bims-mosdis Biomed News
on Mosquito distribution and disease
Issue of 2020–12–27
six papers selected by
Richard Halfpenny, Staffordshire University



  1. Am J Trop Med Hyg. 2020 Dec 21.
      The global malaria burden has decreased substantially, but gains have been uneven both within and between countries. In Zambia, the malaria burden remains high in northern and eastern regions of the country. To effectively reduce malaria transmission in these areas, evidence-based intervention strategies are needed. Zambia's National Malaria Control Centre conducted targeted indoor residual spraying (IRS) in 40 high-burden districts from 2014 to 2016 using the novel organophosphate insecticide pirimiphos-methyl. The Southern and Central Africa International Centers of Excellence for Malaria Research conducted an evaluation of the impact of the IRS campaign on household vector abundance in Nchelenge district, Luapula Province. From April 2012 to July 2017, field teams conducted indoor overnight vector collections from 25 to 30 households per month using Centers for Disease Control light traps. Changes in indoor anopheline counts before versus after IRS were assessed by species using negative binomial regression models with robust standard errors, controlling for geographic and climatological covariates. Counts of Anopheles funestus declined by approximately 50% in the study area and within areas targeted for IRS, and counts of Anopheles gambiae declined by approximately 40%. Within targeted areas, An. funestus counts declined more in sprayed households than in unsprayed households; however, this relationship was not observed for An. gambiae. The moderate decrease in indoor vector abundance indicates that IRS with pirimiphos-methyl is an effective vector control measure, but a more comprehensive package of interventions is needed with sufficient coverage to effectively reduce the malaria burden in this setting.
    DOI:  https://doi.org/10.4269/ajtmh.20-0537
  2. PLoS Negl Trop Dis. 2020 Dec 21. 14(12): e0008924
       BACKGROUND: As a mosquito-borne infectious disease, dengue fever (DF) has spread through tropical and subtropical regions worldwide in recent decades. Dengue forecasting is essential for enhancing the effectiveness of preventive measures. Current studies have been primarily conducted at national, sub-national, and city levels, while an intra-urban dengue forecasting at a fine spatial resolution still remains a challenging feat. As viruses spread rapidly because of a highly dynamic population flow, integrating spatial interactions of human movements between regions would be potentially beneficial for intra-urban dengue forecasting.
    METHODOLOGY: In this study, a new framework for enhancing intra-urban dengue forecasting was developed by integrating the spatial interactions between urban regions. First, a graph-embedding technique called Node2Vec was employed to learn the embeddings (in the form of an N-dimensional real-valued vector) of the regions from their population flow network. As strongly interacting regions would have more similar embeddings, the embeddings can serve as "interaction features." Then, the interaction features were combined with those commonly used features (e.g., temperature, rainfall, and population) to enhance the supervised learning-based dengue forecasting models at a fine-grained intra-urban scale.
    RESULTS: The performance of forecasting models (i.e., SVM, LASSO, and ANN) integrated with and without interaction features is tested and compared on township level dengue forecasting in Guangzhou, the most dengue threatened sub-tropical city in China. Results show that models using both common and interaction features can achieve better performance than that using common features alone.
    CONCLUSIONS: The proposed approach for incorporating spatial interactions of human movements using graph-embedding technique is effective, which can help enhance fine-grained intra-urban dengue forecasting.
    DOI:  https://doi.org/10.1371/journal.pntd.0008924
  3. PLoS Negl Trop Dis. 2020 Dec 21. 14(12): e0008880
       INTRODUCTION: Dengue, Zika and Chikungunya are RNA Arboviruses present in some areas of Mexico, mainly in the endemic state of Chiapas that is characterized by presence of the vector that transmit them and an ecology that favors high transmission. According to the national epidemiological surveillance system, Dengue has intensified since 2018 and outbreaks continue in various states while for Zika and Chikungunya a decrease in cases has been reported in recent years. The main objective of this study was to determine the incidence of Dengue, Zika and Chikungunya infections during pregnancy in the state of Chiapas.
    PRINCIPAL FINDINGS: The presence of previous and current infections and coinfections diagnosed by molecular (RT-PCR) and immunological (ELISA for IgG determination) techniques indicates a wide circulation of viruses in asymptomatic people, specifically in pregnant women showing that silent infections in dry season contributes to the preservation of viruses.
    CONCLUSIONS: From 136 studied samples, 27.7% tested positive for DENV, 8% for ZIKV and 24.1% for CHIKV by RTPCR and the values of IgG in sera show that 83.9% were positive for IgG antibodies against DENV, 65% against ZIKV and 59.1% against CHIKV. Results demonstrated presence of ZIKV and CHIKV, not detected by the epidemiological surveillance system, so the importance of establishing proactive epidemiological systems more strict, especially because these infections in pregnant women can cause severe health problems for newborn children.
