Abstract

BackgroundThe Barotse floodplains of the upper Zambezi River and its tributaries are a highly dynamic environment, with seasonal flooding and transhumance presenting a shifting mosaic of potential larval habitat and human and livestock blood meals for malaria vector mosquitoes. However, limited entomological surveillance has been undertaken to characterize the vector community in these floodplains and their environs. Such information is necessary as, despite substantial deployment of insecticide-treated nets (ITNs) and indoor residual spraying (IRS) against Anopheles vectors, malaria transmission persists across Barotseland in Zambia’s Western Province.MethodsGeographically extensive larval surveys were undertaken in two health districts along 102 km of transects, at fine spatial resolution, during a dry season and following the peak of the successive wet season. Larvae were sampled within typical Anopheles flight range of human settlements and identified through genetic sequencing of cytochrome c oxidase I and internal transcribed spacer two regions of mitochondrial and nuclear DNA. This facilitated detailed comparison of taxon-specific abundance patterns between ecological zones differentiated by hydrological controls.ResultsAn unexpected paucity of primary vectors was revealed, with An. gambiae s.l. and An. funestus representing < 2% of 995 sequenced anophelines. Potential secondary vectors predominated in the vector community, primarily An. coustani group species and An. squamosus. While the distribution of An. gambiae s.l. in the study area was highly clustered, secondary vector species were ubiquitous across the landscape in both dry and wet seasons, with some taxon-specific relationships between abundance and ecological zones by season.ConclusionsThe diversity of candidate vector species and their high relative abundance observed across diverse hydro-ecosystems indicate a highly adaptable transmission system, resilient to environmental variation and, potentially, interventions that target only part of the vector community. Larval survey results imply that residual transmission of malaria in Barotseland is being mediated predominantly by secondary vector species, whose known tendencies for crepuscular and outdoor biting renders them largely insensitive to prevalent vector control methods.Graphical

Highlights

  • The Barotse floodplains of the upper Zambezi River and its tributaries are a highly dynamic environment, with seasonal flooding and transhumance presenting a shifting mosaic of potential larval habitat and human and livestock blood meals for malaria vector mosquitoes

  • Traditional indoor-focused interventions may fail to control transmission by exophagic and exophilic mosquitoes,. This was strikingly demonstrated in the Kilombero Valley in Tanzania, where the introduction of insecticide-treated nets (ITNs) was less than half as effective at suppressing outdoor-biting An. arabiensis mosquitoes than endophagic An. gambiae sensu stricto (s.s.) [4]

  • Larval habitat sampling The distribution of water bodies encountered in sampling in the 2017 dry season and following the peak of the 2018 wet season conformed to expectations for the ecological zones outlined above; see [20] for a detailed spatio-temporal characterization of water bodies across this region of Barotseland during this period

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Summary

Introduction

The Barotse floodplains of the upper Zambezi River and its tributaries are a highly dynamic environment, with seasonal flooding and transhumance presenting a shifting mosaic of potential larval habitat and human and livestock blood meals for malaria vector mosquitoes. Ninety-three percent of malaria cases occur in sub-Saharan Africa [1], where six species of Anopheles mosquito are thought to be responsible for 95% of transmission [2] These primary vector species dominate transmission because of their propensity to obtain blood meals from humans, but the associated endophagic and endophilic behaviors (preference for feeding and resting indoors) render them vulnerable to interventions using insecticide-treated nets (ITNs) and indoor residual spraying (IRS) of insecticides. Together, these vector control methods accounted for 78% of the dramatic global reduction in malaria transmission achieved between 2000 and 2015, during which time an estimated 663 million clinical cases were averted [3]. Undertaken comparatively rarely, frequently reveal substantially greater vector diversity than could be inferred from prevailing indoor trapping [7]

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