Skip to main content
Top
Published in: Malaria Journal 1/2013

Open Access 01-12-2013 | Research

Characterizing microclimate in urban malaria transmission settings: a case study from Chennai, India

Authors: Lauren J Cator, Shalu Thomas, Krijn P Paaijmans, Sangamithra Ravishankaran, Johnson A Justin, Manu T Mathai, Andrew F Read, Matthew B Thomas, Alex Eapen

Published in: Malaria Journal | Issue 1/2013

Login to get access

Abstract

Background

Environmental temperature is an important driver of malaria transmission dynamics. Both the parasite and vector are sensitive to mean ambient temperatures and daily temperature variation. To understand transmission ecology, therefore, it is important to determine the range of microclimatic temperatures experienced by malaria vectors in the field.

Methods

A pilot study was conducted in the Indian city of Chennai to determine the temperature variation in urban microclimates and characterize the thermal ecology of the local transmission setting. Temperatures were measured in a range of probable indoor and outdoor resting habitats of Anopheles stephensi in two urban slum malaria sites. Mean temperatures and daily temperature fluctuations in local transmission sites were compared with standard temperature measures from the local weather station. The biological implications of the different temperatures were explored using temperature-dependent parasite development models to provide estimates of the extrinsic incubation period (EIP) of Plasmodium vivax and Plasmodium falciparum.

Results

Mean daily temperatures within the urban transmission sites were generally warmer than those recorded at the local weather station. The main reason was that night-time temperatures were higher (and hence diurnal temperature ranges smaller) in the urban settings. Mean temperatures and temperature variation also differed between specific resting sites within the transmission environments. Most differences were of the order of 1-3°C but were sufficient to lead to important variation in predicted EIPs and hence, variation in estimates of transmission intensity.

