Malaria Population Genomics · Notre Dame

Mapping
the invisible
burden

Molecular epidemiology and parasite genomics in service of malaria control and elimination across Africa, Asia, and Latin America.

Explore our work
Malaria transmission zoom-out animation A sequenced animation that begins with large centered malaria sporozoites, then shows a mosquito approaching as the sporozoites move into the mouthparts before the original transmission animation continues.

41°42′13″N 86°13′51″W

Notre Dame, Indiana

McCourtney Hall East

5
Plasmodium species
15+
Countries studied
Global Genomics Epidemiology
For malaria control
P. falciparum· P. vivax· P. malariae· Amplicon Sequencing· Population Genomics· IBD Networks· Digital PCR· Malaria Elimination· Global Health· Ethiopia · Cambodia · Zanzibar · Bangladesh · Kenya· P. falciparum· P. vivax· P. malariae· Amplicon Sequencing· Population Genomics· IBD Networks· Digital PCR· Malaria Elimination· Global Health· Ethiopia · Cambodia · Zanzibar · Bangladesh · Kenya·
01

Principal Investigator

"Our mission is to understand the true epidemiological burden of malaria, and to translate that knowledge into elimination."

Research in the Koepfli Lab uses molecular tools to interrogate the epidemiology of malaria and other infectious diseases. The lab continuously develops novel laboratory methods to diagnose, quantify, and genotype parasites and their transmission stages, then applies them to large, population-based surveys across endemic regions.

A central focus is the vast reservoir of asymptomatic, low-density infections that escape clinical detection entirely. Using ultrasensitive molecular diagnostics, the lab characterizes this hidden burden, maps transmission networks using GPS-informed parasite genotyping, and distinguishes imported from locally acquired infections to guide targeted interventions.

Collaborative fieldwork spans sub-Saharan Africa, South and Southeast Asia, and Latin America. The lab regularly welcomes researchers from endemic countries to Notre Dame for training, fostering genuine, long-term partnerships with institutions in the field.

2026 - present
Associate Research Professor Eck Institute for Global Health, University of Notre Dame
2018 - 2026
Assistant Professor Department of Biological Sciences, University of Notre Dame
2016 - 2018
Assistant Project Scientist University of California, Irvine
2012 - 2016
Postdoctoral Fellow Walter and Eliza Hall Institute for Medical Research, Melbourne, Australia
2012
PhD Swiss Tropical and Public Health Institute, Basel, Switzerland
02

Research Focus

01

Asymptomatic Infection & Hidden Burden

Most malaria infections produce no fever and remain untreated. Using ultrasensitive molecular diagnostics, we characterize the full extent of the infection reservoir, including sub-microscopic parasitemia, to reveal the true epidemiological landscape that clinical surveillance misses entirely.

Diagnostics
02

Transmission Networks & Spatial Genomics

Transmission is highly focal in space and time, yet the drivers of this heterogeneity are poorly understood. We combine parasite genotyping with GPS data to reconstruct transmission networks, distinguish imported from local infections, and identify persistent foci that resist standard control measures.

Genomics
03

Gametocyte Biology & Infectivity

Not all infections transmit equally to mosquitoes. By quantifying sexual-stage transmission forms, we investigate how infectivity varies across individuals, seasons, and settings. In western Kenya, we showed that parasites increase their investment in transmission during the wet season when vectors are most abundant.

Transmission
04

hrp2/hrp3 Deletions & Diagnostic Failure

Deletions of P. falciparum genes hrp2 and hrp3 render standard rapid diagnostic tests blind to infection. We developed a high-throughput digital PCR method to screen isolates from numerous countries, mapping deletion frequencies and helping malaria control programs select appropriate diagnostics.

Surveillance
05

Amplicon Sequencing & Novel Methods

We develop and validate amplicon deep-sequencing panels for microhaplotype genotyping of polyclonal infections, ddPCR quantification of transmission stages, and mobile nanopore sequencing in endemic field sites. Our tools lower the barrier for in-country genomic surveillance globally.

Methods Development
06

Population Genomics Across Species

Our work spans P. falciparum, P. vivax, P. malariae, and P. knowlesi. We use parasite genetic networks, relatedness analyses, and population genomic tools to understand how malaria is currently circulating in places such as the Ethiopian highlands, Kenya, Thailand, and other endemic settings. By mapping parasite connectivity, local transmission, and population structure, we generate evidence that can support surveillance and elimination strategies.

