Reducing costs and operational constraints of dengue vector control by targeting productive breeding places: a multi-country non-inferiority cluster randomized trial.

OBJECTIVES: To test the non-inferiority hypothesis that a vector control approach targeting only the most productive water container types gives the same or greater reduction of the vector population as a non-targeted approach in different ecological settings and to analyse whether the targeted intervention is less costly. METHODS: Cluster randomized trial in eight study sites (Venezuela, Mexico, Peru, Kenya, Thailand, Myanmar, Vietnam, Philippines), with each study area divided into 18-20 clusters (sectors or neighbourhoods) of approximately 50-100 households each. Using a baseline pupal-demographic survey, the most productive container types were identified which produced >or=55% of all Ae. aegypti pupae. Clusters were then paired based on similar pupae per person indices. One cluster from each pair was randomly allocated to receive the targeted vector control intervention; the other received the 'blanket' (non-targeted) intervention attempting to reach all water holding containers. RESULTS: The pupal-demographic baseline survey showed a large variation of productive container types across all study sites. In four sites the vector control interventions in both study arms were insecticidal and in the other four sites, non-insecticidal (environmental management and/or biological control methods). Both approaches were associated with a reduction of outcome indicators in the targeted and non-targeted intervention arm of the six study sites where the follow up study was conducted (PPI, Pupae per Person Index and BI, Breteau Index). Targeted interventions were as effective as non-targeted ones in terms of PPI. The direct costs per house reached were lower in targeted intervention clusters than in non-targeted intervention clusters with only one exception, where the targeted intervention was delivered through staff-intensive social mobilization. CONCLUSIONS: Targeting only the most productive water container types (roughly half of all water holding container types) was as effective in lowering entomological indices as targeting all water holding containers at lower implementation costs. Further research is required to establish the most efficacious method or combination of methods for targeted dengue vector interventions.

Genetic structure of Aedes aegypti in Australia and Vietnam revealed by microsatellite and exon primed intron crossing markers suggests feasibility of local control options.

The distribution of Aedes aegypti (L.) in Australia is currently restricted to northern Queensland, but it has been more extensive in the past. In this study, we evaluate the genetic structure of Ae. aegypti populations in Australia and Vietnam and consider genetic differentiation between mosquitoes from these areas and those from a population in Thailand. Six microsatellites and two exon primed intron crossing markers were used to assess isolation by distance across all populations and also within the Australian sample. Investigations of founder effects, amount of molecular variation between and within regions and comparison of F(ST) values among Australian and Vietnamese populations were made to assess the scale of movement ofAe. aegypti. Genetic control methods are under development for mosquito vector populations including the dengue vector Ae. aegypti. The success of these control methods will depend on the population structure of the target species including population size and rates of movement among populations. Releases of modified mosquitoes could target local populations that show a high degree of isolation from surrounding populations, potentially allowing new variants to become established in one region with eventual dispersal to other regions.

National progress in dengue vector control in Vietnam: survey for Mesocyclops (Copepoda), Micronecta (Corixidae), and fish as biological control agents.

This paper describes the process of expanding a successful dengue control program in 3 provinces in northern Vietnam into a national one and demonstrates the presence of a rich, low-cost resource that could have similar applicability to other countries in the region. The cornerstone of the preventive strategy is larval control of Aedes aegypti (L.), the major vector, using predators such as copepods, Mesocyclops spp., aided by the corixid bug Micronecta quadristrigata Bredd, and fish in large water storage containers. From 1989 to 1998, 9 species of Mesocyclops (M. woutersi Van de Velde, M. aspericornis (Daday), M. ruttneri Kiefer, M. thermocyclopoides Harada, M. affinis Van de Velde, M. ogunnus Onabamiro, M. yenae Holynska, M. cf. pehpeiensis Hu, and M. dissimilis Defaye and Kawabata) were found in natural and artificial habitats in 26 provinces throughout Vietnam. The predatory capacities of 6 of these were evaluated in the laboratory. This indicated that daily consumption/killing averaged between 16 and 41 Ae. aegypti larvae per copepod. From detailed evaluations in 9 provinces, Mesocyclops spp. were surprisingly common in 8,413 artificial containers (concrete tanks, wells, ornamental ponds and in the south, large jars). Because of existing practices for washing and water transfer from ponds and lakes in Ha Tay and Ha Bac, Mesocyclops spp. already occurred in 60-100% of the water storage containers. When the relationship between the presence or absence of Mesocyclops and Aedes larvae in 5,111 containers was analyzed by the chi-square test, their distributions were significantly related, indicating control (odds ratio = 0.56). When 3,426 containers that did not contain Mesocyclops or fish were analyzed in relation to the distribution of Aedes larvae, those with Micronecta also had significantly less Aedes (odds ratio = 0.43). Therefore, this study demonstrates that there is an abundance of local Mesocyclops spp. in Vietnam that can be incorporated into specifically designed community-based control programs aided by Micronecta and fish.

Overproduced esterases in Culex pipiens quinquefasciatus (Diptera: Culicidae) from Vietnam.

The electrophoretic polymorphism of loci encoding for 10 enzymes was studied in Culex p. quinquefasciatus Say from six localities of Vietnam. The analysis of 11 "neutral genes" showed that differentiation among samples was low, but significant (Fst = 0.06), and significantly related to geographic distance between sample sites. These results are similar to those observed in other countries (Europe and west Africa). A single type of overproduced esterases (A2-B2) was observed, and its frequency was high (60-100%) in all samples. This situation is in sharp contrast with that observed in other countries of South East Asia (China, South Korea and Japan), where two or more types of overproduced esterases have been reported. A map summarizing the geographic distribution of Asian Cr. p. quinquefasciatus with overproduced esterases is provided.