Increased Malaria Transmission Research Articles

Spatiotemporal Analysis of Malaria Transmission in the Autonomous Indigenous Regions of Panama, Central America, 2015-2022.

Despite ongoing efforts for elimination, malaria continues to be a major public health problem in the Republic of Panama. For effective elimination, it is key that malaria foci and areas of high transmission are identified in a timely manner. Here, we study malaria transmission records for the 2015-2022 period, a time when cases have increased by a factor of ten. Using several methods to study spatial and spatiotemporal malaria confirmed case clusters at the level of localities, including LISA and scan, we found that cases are clustered across indigenous villages located within the autonomous indigenous regions of Ngäbe-Buglé, Guna Yala, and Embera, with the latter on the eastern border of Panama (with Colombia). We discuss the different factors that might be shaping the marked increase in malaria transmission associated with these clusters, which include an inflow of malaria-exposed migrating populations hoping to reach the USA, insufficient health services, and the lack of culturally sensitive actionable tools to reduce malaria exposure among the ethnically diverse and impoverished indigenous populations of Panama.

Can insecticide resistance increase malaria transmission? A genetics-epidemiology mathematical modeling approach.

The great successes recorded in the fight against malaria over the last two decades, resulting from the wide scale implementation of insecticide-based interventions in malaria-endemic areas, has prompted a renewed global effort to eradicate malaria. The widespread emergence of insecticide resistance in the population of adult female malaria mosquitoes is considered to pose a potential challenge to such effort. In this study, we address one of the key questions in malaria ecology, namely whether or not insecticide resistance increase malaria transmission. We developed a genetics-epidemiology modeling framework that incorporates a detailed genotype structure of the gene that confers insecticide resistance in mosquitoes, malaria epidemiology in mosquitoes and humans (stratified based on whether or not they are protected by Long-lasting insecticide-treated nets (LLINs) indoors), genotype-specific mosquito repellance property of LLINs and mosquito biting behavior (indoor and outdoor bites). Conditions for the existence and local asymptotic stability of the various disease-free equilibria (by genotype) of the resulting genetic-epidemiology model are derived. This study identifies four parameters of the model that play a crucial role on quantifying the impact of insecticide resistance on malaria transmission, namely the parameters related to the level of the dominance of the resistant allele in heterozygous mosquitoes, the coverage of long-lasting insecticidal nets in the community, the probability of endophilic mosquitoes to successfully take a bloodmeal indoors and the proportion of new adult mosquitoes that are endophilic. We showed that, depending on the values of these four identified parameters, insecticide resistance can increase, decrease, or have no effect on malaria transmission. Our simulations show that malaria eradication can indeed be achieved using the currently-available chemical insecticides, even in the wake of the prevailing widespread insecticide resistance in malaria-endemic areas, if the insecticide-based interventions implemented can result in the attainment of the optimal values of the four identified parameters in malaria-endemic areas.

Investigating Practices Among Fish Farmers That Predispose Them To Malaria Infection: An Analytical Cross Section Survey In Mongu And Limulunga Districts Of Western Province, Zambia

Malaria is a parasitic disease that is transmitted between humans through the bite of the infected female Anopheles mosquito. Zambia has recently experienced a growing demand for fish, which is largely triggered by the growing population and an emergent urban middle class within Zambia and neighbouring countries. Various fish farming practices are carried out on small-scale, smallholder and commercial levels. Western Province is among the provinces in Zambia where fish farming is done. In 2014, Zambia became the sixth largest producer of farmed fish (mainly breams – a local name for tilapia) in Africa and the largest in the Southern African Development Community (SADC) and between 2012 and 2015, the malaria prevalence started to climb from 12.6 to 15.6 per cent in Western Province of Zambia. This study set out to investigate the practices of fish farmers that predispose them to malaria infection in Mongu (45) and Limulunga (30) districts of the western province of Zambia. The data collection tool was an interviewer-administered questionnaire (demographic characteristics, malaria knowledge, and fish farming practices). The data were analysed using the Statistical Package for Social Sciences (SPSS) version 22. Out of a total of 75 fish farmers, 83% of the participants had good knowledge of malaria while 17% had poor knowledge, and an association was found between the two highest levels of education (Tertiary and Secondary) and knowledge on malaria according to the chi-squared test (p<0.005) and also showed that 73% (n=55) had their ponds near their houses and 3% (n=20) had their ponds far from their houses. Practices such as not draining ponds, working around the ponds at night without protective clothing, and having ponds near households predispose fish farmers to malaria infection in Mongu and Limulunga districts in Western Province, Zambia. Collectively, 21% of fish farmers practice unsafe fish farming, which could potentially increase malaria transmission levels in Western Province, Zambia.