Population Genetics
03

Geographic Focus

AF

Sub-Saharan Africa

P. falciparum · P. vivax · P. malariae · P. ovale

Field studies span Ethiopia (highlands, Gondar, Ziway), Kenya (western highlands, Kisumu), Zanzibar (pre-elimination setting), and multiple West African countries. Collaborative fieldwork addresses transmission heterogeneity, drug resistance surveillance, and spatial genomics in contexts ranging from high-endemic to near-elimination.

AS

South & Southeast Asia

P. falciparum · P. knowlesi · P. vivax

Research in Cambodia (Kampong Speu, Mondulkiri), Bangladesh (Chittagong Hill Tracts), Thailand, and Papua New Guinea investigates P. vivax relapse biology, population structure across continents, and the challenge of sustaining malaria control progress under low-endemic conditions with residual asymptomatic infections.

LA

Latin America

P. falciparum · P. brasilianum

In collaboration with Fiocruz (Brazil) and partners across South America, the lab studies P. vivax diversity, drug resistance markers, and the interplay between human migration and parasite dispersal in low-transmission Amazonian settings where elimination efforts are increasingly feasible but complicated by forest malaria.

GL

Global Genomics

Multi-species · Within-continent · Multi-continent

A key strand of our genomic work examines parasite populations within and across countries, using regional comparisons to study parasite flow, population structure, and drug resistance. When suitable datasets allow, these analyses are extended across continents to place regional patterns in a broader global context. Mobile laboratory deployments using Oxford Nanopore technology are also expanding genomic surveillance capacity in resource-limited endemic settings.

04

The Team

Current Members
Tolulope Kayode
Tolulope Kayode, PhD
Postdoctoral Researcher
Malaria molecular diagnostics; transmission stage quantification; novel detection methods development
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Molecular epidemiologist and infectious disease genomicist focused on malaria, arboviruses, and other vector-borne pathogens. His work combines molecular diagnostics, pathogen genomics, epidemiology, serology, and environmental data to understand transmission and strengthen surveillance in resource-limited settings. In the Koepfli Lab, he contributes to malaria diagnostics, parasite genomics, antimalarial drug resistance, molecular surveillance, and climate-sensitive highland transmission. Recent work includes HRP2/LDH rapid diagnostic tests, AI-supported microscopy, and molecular markers of antimalarial drug resistance.
DiagnosticsDrug resistanceGenomic surveillance
ResearchGate
Gustavo Da Silva
Gustavo Da Silva, MS
PhD Candidate
Malaria population genomics · P. vivax Cambodia, P. malariae Africa, P. falciparum Ethiopia · Amplicon sequencing pipelines
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PhD candidate working on malaria population genomics and amplicon sequencing workflows. His projects use microhaplotypes, parasite relatedness, IBD networks, and molecular surveillance to study transmission connectivity across Plasmodium species, including P. vivax, P. malariae, and P. falciparum.
Population genomicsAmpSeqTransmission networks
ResearchGate
Laurel A. Lown
Laurel A. Lown, MS
PhD Candidate
Parasite genomics and malaria epidemiology; amplicon sequencing pipeline development
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PhD candidate working at the intersection of parasite genomics, malaria epidemiology, and sequencing pipeline development. Her work helps connect amplicon sequencing data, genetic diversity, and transmission patterns in malaria-endemic settings.
Parasite genomicsEpidemiologyPipelines
ResearchGate
DJ Mattei-Lopez
DJ Mattei-Lopez, MS
PhD Student
Effects of vector control methods on malaria transmission in Kenya; mosquito-parasite interactions
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PhD student studying how vector control methods shape malaria transmission in Kenya. His work connects mosquito-parasite interactions, field epidemiology, and molecular data to better understand the impact of interventions on parasite transmission.
Vector controlKenyaMosquito-parasite interactions
ResearchGate
Henry Kamugisha
Henry Kamugisha, MS
PhD Student
Malaria epidemiology and molecular surveillance
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PhD student focused on malaria epidemiology and molecular surveillance. His work supports data-driven approaches for understanding parasite transmission and strengthening genomic surveillance capacity in endemic regions.
EpidemiologyMolecular surveillanceMalaria transmission
ResearchGate
Nahom G. Mulatu, MD
Nahom G. Mulatu, MD
MS Global Health Student
Global health research; pediatric diagnostics; rheumatic heart disease; antibiotic stewardship
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Dr. Nahom Mulatu is a physician and global health researcher pursuing a Master of Science in Global Health at the University of Notre Dame. His research focuses on improving the diagnosis of Group A Streptococcal pharyngitis in Ethiopian children, with implications for antibiotic stewardship, clinical guidelines, and pediatric cardiac care, particularly rheumatic heart disease. He is also interested in global surgery and plans to pursue a general surgery residency before returning to Ethiopia to contribute to surgical care and health system strengthening.
Group A Strep Antibiotic stewardship Global surgery
Past Members
05

