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"Kane, Abdoulaye"
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Bionomics of Anopheles gambiae complex (Diptera: Culicidae) and malaria transmission pattern in a pre-elimination area in South–Western Senegal
BackgroundMalaria remains a public health problem in many African countries. In Senegal, the Southern region had the highest malaria incidence and malaria-related deaths. The relationship between vector density and malaria transmission remains poorly understood in some specific areas. The aim of this study was to characterize the current entomological and transmission parameters with special emphasis on the Anopheles gambiae complex in the malaria pre-elimination area of Mlomp south-western Senegal.MethodsThe study was conducted from July 2020 to February 2021 in Djicomol and Cadjinolle in the commune of Mlomp region of Ziguinchor, Senegal. Sampling was carried out using Human Landing Catches (HLC) and Pyrethrum Spray Catches (PSC). Ovaries were dissected to determine female parity rate. Infection status, blood meal sources and species molecular identification were determined using Enzyme-Linked Immunosorbent Assay (ELISA) and Polymerase Chain Reaction (PCR) techniques respectively.ResultsA total of 6956 mosquitoes of the An. gambiae complex were collected, of which 6739 were by HLC (96.88%) and 217 by PSC (3.12%). The mean human biting rate was 36.98 bites/person/night (b/p/n) indoors and 43.25 b/p/n outdoors. Female biting activity was more frequent during the second half of the night. Mean parity rates were 24.83% indoors and 18.94% outdoors. The human blood index was estimated at 76.09%. Overall, An. gambiae sensu stricto (s.s.) was the most common species (75.08%). No female An. gambiae was found to be infected with Plasmodium falciparum in the sub-sample tested, thus no malaria transmission was recorded in Mlomp during the study period.ConclusionsThe results alert malaria control programme to develop additional strategies for controlling these vectors, which show exophagic behaviours to effectively combat malaria.
Journal Article
Characterization of the swarming behavior of Anopheles coluzzii and Anopheles gambiae (Diptera: Culicidae) populations in a hybrid zone of Senegal
Anopheles gambiae and Anopheles coluzzii, often found in sympatry and synchronous, have undergone a premating reproductive isolation across their distribution range. However, in the Western coast of Africa, unexpected hybridization zones have been observed, and little is known about swarming behavior of these cryptic taxa. Here, we characterized the swarming behavior of An. coluzzii and An. gambiae to investigate its role in the high hybridization level in Senegal. The study was conducted in the south and central Senegal during the 2018 rainy season. Mating swarms of malaria vectors were surveyed at sunset and collected using an insect net. Meanwhile, indoor resting populations of malaria vectors were collected by pyrethrum spray catches. Upon collection, specimens were identified morphologically, and then members of the An. gambiae complex were identified at the species level by polymerase chain reaction (PCR). An. gambiae swarmed mainly over bare ground, whereas An. coluzzii were found swarming above various objects creating a dark–light contrast with the bare ground. The swarms height varied from 0.5 to 2.5 m. Swarming starting time was correlated with sunset whatever the months for both species, and generally lasted about 10 min. No mixed swarm of An. gambiae and An. coluzzii was found even in the high hybridization area. These results indicated a premating isolation between An. coluzzii and An. gambiae. However, the high hybridization rate in the sympatric area suggests that heterogamous mating is occurring, thus stressing the need for further extensive studies.
Journal Article
Survival of eight LLIN brands 6, 12, 24 and 36 months after a mass distribution campaign in rural and urban settings in Senegal
Background
Long lasting insecticidal nets (LLIN) are one of the core components of global malaria prevention and control. The lifespan of LLIN varies widely depending on the population or environment, and randomized studies are required to compare LLIN inaccording to arbitrary thresholds
households under different field conditions. This study investigated survival of different LLIN brands in Senegal.
Methods
Ten thousand six hundred eight LLINs were distributed in five regions, each stratified by rural and urban setting. As part of the longitudinal follow-up, 2222 nets were randomly sampled and monitored from 6 to 36 months. Using random effects for households, Bayesian models were used to estimate independent survival by net type (Interceptor®, Life Net®, MAGNet™, Netprotect®, Olyset® Net, PermaNet® 2.0 R, PermaNet® 2.0 C, Yorkool® LN) and by area (rural/urban). In addition to survival, median survival time and attrition of each LLIN brand was determined. Attrition was defined as nets that were missing because they were reported given away, destroyed and thrown away, or repurposed.
