Mathematical models of Plasmodium vivax transmission: A scoping review

PLoS Comput Biol. 2024 Mar 14;20(3):e1011931. doi: 10.1371/journal.pcbi.1011931. eCollection 2024 Mar.

Abstract

Plasmodium vivax is one of the most geographically widespread malaria parasites in the world, primarily found across South-East Asia, Latin America, and parts of Africa. One of the significant characteristics of the P. vivax parasite is its ability to remain dormant in the human liver as hypnozoites and subsequently reactivate after the initial infection (i.e. relapse infections). Mathematical modelling approaches have been widely applied to understand P. vivax dynamics and predict the impact of intervention outcomes. Models that capture P. vivax dynamics differ from those that capture P. falciparum dynamics, as they must account for relapses caused by the activation of hypnozoites. In this article, we provide a scoping review of mathematical models that capture P. vivax transmission dynamics published between January 1988 and May 2023. The primary objective of this work is to provide a comprehensive summary of the mathematical models and techniques used to model P. vivax dynamics. In doing so, we aim to assist researchers working on mathematical epidemiology, disease transmission, and other aspects of P. vivax malaria by highlighting best practices in currently published models and highlighting where further model development is required. We categorise P. vivax models according to whether a deterministic or agent-based approach was used. We provide an overview of the different strategies used to incorporate the parasite's biology, use of multiple scales (within-host and population-level), superinfection, immunity, and treatment interventions. In most of the published literature, the rationale for different modelling approaches was driven by the research question at hand. Some models focus on the parasites' complicated biology, while others incorporate simplified assumptions to avoid model complexity. Overall, the existing literature on mathematical models for P. vivax encompasses various aspects of the parasite's dynamics. We recommend that future research should focus on refining how key aspects of P. vivax dynamics are modelled, including spatial heterogeneity in exposure risk and heterogeneity in susceptibility to infection, the accumulation of hypnozoite variation, the interaction between P. falciparum and P. vivax, acquisition of immunity, and recovery under superinfection.

Publication types

  • Review

MeSH terms

  • Animals
  • Humans
  • Malaria*
  • Malaria, Falciparum*
  • Malaria, Vivax*
  • Models, Theoretical
  • Parasites*
  • Plasmodium vivax
  • Recurrence
  • Superinfection*

Grants and funding

This work was supported by the National Health and Medical Research Council (NHMRC, GNT2016726 to LS, EC and IM) and the Department of Foreign Affairs and Trade Australia through the project Strengthening Preparedness in the Asia-Pacific Region through Knowledge (SPARK to LS, EC and IM). Research was supported through the NHMRC (2019152 to AD). The research was supported by the Australian Research Council (DP210101920 to JMM) and the NHMRC Australian Centre of Research Excellence in Malaria Elimination (ACREME, APP1134989 to JMM). The research was supported by the Australian Research Council (DP200100747, FT210100034 to JAF) and the NHMRC (APP2019093 to JAF). The contents of the published material are solely the responsibility of the individual authors and do not reflect the views of NHMRC. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.