Non-household environments make a major contribution to dengue transmission: Implications for vector control.

Aedes-borne pathogens have been increasing in incidence in recent decades despite vector control activities implemented in endemic settings. Vector control for Aedes-transmitted arboviruses typically focuses on households because vectors breed in household containers and bite indoors. Yet, our recent work shows a high abundance of Aedes spp. vectors in public spaces. To investigate the impact of non-household environments on dengue transmission and control, we used field data on the number of water containers and abundance of Aedes mosquitoes in Household (HH) and Non-Household (NH) environments in two Kenyan cities, Kisumu and Ukunda, from 2019-2022. Incorporating information on human activity space, we developed an agent-based model to simulate city-wide conditions considering HH and five types of NH environments in which people move and interact with other humans and vectors during peak biting times. We additionally evaluated the outcome of vector control activities implemented in different environments in preventive (before an epidemic) and reactive (after an epidemic commences) scenarios. We estimated that over half of infections take place in NH environments, where the main spaces for transmission are workplaces, markets, and recreational locations. Accordingly, results highlight the important role of vector control activities at NH locations to reduce dengue. A greater reduction of cases is expected as control activities are implemented earlier, at higher levels of coverage, with greater effectiveness when targeting only NH as opposed to when targeting only HH. Further, local ecological factors such as the differential abundance of water containers within cities are also influential factors to consider for control. This work provides insight into the importance of vector control in both household and non-household environments in endemic settings. It highlights a specific approach to inform evidence-based decision making to target limited vector control resources for optimal control.

Identifying Knowledge Gaps through the Systematic Review of Temperature-Driven Variability in the Competence of Aedes aegypti and Ae. albopictus for Chikungunya Virus.

Temperature is a well-known effector of several transmission factors of mosquito-borne viruses, including within mosquito dynamics. These dynamics are often characterized by vector competence and the extrinsic incubation period (EIP). Vector competence is the intrinsic ability of a mosquito population to become infected with and transmit a virus, while EIP is the time it takes for the virus to reach the salivary glands and be expectorated following an infectious bloodmeal. Temperatures outside the optimal range act on life traits, decreasing transmission potential, while increasing temperature within the optimal range correlates to increasing vector competence and a decreased EIP. These relatively well-studied effects of other Aedes borne viruses (dengue and Zika) are used to make predictions about transmission efficiency, including the challenges presented by urban heat islands and climate change. However, the knowledge of temperature and chikungunya (CHIKV) dynamics within its two primary vectors-Ae. aegypti and Ae. albopictus-remains less characterized, even though CHIKV remains a virus of public-health importance. Here, we review the literature and summarize the state of the literature on CHIKV and temperature dependence of vector competence and EIP and use these data to demonstrate how the remaining knowledge gap might confound the ability to adequately predict and, thus, prepare for future outbreaks.

The Importance of Including Non-Household Environments in Dengue Vector Control Activities.

Most vector control activities in urban areas are focused on household environments; however, information relating to infection risks in spaces other than households is poor, and the relative risk that these spaces represent has not yet been fully understood. We used data-driven simulations to investigate the importance of household and non-household environments for dengue entomological risk in two Kenyan cities where dengue circulation has been reported. Fieldwork was performed using four strategies that targeted different stages of mosquitoes: ovitraps, larval collections, Prokopack aspiration, and BG-sentinel traps. Data were analyzed separately between household and non-household environments to assess mosquito presence, the number of vectors collected, and the risk factors for vector presence. With these data, we simulated vector and human populations to estimate the parameter m and mosquito-to-human density in both household and non-household environments. Among the analyzed variables, the main difference was found in mosquito abundance, which was consistently higher in non-household environments in Kisumu but was similar in Ukunda. Risk factor analysis suggests that small, clean water-related containers serve as mosquito breeding places in households as opposed to the trash- and rainfall-related containers found in non-household structures. We found that the density of vectors (m) was higher in non-household than household environments in Kisumu and was also similar or slightly lower between both environments in Ukunda. These results suggest that because vectors are abundant, there is a potential risk of transmission in non-household environments; hence, vector control activities should take these spaces into account.

Arbovirus Transmission Predictions Are Affected by Both Temperature Data Source and Modeling Methodologies across Cities in Colombia.

