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Safer Method for Large-Scale Malaria Screening Developed
November 21, 2006
New PCR Test Detects Malaria Parasite in Urine or Saliva Rather than Blood Researchers at the Johns Hopkins Bloomberg School of Public Health's Malaria Research Institute have developed a new test for detecting the malaria parasite in human urine and saliva. Although not a diagnostic test for determining treatment, the method could potentially reduce the need for blood sampling in epidemiological studies where large-scale malaria screening is required. Drawing blood increases the risk of spreading HIV and other diseases, particularly in those developing countries where both HIV and malaria are prevalent. Blood drawing must also be performed by trained personnel, whereas urine and salvia sampling does not. The study was published online in the November 8, 2006, edition of Malaria Journal.
"Testing urine or saliva could be an easier and safer way to collect the information needed for studying malaria in communities. For instance, it could be used in studies to determine if a population is growing resistant to malaria drugs, which is a very serious problem," said David J. Sullivan, MD, senior author of the study and a professor in the Bloomberg School's Malaria Research Institute.
The test uses polymerase chain reaction (PCR), a technique for duplicating and then examining unique bits of DNA from a sample, thereby allowing DNA to be multiplied in the laboratory. The same PCR technique is used for examining malaria in blood, but has never been applied to urine and saliva samples.
The study was conducted in collaboration with colleagues at the Malaria Research Institute's research hospital in Macha, Zambia. Urine and salvia samples were obtained from 47 volunteers with malaria and 4 without, and were then examined with the PCR method. DNA from the Plasmodium falciparum, the parasite that causes malaria, was replicated at higher levels from the saliva compared to the urine samples. However, neither method was as sensitive as that using blood samples.
"Programs for monitoring antimalarial drug and vaccine efficacy could therefore adopt such a bloodless method, while maintaining high sensitivity for clinically significant infections," said Sungano Mharakurwa, PhD, lead author of the study and a researcher with the Malaria Research Institute in Macha.
"PCR detection of Plasmodium in human urine and saliva samples" was written by Sungano Mharakurwa, Christopher Simoloka, Philip E. Thuma, Clive Shiff and David J. Sullivan.
Funding for the research was provided by the Johns Hopkins Malaria Research Institute.
Johns Hopkins University
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The Making of a Tropical Disease: A Short History of Malaria (Johns Hopkins Biographies of Disease)
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GIANTmicrobes: Malaria (Plasmodium Falciparum) [Toy]
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GIANTmicrobes are fun and educationala great way to learn about various health topics and the microscopic critters that are found in and around us. Each microbe character is 5-7 in size--over a million times their actual size! Perfect for teachers, parents and budding scientiststhey also make humorous gifts. Each microbe comes with an information tag including scientific name, an image of the actual microbe, and a mini history and science lesson. Not suitable for children under 3 years. Our products are made by top manufacturers who care about toy safety, quality and value. Your order will ship factory fresh directly from our warehouse to your door. We carefully inspect and beautifully package every order before shipment to ensure that you receive high quality products that are...
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