Is routine dengue vector surveillance in central Brazil able to accurately monitor the Aedes aegypti population? Results from a pupal productivity survey

Objective To assess how well the Aedes aegypti infestation rapid survey, Levantamento Rapido de Indice para Aedes aegypti (LIRAa), is able to accurately estimate dengue vector densities and target the most important breeding sites in Goiania, Brazil. Methods In February 2009, a pupal productivity survey was conducted in 2 districts of the city of Goiania, central Brazil. The results were compared to those of LIRAas conducted in the same districts during the months before and after the pupal productivity survey. Results In the pupal productivity survey, 2 024 houses were surveyed and 2 969 water‐holding containers were inspected. Discarded small water containers most frequently contained immature Ae. aegypti. The most pupal‐productive containers were elevated water tanks, roof gutters and water holding roofs. Combined, these three containers accounted for <40% of all positive containers but produced >70% of all pupae. In the two districts where the pupal productivity survey was conducted, the house indices were 5.1 and 4.6 and the Breteau indices were 5.9 and 6.0. In contrast, the two LIRAs conducted in the same two districts resulted in an average house index of 1.5 and Breteau index of 2.5, with discarded items identified as the most frequently infested container type. Conclusion Both the LIRAa and the pupal productivity survey identified discarded items as being most frequently infested with immature stages of Ae. aegypti, but the pupal productivity survey showed that elevated containers produced the greatest proportion of Ae. aegypti pupae (a proxy measure of adult vector density) and that the values of the Stegomyia indices were substantially underestimated by LIRAa. Although both surveys differ considerably in terms of sampling method and manpower, in the case of this study the LIRAa did not accurately identify or target the containers that were the most important to adult mosquito production.     

Relevance of differentiating between residential and non-residential premises for surveillance and control of Aedes aegypti in Rio de Janeiro, Brazil

Entomological surveys on Aedes aegypti (L.) often focus on residential premises, while ignoring non-residential premises. It has been proposed that the latter should be subject to specific monitoring strategies, since they have the potential to contribute a large proportion of the overall mosquito population. In this study, we used traps for ovipositing females to compare the levels of Ae. aegypti infestation in residential and non-residential premises and assess whether there was any evidence for a spatial association of infestation between non-residential premises and the surrounding homes. This information is important for designing specific surveillance programmes for these special sites and their surroundings. This study was conducted in three neighbourhoods of the city of Rio de Janeiro, Brazil, with distinct population densities, water services, dengue histories and vegetation coverage. Ae. aegypti abundance was measured using two types of traps (standard and sticky ovitraps) installed in five non-residential premises and 80 residential premises per neighbourhood. Mosquitoes were collected in the summer (January to March) and winter (June to September) of 2007. The distribution of captures per household per week did not differ significantly between the seasons, although larger numbers of eggs and adults were obtained during the summer. Most non-residential premises were not significantly more infested than homes, despite the larger quantities of containers. There were a few exceptions, including a transportation company, two recycling centres and a boat yard. These highly infested non-residential premises were also spatially associated with highly infested homes in the vicinity. Continuous monitoring with traps may be an effective way of evaluating non-residential premises as sources of dengue vectors for nearby communities.     

Dengue cases and Aedes aegypti indices in Trinidad, West Indies

This study was conducted to determine whether any relationships exist between Aedes aegypti indices, dengue seroprevalence and dengue transmission in County Victoria, Trinidad, West Indies. The cardinal points surveillance method was used to evaluate 50 suspected dengue fever (DF) cases. Thirty-three (33) confirmed DF cases were fully investigated within 48 h of clinical diagnosis. Using retrospective data collected during the previous year (2003-2004) and study data, key premises and key containers were determined. Ninety-two percent of the houses were considered key premises, and 66% (22/33) of the houses with dengue positive cases harboured Ae. aegypti immature stages. These results showed that significantly (P < 0.001) more adults (1050 vs 493) and immatures were collected during dengue case investigations than during routine inspection and treatment cycles. In addition, when the DF diagnosis was made the pupae per person rates increased from 0.65 to 1.35 with significantly (P < 0.001) larger numbers of Ae. aegypti females emerging daily, increasing from 221 to 472.5. That is, the mosquito density required for DF transmission may be high for Trinidad given the high seroprevalence rates (94% among pregnant women). These results suggest that dengue transmission occurs, not at a fixed entomologic figure/quantity but rather at a variable level based on numerous factors including seroprevalence, mosquito density and climate. These findings have implications for effective programs: by combining cardinal points and the key premises approaches; vector control programs can now target the most productive containers in key premises thus reducing dengue transmission levels.     

