worthwhile to consider their possible application to neuroscientific data.

A Framework for Global Collaborative Data Management for Malaria Research.

Data generated during the course of research activities carried out by the International Centers of Excellence for Malaria Research (ICEMR) is heterogeneous, large, and multi-scaled. The complexity of federated and global data operations and the diverse uses planned for the data pose tremendous challenges and opportunities for collaborative research. In this article, we present the foundational principles for data management across the ICEMR Program, the logistics associated with multiple aspects of the data life cycle, and describe a pilot centralized web information system created in PlasmoDB to query a subset of this data. The paradigm proposed as a solution for the data operations in the ICEMR Program is widely applicable to large, multifaceted research projects, and could be reproduced in other contexts that require sophisticated data management.

Malaria-Related Anemia in Patients from Unstable Transmission Areas in Colombia

Information about the prevalence of malarial anemia in areas of low-malaria transmission intensity, like Latin America, is scarce. To characterize the malaria-related anemia, we evaluated 929 malaria patients from three sites in Colombia during 2011-2013. Plasmodium vivax was found to be the most prevalent species in Tierralta (92%), whereas P. falciparum was predominant in Tumaco (84%) and Quibdó (70%). Although severe anemia (hemoglobin < 7 g/dL) was almost absent (0.3%), variable degrees of non-severe anemia were observed in 36.9% of patients. In Tierralta, hemoglobin levels were negatively associated with days of illness. Moreover, in Tierralta and Quibdó, the number of previous malaria episodes and hemoglobin levels were positively associated. Both Plasmodium species seem to have similar potential to induce malarial anemia with distinct cofactors at each endemic setting. The target age in these low-transmission settings seems shifting toward adolescents and young adults. In addition, previous malaria experience seems to induce protection against anemia development. Altogether, these data suggest that early diagnosis and prompt treatment are likely preventing more frequent and serious malaria-related anemia in Colombia.