Studies on autochthonous malaria in low-transmission areas in Brazil have acquired
epidemiological relevance because they suggest continued transmission in what remains
of the Atlantic Forest. In the southeastern portion of the state of São Paulo,
outbreaks in the municipality of Juquitiba have been the focus of studies on the
prevalence of Plasmodium, including asymptomatic cases. Data on the occurrence of the
disease or the presence of antiplasmodial antibodies in pregnant women from this
region have not previously been described. Although Plasmodium falciparum in pregnant
women has been widely addressed in the literature, the interaction of Plasmodium
vivax and Plasmodium malariae with this cohort has been poorly explored to date. We
monitored the circulation of Plasmodium in pregnant women in health facilities
located in Juquitiba using thick blood film and molecular protocols, as well as
immunological assays, to evaluate humoural immune parameters. Through real-time and
nested polymerase chain reaction, P. vivax and P. malariae were detected for the
first time in pregnant women, with a positivity of 5.6%. Immunoassays revealed the
presence of IgG antibodies: 44% for ELISA-Pv, 38.4% for SD-Bioline-Pv and 18.4% for
indirect immunofluorescence assay-Pm. The high prevalence of antibodies showed
significant exposure of this population to Plasmodium. In regions with similar
profiles, testing for a malaria diagnosis might be indicated in prenatal care.