Malaria Transmission and Spillover across the Peru-Ecuador Border: A Spatiotemporal Analysis.

Journal Article (Journal Article)

Border regions have been implicated as important hot spots of malaria transmission, particularly in Latin America, where free movement rights mean that residents can cross borders using just a national ID. Additionally, rural livelihoods largely depend on short-term migrants traveling across borders via the Amazon's river networks to work in extractive industries, such as logging. As a result, there is likely considerable spillover across country borders, particularly along the border between Peru and Ecuador. This border region exhibits a steep gradient of transmission intensity, with Peru having a much higher incidence of malaria than Ecuador. In this paper, we integrate 13 years of weekly malaria surveillance data collected at the district level in Peru and the canton level in Ecuador, and leverage hierarchical Bayesian spatiotemporal regression models to identify the degree to which malaria transmission in Ecuador is influenced by transmission in Peru. We find that increased case incidence in Peruvian districts that border the Ecuadorian Amazon is associated with increased incidence in Ecuador. Our results highlight the importance of coordinated malaria control across borders.

Full Text

Duke Authors

Cited Authors

  • Gunderson, AK; Kumar, RE; Recalde-Coronel, C; Vasco, LE; Valle-Campos, A; Mena, CF; Zaitchik, BF; Lescano, AG; Pan, WK; Janko, MM

Published Date

  • October 2020

Published In

Volume / Issue

  • 17 / 20

Start / End Page

  • E7434 -

PubMed ID

  • 33066022

Pubmed Central ID

  • PMC7600436

Electronic International Standard Serial Number (EISSN)

  • 1660-4601

International Standard Serial Number (ISSN)

  • 1661-7827

Digital Object Identifier (DOI)

  • 10.3390/ijerph17207434


  • eng