Comparison of the efficiency and cost of West Nile virus surveillance methods in California.

Surveillance systems for West Nile virus (WNV) combine several methods to determine the location and timing of viral amplification. The value of each surveillance method must be measured against its efficiency and costs to optimize integrated vector management and suppress WNV transmission to the human population. Here we extend previous comparisons of WNV surveillance methods by equitably comparing the most common methods after standardization on the basis of spatial sampling density and costs, and by estimating optimal levels of sampling effort for mosquito traps and sentinel chicken flocks. In general, testing for evidence of viral RNA in mosquitoes and public-reported dead birds resulted in detection of WNV approximately 2-5 weeks earlier than serological monitoring of sentinel chickens at equal spatial sampling density. For a fixed cost, testing of dead birds reported by the public was found to be the most cost effective of the methods, yielding the highest number of positive results per $1000. Increased spatial density of mosquito trapping was associated with more precise estimates of WNV infection prevalence in mosquitoes. Our findings also suggested that the most common chicken flock size of 10 birds could be reduced to six to seven without substantial reductions in timeliness or sensitivity. We conclude that a surveillance system that uses the testing of dead birds reported by the public complemented by strategically timed mosquito and chicken sampling as agency resources allow would detect viral activity efficiently in terms of effort and costs, so long as susceptible bird species that experience a high mortality rate from infection with WNV, such as corvids, are present in the area.

A probabilistic risk assessment for deployed military personnel after the implementation of the "Leishmaniasis Control Program" at Tallil Air Base, Iraq.

Leishmaniasis has been of concern to the U.S. military and has re-emerged in importance because of recent deployments to the Middle East. We conducted a retrospective probabilistic risk assessment for military personnel potentially exposed to insecticides during the "Leishmaniasis Control Plan" (LCP) undertaken in 2003 at Tallil Air Base, Iraq. We estimated acute and subchronic risks from resmethrin, malathion, piperonyl butoxide (PBO), and pyrethrins applied using a truck-mounted ultra-low-volume (ULV) sprayer and lambda-cyhalothrin, cyfluthrin, bifenthrin, chlorpyrifos, and cypermethrin used for residual sprays. We used the risk quotient (RQ) method for our risk assessment (estimated environmental exposure/toxic endpoint) and set the RQ level of concern (LOC) at 1.0. Acute RQs for truck-mounted ULV and residual sprays ranged from 0.00007 to 33.3 at the 95th percentile. Acute exposure to lambda-cyhalothrin, bifenthrin, and chlorpyrifos exceeded the RQ LOC. Subchronic RQs for truck-mounted ULV and residual sprays ranged from 0.00008 to 32.8 at the 95th percentile. Subchronic exposures to lambda-cyhalothrin and chlorpyrifos exceeded the LOC. However, estimated exposures to lambda-cyhalothrin, bifenthrin, and chlorpyrifos did not exceed their respective no observed adverse effect levels.

Environmental concentrations, fate, and risk assessment of pyrethrins and piperonyl butoxide after aerial ultralow-volume applications for adult mosquito management.

One of the most effective ways of managing adult mosquitoes that vector human and animals diseases is the use of ultralow-volume insecticides. Because of concerns about the safety of the insecticides used for the management of adult mosquitoes, we conducted an environmental fate and efficacy study in Princeton and Colusa (both CA, USA) after aerial applications of pyrethrins and piperonyl butoxide (PBO). One hour before application, PBO concentrations in water were 0.008 and 0.2175 microg/L for Princeton and Colusa, respectively. One hour after the spray event in Princeton, the average PBO concentrations were 0.0125 microg/cm2 on ground-deposition pads and 0.1723 microg/L in water samples, with concentrations decreasing significantly over time. One hour after the spray event in Colusa, the average PBO concentrations were 0.0199 microg/cm2 on deposition pads and 1.274 microg/L in water samples, with concentrations decreasing significantly over time. A significant time and location effect for both deposition pads and water samples in Princeton and Colusa was observed (p<0.001 and p=0.014, respectively). Pyrethrins were not detected in nearly all ground and water samples. One hour after application, mortality of Culex tarsalis and Culex pipiens in sentinel cages was significantly higher than at the control site for both locations (p<0.001). Risk quotients for aquatic surrogate species in Princeton and Colusa were 0.002 or less at 1 h after application, which did not exceed the U.S. Environmental Protection Agency risk quotient level of concern for endangered aquatic organisms of 0.05. Our results suggest that the amounts of pyrethrins and PBO deposited on the ground and in water after aerial ULV insecticide applications are lower than those estimated by previous exposure and risk assessments.

An ecological risk assessment for insecticides used in adult mosquito management.

West Nile virus (WNV) has been a concern for people across the United States since the disease was initially observed in the summer of 1999. Since 1999, WNV has caused the largest arboviral encephalitis epidemic in US history. Vector control management programs have been intensively implemented to control mosquitoes that carry WNV. Our deterministic ecological risk assessment focused on 6 common mosquito adulticides used in vector control, including 3 pyrethroids (d-phenothrin, resmethrin, and permethrin), pyrethrins, and 2 organophosphates (malathion and naled). Piperonyl butoxide, a synergist for the pyrethroids, was also assessed. Both aquatic and terrestrial nontarget organisms were considered for acute and chronic exposures to the adulticides. Tier I exposure estimates were derived from ISCST3 and AERMOD for deposition and air concentrations affecting terrestrial organisms and PRZM-EXAMS for standard pond concentrations affecting aquatic organisms. Nontargets exposed to adulticides included small mammals, birds, as well as aquatic vertebrates and invertebrates in a pond subject to receiving the chemical via drift and runoff. Risk quotients were obtained by comparing exposures to toxic endpoints. All risk quotients were low indicating that risks to ecological receptors most likely were small.

A human-health risk assessment for West Nile virus and insecticides used in mosquito management.

West Nile virus (WNV) has been a major public health concern in North America since 1999, when the first outbreak in the Western Hemisphere occurred in New York City. As a result of this ongoing disease outbreak, management of mosquitoes that vector WNV throughout the United States and Canada has necessitated using insecticides in areas where they traditionally have not been used or have been used less frequently. This has resulted in concerns by the public about the risks from insecticide use. The objective of this study was to use reasonable worst-case risk assessment methodologies to evaluate human-health risks for WNV and the insecticides most commonly used to control adult mosquitoes. We evaluated documented health effects from WNV infection and determined potential population risks based on reported frequencies. We determined potential acute (1-day) and subchronic (90-day) multiroute residential exposures from each insecticide for several human subgroups during a WNV disease outbreak scenario. We then compared potential insecticide exposures to toxicologic and regulatory effect levels. Risk quotients (RQs, the ratio of exposure to toxicologic effect) were < 1.0 for all subgroups. Acute RQs ranged from 0.0004 to 0.4726, and subchronic RQs ranged from 0.00014 to 0.2074. Results from our risk assessment and the current weight of scientific evidence indicate that human-health risks from residential exposure to mosquito insecticides are low and are not likely to exceed levels of concern. Further, our results indicate that, based on human-health criteria, the risks from WNV exceed the risks from exposure to mosquito insecticides.