Modeling reservoir management for malaria control in Ethiopia.

This study investigated how changes in reservoir water level affect mosquito abundance and malaria transmission in Ethiopia. Digital elevation models of three Ethiopian dams at lowland, midland and highland elevations were used to quantify water surface area and wetted shoreline at different reservoir water levels (70, 75, 80, 85, 90, 95 and 100% full capacity) to estimate surface area of potential mosquito breeding habitat. Reservoir water level drawdown rates of 10, 15 and 20 mm.day-1 were applied as scenarios to model larval abundance, entomological inoculation rate (EIR) and malaria prevalence at each dam. Malaria treatment cost and economic cost in terms of lost working days were calculated for each water level scenario and dam. At the lowland dam, increased larval abundances were associated with increasing reservoir water level and wetted shoreline area. In contrast, both larval abundances and area of wetted shoreline declined with increasing reservoir water level at the midland and highland dams. Estimated EIR, malaria prevalence, malaria treatment cost and economic cost generally decreased when the water level drawdown rate increased from 10 to 15 and 20 mm.day-1 irrespective of reservoir water level. Given the expansion of dam construction in sub-Saharan Africa, incorporating malaria control measures such as manipulating drawdown rates into reservoir management has the potential to reduce the malaria burden and health care costs in communities near reservoirs.

Malaria impact of large dams at different eco-epidemiological settings in Ethiopia.

BACKGROUND: Dams are important to ensure food security and promote economic development in sub-Saharan Africa. However, a poor understanding of the negative public health consequences from issues such as malaria could affect their intended advantages. This study aims to compare the malaria situation across elevation and proximity to dams. Such information may contribute to better understand how dams affect malaria in different eco-epidemiological settings. METHODS: Larval and adult mosquitoes were collected from dam and non-dam villages around the Kesem (lowland), Koka (midland), and Koga (highland) dams in Ethiopia between October 2013 and July 2014. Determination of blood meal sources and detection of Plasmodium falciparum sporozoites was done using enzyme-linked immunosorbent assay (ELISA). Five years of monthly malaria case data (2010-2014) were also collected from health centers in the study villages. RESULTS: Mean monthly malaria incidence was two- and ten-fold higher in the lowland dam village than in midland and highland dam villages, respectively. The total surface area of anopheline breeding habitats and the mean larval density was significantly higher in the lowland dam village compared with the midland and highland dam villages. Similarly, the mean monthly malaria incidence and anopheline larval density was generally higher in the dam villages than in the non-dam villages in all the three dam settings. Anopheles arabiensis, Anopheles pharoensis, and Anopheles funestus s.l. were the most common species, largely collected from lowland and midland dam villages. Larvae of these species were mainly found in reservoir shoreline puddles and irrigation canals. The mean adult anopheline density was significantly higher in the lowland dam village than in the midland and highland dam villages. The annual entomological inoculation rate (EIR) of An. arabiensis, An. funestus s.l., and An. pharoensis in the lowland dam village was 129.8, 47.8, and 33.3 infective bites per person per annum, respectively. The annual EIR of An. arabiensis and An. pharoensis was 6.3 and 3.2 times higher in the lowland dam village than in the midland dam village. CONCLUSIONS: This study found that the presence of dams intensifies malaria transmission in lowland and midland ecological settings. Dam and irrigation management practices that could reduce vector abundance and malaria transmission need to be developed for these regions.

Cattle-derived microbial input to source water catchments: An experimental assessment of stream crossing modification.

The provision of safe drinking water is a global issue, and animal production is recognized as a significant potential origin of human infectious pathogenic microorganisms within source water catchments. On-farm management can be used to mitigate livestock-derived microbial pollution in source water catchments to reduce the risk of contamination to potable water supplies. We applied a modified Before-After Control Impact (BACI) design to test if restricting the access of livestock to direct contact with streams prevented longitudinal increases in the concentrations of faecal indicator bacteria and suspended solids. Significant longitudinal increases in pollutant concentrations were detected between upstream and downstream reaches of the control crossing, whereas such increases were not detected at the treatment crossing. Therefore, while the crossing upgrade was effective in preventing cattle-derived point source pollution by between 112 and 158%, diffuse source pollution to water supplies from livestock is not ameliorated by this intervention alone. Our findings indicate that stream crossings that prevent direct contact between livestock and waterways provide a simple method for reducing pollutant loads in source water catchments, which ultimately minimises the likelihood of pathogenic microorganisms passing through source water catchments and the drinking water supply system. The efficacy of the catchment as a primary barrier to pathogenic risks to drinking water supplies would be improved with the integration of management interventions that minimise direct contact between livestock and waterways, combined with the mitigation of diffuse sources of livestock-derived faecal matter from farmland runoff to the aquatic environment.