Weather variables has been described as major drivers of vector proliferation and arbovirus transmission. Among them, temperature has consistently been found to be impactful in transmission dynamics, and models that incorporate temperature have been widely used to evaluate and forecast transmission or arboviruses like dengue, zika, or chikungunya virus. Further, there is growing evidence of the importance of micro-environmental temperatures in driving transmission of Aedes aegypti-borne viruses, as these mosquitoes tend to live within domiciles. Yet there is still a considerable gap in our understanding of how accounting for micro-environmental temperatures in models varies from the use of other widely-used, macro-level temperature measures. This effort combines field-collected data of both indoor and outdoor household associated temperatures and weather station temperature data from three Colombian cities to describe the relationship between the measures representing temperature at the micro- and macro-levels. These data indicate that weather station data may not accurately capture the temperature profiles of indoor micro-environments. However, using these data sources, the basic reproductive number for arboviruses was calculated by means of three modeling efforts to investigate whether temperature measure differences translated to differential transmission predictions. Across all three cities, it was determined that the modeling method was more often impactful rather than the temperature data-source, though no consistent pattern was immediately clear. This suggests that temperature data sources and modeling methods are important for precision in arbovirus transmission predictions, and more studies are needed to parse out this complex interaction.

Entomovirological Surveillance in Schools: Are They a Source for Arboviral Diseases Transmission?

Surveillance and control activities for virus-transmitting mosquitoes have primarily focused on dwellings. There is little information about viral circulation in heavily trafficked places such as schools. We collected and analyzed data to assess the presence and prevalence of dengue, chikungunya, and Zika viruses in mosquitoes, and measured Aedes indices in schools in Medellín (Colombia) between 2016-2018. In 43.27% of 2632 visits we collected Aedes adults, creating 883 pools analyzed by RT-PCR. 14.27% of pools yielded positive for dengue or Zika (infection rates of 1.75-296.29 for Aedes aegypti). Ae. aegypti was more abundant and had a higher infection rate for all studied diseases. Aedes indices varied over time. There was no association between Aedes abundance and mosquito infection rates, but the latter did correlate with cases of arboviral disease and climate. Results suggest schools are important sources of arbovirus and health agencies should include these sites in surveillance programs; it is essential to know the source for arboviral diseases transmission and the identification of the most population groups exposed to these diseases to research and developing new strategies.

Correlation of the basic reproduction number (R0) and eco-environmental variables in Colombian municipalities with chikungunya outbreaks during 2014-2016.

Chikungunya virus (CHIKV) emerged in Colombia in 2014 into a population presumed fully susceptible. This resulted in a quick and intense spread across Colombia, resulting in an epidemic that affected an estimated 450,000 people. The reported Colombian cases accounted for over 49% of all the cases reported to the PAHO. Eco-environmental factors are known to be associated with the spread of arboviruses such as CHIKV, and likely contribute to the differences in transmission profiles that were observed across several municipalities. To determine the association of eco-environmental factors and CHIKV, the basic reproduction number (R0) in 85 municipalities, which accounted for 65.6% of reported CHIKV cases in Colombia, was estimated. Estimates of R0 ranged from 1 to 9, where over 76% of municipalities had R0 values between 1 and 2. When we looked at the distribution of R0, the cumulative proportions were 20% with R0>2, 14% with R0>3, and 9% with R0>4. Next, we determined that there were different patterns of correlation between environmental and/or ecological variables and R0 when we considered different R0 lower-thresholds. Broadly, we found that temperature-related variables are significantly and positively correlated to R0 regardless of the lower threshold, while other variables like duration of outbreak and size of the urban area are inversely related to R0. Specifically, we conclude that high values of temperature-related variables where R0 > 1 will result in a fast growth of cases in a shorter time period (with faster cessation of outbreak transmission) but will result overall in a fewer total cases compared to outbreak areas (R0 > 1, but classified as lower). Thus, in the absence of vector control, a less explosive outbreak may be more advantageous for the virus in terms of transmission.

Influencia de la temperatura ambiental en el mosquito Aedes spp y la transmisión del virus del dengue / Influence of environmental temperature in the mosquito Aedes spp and the transmission of the dengue virus

Resumen En esta revisión se aborda a Aedes, el género de insectos más relevante en relación a la transmisión de agentes patógenos virales entre los que se cuentan dengue, zika, chikungunya, fiebre amarilla, entre otros. Este vector posee una rápida tasa de desarrollo y alta supervivencia, las cuales puede variar en respuesta a muchos factores bióticos y abióticos del ambiente. Entre estos últimos está la temperatura, la cual puede ejercer una considerable influencia en la capacidad vectorial, ya que impacta en la dinámica de la población del mosquito, la cinética del ciclo biológico, la respuesta inmunológica frente al virus del dengue, entre otros aspectos. Este conocimiento puede resultar útil en la realización de mejores proyecciones de los efectos del cambio climático sobre la incidencia del dengue, así como lograr una detección temprana de posibles brotes epidémicos que permitan la planeación oportuna de una respuesta rápida y eficaz para lograr la reducción y el control de la enfermedad.