Results
Three net types had a proportion of survival above 80% after 24 months: Interceptor®87.8% (95% CI 80–93.4); conical PermaNet® 2.0 86.9% (95% CI 79.3–92.4) and Life Net® 85.6% (95% CI 75–93). At 36 months, conical PermaNet® 2.0 maintained a good survival rate, 79.5% (95% CI 65.9–88.8). The attrition due to redistributed nets showed that the two conical net types (PermaNet® 2.0 and Interceptor®) were more often retained by households and their median retention time was well above 3 years (median survival time = 3.5 years for PermaNet® 2.0 and median survival time = 4 years for Interceptor®). Despite this good retention, Interceptor® had weak physical integrity and its median survival due to wear and tear was below 3 years (median survival time = 2.4 years). The odds ratio of survival was 2.5 times higher in rural settings than in urban settings (OR 2.5; 95% CI 1.7–3.7).
Conclusions
Differences in survival among LLIN may be driven by brand, shape or environmental setting. In this study in Senegal, conical PermaNet® 2.0 were retained in households while rectangular PermaNet® 2.0 had lower retention, suggesting that net shape may play a role in retention and should be further investigated. Distribution of preferred LLIN shape, accompanied by good communication on care and repair, could lead to increased effective lifespan, and allow for longer intervals between universal coverage campaigns.
Journal Article
Urban malaria vector bionomics and human sleeping behavior in three cities in Senegal
Background
Malaria is endemic in Senegal, with seasonal transmission, and the entire population is at risk. In recent years, high malaria incidence has been reported in urban and peri-urban areas of Senegal. An urban landscape analysis was conducted in three cities to identify the malaria transmission indicators and human behavior that may be driving the increasing malaria incidence occurring in urban environments. Specifically, mosquito vector bionomics and human sleeping behaviors including outdoor sleeping habits were assessed to guide the optimal deployment of targeted vector control interventions.
Methods
Longitudinal entomological monitoring using human landing catches and pyrethrum spray catches was conducted from May to December 2019 in Diourbel, Kaolack, and Touba, the most populous cities in Senegal after the capital Dakar. Additionally, a household survey was conducted in randomly selected houses and residential Koranic schools in the same cities to assess house structures, sleeping spaces, sleeping behavior, and population knowledge about malaria and vector control measures.
Results
Of the 8240
Anopheles
mosquitoes collected from all the surveyed sites, 99.4% (8,191) were
An. gambiae
s.l., and predominantly
An. arabiensis
(99%). A higher number of
An. gambiae
s.l. were collected in Kaolack (77.7%,
n
= 6496) than in Diourbel and Touba. The overall mean human biting rate was 14.2 bites per person per night (b/p/n) and was higher outdoors (15.9 b/p/n) than indoors (12.5 b/p/n). The overall mean entomological inoculation rates ranged from 3.7 infectious bites per person per year (ib/p/y) in Diourbel to 40.2 ib/p/y in Kaolack. Low anthropophilic rates were recorded at all sites (average 35.7%). Of the 1202 households surveyed, about 24.3% of household members slept outdoors, except during the short rainy season between July and October, despite understanding how malaria is transmitted and the vector control measures used to prevent it.
Conclusion
Anopheles arabiensis
was the primary malaria vector in the three surveyed cities. The species showed an outdoor biting tendency, which represents a risk for the large proportion of the population sleeping outdoors. As all current vector control measures implemented in the country target endophilic vectors, these data highlight potential gaps in population protection and call for complementary tools and approaches targeting outdoor biting malaria vectors.