Conclusions

Standard estimates of environmental temperature derived from local weather stations do not necessarily provide realistic measures of temperatures within actual transmission environments. Even the small differences in mean temperatures or diurnal temperature ranges reported in this study can lead to large variations in key mosquito and/or parasite life history traits that determine transmission intensity. Greater effort should be directed at quantifying adult mosquito resting behaviour and determining the temperatures actually experienced by mosquitoes and parasites in local transmission environments. In the absence of such highly resolved data, the approach used in the current study provides a framework for improved thermal characterization of transmission settings.
Appendix
Available only for authorised users
Literature
1.
2.
go back to reference Paaijmans KP, Imbahale SS, Thomas MB, Takken W: Relevant microclimate for determining the development rate of malaria mosquitoes and possible implications of climate change. Malar J. 2010, 9: 196-10.1186/1475-2875-9-196.PubMedCentralCrossRefPubMed Paaijmans KP, Imbahale SS, Thomas MB, Takken W: Relevant microclimate for determining the development rate of malaria mosquitoes and possible implications of climate change. Malar J. 2010, 9: 196-10.1186/1475-2875-9-196.PubMedCentralCrossRefPubMed
3.
go back to reference Afrane YA, Zhou G, Lawson BW, Githeko AK, Yan G: Effects of microclimatic changes caused by deforestation on the survivorship and reproductive fitness of Anopheles gambiae in western Kenya highlands. Am J Trop Med Hyg. 2006, 74: 772-778.PubMed Afrane YA, Zhou G, Lawson BW, Githeko AK, Yan G: Effects of microclimatic changes caused by deforestation on the survivorship and reproductive fitness of Anopheles gambiae in western Kenya highlands. Am J Trop Med Hyg. 2006, 74: 772-778.PubMed
4.
go back to reference Rua GL, Quinones ML, V’elez ID, Zuluaga JS, Rojas W, Poveda G, Ruiz D: Laboratory estimation of the effects of increasing temperatures on the duration of gonotrophic cycle of Anopheles albimanus (Diptera: Culicidae). Mem Instit Oswaldo Cruz. 2005, 100: 515-520. 10.1590/S0074-02762005000500011.CrossRef Rua GL, Quinones ML, V’elez ID, Zuluaga JS, Rojas W, Poveda G, Ruiz D: Laboratory estimation of the effects of increasing temperatures on the duration of gonotrophic cycle of Anopheles albimanus (Diptera: Culicidae). Mem Instit Oswaldo Cruz. 2005, 100: 515-520. 10.1590/S0074-02762005000500011.CrossRef
5.
6.
go back to reference Murdock CC, Paaijmans KP, Bell AS, King JG, Hillyer JF, Read AF, Thomas MB: Complex effects of temperature on mosquito immune function. Proc R Soc B. 2012, 279: 3357-3366. 10.1098/rspb.2012.0638.PubMedCentralCrossRefPubMed Murdock CC, Paaijmans KP, Bell AS, King JG, Hillyer JF, Read AF, Thomas MB: Complex effects of temperature on mosquito immune function. Proc R Soc B. 2012, 279: 3357-3366. 10.1098/rspb.2012.0638.PubMedCentralCrossRefPubMed
7.
go back to reference MacDonald G: The epidemiology and control of malaria. 1957, London: Oxford University Press MacDonald G: The epidemiology and control of malaria. 1957, London: Oxford University Press
8.
go back to reference Boyd M: Malariology: A comprehensive survey of all aspects of this group of diseases from a global standpoint. 1949, Philadelphia: W.B. Saunders Company Boyd M: Malariology: A comprehensive survey of all aspects of this group of diseases from a global standpoint. 1949, Philadelphia: W.B. Saunders Company
9.
go back to reference Killeen GF, McKenzie FE, Foy BD, Schieffelin C, Billingsley PF, Beier JC: A simplified model for predicting malaria entomologic inoculation rates based on entomologic and parasitologic parameters relevant to control. Am J Trop Med Hyg. 2000, 62: 535-544.PubMedCentralPubMed Killeen GF, McKenzie FE, Foy BD, Schieffelin C, Billingsley PF, Beier JC: A simplified model for predicting malaria entomologic inoculation rates based on entomologic and parasitologic parameters relevant to control. Am J Trop Med Hyg. 2000, 62: 535-544.PubMedCentralPubMed
