Targeted elimination of species-rich larval habitats can rapidly collapse arbovirus vector mosquito populations at hotel compounds in Zanzibar.

Understanding the dynamics of larval habitat utilization by mosquito communities is crucial for the design of efficient environmental control strategies. The authors investigated the structure of mosquito communities found at hotel compounds in Zanzibar, networks of mosquito interactions with larval habitats and robustness of mosquito communities to elimination of larval habitats. A total of 23 698 mosquitoes comprising 26 species in six genera were found. Aedes aegypti (n = 16 207), Aedes bromeliae/Aedes lillie (n = 1340), Culex quinquefasciatus (n = 1300) and Eretmapodites quinquevitattus (n = 659) were the most dominant species. Ecological network analyses revealed the presence of dominant, larval habitat generalist species (e.g., A. aegypti), exploiting virtually all types of water holding containers and few larval habitat specialist species (e.g., Aedes natalensis, Orthopodomyia spp). Simulations of mosquito community robustness to systematic elimination of larval habitats indicate that mosquito populations are highly sensitive to elimination of larval habitats sustaining higher mosquito species diversity. This study provides insights on potential foci of future mosquito-borne arboviral disease outbreaks in Zanzibar and underscores the need for detailed knowledge on the ecological function of larval habitats for effective mosquito control by larval sources management.

Bulinus nyassanus is an intermediate host for Schistosoma haematobium in Lake Malawi.

At Cape Maclear on the Nankumba Peninsula, close to the southern end of Lake Malawi, Schistosoma haematobium is highly prevalent in the local people and many tourists become infected with this parasite each year. A 'Bilharzia Control Programme' was initiated in this area in August 1998, as a development collaboration between the Government of Malawi, the Danish Agency for Development Assistance (Danida), and the Danish Bilharziasis Laboratory. Although Bulinus globosus is a known host for S. haematobium, B. nyassanus has not previously been incriminated as an intermediate host. However, schistosome-infected B. nyassanus were discovered in surveys to identify transmission sites on the peninsula. Experimental infections of wild-caught B. nyassanus with S. haematobium proved successful and S. haematobium eggs were found in hamsters experimentally exposed to cercariae retrieved from schistosome-infected, field-collected B. nyassanus. These are remarkable observations since, although there are very few reports of diploid members of this species group being experimentally infected with S. haematobium, B. nyassanus is a diploid member (2n = 36) of the truncatus/tropicus group. Bulinus nyassanus is probably responsible for transmission in Lake Malawi, along rather exposed shorelines, devoid of aquatic macrophytes, with a substrate of sand or gravel.

Biodegradability of the molluscicidal saponins of Phytolacca dodecandra.

The biodegradability of water-extracted saponins of berries from the Endod plant, Phytolacca dodecandra L'Herit, was evaluated under OECD standardized conditions. Persistence of the saponins was evaluated by determination of saponin concentrations in water over a 30-day period, using a quantitative HPLC method and a semiquantitative hemolytic assay, which is considered a potential field method. The two methods were compared. Bioassays were simultaneously conducted using Biomphalaria glabrata fresh water snails to assess the molluscicidal potency over time. All experiments were carried out in water, which was chemically balanced to sustain snails, and to one set river water was added to the medium to mimic natural conditions. (1) Saponin concentrations in water treated with an aqueous extract of P. dodecandra cultivar E44 were stable for 2 days then rapidly decreased during the third and fourth day. Lethal concentrations to snails were LC50 = 9.6 mg/l (95% CI: 6.3 to 19.4) in one set and LC50 = 6.8 mg/l (95% CI: 5.4 to 12.2) in the other. Adding river water to one set of the experiments had no effect on the mean saponin concentration over time (F = 0.02, P = >0.05). (2) Comparison of the hemolytic assay with the HPLC method showed no significant difference in mean saponin concentrations (t = 0.32, P > 0.05, 95% CI: -2.67 to 3.64), and a correlation of r2 = 0.88 between the two methods. (3) The saponin fraction of an aqueous extract of P. dodecandra was readily biodegraded (t1/2 = 15.8 h), and the complete consumption within a 10-day window indicates ready degradability in aquatic environments under aerobic conditions. (4) These results show that the use of Endod berries for snail control in schistosomiasis-infested water bodies is environmentally acceptable.