The development of predictive tools for pre‐emptive dengue vector control: a study of Aedes aegypti abundance and meteorological variables in North Queensland,Australia

Objectives To describe the meteorological influences on adult dengue vector abundance in Australia for the development of predictive models to trigger pre‐emptive control operation. Methods Multiple linear regression analyses were performed using meteorological data and female Aedes aegypti collection data from BG‐Sentinel Mosquito traps placed at 11 monitoring sites in Cairns, north Queensland. Results Considerable regression coefficients (R² = 0.64 and 0.61) for longer‐ and shorter‐term factor models respectively were derived. Longer‐term factors significantly associated with abundance of adult vectors were mean minimum temperature (lagged 6 month) and mean daily temperature (lagged 4 month), explaining the predictable increase in abundance during the wet season. Factors explaining fluctuation in abundance in the shorter term were mean relative humidity over the previous 2 week and current daily average temperature. Rainfall variables were not found to be strong predictors of A. aegypti abundance in either longer‐ or shorter‐term models. Conclusions The implications of these findings for the development of useful predictive models for vector abundance risks are discussed. Such models can be used to guide the application of pre‐emptive dengue vector control, and thereby enhance disease management.     

Aedes aegypti in Jamaica,West Indies: container productivity profiles to inform control strategies

Objective To describe the Aedes aegypti container profile in the three parishes of Portland, St. Anns and St. Catherine, Jamaica. Method Traditional stegomyia and pupae per person indices. Results A total of 8855 containers were inspected. A. aegypti were breeding in 19.2% of the 4728 containers in Portland, in 6.7% of the 2639 containers in St. Ann, and in 27.2% of the 1488 containers in Tryhall Heights, St. Catherine. Container types differed between Portland (P > 0.02) on one hand and St. Ann and Tryhall Heights, St. Catherine on the other hand: there were with no vases or potted plants with water saucers in St. Ann and St. Catherine. A. aegypti were breeding in more containers in St. Catherine (38%) (38% in wet season and 21% in the dry season) than in Portland (19%) or St. Ann (6%), both of which had more containers but A. aegypti breeding in fewer: 17.7% and 11.2% in the wet and 20.4% and 3.5% in the dry seasons respectively. The daily production of adult mosquitoes in the three study sites was 1.51, 1.29 and 0.66 adult female mosquitoes per person in Portland, St. Ann and St. Catherine during the dry season and 1.12, 0.23 and 1.04 female mosquitoes per person in the wet season respectively. Conclusion All three communities are at risk for dengue outbreaks and vector control should concentrate on reducing the mosquito populations from the most productive containers before a new dengue virus serotype is introduced into Jamaica.     

Characteristics of the spatial pattern of the dengue vector, Aedes aegypti, in Iquitos, Peru

We determine the spatial pattern of Aedes aegypti and the containers in which they develop in two neighborhoods of the Amazonian city of Iquitos, Peru. Four variables were examined: adult Ae. aegypti, pupae, containers positive for larvae or pupae, and all water-holding containers. Adults clustered strongly within houses and weakly to a distance of 30 meters beyond the household; clustering was not detected beyond 10 meters for positive containers or pupae. Over short periods of time restricted flight range and frequent blood-feeding behavior of Ae. aegypti appear to be underlying factors in the clustering patterns of human dengue infections. Permanent, consistently infested containers (key premises) were not major producers of Ae. aegypti, indicating that larvaciding strategies by themselves may be less effective than reduction of mosquito development sites by source reduction and education campaigns. We conclude that entomologic risk of human dengue infection should be assessed at the household level at frequent time intervals.     

