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New tools and methods are currently under evaluation by the World Health Organization for preventing arbovirus transmission, such as dengue, Zika, and chikungunya. One promising approach involves deploying Aedes aegypti with the endosymbiotic bacterium Wolbachia pipientis to disrupt arbovirus transmission within endemic urban environments. The release program of mosquitoes with the Wolbachia ’s w Mel strain started in August 2017 in 6.88% of the city area of Rio de Janeiro, where 13.1% of the city’s population live (~890,000 inhabitants). The deployment of Wolbachia w Mel strain in Rio finished in December 2019 with a suboptimal 32% introgression of w Mel strain, which coincided with a 38% and 10% reduction of dengue and chikungunya, respectively. We conducted an independent evaluation during 20 consecutive months to evaluate whether the w Mel distribution and frequency would expand or retract. More than 50,000 mosquitoes were sampled in 12 neighborhoods with estimated 500,000 inhabitants, of which 39.2% were Ae. aegypti . In total, 7,613 of 19,427 collected Ae. aegypti were screened individually for w Mel. Climate, environmental and insecticide application data was used to model the spatiotemporal introgression of w Mel. The routine insecticide rotation adopted by the Brazilian Ministry of Health caused the crash of both w Mel-infected and -uninfected populations shortly after an increase in coverage with spinosad. However, the w Mel-uninfected mosquitoes recovered soon to levels even higher than before, whereas the w Mel-infected failed to recover after the population crash. The well documented fitness cost of w Mel in egg hatching leads to the absence of an egg bank necessary to recover after adult population was disrupted. Finally, we observed the mtDNA haplotype associated with released Wolbachia at a frequency of ~25% in field-caught uninfected mosquitoes. The reason underlying the poor introgression of Wolbachia w Mel strain is multifold. The adoption of an effective larvicide that crashed both w Mel-infected and -uninfected populations, the absence of an egg bank due to high fitness cost of egg hatching in the w Mel-infected mosquitoes, a suboptimal Wolbachia invasion before the intervention, and Wolbachia loss synergically contributed to the lower invasion and, by corollary, modest epidemiological outcome in Rio de Janeiro. Our results highlight the need to plan and implement technical guidance on Integrated Vector Management in Brazil prior and during the nationwide release of Wolbachia -infected mosquitoes to optimize dengue mitigation efforts while ensuring the judicious use of resources.

New tools and methods are currently under evaluation by the World Health Organization for preventing arbovirus transmission, such as dengue, Zika, and chikungunya. One promising approach involves deploying Aedes aegypti with the endosymbiotic bacterium Wolbachia pipientis to disrupt arbovirus transmission within endemic urban environments. The release program of mosquitoes with the Wolbachia’s wMel strain started in August 2017 in 6.88% of the city area of Rio de Janeiro, where 13.1% of the city’s population live (~890,000 inhabitants). The deployment of Wolbachia wMel strain in Rio finished in December 2019 with a suboptimal 32% introgression of wMel strain, which coincided with a 38% and 10% reduction of dengue and chikungunya, respectively. We conducted an independent evaluation during 20 consecutive months to evaluate whether the wMel distribution and frequency would expand or retract. More than 50,000 mosquitoes were sampled in 12 neighborhoods with estimated 500,000 inhabitants, of which 39.2% were Ae. aegypti. In total, 7,613 of 19,427 collected Ae. aegypti were screened individually for wMel. Climate, environmental and insecticide application data was used to model the spatiotemporal introgression of wMel. The routine insecticide rotation adopted by the Brazilian Ministry of Health caused the crash of both wMel-infected and -uninfected populations shortly after an increase in coverage with spinosad. However, the wMel-uninfected mosquitoes recovered soon to levels even higher than before, whereas the wMel-infected failed to recover after the population crash. The well documented fitness cost of wMel in egg hatching leads to the absence of an egg bank necessary to recover after adult population was disrupted. Finally, we observed the mtDNA haplotype associated with released Wolbachia at a frequency of ~25% in field-caught uninfected mosquitoes. The reason underlying the poor introgression of Wolbachia wMel strain is multifold. The adoption of an effective larvicide that crashed both wMel-infected and -uninfected populations, the absence of an egg bank due to high fitness cost of egg hatching in the wMel-infected mosquitoes, a suboptimal Wolbachia invasion before the intervention, and Wolbachia loss synergically contributed to the lower invasion and, by corollary, modest epidemiological outcome in Rio de Janeiro. Our results highlight the need to plan and implement technical guidance on Integrated Vector Management in Brazil prior and during the nationwide release of Wolbachia-infected mosquitoes to optimize dengue mitigation efforts while ensuring the judicious use of resources.

The deployment of the Wolbachia wMel strain is currently underway in multiple dengue-endemic municipalities across Brazil. The efficacy of this strategy in Rio de Janeiro remains uncertain, primarily due to the difficulty in sustaining high wMel prevalence in regions previously subjected to large-scale releases. A key contributing factor was the routine rotation of insecticides within the framework of Integrated Vector Management (IVM), which led to the use of the larvicide Spinosad for Aedes control in urban areas. This compound was associated with a precipitous decline in Aedes aegypti mosquitoes, regardless the wMel infection status. While wMel-uninfected population recovered within weeks, wMel-infected population remained at low levels likely due to the fitness costs imposed by wMel on egg viability. To assess the long-term persistence of wMel following this demographic collapse, we conducted mosquito sampling across 12 neighborhoods in Rio de Janeiro, 30 months after mosquito populations crashed. Our findings reveal that wMel introgression remains suboptimal, with a mean frequency of 9.87% across the sampled areas. Only two neighborhoods exhibited wMel frequencies exceeding 15%, likely reflecting ongoing localized releases. The reduced prevalence underscores the challenges of achieving self-sustaining wMel establishment in complex urban environments and highlight critical considerations for the implementation of Wolbachia-based dengue control programs in endemic regions. This study was supported by grants from the CNPq – Conselho Nacional de Desenvolvimento Científico e Tecnológico (312282/2022-2, 307209/2023-7) and by FAPERJ – Fundação Carlos Chagas Filho de Amparo a Pesquisa no Estado do Rio de Janeiro (E-26/211.159/2019, E-26/204.108/2024, E26/2001.844/2017, E-26/210.335/2022, E-26/210.537/2024).