Selected Publications

2025
Oduma CO, Lulu B, Ewnetu Y, Woyessa A, Berhane A, Belachew M, Ayele S, Holzschuh A, Golassa L, Koepfli C
PLOS Neglected Tropical Diseases, 2025
2025
Tapaopong P, Da Silva G, Holzschuh A, Sriwichai P, Sattabongkot J, Nguitragool W, Koepfli C
Scientific Reports, 2025
2024
Holzschuh A, Lerch A, Fakih BS, Al-Mafazy A-WH, Reaves EJ, Ali A, Abbas F, Ali MH, Ali MA, Hetzel MW, Yukich J, Koepfli C
PLOS Global Public Health, 2024
2024
Holzschuh A, Ewnetu Y, Carlier L, Warsame M, Mamo H, Tibebu M, Barroso M, Dube T, Koepfli L, Golassa L, Koepfli C
Molecular Ecology, 2024
2023
Opoku Afriyie S, Addison TK, Gebre Y, Mutala A-H, Antwi KB, Abbas DA, Addo KA, Tweneboah A, Ayisi-Boateng NK, Koepfli C, Badu K
Malaria Journal, 2023
2023
Holzschuh A, Lerch A, Gerlovina I, Fakih BS, Al-Mafazy A-WH, Reaves EJ, Ali A, Abbas F, Ali MH, Ali MA, Hetzel MW, Yukich J, Koepfli C
Nature Communications, 2023
2022
Vera-Arias CA, Holzschuh A, Oduma CO, Kibria MG, Badu K, Tetteh KKA, Sepulveda N, Felger I, Koepfli C
eLife, 2022
2022
Niyukuri D, Sinzinkayo D, Troth EV, Oduma CO, Barengayabo M, Ndereyimana M, Holzschuh A, Vera-Arias CA, Gebre Y, Badu K, Nyandwi J, Baza D, Juma E, Koepfli C
PLOS Global Public Health, 2022
2021
Oduma CO, Ogolla S, Atieli H, Ondigo BN, Lee M-C, Githeko AK, Dent AE, Kazura JW, Yan G, Koepfli C
BMC Infectious Diseases, 2021
2021
Sinzinkayo D, Baza D, Gnanguenon V, Koepfli C
Malaria Journal, 2021
2020
Martin JA, Hendershot AL, Saá Portilla IA, English DJ, Woodruff M, Vera-Arias CA, Salazar-Costa BE, Bustillos JJ, Saénz FE, Ocaña-Mayorga S, Koepfli C, Lobo NF
Malaria Journal, 2020
2020
Sagna AB, Kibria MG, Naher S, Johora FT, Haque R, Alam MS, Koepfli C
Malaria Journal, 2020
View all publications on PubMed
06

Global Partnerships

We work in close collaboration with research institutions, ministries of health, universities, and industry partners advancing malaria research and innovation. These partnerships connect field expertise, public health priorities, laboratory science, and technology development, forming the foundation of our collaborative approach to malaria genomics and molecular epidemiology.

Brazil
BMIM, Instituto René Rachou – FIOCRUZ Minas
Burundi
National Institute of Public Health
Université du Burundi
Ethiopia
University of Gondar
Hawassa University
Ghana
Kwame Nkrumah University of Science & Technology
Kenya
Kenya Medical Research Institute (KEMRI)
Korea
Noul Co.
Rapigen
Switzerland
Swiss Tropical and Public Health Institute
Tanzania
Zanzibar Malaria Elimination Programme (ZAMEP)
Ifakara Health Institute
Thailand
Faculty of Tropical Medicine
Mahidol University
Field studies conducted Samples analyzed in our lab or through collaborative in-country experiments
KOEPFLI LAB

Contact

Get in touch with the Koepfli Lab

We welcome PhD students, postdocs, visiting scholars, and collaborators working in molecular biology, bioinformatics, or infectious disease epidemiology. We are especially committed to long-term partnerships with scientists and institutions in malaria-endemic countries.

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