Perceived needs of disease vector control programs: A review and synthesis of (sub)national assessments from South Asia and the Middle East.

Systems for disease vector control should be effective, efficient, and flexible to be able to tackle contemporary challenges and threats in the control and elimination of vector-borne diseases. As a priority activity towards the strengthening of vector control systems, it has been advocated that countries conduct a vector-control needs assessment. A review was carried out of the perceived needs for disease vector control programs among eleven countries and subnational states in South Asia and the Middle East. In each country or state, independent teams conducted vector control needs assessment with engagement of stakeholders. Important weaknesses were described for malaria, dengue and leishmaniases regarding vector surveillance, insecticide susceptibility testing, monitoring and evaluation of operations, entomological capacity and laboratory infrastructure. In addition, community mobilization and intersectoral collaboration showed important gaps. Countries and states expressed concern about insecticide resistance that could reduce the continued effectiveness of interventions, which demands improved monitoring. Moreover, attainment of disease elimination necessitates enhanced vector surveillance. Vector control needs assessment provided a useful planning tool for systematic strengthening of vector control systems. A limitation in conducting the vector control needs assessment was that it is time- and resource-intensive. To increase the feasibility and utility of national assessments, an abridged version of the guidance should focus on operationally relevant topics of the assessment. Similar reviews are needed in other regions with different contextual conditions.

Outbreak of chikungunya fever, Dakshina Kannada District, South India, 2008.

The outbreak of chikungunya fever that surfaced in India during late 2005 has affected more than 1.56 million people, spread to more than 17 states/union territories, and is still ongoing. Many of these areas are dengue- and leptospirosis-endemic settings. We carried out a cross-sectional survey in one such chikungunya-affected location in Dakshina Kannada District of Karnataka State to estimate the magnitude of the epidemic and the proportion of chikungunya virus (CHIKV) infections that remained clinically inapparent. The seropositivity for CHIKV infection was 62.2%, and the attack rate of confirmed CHIK fever was 58.3%. The proportion of inapparent CHIKV infection was 6.3%. The increasing trend in the seropositivity and attack rate of CHIKV infection with age group was statistically significant. The present study is an indicator of the magnitude of the ongoing outbreak of CHIKV infection in India that started during 2005-2006.

Diurnal pattern of human-biting activity and transmission of subperiodic Wuchereria bancrofti (Filariidea: Dipetalonematidae) by Ochlerotatus niveus (Diptera: Culicidae) on the Andaman and Nicobar islands of India.

We monitored diel-landing periodicity (biting activity/cycle) of Ochlerotatus niveus and the infection/infectivity pattern through human-landing collections on Teressa Island, which is remotely located in the Nicobar district of the Andaman and Nicobar group of Islands of India, for a period of one year. The biting activity was seen throughout the day, exhibiting a bimodal peak, the first at dawn (4:00-6:00 AM) and the other towards dusk (5:00-6:00 PM). This pattern was similar during all the seasons of the year. Peak biting hours of Oc. niveus coincides with the peak appearance of microfilariae. Overall infection and infectivity rates were 2.65% and 0.5%, respectively. Perennial transmission is evident from the records of vectors with parasites (infection), including infective larvae in all months of the year, although no infective mosquitoes were recorded at a few points. The risk of transmission of filariasis based on parity status of Oc. niveus was maximal at dusk (5:00-6:00 PM) in this region. The issue of control with respect to reducing human-vector contact is discussed.