Effectiveness Of Vector Control Research Articles

Disregarding reservoirs of disease vectors: A surveillance paradox in Africa.

Disregarding reservoirs of disease vectors: A surveillance paradox in Africa.

A fractional-order Trypanosoma brucei rhodesiense model with vector saturation and temperature dependent parameters

Temperature is one of the integral environmental drivers that strongly affect the distribution and density of tsetse fly population. Precisely, ectotherm performance measures, such as development rate, survival probability and reproductive rate, increase from low values (even zero) at critical minimum temperature, peak at an optimum temperature and then decline to low levels (even zero) at a critical maximum temperature. In this study, a fractional-order Trypanosoma brucei rhodesiense model incorporating vector saturation and temperature dependent parameters is considered. The proposed model incorporates the interplay between vectors and two hosts, humans and animals. We computed the basic reproduction number and established results on the threshold dynamics. Meanwhile, we explored the effects of vector control and screening of infected host on long-term disease dynamics. We determine threshold levels essential to reducing the basic reproduction number to level below unity at various temperature levels. Our findings indicate that vector control and host screening could significantly control spread of the disease at different temperature levels.

Unique fine scale village spatial-temporal distributions of Anopheles farauti differ by physiological state and sex

BackgroundThe ecology of many mosquitoes, including Anopheles farauti, the dominant malaria vector in the southwest Pacific including the Solomon Islands, remains inadequately understood. Studies to map fine scale vector distributions are biased when trapping techniques use lures that will influence the natural movements of mosquitoes by attracting them to traps. However, passive collection methods allow the detailed natural distributions of vector populations by sex and physiological states to be revealed.MethodsThe barrier screen, a passive mosquito collection method along with human landing catches were used to record An. farauti distributions over time and space in two Solomon Island villages from May 2016 to July 2017.ResultsTemporal and spatial distributions of over 15,000 mosquitoes, including males as well as unfed, host seeking, blood-fed, non-blood fed and gravid females were mapped. These spatial and temporal patterns varied by species, sex and physiological state. Sugar-fed An. farauti were mostly collected between 10–20 m away from houses with peak activity from 18:00 to 19:00 h. Male An. farauti were mostly collected greater than 20 m from houses with peak activity from 19:00 to 20:00 h.ConclusionsAnopheles farauti subpopulations, as defined by physiological state and sex, are heterogeneously distributed in Solomon Island villages. Understanding the basis for these observed heterogeneities will lead to more accurate surveillance of mosquitoes and will enable spatial targeting of interventions for greater efficiency and effectiveness of vector control.

Interventions for the control of Aedes aegypti in Latin America and the Caribbean: systematic review and meta-analysis.

To determine the effectiveness and degree of implementation of interventions for the control of Aedes aegypti in Latin America and the Caribbean (LAC) as reported in scientific literature. We searched MEDLINE, EMBASE, CENTRAL, SOCINDEX, and LILACS, for experimental and observational studies, economic assessments and qualitative experiences carried out in LAC from 2000 to 2016. We assessed incidence and morbimortality of Aedes aegypti-related diseases and entomological indices: Breteau (containers), House, and Pupae per Person. We used GRADE methodology for assessing quality of evidence. Of 1826 records retrieved, 75 were included and 9 cluster randomised clinical trials could be meta-analysed. We did not identify any intervention supported by a high certainty of evidence. In consistency with qualitative evidence, health education and community engagement probably reduces the entomological indices, as do the use of insecticide-treated materials, indoor residual spraying and the management of containers. There is low certainty of evidence supporting the use of ovitraps or larvitraps, and the integrated epidemiological surveillance strategy to improve indices and reduce the incidence of dengue. The reported degree of implementation of these vector control interventions was variable and most did not extend to whole cities and were not sustained beyond 2years. We found a general lack of evidence on effectiveness of vector control in the region, despite a few interventions that showed moderate to low certainty of evidence. It is important to engage and educate the community, apart from achieving the implementation of integrated actions between the health and other sectors at national and regional level.