11.
go back to reference Guerra CA, Gikandi PW, Tatem AJ, Noor AM, Smith DL, Hay SI, Snow RW: The Limits and intensity of Plasmodium falciparum transmission: implications for malaria control and elimination worldwide. PLoS Med. 2008, 5: e38-10.1371/journal.pmed.0050038.PubMedCentralCrossRefPubMed Guerra CA, Gikandi PW, Tatem AJ, Noor AM, Smith DL, Hay SI, Snow RW: The Limits and intensity of Plasmodium falciparum transmission: implications for malaria control and elimination worldwide. PLoS Med. 2008, 5: e38-10.1371/journal.pmed.0050038.PubMedCentralCrossRefPubMed
12.
go back to reference Rogers DJ, Randolph SE: Climate change and vector-borne diseases. Adv Parasitol. 2006, 62: 345-381.CrossRefPubMed Rogers DJ, Randolph SE: Climate change and vector-borne diseases. Adv Parasitol. 2006, 62: 345-381.CrossRefPubMed
13.
go back to reference Craig MH, Snow RW, le Sueur D: A climate-based distribution model of malaria transmission in sub-Saharan Africa. Parasitol Today. 1999, 15: 105-111. 10.1016/S0169-4758(99)01396-4.CrossRefPubMed Craig MH, Snow RW, le Sueur D: A climate-based distribution model of malaria transmission in sub-Saharan Africa. Parasitol Today. 1999, 15: 105-111. 10.1016/S0169-4758(99)01396-4.CrossRefPubMed
14.
go back to reference Martens P, Kovats RS, Nijhof S, De Vries P, Livermore MTJ, Bradley DJ, Cox J, McMichael AJ: Climate change and future populations at risk of malaria. Global Environ Change. 1999, 9: S89-S107.CrossRef Martens P, Kovats RS, Nijhof S, De Vries P, Livermore MTJ, Bradley DJ, Cox J, McMichael AJ: Climate change and future populations at risk of malaria. Global Environ Change. 1999, 9: S89-S107.CrossRef
15.
go back to reference Rogers DJ, Randolph SE: The global spread of malaria in a future, warmer world. Science. 2000, 289: 1763-1766.CrossRefPubMed Rogers DJ, Randolph SE: The global spread of malaria in a future, warmer world. Science. 2000, 289: 1763-1766.CrossRefPubMed
16.
go back to reference Ebi KL, Hartman J, Chan N, McConnell J, Schlesinger M, Weyant J: Climate suitability for stable malaria transmission in Zimbabwe under different climate change scenarios. Clim Chang. 2005, 73: 375-393. 10.1007/s10584-005-6875-2.CrossRef Ebi KL, Hartman J, Chan N, McConnell J, Schlesinger M, Weyant J: Climate suitability for stable malaria transmission in Zimbabwe under different climate change scenarios. Clim Chang. 2005, 73: 375-393. 10.1007/s10584-005-6875-2.CrossRef
17.
go back to reference Paaijmans KP, Thomas MB: The influence of mosquito resting behaviour and associated microclimate for malaria risk. Malar J. 2011, 10: 183-10.1186/1475-2875-10-183.PubMedCentralCrossRefPubMed Paaijmans KP, Thomas MB: The influence of mosquito resting behaviour and associated microclimate for malaria risk. Malar J. 2011, 10: 183-10.1186/1475-2875-10-183.PubMedCentralCrossRefPubMed
18.
go back to reference Imbahale SS, Mukabana WR, Orindi B, Githeko AK, Takken W: Variation in malaria transmission dynamics in three different sites in Western Kenya. J Trop Med. 2012, 912408- Imbahale SS, Mukabana WR, Orindi B, Githeko AK, Takken W: Variation in malaria transmission dynamics in three different sites in Western Kenya. J Trop Med. 2012, 912408-
19.
go back to reference Omumbo JA, Lyon B, Waweru SM, Connor SJ, Thomson MC: Raised temperatures over the Kericho tea estates: revisiting the climate in the East African highlands malaria debate. Malar J. 2011, 10: 12-10.1186/1475-2875-10-12.PubMedCentralCrossRefPubMed Omumbo JA, Lyon B, Waweru SM, Connor SJ, Thomson MC: Raised temperatures over the Kericho tea estates: revisiting the climate in the East African highlands malaria debate. Malar J. 2011, 10: 12-10.1186/1475-2875-10-12.PubMedCentralCrossRefPubMed
