
A major tool against malaria in Africa has been the use of rapid diagnostic tests, which have been part of the “test-treat-track” strategy in Ethiopia, the second most-populated country in Africa. But researchers studying blood samples from more than 12,000 individuals in Ethiopia now estimate these tests missed nearly 10% of malaria cases caused by the parasite Plasmodium falciparum, the most common cause of malaria cases and deaths.
The research, , showed that two genetic mutations to the parasite allow it to escape detection.
“This is a serious problem for malaria control efforts and a reminder that pathogens are very capable of adapting to survive,” said senior author Jonathan B. Parr, MD, assistant professor in the division of infectious diseases at the . “Surveillance across the Horn of Africa and alternative malaria diagnostic approaches in affected regions are urgently needed.”
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