ResistanceSim: development and acceptability study of a serious game to improve understanding of insecticide resistance management in vector control programmes

The use of insecticides is the cornerstone of effective malaria vector control. However, the last two decades has seen the ubiquitous use of insecticides, predominantly pyrethroids, causing widespread insecticide resistance and compromising the effectiveness of vector control. Considerable efforts to develop new active ingredients and interventions are underway. However, it is essential to deploy strategies to mitigate the impact of insecticide resistance now, both to maintain the efficacy of currently available tools as well as to ensure the sustainability of new tools as they come to market. Although the World Health Organization disseminated best practice guidelines for insecticide resistance management (IRM), Rollback Malaria’s Vector Control Working Group identified the lack of practical knowledge of IRM as the primary gap in the translation of evidence into policy. ResistanceSim is a capacity strengthening tool designed to address this gap. The development process involved frequent stakeholder consultation, including two separate workshops. These workshops defined the learning objectives, target audience, and the role of mathematical models in the game. Software development phases were interspersed with frequent user testing, resulting in an iterative design process. User feedback was evaluated via questionnaires with Likert-scale and open-ended questions. The game was regularly evaluated by subject-area experts through meetings of an external advisory panel. Through these processes, a series of learning domains were identified and a set of specific learning objectives for each domain were defined to be communicated to vector control programme personnel. A simple “game model” was proposed that produces realistic outputs based on player strategy and also runs in real-time. Early testing sessions revealed numerous usability issues that prevented adequate player engagement. After extensive revisions, later testing sessions indicated that the tool would be a valuable addition to IRM training.

The decline of malaria in Vietnam, 1991\u20132014

BackgroundDespite the well-documented clinical efficacy of artemisinin-based combination therapy (ACT) against malaria, the population-level effects of ACT have not been studied thoroughly until recently. An ideal case study for these population-level effects can be found in Vietnam’s gradual adoption of artemisinin in the 1990s.Methods and resultsAnalysis of Vietnam’s national annual malaria reports (1991–2014) revealed that a 10% increase in artemisinin procurement corresponded to a 32.8% (95% CI 27.7–37.5%) decline in estimated malaria cases. There was no consistent national or regional effect of vector control on malaria. The association between urbanization and malaria was generally negative and sometimes statistically significant.ConclusionsThe decline of malaria in Vietnam can largely be attributed to the adoption of artemisinin-based case management. Recent analyses from Africa showed that insecticide-treated nets had the greatest effect on lowering malaria prevalence, suggesting that the success of interventions is region-specific. Continuing malaria elimination efforts should focus on both vector control and increased access to ACT.

Effects of vector control on the population structure of tsetse (Glossina fuscipes fuscipes) in western Kenya

Displacement rates of tsetse affect performance of targets during vector control. Fly size, one of the indicators of population structure usually obtained from wing measurement, is among the determinants of displacement rates. Although recovery of tsetse in previous intervention areas has been widely reported, the population structure of tsetse that recover is rarely evaluated despite being associated with displacements rates. Previously, intervention trials had reduced tsetse densities by over 90% from >3 flies/trap/day to <1fly/trap/day on Big Chamaunga and Manga islands of Lake Victoria in western Kenya. In this study, we assessed the recovery in densities of Glossina fuscipes fuscipes on the two islands and evaluated the effects vector control might have on the population structure. A before and after intervention study was undertaken on four islands of Lake Victoria in western Kenya; Small and Big Chamaunga, Manga and Rusinga Islands, two of which tsetse control intervention had previously been undertaken. Three years after intervention average G. f. fuscipes catches in biconical traps were estimated on each island. Wing centroid size (CS) (a measurement of fly size) and shape, indicators of the population structure of flies from the four islands were compared using geometric morphometric analyses. CS and shape of available female but not male tsetse wings obtained before the intervention trial on Big and Small Chamaunga islands were compared with those from the same islands after the intervention trial. G. f. fuscipes apparent density on the previous intervention islands were>9 flies/trap/day. Irrespective of sex, wing shape did not isolate tsetse based on their islands of origin. The fly size from Big and Small Chamaunga did not differ significantly before intervention trials (P = 0.728). However, three years after the intervention flies from Big Chamaunga were significantly smaller than those from Small Chamaunga (P < 0.003). Further, there was an increase in the divergence of wing morphology between flies collected from Big Chamaunga and those from Small Chamaunga after tsetse control. In conclusion, even though populations are not isolated, vector control could influence the population structure of tsetse by exerting size and wing morphology differential selection pressures. Therefore, we recommend further studies to understand the mechanism behind this as it may guide future vector control strategies.