Mosquito-Producing Containers,Spatial Distribution,and Relationship between Aedes aegypti Population Indices on the Southern Boundary of its Distribution in South America (Salto,Uruguay)

A study was conducted in the city of Salto, Uruguay, to identify mosquito-producing containers, the spatial distribution of mosquitoes and the relationship between the different population indices of Aedes aegypti. On each of 312 premises visited, water-filled containers and immature Ae. aegypti mosquitoes were identified. The containers were counted and classified into six categories. Pupae per person and Stegomyia indices were calculated. Pupae per person were represented spatially. The number of each type of container and number of mosquitoes in each were analyzed and compared, and their spatial distribution was analyzed. No significant differences in the number of the different types of containers with mosquitoes or in the number of mosquitoes in each were found. The distribution of the containers with mosquito was random and the distribution of mosquitoes by type of container was aggregated or highly aggregated.     

CPB1 of Aedes aegypti Interacts with DENV2 E Protein and Regulates Intracellular Viral Accumulation and Release from Midgut Cells

Aedes aegypti is a principal vector responsible for the transmission of dengue viruses (DENV). To date, vector control remains the key option for dengue disease management. To develop new vector control strategies, a more comprehensive understanding of the biological interactions between DENV and Ae. aegypti is required. In this study, a cDNA library derived from the midgut of female adult Ae. aegypti was used in yeast two-hybrid (Y2H) screenings against DENV2 envelope (E) protein. Among the many interacting proteins identified, carboxypeptidase B1 (CPB1) was selected, and its biological interaction with E protein in Ae. aegypti primary midgut cells was further validated. Our double immunofluorescent assay showed that CPB1-E interaction occurred in the endoplasmic reticulum (ER) of the Ae. aegypti primary midgut cells. Overexpression of CPB1 in mosquito cells resulted in intracellular DENV2 genomic RNA or virus particle accumulation, with a lower amount of virus release. Therefore, we postulated that in Ae. aegypti midgut cells, CPB1 binds to the E protein deposited on the ER intraluminal membranes and inhibits DENV2 RNA encapsulation, thus inhibiting budding from the ER, and may interfere with immature virus transportation to the trans-Golgi network.     

Field comparison of thermal and non‐thermal ultra‐low‐volume applications using water and diesel as solvents for managing dengue vector,Aedes aegypti

Objectives To compare the effectiveness on Aedes aegypti (Linneo) (Diptera: Culicidae) of a larvicide‐adulticide ULV formulation applied by a thermal or a cold fogger using different solvents. Methods We applied, in field conditions, a ULV formulation containing pyriproxyfen and permethrin, using a thermal and a cold fogger and water or diesel as solvent. We determined the effectiveness of these applications on Ae. aegypti adults and larvae by different bioassays and measuring Breteau, house and adult indices. Results When water was used as solvent, the treatments applied with the cold or the thermal foggers were equally effective on adult mortality (close to 90%) and adult emergence inhibition (% EI) (close to 70%). When the thermal fogger was used with water as solvent, the adult mortality outside the houses (85%) was higher, but not significantly different, than with diesel (65%). The contrary happens inside (22%vs. 58%), while there were no differences in %EI. Adult and larval indices behaved similarly in all areas, with a slight tendency for the treatments applied using water as solvent to be more effective. Conclusions Water‐based formulations are equally or more effective than the one applied with diesel as solvent. The use of water as solvent will not only improve the effectiveness of this formulation but also reduce the environmental impact and costs of spraying compared to the use of diesel.     