20.
go back to reference Kuhn KG, Campbell-Lendrum DH, Davies CR: A continental risk map for malaria mosquito (Diptera: Culicidae) vectors in Europe. J Med Ent. 2002, 39: 621-630. 10.1603/0022-2585-39.4.621.CrossRef Kuhn KG, Campbell-Lendrum DH, Davies CR: A continental risk map for malaria mosquito (Diptera: Culicidae) vectors in Europe. J Med Ent. 2002, 39: 621-630. 10.1603/0022-2585-39.4.621.CrossRef
21.
go back to reference Paaijmans KP, Read AF, Thomas MB: Understanding the link between malaria risk and climate. Proc Natl Acad Sci USA. 2009, 106: 13844-13849. 10.1073/pnas.0903423106.PubMedCentralCrossRefPubMed Paaijmans KP, Read AF, Thomas MB: Understanding the link between malaria risk and climate. Proc Natl Acad Sci USA. 2009, 106: 13844-13849. 10.1073/pnas.0903423106.PubMedCentralCrossRefPubMed
22.
go back to reference Paaijmans KP, Blanford S, Bell AS, Blanford JI, Read AF, Thomas MB: Influence of climate on malaria transmission depends on daily temperature variation. Proc Natl Acad Sci USA. 2010, 107: 15135-15139. 10.1073/pnas.1006422107.PubMedCentralCrossRefPubMed Paaijmans KP, Blanford S, Bell AS, Blanford JI, Read AF, Thomas MB: Influence of climate on malaria transmission depends on daily temperature variation. Proc Natl Acad Sci USA. 2010, 107: 15135-15139. 10.1073/pnas.1006422107.PubMedCentralCrossRefPubMed
23.
go back to reference Nagpal BN, Srivastava A, Dash AP, Valecha N: Resting behaviour of Anopheles stephensi type form to assess its amenability to control malaria through indoor residual spray. J Vector Borne Dis. 2012, 49: 175-180.PubMed Nagpal BN, Srivastava A, Dash AP, Valecha N: Resting behaviour of Anopheles stephensi type form to assess its amenability to control malaria through indoor residual spray. J Vector Borne Dis. 2012, 49: 175-180.PubMed
24.
go back to reference Batra CP, Reuben R, Das PK: Studies of day-time resting places of Anopheles stephensi Liston in Salem (Tamil Nadu). Indian J Med Research. 1979, 69: 583-588. Batra CP, Reuben R, Das PK: Studies of day-time resting places of Anopheles stephensi Liston in Salem (Tamil Nadu). Indian J Med Research. 1979, 69: 583-588.
25.
go back to reference Hati AK, Chatterjee KK, Biswas D: Daytime resting habits of Anopheles stephensi in an area of Calcutta. Indian J Malariol. 1987, 24: 85-87.PubMed Hati AK, Chatterjee KK, Biswas D: Daytime resting habits of Anopheles stephensi in an area of Calcutta. Indian J Malariol. 1987, 24: 85-87.PubMed
26.
go back to reference Hati AK, Chatterjee KK, Biswas D, Mukhopadhyay AK, Saha D:A newly discovered habitat ofAnopheles stephensiin present-day Calcutta with evidence of natural malaria infection. Trop Geogr Med. 1988, 40: 376-377.PubMed Hati AK, Chatterjee KK, Biswas D, Mukhopadhyay AK, Saha D:A newly discovered habitat ofAnopheles stephensiin present-day Calcutta with evidence of natural malaria infection. Trop Geogr Med. 1988, 40: 376-377.PubMed
27.
go back to reference Oringanje C, Alaribe AAA, Oduola AO, Oduwole OA, Adeogun AO, Meremikwu MM, Awolola TS:Vector abundance and species composition ofAnophelesmosquitoes in Calabar, Nigeria.J Vector Borne Dis. 2011, 48: 171-173.PubMed Oringanje C, Alaribe AAA, Oduola AO, Oduwole OA, Adeogun AO, Meremikwu MM, Awolola TS:Vector abundance and species composition ofAnophelesmosquitoes in Calabar, Nigeria.J Vector Borne Dis. 2011, 48: 171-173.PubMed
28.
go back to reference Korgaonkar NS, Kumar A, Yadav RS, Kabadi D, Dash AP: Mosquito biting activity on humans & detection of Plasmodium falciparum infection in Anopheles stephensi in Goa, India. Indian J Med Res. 2012, 135: 120-126. 10.4103/0971-5916.93434.PubMedCentralCrossRefPubMed Korgaonkar NS, Kumar A, Yadav RS, Kabadi D, Dash AP: Mosquito biting activity on humans & detection of Plasmodium falciparum infection in Anopheles stephensi in Goa, India. Indian J Med Res. 2012, 135: 120-126. 10.4103/0971-5916.93434.PubMedCentralCrossRefPubMed
