scholarly journals Case-area targeted interventions (CATI) for reactive dengue control: Modelling effectiveness of vector control and prophylactic drugs in Singapore

2021 ◽  
Vol 15 (8) ◽  
pp. e0009562
Author(s):  
Oliver J. Brady ◽  
Adam J. Kucharski ◽  
Sebastian Funk ◽  
Yalda Jafari ◽  
Marnix Van Loock ◽  
...  

Background Targeting interventions to areas that have recently experienced cases of disease is one strategy to contain outbreaks of infectious disease. Such case-area targeted interventions (CATI) have become an increasingly popular approach for dengue control but there is little evidence to suggest how precisely targeted or how recent cases need to be, to mount an effective response. The growing interest in the development of prophylactic and therapeutic drugs for dengue has also given new relevance for CATI strategies to interrupt transmission or deliver early treatment. Methods/Principal findings Here we develop a patch-based mathematical model of spatial dengue spread and fit it to spatiotemporal datasets from Singapore. Simulations from this model suggest CATI strategies could be effective, particularly if used in lower density areas. To maximise effectiveness, increasing the size of the radius around an index case should be prioritised even if it results in delays in the intervention being applied. This is partially because large intervention radii ensure individuals receive multiple and regular rounds of drug dosing or vector control, and thus boost overall coverage. Given equivalent efficacy, CATIs using prophylactic drugs are predicted to be more effective than adult mosquito-killing vector control methods and may even offer the possibility of interrupting individual chains of transmission if rapidly deployed. CATI strategies quickly lose their effectiveness if baseline transmission increases or case detection rates fall. Conclusions/Significance These results suggest CATI strategies can play an important role in dengue control but are likely to be most relevant for low transmission areas where high coverage of other non-reactive interventions already exists. Controlled field trials are needed to assess the field efficacy and practical constraints of large operational CATI strategies.

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Nicholas J. Martin ◽  
Vu S. Nam ◽  
Andrew A. Lover ◽  
Tran V. Phong ◽  
Tran C. Tu ◽  
...  

Abstract Background The complexity of mosquito-borne diseases poses a major challenge to global health efforts to mitigate their impact on people residing in sub-tropical and tropical regions, to travellers and deployed military personnel. To supplement drug- and vaccine-based disease control programmes, other strategies are urgently needed, including the direct control of disease vectors. Modern vector control research generally focuses on identifying novel active ingredients and/or innovative methods to reduce human-mosquito interactions. These efforts include the evaluation of spatial repellents, which are compounds capable of altering mosquito feeding behaviour without direct contact with the chemical source. Methods This project examined the impact of airborne transfluthrin from impregnated textile materials on two important malaria vectors, Anopheles dirus and Anopheles minimus. Repellency was measured by movement within taxis cages within a semi-field environment at the National Institute of Hygiene and Epidemiology in Hanoi, Vietnam. Knockdown and mortality were measured in adult mosquito bioassay cages. Metered-volume air samples were collected at a sub-set of points in the mosquito exposure trial. Results Significant differences in knockdown/mortality were observed along a gradient from the exposure source with higher rates of knockdown/mortality at 2 m and 4 m when compared with the furthest distance (16 m). Knockdown/mortality was also greater at floor level and 1.5 m when compared to 3 m above the floor. Repellency was not significantly different except when comparing 2 m and 16 m taxis cages. Importantly, the two species reacted differently to transfluthrin, with An. minimus being more susceptible to knockdown and mortality. The measured concentrations of airborne transfluthrin ranged from below the limit of detection to 1.32 ng/L, however there were a limited number of evaluable samples complicating interpretation of these results. Conclusions This study, measuring repellency, knockdown and mortality in two malaria vectors in Vietnam demonstrates that both species are sensitive to airborne transfluthrin. The differences in magnitude of response between the two species requires further study before use in large-scale vector control programmes to delineate how spatial repellency would impact the development of insecticide resistance and the disruption of biting behaviour.