Host attraction and biting behaviour of Anopheles mosquitoes in South Halmahera, Indonesia

BackgroundIndonesia is home to a variety of malaria vectors whose specific bionomic traits remain largely uncharacterized. Species-specific behaviours, such as host feeding preferences, impact the dynamics of malaria transmission and the effectiveness of vector control interventions.MethodsTo examine species-specific host attraction and feeding behaviours, a Latin square design was used to compare Anopheles mosquitoes attracted to human, cow, and goat-baited tents. Anopheles mosquitoes were collected hourly from the inside walls of each baited tent. Species were morphologically and then molecularly identified using rDNA ITS2 sequences. The head and thorax of individual specimens were analysed for Plasmodium DNA using PCR. Bloodmeals were identified using a multiplex PCR.ResultsA total of 1024, 137, and 74 Anopheles were collected over 12 nights in cow, goat, and human-baited tents, respectively. The species were identified as Anopheles kochi, Anopheles farauti s.s., Anopheles hackeri, Anopheles hinesorum, Anopheles indefinitus, Anopheles punctulatus, Anopheles tessellatus, Anopheles vagus, and Anopheles vanus, many of which are known to transmit human malaria. Molecular analysis of blood meals revealed a high level of feeding on multiple host species in a single night. Anopheles kochi, An. indefinitus, and An. vanus were infected with Plasmodium vivax at rates comparable to primary malaria vectors.ConclusionsThe species distributions of Anopheles mosquitoes attracted to human, goat, and cow hosts were similar. Eight of nine sporozoite positive samples were captured with animal-baited traps, indicating that even predominantly zoophilic mosquitoes may be contributing to malaria transmission. Multiple host feeding and flexibility in blood feeding behaviour have important implications for malaria transmission, malaria control, and the effectiveness of intervention and monitoring methods, particularly those that target human-feeding vectors.

Effect of Vector Control and Foliar Nutrition on Quality of Orange Juice Affected by Huanglongbing: Chemical Analysis

‘Valencia’ orange trees from groves with 90% infection by Candidatus liberibacter asiaticus (CLas), the presumed pathogen for citrus greening or huanglongbing (HLB) disease, were treated with insecticide (I), a nutritional spray (N), and insecticide plus nutritional spray (I + N). Controls (C) were not treated. Fruit were harvested in March to April, 2013, 2014, and 2015, juiced, and the juice was frozen for later chemical analyses. Titratable acidity (TA), soluble solids content (SSC), SSC/TA ratio, many volatiles, flavonoids, and limonoids showed differences because of season, whereas SSC, several volatiles (ethanol, cis-3 hexenol, α-terpinene, ethyl acetate, and acetone), flavonoids (narirutin, vicenin-2, diosmin, nobiletin, heptamethoxy flavone), and limonoids (nomilin and nomilinic acid glucoside) showed differences because of treatment. However, consistent patterns for chemical differences among seasons were not detected. TA tended to be higher in N and C the first two seasons and SSC/TA higher in I and I + N for all seasons (not significant for 2014). Bitter limonoids tended to be higher in I, N or I + N over the seasons. Principal Component Analysis showed that there was a good separation by season overall and for treatment in 2013. In 2014 and 2015, the insecticide treatments (either I or I + N) had the highest sugar and SSC/TA levels and lowest TA levels, although not always significant, as well as higher juice CLas cycle threshold (Ct) levels, indicating lower levels of the pathogen.

Effect of Vector Control and Foliar Nutrition on the Quality of Orange Juice Affected by Huanglongbing: Sensory Evaluation

A 3-year study was undertaken to establish the effect of field nutritional sprays, combined with insecticide treatments or not against Asian Citrus psyllid, on the fruit quality of ‘Valencia’ orange trees affected by the greening disease Huanglongbing (HLB). Four replicated plots were harvested, juiced, and pasteurized. Nine to twelve trained panelists evaluated the juice using seven flavor, five taste, four mouthfeel and three aftertaste descriptors. There was little difference between treatments in 2013; only orange peel flavor and bitterness were significantly lower for the insecticide treatment. In 2014, positive attributes, such as orange and fruity flavor, sweetness and mouthfeel body, were significantly higher in the insecticide treatment. Sourness was highest in untreated control, and there were no differences between treatments for bitterness. In 2015, negative attributes, such as grapefruit, orange peel and typical HLB flavor, sourness, bitterness, and astringency, were significantly higher in untreated control fruit, suggesting perhaps that the beneficial effect of nutritional and insecticide treatments was cumulative, only manifesting on the 3rd year of the study, and or because of the progression of the disease affecting untreated controls. Data are discussed in relation to juice chemical composition, including volatiles, sugars, acids, limonoids, and flavonoids, adding to the fundamental knowledge concerning chemical drivers of orange flavor.

Frequent blood feeding enables insecticide-treated nets to reduce transmission by mosquitoes that bite predominately outdoors.