Molluscicidal saponins from Catunaregam nilotica.

Two new saponins were isolated from the fruits of Catunaregam nilotica Stapf, syn. Lachnosiphonium nilotica; Randia nilotica; Xeromphis nilotica. Their structures were determined mainly by spectroscopic methods as 3- O-[O-alpha-L-rhamnopyranosyl-(1-->3)-O-[O-beta-D-glucopyranosyl-(1 -->3)]- beta-D-glucopyranosyl]oleanolic acid and 28-O-beta-D- glucopyranosyl-3-O-[O-alpha-L-rhamnopyranosyl-(1-->3)-O[O-beta-D- glucopyranosyl]-beta-D-glycopyranosyl]oleanolate. The monodesmosidic saponin is a potent molluscicide against the schistosomiasis transmitting snail Biomphalaria glabrata with a LC50 value of 3 ppm. In addition two known saponins, 3-O-[2', 3'-di-O-(beta-D-glucopyranosyl)-beta-D- glucopyranosyl]oleanolic acid and 3-O-[O-beta-D-glucopyranosyl(1-->3)- beta-D-glucopyranosyl]oleanolic acid, were identified and their molluscicidal activity determined, the LC50 values being 26 and 3 ppm, respectively. Initial molluscicidal screening of the crude water and ethanol extracts revealed 100% snail mortality at concentrations of 100 and 50 ppm, respectively. The haemolytic activity of the molluscicidal saponins was determined as well and the HC50 values towards bovine erythrocytes found to be 3 ppm for the new saponin, and 16 and 2 ppm, respectively, for the two known saponins.

Assessing health opportunities: a course on multisectoral planning.

Multisectoral planning can yield major benefits for health, especially in the case of water resource development projects. A two-week course, designed to involve mid-level officers from at least six government ministries in the planning and implementation of such projects, has been tested in Ghana, the United Republic of Tanzania, and Zimbabwe.

The molluscicidal activity of coumarins from Ethulia conyzoides and of dicumarol.

The molluscicidal principles of Ethulia conyzoides were identified as ethuliacoumarin A (1) and isoethuliacoumarin A (2). Ethuliacoumarin A possessed an LC90 between 19 and 23.5 ppm depending on the age of the snail against Biomphalaria glabrata, and between 12 and 15 ppm against Bulinus truncatus. In addition, ethuliacoumarin A was found to be cercaricidal at 25 ppm and ovicidal. Ethuliacoumarin has the structural requirements considered essential for anticoagulant activity. Consequently the anticoagulant dicumarol (4) was tested and found to be molluscicidal in the range from 2.5 to 10 ppm. In contrast, the coumarin anticoagulant warfarin (3) did not show molluscicidal activity.

Effect of the organophosphorous insecticide, chlorpyrifos (Dursban), on growth, fecundity and mortality of Biomphalaria alexandrina and on the production of Schistosoma mansoni cercariae in the snail.

Exposure of Biomphalaria alexandrina to sublethal concentrations (0.125, 0.25 and 0.05 ppm) of the organophosphorous insecticide, chlorpyrifos (Dursban), induced a reduction in egg production and egg hatchability. Exposure of Schistosoma mansoni miracidia to the insecticide (60 min, 0.50 ppm) prior to infection of B. alexandrina did not affect the subsequent production of cercariae. However, exposure of S. mansoni-infected snails to the insecticide until day 55, from day 20 to day 62 and from day 35 to 62 following infection resulted in blockage of cercarial shedding. Cercarial shedding commenced in some snails when the treatment stopped. Exposure to the insecticide in concentrations of 0.125 and 0.25 ppm during the first 20 days following infection did not affect the subsequent production of cercariae, but exposure to 0.5 ppm during the first 20 days affected markedly the production of cercariae due to a high snail mortality. The findings indicate that the cercaria is the target stage for the activity of chlorpyrifos on the intramolluscan larval development. It is suggested that S. mansoni cercarial production in B. alexandrina may be a useful system for monitoring the effect of low concentrations of pesticides on the aquatic environment, and that the ability by chemical means to interrupt the cercarial production might be a useful tool in further analyses of important aspects of the snail/parasite relationship.