    DOI:  https://doi.org/10.1371/journal.pntd.0008880
  4. Am J Trop Med Hyg. 2020 Dec 21.
      Insecticide treated nets (ITNs) have been the major tool in halving malaria's burden since 2000, but pyrethroid insecticide resistance threatens their ongoing effectiveness. In 2017, the WHO concluded that long-lasting ITNs (LLINs) with a synergist, piperonyl butoxide (PBO), provided additional public health benefit over conventional (pyrethroid-only) LLINs alone in areas of moderate insecticide resistance and endorsed them as a new class of vector control products. We performed an economic appraisal of PBO nets compared with conventional LLINs in 2019 US$ from prevention and health systems perspectives (including treatment cost offsets). We used data from a pragmatic randomized 2012-2014 trial in Nigeria with epidemiological outcomes in an area with confirmed pyrethroid resistance. Each village had 50 months of epidemiologic data, analyzed by village by month, using negative binomial regression. Compared with LLINs, although adding $0.90 per net delivered, PBO nets reduced symptomatic malaria cases by 33.4% (95% CI 10.2-50.6%). From a prevention perspective, the incremental cost-effectiveness ratio was $11 (95% CI $8-$37) per disability-adjusted life year averted. From the health systems perspective, PBO nets were significantly cost-saving relative to conventional LLINs. The benefit-cost analysis found that the added economic benefits of PBO nets over LLINs were $201 (95% CI $61-$304) for every $1 in incremental costs. Growing pyrethroid resistance is likely to strengthen the economic value of PBO nets over LLINs. Beyond their contribution to reducing malaria, PBO nets deliver outstanding economic returns for a small additional cost above conventional LLINs in locations with insecticide resistance.
    DOI:  https://doi.org/10.4269/ajtmh.20-0956
  5. Biochimie. 2020 Dec 17. pii: S0300-9084(20)30330-8. [Epub ahead of print]
      The malaria parasite has an extraordinary ability to evade the immune system due to which the development of a malaria vaccine is a challenging task. Extensive research on malarial infection in the human host particularly during the liver stage has resulted in the discovery of potential candidate vaccines including RTS,S/AS01 and R21. However, complete elimination of malaria would require a holistic multi-component approach. In line with this, under the World Health Organization's PATH Malaria Vaccine Initiative (MVI), the research focus has shifted towards the sexual stages of malaria in the mosquito host. Last two decades of scientific research obtained seminal information regarding the sexual/mosquito stages of the malaria. This updated and comprehensive review would provide the basis for consolidated understanding of cellular, biochemical, molecular and immunological aspects of parasite transmission right from the sexual stage commitment in the human host to the sporozoite delivery back into subsequent vertebrate host by the female Anopheles mosquito.
    Keywords:  Gametocytogenesis; Host seeking behavior of mosquito; Mosquito immunity; Mosquito sporozoite biology; Ookinete invasion of midgut; Plasmodium sexual stages; Transmission blocking vaccines
    DOI:  https://doi.org/10.1016/j.biochi.2020.12.009
  6. Epidemics. 2020 Dec 13. pii: S1755-4365(20)30042-6. [Epub ahead of print]34 100422
      The global incidence of dengue is increasing, and many previously unaffected areas have reported local cases of the vector-borne disease in recent years. For the effective containment of local outbreaks health authorities rely on the prompt notification of new cases. However, due to severe under-reporting and misdiagnosis, non-endemic countries face difficulties in containing local outbreaks, and the possibility of dengue becoming endemic. Outbreak control measures in non-endemic countries are largely reactive and health authorities would benefit from a universal early warning system that forecasts the probability of dengue outbreaks for given times and locations. We develop a model that establishes a link between pre- and post-border risk of dengue outbreaks. Specifically, we predict the probability of travellers importing dengue from other countries as well as the probability of those travellers causing local outbreaks. Our model can act as an early warning system, forecasting likely times and places of dengue outbreaks. We run our model for the Australian state of Queensland over a period of twelve years. Our results reveal the airports where dengue infected travellers are most likely to arrive and geographic locations associated with high outbreak probabilities. Our results can be used by health authorities to better utilise prevention and control resources and lead to the development of new prevention measures.
    Keywords:  Dengue; Early warning system; Forecasting disease spread; Human mobility
    DOI:  https://doi.org/10.1016/j.epidem.2020.100422