30.
go back to reference Discovering Statistics Using SPSS. Edited by: Field A. 2009, SAGE Publications, London, 3 Discovering Statistics Using SPSS. Edited by: Field A. 2009, SAGE Publications, London, 3
31.
go back to reference Briere JF, Pracros P, Le Roux AY, Pierre JS: A novel rate model of temperature dependent development for arthropods. Environ Entomol. 1999, 28: 22-29.CrossRef Briere JF, Pracros P, Le Roux AY, Pierre JS: A novel rate model of temperature dependent development for arthropods. Environ Entomol. 1999, 28: 22-29.CrossRef
32.
go back to reference Stratman-Thomas WK: The influence of temperature on Plasmodium vivax. Am J Trop Med. 1940, 20: 703-715. Stratman-Thomas WK: The influence of temperature on Plasmodium vivax. Am J Trop Med. 1940, 20: 703-715.
33.
go back to reference Knowles R, Basu BC: Laboratory studies on the infectivity of Anopheles stephensi. J Mal Inst India. 1943, 5: 1-29. Knowles R, Basu BC: Laboratory studies on the infectivity of Anopheles stephensi. J Mal Inst India. 1943, 5: 1-29.
34.
go back to reference Siddons LB: Observations on the influence of atmospheric temperature and humidity on the infectivity of Anopheles culicifacies Giles. J Mal Inst India. 1944, 5: 375-388. Siddons LB: Observations on the influence of atmospheric temperature and humidity on the infectivity of Anopheles culicifacies Giles. J Mal Inst India. 1944, 5: 375-388.
35.
go back to reference Shute PG, Maryon M: A study of human malaria oocysts as an aid to species diagnosis. Trans Roy Soc Trop Med Hyg. 1952, 46: 275-292. 10.1016/0035-9203(52)90076-X.CrossRefPubMed Shute PG, Maryon M: A study of human malaria oocysts as an aid to species diagnosis. Trans Roy Soc Trop Med Hyg. 1952, 46: 275-292. 10.1016/0035-9203(52)90076-X.CrossRefPubMed
36.
go back to reference Collins WE, Orihel TC, Peter G, Jeter MH, Gell LS: Some observations on the sporogonic cycle of Plasmodium schwetzi, P. vivax and P. ovale in five species of Anopheles. J Eukaryotic Microbiol. 1969, 16: 589-596. 10.1111/j.1550-7408.1969.tb02318.x. Collins WE, Orihel TC, Peter G, Jeter MH, Gell LS: Some observations on the sporogonic cycle of Plasmodium schwetzi, P. vivax and P. ovale in five species of Anopheles. J Eukaryotic Microbiol. 1969, 16: 589-596. 10.1111/j.1550-7408.1969.tb02318.x.
37.
go back to reference Bruce-Chwatt LJ: Essential malariology. 1980, London: William Heinemann Medical Books Ltd Bruce-Chwatt LJ: Essential malariology. 1980, London: William Heinemann Medical Books Ltd
38.
go back to reference Detinova TS: Age-grouping methods in Diptera of medical importance with special reference to some vectors of malaria. Monogr Ser World Health Organ. 1962, 47: 13-191.PubMed Detinova TS: Age-grouping methods in Diptera of medical importance with special reference to some vectors of malaria. Monogr Ser World Health Organ. 1962, 47: 13-191.PubMed
39.
go back to reference Hu XP, Appel AG: Seasonal variation of critical thermal limits and temperature tolerance in Formosan and eastern subterranean termites (Isoptera: Rhinotermitidae). Environ Entomol. 2004, 33: 197-205. 10.1603/0046-225X-33.2.197.CrossRef Hu XP, Appel AG: Seasonal variation of critical thermal limits and temperature tolerance in Formosan and eastern subterranean termites (Isoptera: Rhinotermitidae). Environ Entomol. 2004, 33: 197-205. 10.1603/0046-225X-33.2.197.CrossRef
40.
go back to reference R Development Core Team: R: A language and environment for statistical computing. 2008, Vienna, Austria: R Foundation for Statistical Computing R Development Core Team: R: A language and environment for statistical computing. 2008, Vienna, Austria: R Foundation for Statistical Computing
41.
go back to reference Goward SN: Thermal behavior of urban landscapes and the urban heat island. Phys Geo. 1981, 2: 19-33. Goward SN: Thermal behavior of urban landscapes and the urban heat island. Phys Geo. 1981, 2: 19-33.