BackgroundThe effectiveness of vector control on malaria transmission by long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS) depends on the vectors entering houses to blood feed and rest when people are inside houses. In the Solomon Islands, significant reductions in malaria have been achieved in the past 20 years with insecticide-treated bed nets, IRS, improved diagnosis and treatment with artemisinin combination therapies; despite the preference of the primary vector, Anopheles farauti, to feed outdoors and early in the evening and thereby avoid potential exposure to insecticides. Rational development of tools to complement LLINs and IRS by attacking vectors outdoor requires detailed knowledge of the biology and behaviours of the target species.MethodsMalaria transmission in Central Province, Solomon Islands was estimated by measuring the components comprising the entomological inoculation rate (EIR) as well as the vectorial capacity of An. farauti. In addition, the daily and seasonal biting behaviour of An. farauti, was examined and the duration of the feeding cycle was estimated with a mark-release-recapture experiment.ResultsAnopheles farauti was highly exophagic with 72 % captured by human landing catches (HLC) outside of houses. Three-quarters (76 %) of blood feeding on humans was estimated to occur before 21.00 h. When the hourly location of humans was considered, the proportion of exposure to mosquito bites on humans occurring indoors (πi) was only 0.130 ± 0.129. Peak densities of host seeking An. farauti occurred between October and January. The annual EIR was estimated to be 2.5 for 2012 and 33.2 for 2013. The length of the feeding cycle was 2.1 days.ConclusionsThe short duration of the feeding cycle by this species offers an explanation for the substantial control of malaria that has been achieved in the Solomon Islands by LLINs and IRS. Anopheles farauti is primarily exophagic and early biting, with 13 % of mosquitoes entering houses to feed late at night during each feeding cycle. The two-day feeding cycle of An. farauti requires females to take 5–6 blood meals before the extrinsic incubation period (EIP) is completed; and this could translate into substantial population-level mortality by LLINs or IRS before females would be infectious to humans with Plasmodium falciparum and Plasmodium vivax. Although An. farauti is primarily exophagic, the indoor vector control tools recommended by the World Health Organization (LLINs and IRS) can still provide an important level of control. Nonetheless, elimination will likely require vector control tools that target other bionomic vulnerabilities to suppress transmission outdoors and that complement the control provided by LLINs and IRS.

Broad patterns in domestic vector-borne Trypanosoma cruzi transmission dynamics: synanthropic animals and vector control.

BackgroundChagas disease (caused by Trypanosoma cruzi) is the most important neglected tropical disease (NTD) in Latin America, infecting an estimated 5.7 million people in the 21 countries where it is endemic. It is one of the NTDs targeted for control and elimination by the 2020 London Declaration goals, with the first goal being to interrupt intra-domiciliary vector-borne T. cruzi transmission. A key question in domestic T. cruzi transmission is the role that synanthropic animals play in T. cruzi transmission to humans. Here, we ask, (1) do synanthropic animals need to be targeted in Chagas disease prevention policies?, and (2) how does the presence of animals affect the efficacy of vector control?MethodsWe developed a simple mathematical model to simulate domestic vector-borne T.cruzi transmission and to specifically examine the interaction between the presence of synanthropic animals and effects of vector control. We used the model to explore how the interactions between triatomine bugs, humans and animals impact the number and proportion of T. cruzi-infected bugs and humans. We then examined how T. cruzi dynamics change when control measures targeting vector abundance are introduced into the system.ResultsWe found that the presence of synanthropic animals slows the speed of T. cruzi transmission to humans, and increases the sensitivity of T. cruzi transmission dynamics to vector control measures at comparable triatomine carrying capacities. However, T. cruzi transmission is amplified when triatomine carrying capacity increases with the abundance of syntathoropic hosts.ConclusionsOur results suggest that in domestic T. cruzi transmission scenarios where no vector control measures are in place, a reduction in synanthropic animals may slow T. cruzi transmission to humans, but it would not completely eliminate transmission. To reach the 2020 goal of interrupting intra-domiciliary T. cruzi transmission, it is critical to target vector populations. Additionally, where vector control measures are in place, synanthropic animals may be beneficial.