Impact of Environmental Modifications on the Ecology, Epidemiology, and Pathogenesis of Plasmodium falciparum and Plasmodium vivax Malaria in East Africa.

Food insecurity, recurrent famine, and poverty threaten the health of millions of African residents. Construction of dams and rural irrigation schemes is key to solving these problems. The sub-Saharan Africa International Center of Excellence for Malaria Research addresses major knowledge gaps and challenges in Plasmodium falciparum and Plasmodium vivax malaria control and elimination in malaria-endemic areas of Kenya and Ethiopia where major investments in water resource development are taking place. This article highlights progress of the International Center of Excellence for Malaria Research in malaria vector ecology and behavior, epidemiology, and pathogenesis since its inception in 2017. Studies conducted in four field sites in Kenya and Ethiopia show that dams and irrigation increased the abundance, stability, and productivity of larval habitats, resulting in increased malaria transmission and a greater disease burden. These field studies, together with hydrological and malaria transmission modeling, enhance the ability to predict the impact of water resource development projects on vector larval ecology and malaria risks, thereby facilitating the development of optimal water and environmental management practices in the context of malaria control efforts. Intersectoral collaborations and community engagement are crucial to develop and implement cost-effective malaria control strategies that meet food security needs while controlling malaria burden in local communities.

Potential future malaria transmission in Odisha due to climate change

Future projections of malaria transmission is made for Odisha, a highly endemic region of India, through numerical simulations using the VECTRI dynamical model. The model is forced with bias-corrected temperature and rainfall from a global climate model (CCSM4) for the baseline period 1975–2005 and for the projection periods 2020s, 2050s, and 2080s under RCP8.5 emission scenario. The temperature, rainfall, mosquito density and entomological inoculation rate (EIR), generated from the VECTRI model are evaluated with the observation and analyzed further to estimate the future malaria transmission over Odisha on a spatio-temporal scale owing to climate change. Our results reveal that the malaria transmission in Odisha as a whole during summer and winter monsoon seasons may decrease in future due to the climate change except in few districts with the high elevations and dense forest regions such as Kandhamal, Koraput, Raygada and Mayurbhanj districts where an increase in malaria transmission is found. Compared to the baseline period, mosquito density shows decrease in most districts of the south, southwest, central, north and northwest regions of Odisha in 2030s, 2050s and 2080s. An overall decrease in malaria transmission of 20–40% (reduction in EIR) is seen during the monsoon season (June-Sept) over Odisha with the increased surface temperature of 3.5–4 °C and with the increased rainfall of 20–35% by the end of the century with respect to the baseline period. Furthermore, malaria transmission is likely to reduce in future over most of the Odisha regions with the increase in future warm and cold nights temperatures.

Proximity of Residence to Irrigation Determines Malaria Risk and Anopheles Abundance at an Irrigated Agroecosystem in Malawi.

ABSTRACT.As countries of sub-Saharan Africa expand irrigation to improve food security and foster economic growth, it is important to quantify the malaria risk associated with this process. Irrigated ecosystems can be associated with increased malaria risk, but this relationship is not fully understood. We studied this relationship at the Bwanje Valley Irrigation Scheme (800 hectares) in Malawi. Household prevalence of malaria and indoor Anopheles density were quantified in two cross-sectional studies in 2016 and 2017 (5,829 residents of 1,091 households). Multilevel logistic regression was used to estimate the association between distance to the irrigation scheme and malaria infection and mosquito density. The prevalence of malaria infection was 50.2% (2,765/5,511) by histidine-rich protein 2–based malaria rapid diagnostic tests and 30.1% (1,626/5,403) by microscopy. Individuals residing in households within 3 km of the scheme had significantly higher prevalence of infection (adjusted odds ratio [aOR] = 1.41; 95% confidence interval [CI] 1.18, 1.68); school-aged children had the highest prevalence among age groups (aOR = 1.34; 95% CI 1.11, 1.63). Individuals who reported bed net use, and households with higher socioeconomic status and higher level of education for household head or spouse, had lower odds of malaria infection. Female Anopheles mosquitoes (2,215 total; Anopheles arabiensis, 90.5%, Anopheles funestus, 9.5%) were significantly more abundant in houses located within 1.5 km of the scheme. Proximity of human dwellings to the irrigation scheme increased malaria risk, but higher household wealth index reduced risk. Therefore, multisectoral approaches that spur economic growth while mitigating increased malaria transmission are needed for people living close to irrigated sites.