2018 ◽  
Author(s):  
J. Dylan Shropshire ◽  
Jungmin On ◽  
Emily M. Layton ◽  
Helen Zhou ◽  
Seth R. Bordenstein

AbstractWolbachia are maternally-inherited, intracellular bacteria at the forefront of vector control efforts to curb arbovirus transmission. In international field trials, the cytoplasmic incompatibility (CI) drive system of wMel Wolbachia is deployed to replace target vector populations, whereby a Wolbachia– induced modification of the sperm genome kills embryos. However, Wolbachia in the embryo rescue the sperm genome impairment, and therefore CI results in a strong fitness advantage for infected females that transmit the bacteria to offspring. The two genes responsible for the wMel-induced sperm modification of CI, cifA and cifB, were recently identified in the eukaryotic association module of prophage WO, but the genetic basis of rescue is unresolved. Here we use transgenic and cytological approaches to demonstrate that cifA independently rescues CI and nullifies embryonic death caused by wMel Wolbachia in Drosophila melanogaster. Discovery of cifA as the rescue gene and previously one of two CI induction genes establishes a new ‘Two-by-One’ model that underpins the genetic basis of CI. Results highlight the central role of prophage WO in shaping Wolbachia phenotypes that are significant to arthropod evolution and vector control.Significance StatementThe World Health Organization recommended pilot deployment of Wolbachia-infected mosquitoes to curb viral transmission to humans. Releases of mosquitoes are underway worldwide because Wolbachia can block replication of these pathogenic viruses and deterministically spread by a drive system termed cytoplasmic incompatibility (CI). Despite extensive research, the underlying genetic basis of CI remains only half-solved. We recently reported that two prophage WO genes recapitulate the modification component of CI in a released strain for vector control. Here we show that one of these genes underpins rescue of CI. Together, our results reveal the complete genetic basis of this selfish trait and pave the way for future studies exploring WO prophage genes as adjuncts or alternatives to current control efforts.


2020 ◽  
Author(s):  
Rajendra Maharaj ◽  
Vishan Lakan ◽  
Kiash Maharaj

Abstract Background: Although great strides have been made in controlling malaria, the disease is of significant public health importance. Historically, efforts to control the vector has concentrated on adult vector control targeting the female Anopheles mosquitoes. As there is now a focus on eliminating residual malaria from KwaZulu-Natal, new strategies are being investigated to increase the impact of malaria elimination strategies. Greater attention is now being given to larval control, as a complementary measure to indoor residual spraying. However, there is a large gap in knowledge of the bionomics of the larval stages of this mosquito vector of malaria in South Africa. In order to focus on both larval and adult mosquito control methods, larval development and the reproductive stages of the vector were investigated since these variables influences our ability to impact mosquito populations through larval control. This study was therefore conducted to determine the peak eruption times and the emergent sex ratios, as well as the peak egg oviposition time in order to attack the mosquito when it is at its most vulnerable and when control interventions will have the most impact.Results: Oviposition studies showed two peaks corresponding with late evening and again just before dawn. Most eggs were also laid in the first half of the night (18h00 – midnight). Most mosquitoes erupted just after sunset and the sex ratios showed that twice as many females as males emerged. Females readily took a bloodmeal after oviposition or just after erupting. Hatch rate to viable first instar larvae was 74.5%.Conclusions: The results of this study have provided information as to when interventions would be most effective in controlling mosquito populations and have provided information that highlights the value of larval control as a complementary measure to adult mosquito control. The most vulnerable stages of the female Anopheles arabiensis are when they have just emerged or when they have just oviposited. Vector control strategies should be designed to target these vulnerable stages at the breeding sites in order to have maximum impact.


2020 ◽  
Vol 2020 ◽  
pp. 1-13
Author(s):  
Nayana Gunathilaka ◽  
Koshila Ranasinghe ◽  
Deepika Amarasinghe ◽  
Wasana Rodrigo ◽  
Harendra Mallawarachchi ◽  
...  