Probable Application of Attractive Toxic Sugar Bait (ATSB) for Dengue Fever and Malaria Vector Control

There are over 3,000 kinds of mosquitoes in the world and 132 kinds of them have been found and recorded in Taiwan at present. Lots of vector borne diseases transmitted through mosquito bites, such as dengue fever, malaria, Chikungunya fever, Japanese encephalitis, yellow fever, and Rift Valley fever, etc. are currently classified as notifiable diseases in Taiwan. Dengue fever is mainly transmitted by Aedes aegypti and Aedes albopictus; whereas Aedes aegypti are found in southern part of Taiwan and Aedes albopictus has widely existed in mountains and plains below 1,500 meters above sea level around this country. Malaria is mainly transmitted by Anopheles minimus and Anopheles sinensis, which are found in southern and eastern parts of Taiwan. In the early days, the pesticide was mainly used to control dengue fever, but there are a lot of derivative results such as drug resistance of vectors, environment pollution and complaint from residents. Even though the government has changed the ways for vector control recently and proposes the new policy, which is to keep the residential environment clean firstly and use pesticides secondarily instead of application of pesticides only, the effect of vector control was less efficient than we expected because of misuse of pesticides by the sprayers sometimes. Researchers have successfully developed a new form of vector control - attractive toxic sugar bait (ATSB), based on sugar-seeking of mosquitoes and a mixture of oral toxin. The ATSB has been proved useful to reduce mosquito populations in Africa and Florida, USA. Although ATSB is an effective method to be used for mosquito control, it takes time to overcome several limitations before the government officially applies the ATSB technique to control dengue fever.

Dengue in Cape Verde: Vector Control and Vaccination

In 2009, for the first time in Cape Verde, an outbreak of dengue was reported and more than 20,000 people were infected. Only a few prophylactic measures were taken. The effects of vector control on disease spreading, such as insecticide (larvicide and adulticide) and mechanical control, as well as an hypothetical vaccine, are estimated through simulations with the Cape Verde data.

Evaluation of entomopathogenic fungi as potential biological control agents of the dengue mosquito, Aedes aegypti (Diptera: Culicidae)

Dengue is a global health concern. Growing insecticide resistance in the primary mosquito vector, Aedes aegypti, limits the effectiveness of vector control, so alternative tools are urgently needed. One approach is the use of biopesticides comprising entomopathogenic fungi, e.g., Beauveria bassiana and Metarhizium anisopliae. These fungi may decrease disease transmission by reducing mosquito vector longevity and also occur worldwide, although many isolates have not been tested for virulence against mosquitoes. Ninety-three isolates of entomopathogenic fungi representing six species (B. bassiana, M. anisopliae, Isaria fumosorosea, I. farinosa, I. flavovirescens, and Lecanicillium spp.) were screened as potential biological control agents of Aedes aegypti. A hierarchical, multi-criteria experimental design was undertaken to find suitable isolates. Initial screening was performed via in vitro assays measuring radial growth and spore persistence, eliminating isolates with poor growth or viability on nutrient-rich substrate. Subsequent measurements of spore persistence revealed that only nine of 30 strains tested had half-lives exceeding 3 weeks. Ten isolates were chosen for in vivo bioassays against adult Ae. aegypti. From these assays, two Australian isolates of B. bassiana, FI-277 and FI-278, appeared to be most promising. Both isolates were shown to be virulent against Ae. aegypti at 20, 26, and 32°C. Spreading spores manually onto substrate was found to be more efficacious than spraying. Ae. aegypti infected by manually-spread spores on cotton substrate were found to have an LT50 of 3.7±0.3 days. These characteristics suggest that FI-277 has promise as a dengue mosquito biocontrol agent, either alone or combined with conventional chemical insecticides.

Integrated vector management (IVM): from concept to practice

The effectiveness of vector control is commonly limited by several factors: Sub-optimal targeting and lack of adaptation of methods, missed opportunities for integrating diseases, other sectors and communities are insufficiently aware of their role in increasing disease risk, and insecticide resistance. IVM is a strategy to tackle these problems. Under the global IVM initiative, a global action plan on IVM has been developed by a group of stakeholders, facilitated by WHO. Principles of IVM are: Decision making based on local and contemporary conditions, adopting a multi-disease approach by considering all prevalent diseases, taking into account all relevant vector control methods, and involving other sectors and communities. A process of decision making that incorporates these principles is proposed. The first three steps, epidemiological assessment, stratification, and vector assessment, depend on specialised expertise usually available only at central level. The next three steps, system analysis, selection of options and needs assessment, are best conducted at decentralised levels. Hence, decentralization is vital to IVM. A descriptive example of an IVM strategy, with pilot experience, is presented. But IVM is more than field implementation. It requires new organizational structures, new roles and responsibilities, both within the health sector, and in partnership with other sectors. IVM promotes the 'embedding' of vector control within decentralized health systems. Potential benefits are: increased motivation and status of district staff, extended reach of services, synergies and cost savings in services, and increased recognition of vector control. Through partnerships, other sectors can address risks in their own sphere of influence. A National policy and governing body on IVM will be essential to establish inter-sector collaboration at central and decentralized levels. In addition, communities should take control of, and assume responsibility for, risk factors within the peri-domestic sphere. By emphasizing capacity building on analysis and decision making, the conditions for empowerment are inherent to the IVM approach. In the transformation of the existing systems to IVM, Health sector funds could become available if synergies and cost-savings become known. Other sectors could contribute by internalizing disease mitigating procedures in their programmes.

