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Tracking Plasmodium Knowlesi Through Fecal Dna for Monitoring Zoonotic Transmission in Wild Macaques Across Southeast and South Asia Publisher Pubmed



Wannigama DL ; Amarasiri M ; Phattharapornjaroen P ; Hurst C ; Modchang C ; Cynthia B ; Miyanaga K ; Cui L ; Fernandez S ; Melhem NM ; Lukin S ; Singer AC ; Ragupathi NKD ; Htun TS Show All Authors
Authors
  1. Wannigama DL
  2. Amarasiri M
  3. Phattharapornjaroen P
  4. Hurst C
  5. Modchang C
  6. Cynthia B
  7. Miyanaga K
  8. Cui L
  9. Fernandez S
  10. Melhem NM
  11. Lukin S
  12. Singer AC
  13. Ragupathi NKD
  14. Htun TS
  15. Sei K
  16. Ngamwongsatit N
  17. Hui NS
  18. Shimotai Y
  19. Ounjai P
  20. Kanthawee P
  21. Tacharoenmuang R
  22. Kauba A
  23. Eang C
  24. Romone L
  25. Dharne M
  26. De Araujo JC
  27. Ndatuwong LG
  28. Werawatte WKCP
  29. Chanthasiri T
  30. Zhao J
  31. Mori H
  32. Besa JJV
  33. Kurt O
  34. Kanjanabuch T
  35. Zahraeiramazani AR
  36. Higgins PG
  37. Aoyagi T
  38. Kicic A
  39. Trowsdale S
  40. Hongsing P
  41. Yang X
  42. Wang Y
  43. Khatib A
  44. Sano D
  45. Shibuya K
  46. Abe S
  47. Hamamoto H

Source: Journal of Infectious Diseases Published:2026


Abstract

We conducted the noninvasive surveillance of Plasmodium knowlesi in wild macaques using 4752 fecal samples collected across 9 endemic countries. Parasite DNA was detected in 390 samples (8.2%), with positivity rates ranging from 1.4% to 18.4%. This provides the first field-based evidence that P. knowlesi DNA in feces shed by macaques and present under natural conditions can be detected. These findings validate fecal sampling as a practical and scalable tool for tracking zoonotic-malaria. The results support integration into forest-runoff and rural wastewater surveillance systems, offering new opportunities for early detection of pathogens and environmental monitoring at the human–wildlife interface. © The Author(s) 2026. Published by Oxford University Press on behalf of Infectious Diseases Society of America. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.