Abstract This review presents Aedes, the most relevant insect genus in relation to the transmission of viral pathogens: dengue, zika, chikungunya, yellow fever, among others. This vector has a rapid rate of development and high survival, which might vary in response to many biotic and abiotic factors of environment. Among the latter is the temperature, which can exert a considerable influence on vectorial capacity, since it affects the dynamics of the mosquito population, the kinetics of the biological cycle, the immune response against the dengue virus, among other aspects. This knowledge can be useful in achieving better projections of the effects of climate change on the incidence of dengue, as well as achieving early detection of possible epidemic outbreaks that allow the timely planning of a rapid and effective response to achieve the reduction and control of the disease.

Estimation of DENV-2 Transmission as a Function of Site-Specific Entomological Parameters from Three Cities in Colombia.

BACKGROUND: Measuring dengue virus transmission in endemic areas is a difficult task as many variables drive transmission, and often are not independent of one another. OBJECTIVES: We aimed to determine the utility of vectorial capacity to explain the observed dengue infection rates in three hyperendemic cities in Colombia, and tested hypotheses related to three variables: mosquito density, effective vector competence, and biting rate. METHODS: We estimated two of the most influential entomological variables related to cumulative vectorial capacity, which is a modification of the traditional vectorial capacity equation, of three Colombian mosquito populations. Laboratory studies were undertaken to measure vector competence and man biting rate of local mosquito populations. In addition, the assessment of cumulative vectorial capacity also incorporated site-specific estimations of mosquito density and the probability of daily survival from previous studies conducted in those cities. FINDINGS: We found that the biting rates and mosquito infection rates differed among populations of mosquitoes from these three cities, resulting in differences in the site-specific measures of transmission potential. Specifically, we found that using site-specific entomological measures to populate the cumulative vectorial capacity equation was best at recapitulating observed mosquito infection rates when mosquito density was discounted compared to when we incorporated site-specific density measures. CONCLUSIONS: Specific mosquito-biting rate is likely sufficient to explain transmission differences in these three cities, confirming that this parameter is a critical parameter when predicting and assessing dengue transmission in three Colombian cities with different field observed transmission patterns.

Estimating Effects of Temperature on Dengue Transmission in Colombian Cities.

BACKGROUND: Dengue fever is a viral disease that affects tropical and subtropical regions of the world. It is well known that processes related to virus transmission by mosquitoes are highly influenced by weather. Temperature has been described as one of the climatic variables that largely governs the development and survival of mosquito eggs as well as the survival of all insect stages. Previously, we noted that high temperatures in the Colombian city of Riohacha negatively affect the establishment of dengue virus (DENV) infection in mosquitoes; in Bello and Villavicencio cities, which have lower average temperatures, DENV infection rates in mosquitoes are positively associated with a gradual increase in temperature. Here, we test the hypothesis that a similar effect of temperature can be detected in the incidence in the human population inhabiting dengue-endemic cities in Colombia. OBJECTIVE: Our objective was to evaluate the effect of climate variables related to temperature on DENV incidence in human populations living in DENV-endemic cities in Colombia. METHODS: Epidemiologic data from the Instituto Nacional de Salud from 2012-2015 and 7 variables related to temperature were used to perform Spearman rank sum test analyses on 20 Colombian cities. Additionally, locally estimated scatterplot smoothing analyses were performed to describe the relationship among temperatures and incidence. FINDINGS: Results indicated that Colombian cities with average and maximum temperatures greater than 28°C and 32°C, respectively, had an inversely related relationship to DENV incidence, which is in accordance with areas where higher temperatures are recorded in Colombia. CONCLUSION: Climatic variables related to temperature affect dengue epidemiology in different way. According to the temperature of each city, transmission might be positively or negatively affected.