Background. Larval and adult mosquito stages harbor different extracellular microbes exhibiting various functions in their digestive tract including host-parasite interactions. Midgut symbiotic bacteria can be genetically exploited to express molecules within the vectors, altering vector competency and potential for disease transmission. Therefore, identification of mosquito gut inhabiting microbiota is of ample importance before developing novel vector control strategies that involve modification of vectors. Method. Adult mosquitoes of Culex tritaeniorhynchus, Culex gelidus, and Mansonia annulifera were collected from selected Medical Officer of Health (MOH) areas in the Gampaha district of Sri Lanka. Midgut lysates of the field-caught non-blood-fed female mosquitoes were cultured in Plate Count Agar medium, and Prokaryotic 16S ribosomal RNA partial genes of the isolated bacteria colonies were amplified followed by DNA sequencing. Diversity indices were used to assess the diversity and richness of the bacterial isolates in three mosquito species. The distribution pattern of bacterial isolates between different mosquito species was assessed by Distance-Based Redundancy Analysis (dbRDA). Results. A total of 20 bacterial species (Staphylococcus pasteuri, Bacillus megaterium, Staphylococcus cohnii, Pantoea dispersa, Staphylococcus chromogenes, Bacillus aquimaris, Staphylococcus arlettae, Staphylococcus sciuri, Staphylococcus warneri, Moraxella osloensis, Enterobacter sp., Klebsiella michiganensis, Staphylococcus hominis, Staphylococcus saprophyticus, Streptomyces sp., Bacillus niacin, Cedecea neteri, Micrococcus luteus, Lysinibacillus sphaericus, and Bacillus licheniformis) were identified. All of these species belonged to three phyla, Proteobacteria, Firmicutes, and Actinobacteria, out of which phylum Firmicutes (71.1%) was the most prominent. The least number of species was recorded from Actinobacteria. The relative distribution of midgut microbes in different mosquito species differed significantly among mosquito species (Chi-square, χ2=486.091; df=36; P≤0.001). Midgut microbiota of Cx. tritaeniorhynchus and Cx. gelidus indicated a similarity of 21.51%, while Ma. annulifera shared a similarity of 6.92% with the cluster of above two species. The gut microbiota of Cx. tritaeniorhynchus was also significantly more diverse and more evenly distributed compared to Ma. annulifera. Simpson’s diversity, Margalef’s diversity, and Menhinick’s diversity indices were higher in Cx. gelidus. Of the recorded species, P. dispersa and strains of nonpathogenic species in Bacillaceae family (B. megaterium, B. niacini, B. licheniformis, and L. sphaericus) can be recommended as potential candidates for paratransgenesis. Conclusion. The relative distribution of midgut microbes in different mosquito species differed significantly among the three studied adult mosquito species. The present data strongly encourage further investigations to explore the potential usage of these microbes through paratransgenic approach for novel eco-friendly vector control strategies.


2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Marco L. Leung ◽  
Deborah J. Watson ◽  
Courtney N. Vaccaro ◽  
Fernanda Mafra ◽  
Adam Wenocur ◽  
...  

AbstractCystic fibrosis (CF) is one of the most common genetic diseases worldwide with high carrier frequencies across different ethnicities. Next generation sequencing of the cystic fibrosis transmembrane conductance regulator (CFTR) gene has proven to be an effective screening tool to determine carrier status with high detection rates. Here, we evaluate the performance of the Swift Biosciences Accel-Amplicon CFTR Capture Panel using CFTR-positive DNA samples. This assay is a one-day protocol that allows for one-tube reaction of 87 amplicons that span all coding regions, 5′ and 3′UTR, as well as four intronic regions. In this study, we provide the FASTQ, BAM, and VCF files on seven unique CFTR-positive samples and one normal control sample (14 samples processed including repeated samples). This method generated sequencing data with high coverage and near 100% on-target reads. We found that coverage depth was correlated with the GC content of each exon. This dataset is instrumental for clinical laboratories that are evaluating this technology as part of their carrier screening program.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Francois Merlin ◽  
Zhiwen Zhu ◽  
Min Yang ◽  
Bing Chen ◽  
Kenneth Lee ◽  
...  

