Abstract
BackgroundThe transmission patterns of dengue (DENV) and yellow fever (YFV) viruses, especially in urban settings, are influenced by Aedes (Stegomyia) mosquito abundance and behavior. Despite recurrent dengue outbreaks on the Kenyan coast, these parameters remain poorly defined in this and other areas of contrasting dengue endemicity in Kenya. In assessing the transmission risk of DENV/YFV in three Kenyan cities, we determined adult abundance and resting habits of potential Aedes (Stegomyia) vectors in Kilifi (dengue-outbreak prone), and Nairobi and Kisumu (no dengue outbreaks reported). In addition, mosquito diversity, an important consideration for changing mosquito-borne disease dynamics, was compared.MethodsBetween October 2014 and June 2016, host-seeking adult mosquitoes were sampled using CO2-baited BG-Sentinel traps (12 traps daily) placed in vegetation around homesteads, across study sites in the three major cities. Also, indoor and outdoor resting mosquitoes were sampled using Prokopack aspirators. Three samplings, each of five consecutive days, were conducted during the long-rains, short-rains and dry season for each city. Inter-city and seasonal variation in mosquito abundance and diversity was evaluated using general linear models while mosquito-resting preference (indoors vs outdoors) was compared using Chi-square test.ResultsAedes aegypti, which comprised 60% (n = 7772) of the total 12,937 host-seeking mosquitoes collected, had comparable numbers in Kisumu (45.2%, n = 3513) and Kilifi (37.7%, n = 2932), both being significantly higher than Nairobi (17.1%, n = 1327). Aedes aegypti abundance was significantly lower in the short-rains and dry season relative to the long-rains (P < 0.0001). Aedes bromeliae, which occurred in low numbers, did not differ significantly between seasons or cities. Mosquito diversity was highest during the long-rains and in Nairobi. Only 10% (n = 43) of the 450 houses aspirated were found positive for resting Ae. aegypti, with overall low captures in all areas. Aedes aegypti densities were comparable indoors/outdoors in Kilifi; but with higher densities outdoors than indoors in Kisumu and Nairobi.ConclusionsThe presence and abundance of Ae. aegypti near human habitations and dwellings, especially in Kilifi/Kisumu, is suggestive of increased DENV transmission risk due to higher prospects of human vector contact. Despite low abundance of Ae. bromeliae suggestive of low YFV transmission risk, its proximity to human habitation as well as the observed diversity of potential YFV vectors should be of public health concern and monitored closely for targeted control. The largely outdoor resting behavior for Ae. aegypti provides insights for targeted adult vector control especially during emergency outbreak situations.
Highlights
The transmission patterns of dengue (DENV) and yellow fever (YFV) viruses, especially in urban settings, are influenced by Aedes (Stegomyia) mosquito abundance and behavior
As part of an epidemiological assessment of risk of dengue and yellow fever outbreaks in Kenya, this study focused on estimating the abundance and diversity of potential Dengue virus (DENV)/YFV vectors in dengue-endemic (Kilifi County) and dengue-free (Kisumu and Nairobi County) cities in Kenya
Aedes aegypti was the most dominant DENV/YFV vector represented across all the cities and seasons except for Nairobi where Aedes tricholabis dominated collections during the long-rains
Summary
The transmission patterns of dengue (DENV) and yellow fever (YFV) viruses, especially in urban settings, are influenced by Aedes (Stegomyia) mosquito abundance and behavior. Dengue virus (DENV) is the most rapidly spreading arbovirus in the world, with over 390 million global infections reported yearly [5, 6], whereas yellow fever virus (YFV) has a mortality rate of 20–50%, rivaling that of Ebola virus Both are arboviral diseases of major public health concern [4]. Since the first dengue outbreak in Kenya in 1982, which occurred in Kilifi and Malindi, subsequent outbreaks have mostly been limited to the Kenyan coast, especially in the urban city of Mombasa [7,8,9] and recently affecting the Kenya-Somali border area [10] This expansion in the geographical range of dengue outbreaks is of concern, as it highlights the potential for further spread. This is driven in part by the potential for spread through national/international travel [4, 14] as well as the widespread presence of domestic/peri-domestic vectors, Aedes aegypti and Aedes bromeliae [15]
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