Molecular Epidemiological Investigation of Plasmodium knowlesi in Humans and Macaques in Singapore

Singapore reported its first locally acquired human Plasmodium knowlesi infection in 2007, involving a soldier who had undergone training in a forested area where long-tailed macaques are frequently seen. Comprehensive disease surveillance and monitoring system that was set up after the initial ca...

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Main Authors: Wong, Pei Sze Jeslyn, Tan, Cheong Huat, Lee, Vernon, Li, Mei Zhi Irene, Lee, Kim Sung, Lee, Piao Jarrod, Balbir, Singh, Ng, Lee Ching
Format: Article
Language:English
Published: Mary Ann Liebert, Inc. 2011
Subjects:
Online Access:http://ir.unimas.my/id/eprint/15810/
http://ir.unimas.my/id/eprint/15810/1/Molecular%20Epidemiological%20Investigation%20of%20Plasmodium%20%28abstract%29.pdf
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author Wong, Pei Sze Jeslyn
Tan, Cheong Huat
Lee, Vernon
Li, Mei Zhi Irene
Lee, Kim Sung
Lee, Piao Jarrod
Balbir, Singh
Ng, Lee Ching
author_facet Wong, Pei Sze Jeslyn
Tan, Cheong Huat
Lee, Vernon
Li, Mei Zhi Irene
Lee, Kim Sung
Lee, Piao Jarrod
Balbir, Singh
Ng, Lee Ching
author_sort Wong, Pei Sze Jeslyn
building UNIMAS Institutional Repository
collection Online Access
description Singapore reported its first locally acquired human Plasmodium knowlesi infection in 2007, involving a soldier who had undergone training in a forested area where long-tailed macaques are frequently seen. Comprehensive disease surveillance and monitoring system that was set up after the initial case detected four additional human P. knowlesi cases in 2007 and one in 2008. All involved military personnel who had undergone training in the forested area, and none had traveled out of Singapore 1 month before the onset of symptoms. Screening for malaria parasites on blood obtained from long-tailed macaques revealed that wild monkeys (n¼3) caught from the forested area were infected with P. knowlesi, whereas peri-domestic monkeys (n¼10) caught from a nature reserve park were not infected with any malaria parasites. Phylogenetic analysis of the nonrepeat region of the P. knowlesi csp genes showed that the sequences obtained from the human cases were not distinct from those obtained from wild monkeys. Further, certain genotypes were shared between samples from humans and macaques. Our findings provide evidence that long-tailed macaques are the natural hosts of P. knowlesi in Singapore and the human cases acquired their infection in the same vicinity where these monkeys are found. Further, the risk of acquiring P. knowlesi infection among the general population of Singapore is small as evident from the absence of P. knowlesi in peri-domestic monkeys.
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spelling unimas-158102017-04-04T06:31:37Z http://ir.unimas.my/id/eprint/15810/ Molecular Epidemiological Investigation of Plasmodium knowlesi in Humans and Macaques in Singapore Wong, Pei Sze Jeslyn Tan, Cheong Huat Lee, Vernon Li, Mei Zhi Irene Lee, Kim Sung Lee, Piao Jarrod Balbir, Singh Ng, Lee Ching R Medicine (General) Singapore reported its first locally acquired human Plasmodium knowlesi infection in 2007, involving a soldier who had undergone training in a forested area where long-tailed macaques are frequently seen. Comprehensive disease surveillance and monitoring system that was set up after the initial case detected four additional human P. knowlesi cases in 2007 and one in 2008. All involved military personnel who had undergone training in the forested area, and none had traveled out of Singapore 1 month before the onset of symptoms. Screening for malaria parasites on blood obtained from long-tailed macaques revealed that wild monkeys (n¼3) caught from the forested area were infected with P. knowlesi, whereas peri-domestic monkeys (n¼10) caught from a nature reserve park were not infected with any malaria parasites. Phylogenetic analysis of the nonrepeat region of the P. knowlesi csp genes showed that the sequences obtained from the human cases were not distinct from those obtained from wild monkeys. Further, certain genotypes were shared between samples from humans and macaques. Our findings provide evidence that long-tailed macaques are the natural hosts of P. knowlesi in Singapore and the human cases acquired their infection in the same vicinity where these monkeys are found. Further, the risk of acquiring P. knowlesi infection among the general population of Singapore is small as evident from the absence of P. knowlesi in peri-domestic monkeys. Mary Ann Liebert, Inc. 2011 Article PeerReviewed text en http://ir.unimas.my/id/eprint/15810/1/Molecular%20Epidemiological%20Investigation%20of%20Plasmodium%20%28abstract%29.pdf Wong, Pei Sze Jeslyn and Tan, Cheong Huat and Lee, Vernon and Li, Mei Zhi Irene and Lee, Kim Sung and Lee, Piao Jarrod and Balbir, Singh and Ng, Lee Ching (2011) Molecular Epidemiological Investigation of Plasmodium knowlesi in Humans and Macaques in Singapore. Vector borne and zoonotic diseases, 11 (2). ISSN 1557-7759 https://www.researchgate.net/publication/44850761 DOI: 10.1089/vbz.2010.0024
spellingShingle R Medicine (General)
Wong, Pei Sze Jeslyn
Tan, Cheong Huat
Lee, Vernon
Li, Mei Zhi Irene
Lee, Kim Sung
Lee, Piao Jarrod
Balbir, Singh
Ng, Lee Ching
Molecular Epidemiological Investigation of Plasmodium knowlesi in Humans and Macaques in Singapore
title Molecular Epidemiological Investigation of Plasmodium knowlesi in Humans and Macaques in Singapore
title_full Molecular Epidemiological Investigation of Plasmodium knowlesi in Humans and Macaques in Singapore
title_fullStr Molecular Epidemiological Investigation of Plasmodium knowlesi in Humans and Macaques in Singapore
title_full_unstemmed Molecular Epidemiological Investigation of Plasmodium knowlesi in Humans and Macaques in Singapore
title_short Molecular Epidemiological Investigation of Plasmodium knowlesi in Humans and Macaques in Singapore
title_sort molecular epidemiological investigation of plasmodium knowlesi in humans and macaques in singapore
topic R Medicine (General)
url http://ir.unimas.my/id/eprint/15810/
http://ir.unimas.my/id/eprint/15810/
http://ir.unimas.my/id/eprint/15810/
http://ir.unimas.my/id/eprint/15810/1/Molecular%20Epidemiological%20Investigation%20of%20Plasmodium%20%28abstract%29.pdf