Endemicity, seasonality and focality of transmission of human schistosomiasis in 3 communities in southwestern Nigeria.

The pattern of transmission of human schistosomiasis was studied in 3 communities in southwestern Nigeria. The prevalence of Schistosoma haematobium in school children aged 5-16 years in the 3 communities was 76.2, 70.3 and 66.4%, respectively. The percentage of infected children harbouring heavy infections (greater than 50 eggs/10 ml urine) in the 3 communities was 75.5, 69.2 and 48.1% with a prevalence of visible haematuria among the heavily infected children of 29.5, 19.4 and 24.3%, respectively. Bulinus globosus, the snail host for S. haematobium, was found in all 7 sites sampled. The population density and the seasonal fluctuations in density and in prevalence of infection with S. haematobium differed markedly among the different sites. B. pfeifferi, the snail host of S. mansoni, was encountered in 2 of the 7 sites. The pattern of occurrence of infection with S. mansoni differed markedly between the 2 sites. The lack of consistency in the transmission pattern as regards both the seasonality and focality makes a thorough knowledge on the transmission pattern essential for the incorporation of community-based focal mollusciciding into the integrated approach to control of schistosomiasis morbidity in this ecological complex and highly endemic area.

Endemicity and seasonality of transmission of human schistosomiasis in Ile-Ife, south western Nigeria.

Endemicity and seasonality of transmission of Schistosoma mansoni and S. haematobium were studied in Ile-Ife, south western Nigeria. Transmission of S. mansoni was demonstrated throughout the year in a man-made dam, whereas transmission of S. haematobium in a stream only occurred in the dry season. This difference in the transmission patterns should be considered when incorporating community-based focal plant molluscicide application in the integrated strategy for the control of schistosomiasis morbidity.

Molluscicidal trials and correlation between the presence of Tetrapleura tetraptera in an area and the absence of the intermediate hosts of schistosomiasis and fascioliasis in southwest Nigeria.

A schistosomiasis research project, carried out in Southwest Nigeria, yielded data by which it was possible to relate snail recovery from potential transmission sites to the presence or absence of Tetrapleura tetraptera. A significant negative correlation with snail numbers was found for distance of T. tetraptera from transmission sites and fruiting of the trees when these variables were tested individually. There were no significant differences between individual variables such as pH, Ca2+ concentrations and temperatures for these snail habitats but these variables produced significant positive correlation with the number of snails recovered. Thus, the presence of T. tetraptera appeared to be the most important limiting factor for the presence of snails. Aqueous extracts of T. tetraptera were effective as a molluscicide against Bulinus globosus and Lymnaea natalensis. However, pollution of the environment by oils reduced or abolished the molluscicidal activity of T. tetraptera. The results indicate that the planting of T. tetraptera has potential for the local control of schistosomiasis.

Molluscicidal and antischistosomal activities of Zingiber officinale.

Experiments were conducted to study the major constituents of Zingiber officinale responsible for its molluscicidal activity and the effect of the active component on different stages of Schistosoma mansoni. Gingerol and shogaol exhibited potent molluscicidal activity on Biomphalaria glabrata. Gingerol (5.0 ppm) completely abolished the infectivity of Schistosoma mansoni miracidia and cercariae in B. glabrata and mice, respectively, indicating that the molluscicide is capable of interrupting schistosome transmission at a concentration lower than its molluscicidal concentrations.

Intestinal schistosomiasis among children in a labour village of Wonji Sugar Estate, Ethiopia.