Graphical Abstract
Journal Article
Peste des Petits Ruminants (PPR) Vaccination Cost Estimates in Burkina Faso
Every year the government organizes country-wide vaccination campaigns targeting peste des petits ruminants (PPR) for small ruminants (sheep and goats). Despite the heavy investment in vaccination, no study has either rigorously estimated or described the cost of vaccine delivery. This study aimed to fill this gap by assessing and describing the cost of delivery of vaccines against PPR using the 2020 vaccination campaign data. The microcosting approach based on the World Health Organization (WHO) guidelines to construct comprehensive multiyear plans (cMYP) for human immunization programs was used. The cost data is presented for the public and private vaccine delivery channels separately and analyzed using three approaches considering activity lines, inputs, and nature of cost (fixed versus variable). Results show that the unit cost of vaccinating a sheep or goat is estimated at XOF 169 (USD 0.3) and XOF 103 (USD 0.18) through the public and private channels, respectively. Using the activity line framework, we found that the field activities including charges for vaccinator, cost of vaccination materials, and field transportation account for more than 50% of the vaccination cost. In terms of inputs, the personnel cost is the most significant contributor with 65%. Fixed costs are higher in the public sector with up to 46% compared to the private sector which is estimated to take 26% of the cost. This study informs veterinary services’ investment decision options for a better allocation of resources in implementing PPR and other small ruminant disease control efforts in Burkina Faso and the Sahel.
Journal Article
Knowledge, attitudes and practices about malaria in Cabo Verde: a country in the pre-elimination context
Background
Malaria in Cape Verde is unstable, with a sporadic and seasonal transmission of low endemicity. In this sense, the community perceptions regarding malaria transmission, their attitudes and practices against the disease are very important to understand and to better develop the best strategical policies to achieve malaria elimination goal. This study aim to assess the knowledge, attitudes and practices (KAP) of Cape Verdean population about malaria, a country in the elimination step of disease.
Methods
A cross-sectional malaria KAP Survey was performed at the household level. A structured open questionnaire was developed and applied to residents of randomly selected households from 5 islands and 15 municipalities in Cape Verde. Correlation analyses were performed using a logistic regression model to determine the factors that are associated with the complete knowledge of the population about malaria.
Results
A total of 1953 fully completed questionnaires were analysed, with majority of questionnaires administered in Santiago island (68.3%), mainly in the capital city of Praia, 38.43%. About 88% of the population knew the correct form of transmission, 96% had knowledge that the entire population is at risk of malaria and identified the main symptoms. Regarding the attitudes, 58% seek treatment atthe nearest health structure upon the apparition of the symptoms, 64% in the first 24 h and 88% within the first 48 h. More than 97% have heard about mosquito nets but only 19% used it. In practice, 53% use coils, 45% rely on household sprays and 43% have benefited from IRS. About 90% received information about malaria from media, mainly the TV and the radio (83 and 43%, respectively). In summary, 54% of the population has complete knowledge of the disease.
Conclusion
The population of Cape Verde has a high level of knowledge about malaria, including its transmission, main symptoms and preventive and control measures. However, some gaps and misunderstandings have been noticed and contribute to the insufficient community involvement in actions against malaria. Therefore, is necessary to increase the knowledge of the population, leading to their full ownership and participation in community actions to contribute to the malaria elimination in the country.
Journal Article
Evaluation of the efficacy of fludora fusion WP-SB 56.25 (mixture of clothianidin and deltamethrin) against 'Anopheles coluzzii' laboratory and 'An. arabiensis' wild colonies
For malaria control, the application of long-lasting insecticidal nets and indoor residual spraying has led to a significant reduction in morbidity and mortality. However, the sustainability of these gains is hampered by the increase in insecticide resistance. It is therefore judicious to evaluate new insecticide formulations. In comparison to clothianidin and deltamethrin, the efficacy and residual effect of Fludora Fusion was evaluated using an 'Anopheles coluzzii' laboratory and 'An. arabiensis' wild colonies in huts from August 2016 to June 2017 on cement and mud walls. Mortal- ity was recorded at 24, 48, 72, and 96 h post exposure. Like deltamethrin and clothianidin, Fludora Fusion showed delayed mortality rates above the WHO's 80% threshold over a period of 11 months with the laboratory strain. With the wild strain, while residual efficacy was observed at 2 months for the three insecticides, no residual efficacy was observed at 8 months at 24 h in both substrates. However, the increased efficacy was observed with increased holding periods (72 h and 96 h). These findings suggest that Fludora Fusion could be an alternative candidate since this duration covers the transmission period in most areas in Senegal.
Journal Article