First dengue virus detection in Aedes albopictus from Delhi, India: its breeding ecology and role in dengue transmission

Objective To report dengue virus and its disease transmission in Aedes albopictus in the National Capital Territory of Delhi, India. Methods Monthly Aedes surveys were carried out in 126 urban localities of Delhi in 2008 and 2009. Pools of all three species of Aedes mosquitoes were tested for Dengue virus (DENV) using an antigen‐capture enzyme‐linked immunosorbent assay. Results Aedes aegypti was the most prevalent species, breeding throughout the year. Aedes albopictus was found in 9.52% of surveyed localities including the central urban part of Delhi, in March and from August to October. Aedes albopictus and Aedes vittatus are adapting to breed in manmade containers in the urban areas of Delhi in addition to their natural habitats of bamboo bushes and rock pits. Of the 229 pools of Ae. aegypti and 34 pools of Ae. albopictus tested, 10.5% and 11.76% were positive for dengue virus, respectively. No dengue virus infection was recorded in Ae. vittatus. Conclusion This is the first report of dengue virus in Ae. albopictus from north India. Because DENV was detected in Ae. albopictus, which adapted to manmade containers, both its spread and transmission dynamics should be checked.     

Costs of dengue prevention and incremental cost of dengue outbreak control in Guantanamo, Cuba

Objective To assess the economic cost of routine Aedes aegypti control in an at‐risk environment without dengue endemicity and the incremental costs incurred during a sporadic outbreak. Methods The study was conducted in 2006 in the city of Guantanamo, Cuba. We took a societal perspective to calculate costs in months without dengue transmission (January–July) and during an outbreak (August–December). Data sources were bookkeeping records, direct observations and interviews. Results The total economic cost per inhabitant (p.i.) per month. (p.m.) increased from 2.76 USD in months without dengue transmission to 6.05 USD during an outbreak. In months without transmission, the routine Aedes control programme cost 1.67 USD p.i. p.m. Incremental costs during the outbreak were mainly incurred by the population and the primary/secondary level of the healthcare system, hardly by the vector control programme (1.64, 1.44 and 0.21 UDS increment p.i. p.m., respectively). The total cost for managing a hospitalized suspected dengue case was 296.60 USD (62.0% direct medical, 9.0% direct non‐medical and 29.0% indirect costs). In both periods, the main cost drivers for the Aedes control programme, the healthcare system and the community were the value of personnel and volunteer time or productivity losses. Conclusions Intensive efforts to keep A. aegypti infestation low entail important economic costs for society. When a dengue outbreak does occur eventually, costs increase sharply. In‐depth studies should assess which mix of activities and actors could maximize the effectiveness and cost‐effectiveness of routine Aedes control and dengue prevention.     

The unbearable lightness of technocratic efforts at dengue control

Objective To identify key elements that should provide an added value and assure sustainable effects of the deployment of technical tools for Aedes aegypti control. Methods An observational study was conducted between April 2001 and March 2002 in 30 blocks (1574 houses) in the central zone of Guantanamo city. A trial that combined two complementary technical interventions, the distribution of new ground level water tanks and the intensive use of insecticide, was nested in May 2001. Another 30 blocks (1535 houses) were selected as control area. We assessed community perceptions and household risk behaviour at baseline and after 9 months, and measured the trial’s impact through entomological indices. Results Perceived self efficacy to solve A. aegypti infestation and prevent dengue was not modified. We found no changes in behaviour. In the study area the container indices decreased significantly from 0.7% before to 0.1% 1 month after the intervention. Six months later, they had increased to 2.7% and uncovered new water tanks constituted 75.9% of all breeding sites. Over the 9 months after the trial the average monthly house indices were similar in the study and control areas. A technical approach and lack of community involvement in the trial’s implementation were the main causes of these short‐lived results. Conclusions Top–down deployment of technical tools without active involvement of the community has a temporary effect and does not lead to the behavioural changes necessary for sustainable A. aegypti control.     

Relationship between Aedes aegypti production and occurrence of Escherichia coli in domestic water storage containers in rural and sub-urban villages in Thailand and Laos

In a cross-sectional survey in one rural and one suburban village each in Thailand and Laos the relationship between Aedes aegypti production and Escherichia coli contamination in household water storage containers was investigated. Entomological and microbiological surveys were conducted in 250 and 239 houses in Thailand and Laos, respectively. Entomological indices across all four villages were high, indicating a high risk for dengue transmission. Significantly more Ae. aegypti pupae were produced in containers contaminated with E. coli as compared to those that were not, with the odds of Ae. aegypti infested containers being contaminated with E. coli ranging from two to five. The level of E. coli contamination varied across container classes but contamination levels were not significantly associated with the number of pupae produced. We conclude that the observed relationship between Ae. aegypti production and presence of E. coli in household water storage containers suggests a causal relationship between dengue and diarrheal disease at these sites. How this relationship can be exploited for the combined and cost-effective control of dengue and diarrheal diseases requires further research.     

