Insecticide resistance profiles of Anopheles gambiae s.l. in Togo and genetic mechanisms involved, during 3-year survey: is there any need for resistance management?

BACKGROUND: Malaria, one of the world's greatest public health challenges, is an endemic disease with stable transmission in Togo. Combating malaria requires an effective vector control. This study provides temporal data on insecticide resistance status in the major malaria vector Anopheles gambiae sensu lato (s.l.) from Togo. METHODS: Two to 5 days old females of An. gambiae s.l., originating from three localities (Baguida, Kovié, Kolokopé) were subjected to insecticide-impregnated papers during 3 years (2012, 2013, 2016) as follows: organochlorides (4% DDT), pyrethroids (0.05% deltamethrin, 0.75% permethrin, 0.05% lambdacyhalothrin), carbamates (0.4% bendiocarb and 0.1% propoxur), and organophosphates (5% malathion, 0.4% chlorpyrifos methyl, 1% fenitrothion) following the WHO standard protocol. Dead and surviving mosquitoes were stored separately in Eppendorf tubes containing silica gel for DNA extraction, species identification, and kdr and ace-1 genotyping. RESULTS: Knockdown times (KDT50 and KDT95) were high in An. gambiae s.l. The lowest KDTs were recorded at Baguida in 2013 for deltamethrin (KDT50 = 24.7, CI [22.4-27.12] and KDT95 = 90.78, CI [76.35-113.49]). No KDTs were recorded for DDT and in some instances for permethrin. In general, An. gambiae s.l. was resistant to most of the four classes of insecticides during the survey periods regardless of locality and year, except to chlorpyrifos methyl. In some instances, mosquitoes were fully susceptible to fenitrothion (Kolokopé: 100% and Kovié: 98.05%, CI [95.82-100.26]) and malathion (100% at both Kolokopé and Kovié) in 2013, and malathion only (Kolokopé; 100%) in 2016. Anopheles coluzzii, An. gambiae and Anopheles arabiensis were the three sibling species identified at the three localities with some hybrids at Baguida (2013), and Kovié (2012 and 2016), respectively. Anopheles gambiae was relatively dominant (61.6%). The kdr 1014F allele frequency was > 0.9 in most of the cases, except at Kolokopé (f (1014F) = 0.63, CI [0.55-0.71]) in 2013. The kdr 1014S allele frequency was below 0.02. The highest ace-1 frequencies were identified in An. gambiae at Baguida (2012: 0.52, CI [0.34-0.69] and 2013: 0.66, CI [0.46-0.86]). CONCLUSION: The resistance status is worrying in Togo and should be considered in future malaria vector resistance management programmes by decision-makers.

Evaluation of Effectiveness of a Community-Based Intervention for Control of Dengue Virus Vector, Ouagadougou, Burkina Faso.

We evaluated the effectiveness of a community-based intervention for dengue vector control in Ouagadougou, the capital city of Burkina Faso. Households in the intervention (n = 287) and control (n = 289) neighborhoods were randomly sampled and the outcomes collected before the intervention (October 2015) and after the intervention (October 2016). The intervention reduced residents' exposure to dengue vector bites (vector saliva biomarker difference -0.08 [95% CI -0.11 to -0.04]). The pupae index declined in the intervention neighborhood (from 162.14 to 99.03) and increased in the control neighborhood (from 218.72 to 255.67). Residents in the intervention neighborhood were less likely to associate dengue with malaria (risk ratio 0.70 [95% CI 0.58-0.84]) and had increased knowledge about dengue symptoms (risk ratio 1.44 [95% CI 1.22-1.69]). Our study showed that well-planned, evidence/community-based interventions that control exposure to dengue vectors are feasible and effective in urban settings in Africa that have limited resources.

Reverse osmosis and ultrafiltration for recovery and reuse of larval rearing water in Anopheles arabiensis mass production: Effect of water quality on larval development and fitness of emerging adults.

BACKGROUND: Countries around the world are showing increased interest in applying the sterile insect technique against mosquito disease vectors. Many countries in which mosquitoes are endemic, and so where vector control using the sterile insect technique may be considered, are located in arid zones where water provision can be costly or unreliable. Water reuse provides an alternate form of water supply. In order to reduce the cost of mass rearing of Anopheles arabiensis mosquitoes, the possibility of recycling and reusing larval rearing water was explored. METHODS: The used rearing water ('dirty water') was collected after the tilting of rearing trays for collection of larvae/pupae, and larvae/pupae separation events and underwent treatment processes consisting of ultrafiltration and reverse osmosis. First-instar An. arabiensis larvae were randomly assigned to different water-type treatments, 500 larvae per laboratory rearing tray: 'clean' dechlorinated water, routinely used in rearing; dirty water; and 'recycled' dirty water treated using reverse osmosis and ultrafiltration. Several parameters of insect quality were then compared: larval development, pupation rate, adult emergence, body size and longevity. Water quality of the samples was analyzed in terms of ammonia, nitrite, nitrate, sulphate, dissolved oxygen, chloride, and phosphate concentrations after the larvae had all pupated or died. Surface water temperatures were also recorded continuously during larval development. RESULTS: Pupation rates and adult emergence were similar in all water treatments. Adult body sizes of larvae reared in recycled water were similar to those reared in clean water, but larger than those reared in the dirty larval water treatment, whereas the adult longevity of larvae reared in recycled water was significantly increased relative to both 'clean' and 'dirty' water. Dirty larval water contained significantly higher concentrations of ammonium, sulfate, phosphate and chloride and lower levels of dissolved oxygen than clean water. These parameters significantly varied during the period of larval development. After dirty water was recycled by ultrafiltration and reverse osmosis, all the parameters measured were the same as those in clean water. CONCLUSION: This study demonstrated the potential for using recycled larval rearing water to supplement clean dechlorinated water supplies. Recycling used water improved its quality and of the reared mosquitoes. As water demands and environmental pressures grow, recycling of larval rearing water will improve the sustainability and affordability of mosquito mass-rearing.