No abstract

Background A surveillance system is the foundation for disease prevention and control. Malaria surveillance is crucial for tracking regional and temporal patterns in disease incidence, assisting in recorded details, timely reporting, and frequency of analysis. Objective In this study, we aim to develop an integrated surveillance graphical app called FeverTracker, which has been designed to assist the community and health care workers in digital surveillance and thereby contribute toward malaria control and elimination. Methods FeverTracker uses a geographic information system and is linked to a web app with automated data digitization, SMS text messaging, and advisory instructions, thereby allowing immediate notification of individual cases to district and state health authorities in real time. Results The use of FeverTracker for malaria surveillance is evident, given the archaic paper-based surveillance tools used currently. The use of the app in 19 tribal villages of the Dhalai district in Tripura, India, assisted in the surveillance of 1880 suspected malaria patients and confirmed malaria infection in 93.4% (114/122; Plasmodium falciparum), 4.9% (6/122; P vivax), and 1.6% (2/122; P falciparum/P vivax mixed infection) of cases. Digital tools such as FeverTracker will be critical in integrating disease surveillance, and they offer instant data digitization for downstream processing. Conclusions The use of this technology in health care and research will strengthen the ongoing efforts to eliminate malaria. Moreover, FeverTracker provides a modifiable template for deployment in other disease systems.

With India aiming to achieve malaria elimination by 2030, several strategies have been put in place. With that aim, mass surveillance is now being conducted in some malaria-endemic pockets. As dry season mass surveillance has been shown to have its importance in targeting the reservoir, a study was undertaken to assess the parasite load by a sensitive molecular method during one of the mass surveys conducted in the dry winter period. It was executed in two malaria-endemic villages of Dhalai District, Tripura, in northeast India, also reported as P. falciparum predominated area. The present study found an enormous burden of Rapid Diagnostic Test negative malaria cases with P. vivax along with P. vivax and P. falciparum mixed infections during the mass surveillance from febrile and afebrile cases in dry winter months (February 2021–March 2021). Of the total 150 samples tested, 72 (48%) were positive and 78 (52%) negative for malaria by PCR. Out of the 72 positives, 6 (8.33%) were P. falciparum, 40 (55.55%) P. vivax, and 26 (36.11%) mixed infections. Out of 78 malaria negative samples, 6 (7.7%) were with symptoms, while among the total malaria positive, 72 cases 7 (9.8%) were with symptoms, and 65 (90.2%) were asymptomatic. Out of 114 samples tested by both microscopy and PCR, 42 samples turned out to be submicroscopic with 4 P. falciparum, 23 P. vivax, and 15 mixed infections. Although all P. vivax submicroscopic infections were asymptomatic, three P. falciparum cases were found to be febrile. Evidence of malaria transmission was also found in the vectors in the winter month. The study ascertained the use of molecular diagnostic techniques in detecting the actual burden of malaria, especially of P. vivax, in mass surveys. As Jhum cultivators in Tripura are at high risk, screening for the malarial reservoirs in pre-Jhum months can help with malaria control and elimination.

Shifting cultivation has resulted in large-scale deforestation and forest degradation in the tropics; however the abandoned fallows are known to have high potential for carbon capture. The paper is an attempt to determine the forest recovery patterns following shifting cultivation by evaluating the tree species composition, diversity and abundance with respect to topographical factors in Manipur, India. We also used ordination analysis to understand the change in species composition with regard to environmental variables. The living woody biomass carbon of each fallow was quantified, and the factors affecting the recovery of carbon stock along an increasing fallow gradient was assessed. Our results showed that the species richness and basal area recovered relatively with time since abandonment, and the north-facing lower elevation fallow sites displayed higher species richness and stem density than those in higher elevations. Environmental variables had no impact on the regeneration of Elaeocarpus floribundus Blume and Castanopsis hystrix Hook. f. & Thomson ex A. DC. which suggests that they may be capable of effective restoration of degraded forest areas. As these species appear naturally in the forests, it would facilitate quicker rehabilitation and reinstate the soil nutrients making the soil reusable in a short term. We also found that fallow age plays a vital role in recovering above-ground biomass carbon from living woody species followed by the aspect of the site. The total living woody biomass carbon ranged from 0.98 Mg ha-1 in 5 years fallow to 142.58 Mg ha-1 in 20 years fallow. The above-ground biomass carbon recovery of the oldest fallow was 39% to 40% of the reference undisturbed forest and the estimated time for the shifting cultivation fallows to reach that of the undisturbed forest level was approximately 39 years to 41 years.