The links between agriculture, Anopheles mosquitoes, and malaria risk in children younger than 5 years in the Democratic Republic of the Congo: a population-based,

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The links between agriculture, Anopheles mosquitoes, and malaria risk in children younger than 5 years in the Democratic Republic of the Congo: a population-based, cross-sectional, spatial study  Mark M Janko, PhD, Seth R Irish, PhD, Prof Brian J Reich, PhD, Marc Peterson, MA, Stephanie M Doctor, BS, Melchior Kashamuka Mwandagalirwa, MSPH, Joris L Likwela, MD, Prof Antoinette K Tshefu, MD, Prof Steven R Meshnick, MD, Prof Michael E Emch, PhD  The Lancet Planetary Health  Volume 2, Issue 2, Pages e74-e82 (February 2018) DOI: 10.1016/S2542-5196(18)30009-3 Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 1 Study flow diagram QC=quality control. DHS=Demographic and Health Survey. The Lancet Planetary Health 2018 2, e74-e82DOI: (10.1016/S2542-5196(18)30009-3) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 2 DHS survey sites, entomological surveillance sites, and the DR Congo ecoclimate regions The Kingasani site was excluded from the analysis because it was in the DR Congo capital of Kinshasa, a major urban centre with more than 10 million inhabitants. Ecoclimate regions are based on the Köppen–Geiger Climate Classification.37 DHS=Demographic and Health Survey. DR Congo=Democratic Republic of the Congo. The Lancet Planetary Health 2018 2, e74-e82DOI: (10.1016/S2542-5196(18)30009-3) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 3 Hypothetical changes in malaria risk due to large-scale agricultural expansion in children younger than 5 years in the DR Congo The black line represents the mean trend lines within each quantile. DR Congo=Democratic Republic of the Congo. The Lancet Planetary Health 2018 2, e74-e82DOI: (10.1016/S2542-5196(18)30009-3) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 4 Relative abundance of Anopheles mosquitoes by human landing catch by site The Lancet Planetary Health 2018 2, e74-e82DOI: (10.1016/S2542-5196(18)30009-3) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions