Abstract
BackgroundMalaria was eliminated from Sri Lanka in 2013. However, the influx of infected travelers and the presence of potent anopheline vectors can re-initiate transmission in Jaffna city, which is separated by a narrow strait from the malaria-endemic Indian state of Tamil Nadu.MethodsAnopheline larvae were collected from different habitats in Jaffna city and the susceptibility of emergent adults to DDT, malathion and deltamethrin investigated.ResultsAnopheline larvae were found in wells, surface-exposed drains, ponds, water puddles and water storage tanks, with many containing polluted, alkaline and brackish water. Anopheles culicifacies, An. subpictus, An. stephensi and An. varuna were identified in the collections. Adults of the four anopheline species were resistant to DDT. Anopheles subpictus and An. stephensi were resistant while An. culicifacies and An. varuna were possibly resistant to deltamethrin. Anopheles stephensi was resistant, An. subpictus possibly resistant while An. varuna and An. culicifacies were susceptible to malathion. DNA sequencing showed a L1014F (TTA to TTC) mutation in the IIS6 transmembrane segment of the voltage-gated sodium channel protein in deltamethrin-resistant An. subpictus—a mutation previously observed in India but not Sri Lanka.ConclusionAnopheles subpictus in Jaffna, like An. stephensi, may have recently originated in coastal Tamil Nadu. Besides infected overseas travelers, wind- and boat-borne carriage of Plasmodium-infected anophelines across the Palk Strait can potentially reintroduce malaria transmission to Jaffna city. Adaptation to diverse larval habitats and resistance to common insecticides in anophelines are identified as potential problems for vector control should this happen.
Highlights
IntroductionThe influx of infected travelers and the presence of potent anopheline vectors can re-initiate transmission in Jaffna city, which is separated by a narrow strait from the malaria-endemic Indian state of Tamil Nadu
Malaria was eliminated from Sri Lanka in 2013
Because of its likely recent arrival from coastal Tamil Nadu, it is possible that tolerance to brackish and polluted water in An. stephensi are characteristics developed in Tamil Nadu or elsewhere in India that have helped it expand its range to Jaffna in an example of the anthropogenically-induced adaptation to invade in mosquito vectors [15, 17]
Summary
The influx of infected travelers and the presence of potent anopheline vectors can re-initiate transmission in Jaffna city, which is separated by a narrow strait from the malaria-endemic Indian state of Tamil Nadu. Malaria, which had been endemic in Sri Lanka for centuries, was eliminated from the island in 2013. The approximately 100 travelers with malaria who arrive every year from endemic countries, and the prevalence of potent anopheline vectors throughout the island, pose the risk of reinitiating local malaria transmission [2]. The principal malaria vector Anopheles culicifacies exists as a species complex in Sri Lanka [4]. Among the two sibling species B and E of the Culicifacies complex, species E was previously considered to be the major vector of malaria in the island [5]. Molecular characterization of An. subpictus complex revealed the presence of species A and the morphologically similar An. sundaicus (previously classified as An. subpictus species B) in Sri
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