AbstractThe increasing oil demand and busy waterways highlight the importance of oil spill preparedness and responses. Dispersants attract attention as an effective response tool to manage the impacts of major spill incidents. Despite in-depth laboratory evaluations on the effectiveness of chemical dispersants and their impacts on the transportation and fate of spilled oils, how dispersant works at sea remains a question and calls for the tests with greater realism to validate laboratory results, bring in energy impacts, and evaluate dispersant application equipment. Mesoscale studies and field trials have thus been widely conducted to assist better spill response operations. Such research attempts, however, lack a systematic summary. This study tried to fill the knowledge gaps by introducing the mesoscale facilities developed to advance the understanding of dispersant effectiveness on various sea conditions. An up-to-date overview of mesoscale studies and field trial assessments of dispersant effectiveness has also been conducted. We ended this review by highlighting the importance of public perception and future research needs to promote the approval and application of dispersants in spill incidents.


2021 ◽  
Author(s):  
David Benitez-Valladares ◽  
Axel Kroeger ◽  
Gustavo Sánchez Tejeda ◽  
Laith Hussain-Alkhateeb

AbstractBackgroundDuring 2017, twenty health districts (locations) in Mexico implemented a dengue outbreak early warning and response system (EWARS) that uses epidemiological, meteorological and entomological variables (alarm indicators) to predict dengue outbreaks and triggers early response activities.Eleven of these districts were analyzed as they presented reliable information. Nine districts presented outbreak alarms but without subsequent outbreaks (“non-outbreak districts”) and two presented after the alarms dengue outbreaks (“outbreak districts”). This study is concerned with i) if the alarms without outbreaks were false alarms or if the control services had established effective response activities averting an outbreak and ii) if vector control activities can mitigate or even avert dengue outbreaks.MethodsFive components of dengue outbreak response (larval control, entomological studies with water container interventions, focal spraying, indoor residual spraying, space spraying) were quantitatively analyzed across two groups (”outbreak districts” and “non-outbreak districts”).ResultsThe average coverage of vector control and responses were higher in non-outbreak districts and across all five components. In the “outbreak districts” the response activities started late and were of much lower intensity compared to “non-outbreak districts”. District vector control teams demonstrated diverse compliance with local guidlines for ‘initial’, ‘early’ and ‘late’ responses to outbreak alarms which could explain the different outcomes observed following the outbreak alarms.Conclusionfindings from this study plausibly demonstrates important operational scenarios when succeeding or failing alarms signals generated by EWARS at national level. This study presents evidence warranting for further investigation into the effectiveness and cost-effectiveness of EWARS using gold-standard designs.


2020 ◽  
Author(s):  
Ashwaq Madani Alnazawi ◽  
Simon Ashall ◽  
David Weetman

Vector control programs worldwide are facing the challenge of mosquitoes becoming resistant to available insecticides. Larviciding is a crucial preventative measure for dengue control but data on insecticide resistance of larval Ae. aegypti in the Middle Eastern Region are limited. This study assesses the susceptibility status of Ae. aegypti collected from the two most important dengue foci in Saudi Arabia, Jeddah and Makkah, to important chemical and biological larvicides; the organophosphate temephos and Bacillus thuringiensis israelensis, Bti). Whilst worldwide, and particularly in Latin America, high-level resistance to temephos is common, Jeddah and Makkah populations exhibited full susceptibility to both temephos and Bti. These data suggest each can be considered by vector control programs for preventative dengue control in the region, as part of temporal rotations or spatial mosaics to manage insecticide resistance.


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