The impact of HIV-1 on the malaria parasite biomass in adults in sub-Saharan Africa contributes to the emergence of antimalarial drug resistance

Background. HIV-related immune-suppression increases the risk of malaria (infection, disease and treatment failure) and probably the circulating parasite biomass, favoring the emergence of drug resistance parasites. Methods. The additional malaria parasite biomass related to HIV-1 co-infection in sub-Saharan Africa was estimated by a mathematical model. Parasite biomass was computed as the incidence rate of clinical malaria episodes multiplied by the number of parasites circulating in the peripheral blood of patients at the time symptoms appear. A mathematical model estimated the influence of HIV-1 infection on parasite density in clinical malaria by country and by age group, malaria transmission intensity and urban/rural area. In a multivariate sensitivity analysis, 95% confidence intervals (CIs) were calculated using the Monte Carlo simulation. Results. The model shows that in 2005 HIV-1 increased the overall malaria parasite biomass by 18.0% (95%CI: 11.6-26.9). The largest relative increase (134.9-243.9%) was found in southern Africa where HIV-1 prevalence is the highest and malaria transmission unstable. The largest absolute increase was found in Zambia, Malawi, the Central African Republic and Mozambique, where both malaria and HIV are highly endemic. A univariate sensitivity analysis shows that estimates are sensitive to the magnitude of the impact of HIV-1 infection on the malaria incidence rates and associated parasite densities. Conclusion. The HIV-1 epidemic by increasing the malaria parasite biomass in sub-Saharan Africa may also increase the emergence of antimalarial drug resistance, potentially affecting the health of the whole population in countries endemic for both HIV-1 and malaria

Effect of Copper on Corrosion of Forged AlSi1MgMn Automotive Suspension Components

Recently, modifications in the alloy composition and the manufacturing process cycle were proposed to achieve a more uniform structure with no evidence of coarse grains across the section of the AlSi1MgMn alloys. Cu was added to the AlSi1MgMn alloy to improve its age hardening capacity without a separate solution heat treatment. However, Cu addition degrades the corrosion resistance of this alloy due to the formation of Al-Cu precipitates along the grain boundaries that are cathodic with respect to the aluminum matrix and thus encourage intergranular corrosion. The present work was undertaken to identify the impact of Cu addition on the corrosion properties of AlSi1MgMn alloys with different Cu contents. A series of AlSi1MgMn alloys with 0.06-0.89 wt.% Cu were tested in order to identify an optimum level of Cu addition