Tripanosomiasis bovina en ganadería lechera de trópico alto: primer informe de Haematobia irritans como principal vector de T. vivax y T. evansi en Colombia

La tripanosomiasis bovina es una enfermedad hemoparasitaria transmitida en Latinoamérica principalmente por moscas picadoras de la familia Tabanidae. El objetivo del estudio fue evaluar la infección por Trypanosoma vivax y Trypanosoma evansi en ganadería bovina especializada en producción de leche en una hacienda y sus potenciales vectores. Se realizó un estudio parasitológico y entomológico directo por técnicas de microscopia y reacción en cadena de la polimerasa (PCR) con dos marcadores moleculares para diferenciar especies de Trypanosoma en muestras de sangre de bovinos y moscas. La frecuencia de infección por Trypanosoma vivax y Trypanosoma evansi en bovinos fue de 3,6 y 0 %, respectivamente. La caracterización de vectores muestra a Haematobia irritans como la mosca más frecuente en la zona de estudio (97,1 %), seguida de Stomoxys calcitrans (2,8 %). No se identificaron tabánidos. Se encontró T. vivax y T. evansi en probóscide y toráx-abdomen de las moscas picadoras Haematobia irritans y Stomoxys calcitrans, lo que representa un comportamiento epizoótico atípico al que sucede en países de Suramérica. Por su alta densidad poblacional, se sugiere la mosca Haematobia irritans como el principal potencial vector.

Bovine trypanosomiasis is a hemoparasitic disease transmitted in Latin America mainly by biting flies of the family Tabanidae. The study aimed to evaluate infection by Trypanosoma vivax and Trypanosoma evansi in cattle specialized in milk production on a farm and their potential vectors. A direct parasitological and entomological study was performed using microscopy techniques and polymerase chain reaction (PCR) with two molecular markers to differentiate Trypanosoma species in blood samples of cattle and flies. Infection frequency with Trypanosoma vivax and Trypanosoma evansi in cattle was 3.6 and 0%, respectively. Characterization of vectors shows Haematobia irritans as the most frequent fly in the study area (97.1%), followed by Stomoxys calcitrans (2.8%). No horseflies were identified. T. vivax and T. evansi were found in proboscis and thorax-abdomen of biting flies Haematobia irritans and Stomoxys calcitrans, representing an epizootic behavior, atypical in South American countries. Due to its high population density, it is suggested that the Haematobia irritans fly is the main potential vector.

A tripanossomíase bovina é uma doença causada por hemoparasitas e transmitida na América Latina principalmente por moscas picadoras da família Tabanidae. O objetivo do estudo foi avaliar a infecção por Trypanosoma vivax e Trypanosoma evansi em gado bovino especializada em produção de leite em uma fazenda e seus potenciais vectores. Se realizou um estudo parasitológico e entomológico direto por técnicas de microscopia e reação em cadeia da polimerase (PCR) com dois marcadores moleculares para diferenciar espécies de Typanosoma em amostras de sangue de bovinos e moscas. A frequência de infecção por Trypanosoma vivax e Trypanosoma evansi em bovinos foi de 3,6 e 0 %, respectivamente. A caracterização de vetores mostra a Haematobia irritans como a mosca mais frequente na zona de estudo (97,1 %), seguida de Stomoxys calcitrans (2,8 %). Não se identificaram tabanídeos. Se encontrou T. vivax e T. evansi em proboscídea e tórax-abdômen das moscas picadoras Haematobia irritans e Stomoxys calcitrans, o que representa um comportamento epizoótico atípico ao que sucede em países da América do Sul. Por sua alta densidade populacional, se sugere a mosca Haematobia irritans como o principal potencial vetor.

Tripanosomiasis bovina en ganadería lechera de trópico alto: primer informe de Haematobia irritans como principal vector de T. vivax y T. evansi en Colombia / Bovine trypanosomiasis in dairy farming in the high tropics: First report of Haematobia irritans as the main vector for T. vivax and T. evansi in Colombia / Tripanossomíase bovina em gado leiteiro de trópico alto: primeiro relatório de Haematobia irritans como principal vetor de T. vivax e T. evansi na Colômbia

Resumen: La tripanosomiasis bovina es una enfermedad hemoparasitaria transmitida en Latinoamérica principalmente por moscas picadoras de la familia Tabanidae. El objetivo del estudio fue evaluar la infección por Trypanosoma vivax y Trypanosoma evansi en ganadería bovina especializada en producción de leche en una hacienda y sus potenciales vectores. Se realizó un estudio parasitológico y entomológico directo por técnicas de microscopia y reacción en cadena de la polimerasa (PCR) con dos marcadores moleculares para diferenciar especies de Trypanosoma en muestras de sangre de bovinos y moscas. La frecuencia de infección por Trypanosoma vivax y Trypanosoma evansi en bovinos fue de 3,6 y 0 %, respectivamente. La caracterización de vectores muestra a Haematobia irritans como la mosca más frecuente en la zona de estudio (97,1 %), seguida de Stomoxys calcitrans (2,8 %). No se identificaron tabánidos. Se encontró T. vivax y T. evansi en probóscide y toráx-abdomen de las moscas picadoras Haematobia irritans y Stomoxys calcitrans, lo que representa un comportamiento epizoótico atípico al que sucede en países de Suramérica. Por su alta densidad poblacional, se sugiere la mosca Haematobia irritans como el principal potencial vector.