Decreases in dengue transmission may act to increase the incidence of dengue hemorrhagic fever.

Dengue hemorrhagic fever (DHF) is a potentially fatal manifestation of an infection with the mosquito-borne dengue virus. Because of the social and economic costs of DHF, many countries in Asia and South America have initiated public health measures aimed at vector control. Despite these measures, DHF incidence rates do not appear to be declining. The effectiveness of vector control in reducing dengue transmissibility has thereby been questioned. Here, we revisit this conclusion using epidemiological data from Thailand. We first show, with age incidence data, that dengue transmission rates have fallen since 1981; surprisingly, however, these declines are not associated with decreases in DHF incidence. Instead, district-level analyses indicate a nonmonotonic relationship between the basic reproductive number R0 and DHF incidence. To understand this relationship, we formulated three mathematical models, which differ in their assumptions of transient between-serotype cross-protection. Unlike the first two models, the previously unconsidered third model with clinical cross-protection can reproduce this nonmonotonic relationship. Simulation of this model with nonstationary R0 reproduces several previously unexplained patterns of dengue dynamics, including a transition from a approximately 2-year cycle to a approximately 4-year cycle and a transient trough in DHF incidence in provinces with rapid R0 declines. These results imply that DHF incidence can be effectively controlled with a sufficiently large reduction in R0 but that moderate reductions may be counterproductive. More broadly, these results show that assuming parameter stationarity in systems with approximate stationarity in disease incidence is unjustified and may result in missed opportunities to understand the drivers of disease variability.

EPIFIL: the development of an age-structured model for describing the transmission dynamics and control of lymphatic filariasis.

Mathematical models of transmission dynamics of infectious diseases provide a useful tool for investigating the impact of community based control measures. Previously, we used a dynamic (constant force-of-infection) model for lymphatic filariasis to describe observed patterns of infection and disease in endemic communities. In this paper, we expand the model to examine the effects of control options against filariasis by incorporating the impact of age structure of the human community and by addressing explicitly the dynamics of parasite transmission from and to the vector population. This model is tested using data for Wuchereria bancrofti transmitted by Culex quinquefasciatus in Pondicherry, South India. The results show that chemotherapy has a larger short-term impact than vector control but that the effects of vector control can last beyond the treatment period. In addition we compare rates of recrudescence for drugs with different macrofilaricidal effects.

The effects of vector control on the antibody response to antigens of Onchocerca volvulus

The effects of exposure to infective larvae on the antibody response to a cocktail of specific recombinant antigens of Onchocerca volvulus and to a worm extract were evaluated by comparing the responses of individuals from a vector controlled area with those from an area of continuing transmission by ELISA. Individuals from the vector controlled areas were found to have reduced responses to both antigen preparations. A microfilerdermic (mf-) individuals from the area of vector control exhibited significantly lower total and subclass IgG responses to the worm extract. In contrast, the responses to the cocktail of specific recombinants were significantly reduced in individuals from the area of vector control who were still microfilerdermia positive (mf+). The distribution of IgG subclass specific responses was similar to both antigen preparations, both dominated by the IgG4 and IgG1 subclasses. IgG1 responses to the worm extract remained elevated in the vector controlled individuals but IgG4 was significantly reduced in the mf- individuals. Both subclasses reflected the total IgG response to the cocktail of recombinants and were significantly reduced in individuals from the vector controlled area, when compared to individuals from the hyperendemic area. IgG1 responses to the cocktail of recombinants are significantly lower than IgG4 in all individuals and virtually absent in individuals from the vector-controlled area. Measuring total IgG and IgG4 is more sensitive than IgG1 in detecting infection, 100 or 97% respectively, but they remain elevated in the individuals from the vector controlled areas even after 8-10 years interruption of transmission. These results have important implications for the serological monitoring of control programmes in individuals who have previously been infected.