Challenges and epidemiological implications of the first outbreak of dengue and chikungunya in Sudan.

Background: Dengue and chikungunya are mosquito-borne infections that are spreading rapidly worldwide. The highest burden lies in tropical and subtropical countries. In 2022 Sudan encountered the most widespread infection of both diseases. Aim: To describe the magnitude of the first outbreak of dengue and chikungunya infections in Tandalti Town, White Nile State, southern part of Sudan. Methods: Following the report of a high number of undifferentiated febrile illnesses in 32 health clinics in Tandalti Town, an area with high densities of Aedes aegypti, we collected blood samples from symptomatic suspected cases. The samples were tested for major arboviral infections using arboviral-specific enzyme-linked immunosorbent assays (IgM capture ELISA), and serologically positive samples were confirmed using commercially available Real Time RT-PCR Kits. Results: Out of 773 suspected cases, 63 (8.15%) were confirmed. Eleven (17.46%) of the confirmed cases were DENV, 49 (77.77%) were CHIKV, and 3 (4.76%) were DENV and CHIKV co-infections. The outbreak started at the beginning of October and ended by mid December 2022. Both dengue and chikungunya infection was higher (41(65.08%)) among young females than males (22 (34.92%)). Conclusions: White Nile State may experience larger outbreaks of dengue and chikungunya in the future, there is, therefore, an urgent need for proper vector control interventions in the state and nearby states.

Comparison of the temporal efficacy of Aquatain surface films for the control of Anopheles arabiensis and Ochlerotatus caspius larvae from Sudan.

Aquatain mosquito formulation (AMF) is a surfactant that spreads across the surface of water bodies to produce a monomolecular film. This study experimentally evaluates the temporal efficacy of AMF against aquatic stages of Anopheles arabiensis and Ochlerotatus caspius under laboratory conditions. Using the recommended application dose of 1 ml m-2, a large species-specific difference in the median lethal time for L3-L4 larvae was observed. The median lethal time to 50% mortality (LT50) and 90% mortality (LT90) was 1.3 h, 95% CI [1.2, 1.4] and 3.8 h, 95% CI [3.6, 4.0], respectively, for Oc. caspius. The corresponding values for An. arabiensis were 8.1 h, 95% CI [7.3, 9.0] and 59.6 h, 95% CI [48.5, 76.2]. Based on data from published laboratory studies for a total of seven mosquito species, drawn from four genera, results in the following three groups, [LT50 = 1-2 h, Culex quinquefasciatus, Ochlerotatus caspius] [LT50 = 8-24, hours, Anopheles minimus, Anopheles arabiensis, Anopheles gambiae s.s.] and [LT50 = 72-143 h, Anopheles stephensi, Aedes aegypti]. In all experiments, 100% mortality was achieved given sufficient time. The potential relevance of mortality rate estimates, in the context of other studies, on the use of monomolecular films for the control of malaria and arbovirus diseases is discussed.

Laboratory rearing of Anopheles arabiensis: impact on genetic variability and implications for Sterile Insect Technique (SIT) based mosquito control in northern Sudan.

BACKGROUND: Mosquito colony populations often show significant changes in their population genetic make-up compared to the field populations that were used as founding source. Most of the changes that have been reported are indicators of depletion in the overall genetic diversity of the colony populations. The Sterile Insect Techniques programme of mosquito control that is underway in Northern Sudan uses sterilized males produced from a laboratory-maintained colony population. The genetic diversity of an advanced generation of this colony population was quantitatively assessed and compared to the field population from which the colony was derived. METHODS: Anopheles arabiensis mosquito samples from the 13th generation of the colony, and from the locality that was the source of the first generation of the colony, were genotyped at 11 microsatellite loci distributed throughout the species' genome. Standard population genetic analyses were carried out to quantify and compare their population genetic make-up and diversities. RESULTS: The colony samples showed significant reduction in the total number of alleles, the numbers of rare and private alleles, and the fractions of heterozygote individuals at all the loci. The pattern of change is consistent with the expected effect of the use of a small number of mosquitoes when the colony was established. Departure from Hardy-Weinberg equilibrium in the direction of homozygote excess was observed at some loci and attributed to the presence of null-alleles. CONCLUSIONS: This study highlights the need for broad sampling when initiating colony populations and for ongoing assessment of the population genetic make-up of colony populations. Previous assessments of survivorship, dispersive behaviour and swarm formation indicate that the inbreeding and reduced genetic variability reported in this study may not have had direct fitness consequences yet. However, noting the lessons learned in other SIT programmes about the impact of colonization on male sexual behaviour and longevity, as well as other inbreeding related adverse effects, a systematic investigation of these potential effects is recommended because they have direct impact on the ultimate success of the programme.