42.
go back to reference Oke TR: The energetic basis of the urban heat island. Quart J Roy Meteorol Soc. 1982, 108: 1-24. Oke TR: The energetic basis of the urban heat island. Quart J Roy Meteorol Soc. 1982, 108: 1-24.
43.
go back to reference Vijayalaxmi J, Sekar SP: Indoor thermal performance of ventilated dwellings using fly screens in the hot-humid climate of Chennai, India. J Green Building. 2009, 4: 150-157. 10.3992/jgb.4.2.150.CrossRef Vijayalaxmi J, Sekar SP: Indoor thermal performance of ventilated dwellings using fly screens in the hot-humid climate of Chennai, India. J Green Building. 2009, 4: 150-157. 10.3992/jgb.4.2.150.CrossRef
44.
go back to reference Minakawa N, Omukunda E, Zhou G, Githeko A, Yan G: Malaria vector productivity in relation to the highland environment in Kenya. Am J Trop Med Hyg. 2006, 75: 448-453.PubMed Minakawa N, Omukunda E, Zhou G, Githeko A, Yan G: Malaria vector productivity in relation to the highland environment in Kenya. Am J Trop Med Hyg. 2006, 75: 448-453.PubMed
45.
go back to reference Kirby MJ, Lindsay SW: Responses of adult mosquitoes of two sibling species, Anopheles arabiensis and A. gambiae s.s. (Diptera: Culicidae), to high temperatures. Bull Entomol Research. 2004, 94: 441-448.CrossRef Kirby MJ, Lindsay SW: Responses of adult mosquitoes of two sibling species, Anopheles arabiensis and A. gambiae s.s. (Diptera: Culicidae), to high temperatures. Bull Entomol Research. 2004, 94: 441-448.CrossRef
46.
go back to reference Blanford S, Read AF, Thomas MB: Thermal behaviour of Anopheles stephensi in response to infection with malaria and fungal entomopathogens. Malar J. 2009, 8: 72-10.1186/1475-2875-8-72.PubMedCentralCrossRefPubMed Blanford S, Read AF, Thomas MB: Thermal behaviour of Anopheles stephensi in response to infection with malaria and fungal entomopathogens. Malar J. 2009, 8: 72-10.1186/1475-2875-8-72.PubMedCentralCrossRefPubMed
47.
go back to reference Benoit JB, Lopez-Martinez G, Patrick KR, Phillips ZP, Krause TB, Denlinger DL: Drinking a hot blood meal elicits a protective heat shock response in mosquitoes. Proc Natl Acad Sci. 2011, 108: 8026-8029. 10.1073/pnas.1105195108.PubMedCentralCrossRefPubMed Benoit JB, Lopez-Martinez G, Patrick KR, Phillips ZP, Krause TB, Denlinger DL: Drinking a hot blood meal elicits a protective heat shock response in mosquitoes. Proc Natl Acad Sci. 2011, 108: 8026-8029. 10.1073/pnas.1105195108.PubMedCentralCrossRefPubMed
48.
go back to reference Motard A, Marussig M, Rénia L, Baccam D, Landau I, Mattei D, Targett G, Mazier D: Immunization with the malaria heat shock like protein hsp70-1 enhances transmission to the mosquito. Int Immunol. 1995, 7: 147-150. 10.1093/intimm/7.1.147.CrossRefPubMed Motard A, Marussig M, Rénia L, Baccam D, Landau I, Mattei D, Targett G, Mazier D: Immunization with the malaria heat shock like protein hsp70-1 enhances transmission to the mosquito. Int Immunol. 1995, 7: 147-150. 10.1093/intimm/7.1.147.CrossRefPubMed
49.
go back to reference Kiszewski A, Mellinger A, Spielman A, Malaney P, Sachs SE, Sachs J: A global index representing the stability of malaria transmission. Am J Trop Med Hyg. 2004, 70: 486-498.PubMed Kiszewski A, Mellinger A, Spielman A, Malaney P, Sachs SE, Sachs J: A global index representing the stability of malaria transmission. Am J Trop Med Hyg. 2004, 70: 486-498.PubMed
Metadata
Title
Characterizing microclimate in urban malaria transmission settings: a case study from Chennai, India
Authors
Lauren J Cator
Shalu Thomas
Krijn P Paaijmans
Sangamithra Ravishankaran
Johnson A Justin
Manu T Mathai
Andrew F Read
Matthew B Thomas
Alex Eapen
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Malaria Journal / Issue 1/2013
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/1475-2875-12-84

Other articles of this Issue 1/2013

Malaria Journal 1/2013 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.