Association of human immune response to Aedes aegypti salivary proteins with dengue disease severity

Dengue viruses (DENV; family Flaviviridae, genus Flavivirus) are transmitted by Aedes aegypti mosquitoes and can cause dengue fever (DF), a relatively benign disease, or more severe dengue haemorrhagic fever (DHF). Arthropod saliva contains proteins delivered into the bite wound that can modulate the host haemostatic and immune responses to facilitate the intake of a blood meal. The potential effects on DENV infection of previous exposure to Ae. aegypti salivary proteins have not been investigated. We collected Ae. aegypti saliva, concentrated the proteins and fractionated them by nondenaturing polyacrylamide gel electrophoresis (PAGE). By the use of immunoblots, we analysed reactivity with the mosquito salivary proteins (MSP) of sera from 96 Thai children diagnosed with secondary DENV infections leading either to DF or DHF, or with no DENV infection, and found that different proportions of each patient group had serum antibodies reactive to specific Ae. aegypti salivary proteins. Our results suggest that prior exposure to MSP might play a role in the outcome of DENV infection in humans.     

Impact of pre-seasonal focal treatment on population densities of the mosquito Aedes aegypti in Trinidad, West Indies: A preliminary study

A new pre-seasonal focal treatment strategy against Aedes aegypti L. (Diptera: Culicidae) mosquitoes is described for the first time. It was evaluated for 25 weeks using ovitraps, and larval and pupal surveys in the townships of Curepe (treated) and St. Joseph (untreated), Trinidad, West Indies. Both townships were similar with respect to number of houses, size of human populations, the number of Ae. aegypti infested houses and containers. In March 2003, a total of 9403 containers were inspected, of which 1.4% in Curepe (63/4499) and 1.3% in St. Joseph (64/4904) were positive for Ae. aegypti immature stages. Curepe had a lower percentage (12.7%) of the main type of breeding container present (small miscellaneous containers) than St. Joseph (28.1%). Following focal treatment during the month of April (2-3 weeks before the onset of the rainy season), the Ae. aegypti population declined significantly (P > 0.01) from a Breteau index (BI; proportion of containers positive for larvae and pupae) of 19.0 to a minimum of 6.0 and a pupae/person index (PI) of 1.23 to a minimum of 0.35 in May, while in the untreated town of St. Joseph, the BI steadily increased from 23 to 38 and the PI rose from 0.96 to 2.00 in August. Similar declines in other measures of population density (the number of positive houses and number of eggs collected in ovitraps) were observed in Curepe, while St. Joseph maintained PI of >1.50 and BI of >28. Furthermore, the Curepe Ae. aegypti population did not return to pre-treatment levels until 9-11 weeks after treatment, far beyond the 6 weeks normally expected during vector suppression campaigns. The results suggest that timely application of pre-seasonal focal treatment with temephos together with standard control measures, such as source reduction of the most productive containers, can reduce the Breteau index to <5 and the pupae/person index to <0.71 (i.e., below the suggested dengue transmission thresholds for Trinidad), and extend the duration of vector suppression.     

Stormwater drains and catch basins as sources for production of Aedes aegypti and Culex quinquefasciatus

We present data showing that structures serving as drains and catch basins for stormwater are important sources for production of the mosquito arbovirus vectors Aedes aegypti and Culex quinquefasciatus in Mérida City, México. We examined 1761 stormwater drains – located in 45 different neighborhoods spread across the city – over dry and wet seasons from March 2012 to March 2013. Of the examined stormwater drains, 262 (14.9%) held water at the time they were examined and 123 yielded mosquito immatures. In total, we collected 64,560 immatures representing nine species. The most commonly encountered species were Cx. quinquefasciatus (n = 39,269) and Ae. aegypti (n = 23,313). Ae. aegypti and Cx. quinquefasciatus were collected during all 11 months when we found water-filled stormwater drains, and both were found in stormwater drains located throughout Mérida City. We also present data for associations between structural characteristics of stormwater drains or water-related characteristics and the abundance of mosquito immatures. In conclusion, stormwater drains produce massive numbers of Ae. aegypti and Cx. quinquefasciatus across Mérida City, both in the wet and dry seasons, and represent non-residential development sites that should be strongly considered for inclusion in the local mosquito surveillance and control program.     

