RESUMEN
We aimed to identify the optimal strategy that should be used by public health authorities against transmission of chikungunya virus in mainland France. The theoretical model we developed, which mimics the current surveillance system, predicted that without vector control (VC), the probability of local transmission after introduction of viraemic patients was around 2%, and the number of autochthonous cases between five and 15 persons per hectare, depending on the number of imported cases. Compared with this baseline, we considered different strategies (VC after clinical suspicion of a case or after laboratory confirmation, for imported or autochthonous cases): Awaiting laboratory confirmation for suspected imported cases to implement VC had no significant impact on the epidemiological outcomes analysed, mainly because of the delay before entering into the surveillance system. However, waiting for laboratory confirmation of autochthonous cases before implementing VC resulted in more frequent outbreaks. After analysing the economic cost of such strategies, our study suggested implementing VC immediately after the notification of a suspected autochthonous case as the most efficient strategy in settings where local transmission has been proven. Nevertheless, we identified that decreasing reporting time for imported cases should remain a priority.
Asunto(s)
Fiebre Chikungunya/economía , Fiebre Chikungunya/prevención & control , Costo de Enfermedad , Modelos Económicos , Modelos de Riesgos Proporcionales , Práctica de Salud Pública/economía , Aedes , Animales , Fiebre Chikungunya/epidemiología , Simulación por Computador , Análisis Costo-Beneficio/economía , Brotes de Enfermedades/economía , Brotes de Enfermedades/prevención & control , Brotes de Enfermedades/estadística & datos numéricos , Francia/epidemiología , Política de Salud/economía , Humanos , Insectos Vectores , Modelos Estadísticos , Prevalencia , Medición de Riesgo/métodos , Viaje/economíaRESUMEN
Sprays of commercial preparations of the bacterium Bacillus thuringiensis subsp. israelensis are widely used for the control of mosquito larvae. Despite an abundant literature on B. thuringiensis subsp. israelensis field efficiency on mosquito control, few studies have evaluated the fate of spores in the environment after treatments. In the present article, two complementary experiments were conducted to study the effect of different parameters on B. thuringiensis subsp. israelensis persistence and recycling, in field conditions and in the laboratory. First, we monitored B. thuringiensis subsp. israelensis persistence in the field in two contrasting regions in France: the Rhône-Alpes region, where mosquito breeding sites are temporary ponds under forest cover with large amounts of decaying leaf matter on the ground and the Mediterranean region characterized by open breeding sites such as brackish marshes. Viable B. thuringiensis subsp. israelensis spores can persist for months after a treatment, and their quantity is explained both by the vegetation type and by the number of local treatments. We found no evidence of B. thuringiensis subsp. israelensis recycling in the field. Then, we tested the effect of water level, substrate type, salinity and presence of mosquito larvae on the persistence/recycling of B. thuringiensis subsp. israelensis spores in controlled laboratory conditions (microcosms). We found no effect of change in water level or salinity on B. thuringiensis subsp. israelensis persistence over time (75 days). B. thuringiensis subsp. israelensis spores tended to persist longer in substrates containing organic matter compared to sand-only substrates. B. thuringiensis subsp. israelensis recycling only occurred in presence of mosquito larvae but was unrelated to the presence of organic matter.
Asunto(s)
Bacillus thuringiensis , Ambiente , Control de Mosquitos , Animales , Culicidae/microbiología , Francia , Larva , Esporas BacterianasRESUMEN
Control of invasive species relies partly on permanent surveillance at international points of entry. We report the exceptional trapping of one adult mosquito (Diptera: Culicidae) in the port of Marseille, France, in July 2018, during a routine survey conducted according to International Health Regulations. Morphological and molecular identification classified the specimen as a female Aedes (Stegomyia) aegypti (L.), vector of many arboviruses, absent from Europe and the Mediterranean rim since the 1950s. A world reference panel of approximately 23,000 genome-wide single nucleotide polymorphisms determined that the mosquito originated from Cameroon, west Africa. Cross-reference of this geographic location with boats traveling from Central Africa to Marseille during the trapping period suggests that the mosquito travelled within an identified merchant ship, a vehicles carrier connecting Douala, Cameroon to Marseille, France. This ship left Douala on June 25, 2018 and arrived 20 days later in Marseille on July 15. The mosquito was captured 350 m away from the dock. The interception of a propagule of an invasive species is a rare event that must be considered a priority to prevent its successful establishment.
Title: Un alien à Marseille : enquêtes sur un seul moustique Aedes aegypti vraisemblablement introduit par un navire marchand de l'Afrique tropicale vers l'Europe. Abstract: La lutte contre les espèces invasives repose en partie sur une surveillance permanente aux points d'entrée internationaux. Nous rapportons ici le piégeage exceptionnel d'un moustique adulte (Diptera: Culicidae) dans le port de Marseille, France, en juillet 2018, au cours d'une enquête de routine menée selon les recommandations du Règlement Sanitaire International. L'identification morphologique et moléculaire a désigné ce spécimen comme étant une femelle d'Aedes (Stegomyia) aegypti (L.), vecteur de nombreux arbovirus, absent d'Europe et du pourtour Méditerranéen depuis les années 1950. Une base de référence mondiale du polymorphisme des nucléotides individuels pour ~23 000 génomes complets a permis de déterminer que ce moustique était originaire du Cameroun. Le croisement de cette information de localisation géographique avec celle de la circulation des bateaux entre l'Afrique Centrale et Marseille au cours de la période de piégeage suggère que le moustique a voyagé à l'intérieur d'un navire de commerce identifié, un transporteur de véhicules reliant Douala (Cameroun) à Marseille (France). Ce navire a quitté Douala le 25 juin 2018 pour arriver à Marseille 20 jours plus tard, le 15 juillet 2018. Le moustique a été capturé à 350 mètres du dock. L'interception d'un propagule d'une espèce invasive est un évènement rare qui doit être considéré de façon prioritaire afin d'empêcher la réussite de son installation.