A survey for transmission of schistosomiasis was carried out in one of the labour villages of Wonji Sugar Estate, Ethiopia. Little or no schistosomiasis was present prior to establishment of this irrigation scheme. The survey revealed that 82% of the children between 5-14 years were now excreting S. mansoni eggs, and high intensities of egg excretion were observed (geometric mean intensity 377 eggs/g faeces, with 26% excreting greater than or equal to 1000 eggs/g). Large numbers of Biomphalaria pfeifferi snails were discovered in the irrigation canals near the village, of which 5% were shedding schistosome cercariae. No cases of urinary schistosomiasis were seen, although intermediate hosts of this infection were present. Poor maintenance of sanitary and water supply facilities, combined with a lack of community involvement in the control measures, were identified as major contributors to the dramatic rise in transmission. All children infected with S. mansoni were treated with praziquantel (40 mg/kg body weight). A follow up one month after chemotherapy indicated a cure rate of 69% and a reduction in geometric mean egg output of 77%.

Evaluation of aridanin, a glycoside, and Aridan, an aqueous extract of Tetrapleura tetraptera fruit, on Schistosoma mansoni and S. bovis.

Experiments were conducted on different stages of Schistosoma mansoni and S. bovis using various concentrations of aridanin and Aridan. Aridanin and Aridan were active against Schistosoma mansoni and S. bovis miracidia. A low concentration of aridanin (0.25 micrograms/ml) reduced the production of cercariae by snails already shedding cercariae. Aridanin and Aridan also produced profound reduction in the worm recovery of mice infected with pretreated cercariae of S. mansoni and S. bovis. Higher concentrations of the molluscicides were biocidal to the cercariae of these schistosomes. These results indicate that the molluscicides are capable of reducing the transmission of schistosomiasis at different stages of the schistosome development and suggest that a similar effect may occur under field conditions.

Training elements at different levels in the strategies for control of schistosomiasis.

Recently acquired comprehensive knowledge concerning the epidemiology of schistosomiasis has provided the background for the establishment of schistosomiasis control strategies. However, the planning, implementation, and maintenance of such control programmes requires sufficient numbers of well trained personnel at the local, district and central levels. Training of health personnel as well as motivation of the community are fundamental and essential elements in any schistosomiasis control programme. The training elements and approaches are discussed.

Heterologous synergistic interactions in concurrent experimental infection in the mouse with Schistosoma mansoni, Echinostoma revolutum, Plasmodium yoelii, Babesia microti, and Trypanosoma brucei.

Primary infections with Plasmodium yoelii and Echinostoma revolutum in the mouse induced a significant increase in the heterologous Schistosoma mansoni challenge worm establishment, whereas S. mansoni worm establishment remained unaffected by primary infections with Trypanosoma brucei and Babesia microti. Concurrent infection in the mouse with P. yoelii or T. brucei, but not with B. microti, blocked the resistance to homologous E. revolutum challenge infection, and primary P. yoelii and T. brucei infections and corticosteroid treatment made naive, innately resistant mice susceptible to E. revolutum infection. Innate resistance to infection with E. revolutum, the pattern of expulsion of low-level E. revolutum infections, and resistance to homologous S. mansoni challenge infection remained unaffected by concurrent B. microti infection. Primary, heavy E. revolutum infections in the mouse resulted in the enhancement of subsequent infection with B. microti, whereas primary infection with S. mansoni suppressed subsequent B. microti infection in some but not all experiments. In a single experiment, P. yoelii infection was suppressed markedly by primary S. mansoni infection, whereas the enhancement of P. yoelii infection in concurrently E. revolutum-infected mice was seen in only one of the several experiments conducted. However, no interference with resistance to homologous B. microti and P. yoelii challenge infection was induced by concurrent infection with S. mansoni and E. revolutum. We suggest that the synergistic interactions demonstrated between protozoans and helminths in concurrent experimental infection in the mouse are induced by immunosuppression.