Geographic Partitioning of Dengue Virus Transmission Risk in Florida

Dengue viruses (DENVs) cause the greatest public health burden globally among the arthropod-borne viruses. DENV transmission risk has also expanded from tropical to subtropical regions due to the increasing range of its principal mosquito vector, Aedes aegypti. Focal outbreaks of dengue fever (dengue) in the state of Florida (FL) in the USA have increased since 2009. However, little is known about the competence of Ae. aegypti populations across different regions of FL to transmit DENVs. To understand the effects of DENV genotype and serotype variations on vector susceptibility and transmission potential in FL, we orally infected a colony of Ae. aegypti (Orlando/ORL) with low passage or laboratory DENV-1 through -4. Low passage DENVs were more infectious to and had higher transmission potential by ORL mosquitoes. We used these same DENVs to examine natural Ae. aegypti populations to determine whether spatial distributions correlated with differential vector competence. Vector competence across all DENV serotypes was greater for mosquitoes from areas with the highest dengue incidence in south FL compared to north FL. Vector competence for low passage DENVs was significantly higher, revealing that transmission risk is influenced by virus/vector combinations. These data support a targeted mosquito-plus-pathogen screening approach to more accurately estimate DENV transmission risk.     

High potential risk of dengue transmission during the hot-dry season in Nha Trang City, Vietnam

We visited houses and inspected water-holding containers to determine the potential risks of dengue transmission during different seasons. This survey was conducted in two neighbourhoods of Nha Trang City in July and December 2006, which correspond to the middle of the hot-dry season and the beginning of the cool-wet season, respectively. We inspected a total of 1438 wet containers in 196 premises during both survey periods; 20% of the containers were positive for Aedes aegypti larvae and 8% for A. aegypti pupae. Indoor water-holding containers, which were sparsely distributed, exhibited high pupal productivity and efficiency (pupal productivity of a type of container/prevalence of that type of container) in either the first survey conducted in July, or the second, conducted in December. Although rainfall may not influence the number and distribution of water-holding containers in the city, the high average temperature in the first survey period resulted in a higher potential risk of dengue transmission. Our analysis suggests that if intensive source reduction is conducted in summer and containers with high pupal productivity and efficiency are targeted, the risk of dengue transmission in the city could be effectively reduced.     

High susceptibility to Chikungunya virus of Aedes aegypti from the French West Indies and French Guiana

Objectives To estimate the vector competence of Aedes aegypti populations sampled from distinct anthropogenic environments in French Guiana, Guadeloupe and Martinique for the strain CHIKV 06.21. Methods F₁/F₂ females were orally infected at titres of 10⁶ and 10^7.5 pfu/ml in blood‐meals. Disseminated infection rates (DIR) of mosquitoes were estimated using indirect fluorescent antibody assay on heads’ squashes, 7 or 14 days post‐infection (pi). Results At a titre of 10^7.5 pfu/ml, DIR ranged from 88.9% to 100.0% and were not significantly different whether assessed at day 7 or 14 pi. At a titre of 10⁶ pfu/ml, DIR observed 7 days pi ranged from 37.6 to 62.0%. Conclusions Ae. aegypti from French Guiana and French West Indies are highly competent to transmit CHIKV. An evaluation of DIR 7 days rather than 14 days pi is adequate to estimate vector competence. The titre of 10⁶ pfu/ml allows us to distinguish Ae. aegypti populations originating from distinct environments (dense or diffuse housing) by their vector competence. This assessment is a prerequisite to better evaluate the potential risk of Chikungunya outbreaks once the virus is introduced from endemic regions.