Asunto(s)
Aedes , Aedes/genética , Animales , Camerún , Europa (Continente) , Femenino , Especies Introducidas , Mosquitos Vectores/genética , NavíosRESUMEN
Mosquitoes are vectors of arboviruses affecting animal and human health. Arboviruses circulate primarily within an enzootic cycle and recurrent spillovers contribute to the emergence of human-adapted viruses able to initiate an urban cycle involving anthropophilic mosquitoes. The increasing volume of travel and trade offers multiple opportunities for arbovirus introduction in new regions. This scenario has been exemplified recently with the Zika pandemic. To incriminate a mosquito as vector of a pathogen, several criteria are required such as the detection of natural infections in mosquitoes. In this study, we used a high-throughput chip based on the BioMark™ Dynamic arrays system capable of detecting 64 arboviruses in a single experiment. A total of 17,958 mosquitoes collected in Zika-endemic/epidemic countries (Brazil, French Guiana, Guadeloupe, Suriname, Senegal, and Cambodia) were analyzed. Here we show that this new tool can detect endemic and epidemic viruses in different mosquito species in an epidemic context. Thus, this fast and low-cost method can be suggested as a novel epidemiological surveillance tool to identify circulating arboviruses.
Asunto(s)
Culicidae/virología , Enfermedades Endémicas , Epidemias , Ensayos Analíticos de Alto Rendimiento/métodos , Infección por el Virus Zika/epidemiología , Virus Zika/aislamiento & purificación , Animales , Infecciones por Arbovirus/transmisión , Infecciones por Arbovirus/virología , Arbovirus/genética , Arbovirus/aislamiento & purificación , Brasil , Cambodia , Vectores de Enfermedades , Monitoreo Epidemiológico , Femenino , Guyana Francesa , Guadalupe , Humanos , Masculino , Epidemiología Molecular , Mosquitos Vectores/virología , Proyectos Piloto , ARN Viral/aislamiento & purificación , Senegal , Suriname , Virus Zika/genética , Infección por el Virus Zika/transmisiónRESUMEN
The Common bed bug, Cimex lectularius, had virtually disappeared from France in the 1950s; however, a worldwide resurgence of bed bugs (C. lectularius and C. hemipterus) has been observed since the 1990s. To document modern pest control activities for the management of bed bugs, a survey was conducted in metropolitan France among the two main categories of professionals regularly called upon to deal with the control of infestations: Municipal Health and Safety Services (MHSSs) and private Pest Management Companies (PMCs). These professionals responded to a questionnaire targeting their knowledge, attitude and practices related to the process for diagnosing a bed bug infestation and the processes taken to actually control an infestation. There were 68 responses received from MHSSs and 51 from the PMCs. The responses indicate that every single département (French administrative division) in metropolitan France has witnessed at least one intervention for bed bugs. Among the criteria considered sufficient to confirm a bed bug infestation, direct observation of bugs was the most commonly cited response. Faced with an infestation, most PMCs used a combination of non-chemical and chemical methods, and systematically performed two treatments. This survey is the first of professionals involved in bed bug control in metropolitan France and confirms the growing importance of bed bugs as a public health pest. Establishing a database to monitor this emerging pest would improve the understanding of the distribution of these insects, help guide educational requirements, identify research needs and assist in ensuring that the most appropriate control practices are undertaken.
Asunto(s)
Chinches , Infestaciones Ectoparasitarias/parasitología , Mordeduras y Picaduras de Insectos/etiología , Animales , Infestaciones Ectoparasitarias/diagnóstico , Infestaciones Ectoparasitarias/epidemiología , Francia/epidemiología , Mordeduras y Picaduras de Insectos/epidemiología , Mordeduras y Picaduras de Insectos/patología , Insectos Vectores , Prevalencia , Estudios Retrospectivos , Encuestas y Cuestionarios , Factores de TiempoRESUMEN
Owing to the complex nature of vector-borne diseases (VBDs), whereby monitoring of human case patients does not suffice, public health authorities experience challenges in surveillance and control of VBDs. Knowledge on the presence and distribution of vectors and the pathogens that they transmit is vital to the risk assessment process to permit effective early warning, surveillance, and control of VBDs. Upon accepting this reality, public health authorities face an ever-increasing range of possible surveillance targets and an associated prioritization process. Here, we propose a comprehensive approach that integrates three surveillance strategies: population-based surveillance, disease-based surveillance, and context-based surveillance for EU member states to tailor the best surveillance strategy for control of VBDs in their geographic region. By classifying the surveillance structure into five different contexts, we hope to provide guidance in optimizing surveillance efforts. Contextual surveillance strategies for VBDs entail combining organization and data collection approaches that result in disease intelligence rather than a preset static structure.