Abstract: Bovine trypanosomiasis is a hemoparasitic disease transmitted in Latin America mainly by biting flies of the family Tabanidae. The study aimed to evaluate infection by Trypanosoma vivax and Trypanosoma evansi in cattle specialized in milk production on a farm and their potential vectors. A direct parasitological and entomological study was performed using microscopy techniques and polymerase chain reaction (PCR) with two molecular markers to differentiate Trypanosoma species in blood samples of cattle and flies. Infection frequency with Trypanosoma vivax and Trypanosoma evansi in cattle was 3.6 and 0%, respectively. Characterization of vectors shows Haematobia irritans as the most frequent fly in the study area (97.1%), followed by Stomoxys calcitrans (2.8%). No horseflies were identified. T. vivax and T. evansi were found in proboscis and thorax-abdomen of biting flies Haematobia irritans and Stomoxys calcitrans, representing an epizootic behavior, atypical in South American countries. Due to its high population density, it is suggested that the Haematobia irritans fly is the main potential vector.

Resumo: A tripanossomíase bovina é uma doença causada por hemoparasitas e transmitida na América Latina principalmente por moscas picadoras da família Tabanidae. O objetivo do estudo foi avaliar a infecção por Trypanosoma vivax e Trypanosoma evansi em gado bovino especializada em produção de leite em uma fazenda e seus potenciais vectores. Se realizou um estudo parasitológico e entomológico direto por técnicas de microscopia e reação em cadeia da polimerase (PCR) com dois marcadores moleculares para diferenciar espécies de Typanosoma em amostras de sangue de bovinos e moscas. A frequência de infecção por Trypanosoma vivax e Trypanosoma evansi em bovinos foi de 3,6 e 0 %, respectivamente. A caracterização de vetores mostra a Haematobia irritans como a mosca mais frequente na zona de estudo (97,1 %), seguida de Stomoxys calcitrans (2,8 %). Não se identificaram tabanídeos. Se encontrou T. vivax e T. evansi em proboscídea e tórax-abdômen das moscas picadoras Haematobia irritans e Stomoxys calcitrans, o que representa um comportamento epizoótico atípico ao que sucede em países da América do Sul. Por sua alta densidade populacional, se sugere a mosca Haematobia irritans como o principal potencial vetor.

Examining the potential for South American arboviruses to spread beyond the New World.

Zika and chikungunya viruses emerged as public health emergencies in the Western Hemisphere where previously they had not been reported on a large scale. Millions were infected as the viruses met with virtually no herd immunity upon emergence. PURPOSE OF THE REVIEW: We explore the histories of these two recent arbovirus experiences in South America. We then review similarly three endemic South American viruses: yellow fever, Oropouche, and Mayaro viruses. RECENT FINDINGS: We discuss the commonalities of the transmission systems and the possibility of an atypical emergence, that of New World virus to the Old World. SUMMARY: We discuss the avenues for research that would increase preparedness and efficiency of response should a South American arbovirus emerge in the Eastern Hemisphere.

Infection Rates by Dengue Virus in Mosquitoes and the Influence of Temperature May Be Related to Different Endemicity Patterns in Three Colombian Cities.

Colombia is an endemic country for dengue fever where the four serotypes of virus dengue (DENV1-4) circulate simultaneously, and all types are responsible for dengue cases in the country. The control strategies are guided by entomological surveillance. However, heterogeneity in aedic indices is not well correlated with the incidence of the disease in cities such as Riohacha, Bello and Villavicencio. As an alternative, molecular detection of dengue virus in mosquitoes has been proposed as a useful tool for epidemiological surveillance and identification of serotypes circulating in field. We conducted a spatiotemporal fieldwork in these cities to capture adult mosquitoes to assess vector infection and explain the differences between Breteau indices and disease incidence. DENV infection in females and DENV serotype identification were evaluated and infection rates (IR) were estimated. The relationship between density, dengue cases and vector index was also estimated with logistic regression modeling and Pearson's correlation coefficient. The lack of association between aedic indices and dengue incidence is in agreement with the weak associations between the density of the mosquitoes and their infection with DENV in the three cities. However, association was evident between the IR and dengue cases in Villavicencio. Furthermore, we found important negative associations between temperature and lag time from two to six weeks in Riohacha. We conclude that density of mosquitoes is not a good predictor of dengue cases. Instead, IR and temperature might explain better such heterogeneity.