Description of malaria epidemics and normal transmissions using rainfall variability in Gondar Zuria highland District, Ethiopia

BackgroundRainfall is one of the climate variables most studied as it affects malaria occurrence directly. ObjectiveThis study aimed to describe how monthly rainfall variability affects malaria incidence in different years. MethodsA total of 7 years (2013/14–2019/20) retrospective confirmed and treated malaria cases in Gondar Zuria district were used for analysis in addition to five (2013/14–2017/18) years retrospective data from Dembia district. ResultsThe annual rainfalls in the study years showed no statistically significant difference (p = 0. 78). But, variations in rainfalls of the different months (p = 0.000) of the different years were the source of variations for malaria count (incidences) in the different years. Malaria was transmitted throughout the year with the highest peak in November (mean count = 1468.7 ± 697.8) and followed by May (mean count = 1253.4 ± 1391.8), after main Kiremt/Summer and minor Bulg/Spring rains respectively. The lowest transmission was occurred in February (338 ± 240.3) when the rivers were the only source of mosquito vectors. Year 2013/14 (RF = 2351.12 mm) and 2019/20 (RF = 2278.80 mm) with no statistically significant difference (p = 0.977) in annual rainfalls produced 10, 702 (49.2%) and 961 (20%) malaria counts for the Bulg (spring) season respectively due to 581.92 mm (24.8%) higher total Bulg/Spring rain in 2013/14 compared to 124.1 mm (5.45%) in 2019/20. Generally, above normal rainfalls in Bulg/Spring season increased malaria transmission by providing more aquatic habitats supporting the growth of the immature stages. But heavy rains in Summer/Kiremt produced low malaria counts due to the high intensity of the rainfalls which could kill the larvae and pupae. Spearman's correlation analysis indicated that the mean rainfalls of current month (RF) (0 lagged month) (P = 0.025), previous month (RF1) (1 month lagged) (p = 0.000), before previous months (RF2) (2 months lagged) (p = 0.001) and mean RF + RF1 + RF2 (P = 0.001) were positive significantly correlated with mean monthly malaria counts compared to negative significant correlations for temperature variables. Temperature variables negative correlations were interpreted as confounding effects because decreased malaria counts in dry months were due to a decrease in rainfalls. Conclusion: rainfall distribution in different months of a year affects malaria occurrences.

New Records of Anopheles benarrochi B (Diptera: Culicidae) in Malaria Hotspots in the Amazon Regions of Ecuador and Peru.

The increase in malaria transmission in the Amazon region motivated vector control units of the Ministry of Health of Ecuador and Peru to investigate Anopheles (Diptera: Culicidae) species present in transmission hotspots. Mosquitoes were collected using prokopack aspirators and CDC light traps (Ecuador) and human landing catch in Peru. In Ecuador, 84 Anopheles were captured from Pastaza, Morona Santiago, and Orellana provinces and identified morphologically [An. (An.) apicimacula Dyar and Knab, An. (Nys.) near benarrochi, An. (Nys.) near oswaldoi, An. (Nys.) near strodei, An. (An.) nimbus (Theobald, 1902), and An. (Nyssorhynchus) sp.]. In Peru, 1,150 Anopheles were collected in Andoas District. A subsample of 166 specimens was stored under silica and identified as An. near oswaldoi, An. darlingi, and An. (An.) mattogrossensis Lutz and Neiva. COI barcode region sequences were obtained for 137 adults (107 from Peru, 30 from Ecuador) identified by ITS2 PCR-RFLP as An. benarrochi Gabaldon, Cova Garcia, and Lopez and retained in the final analysis. Haplotypes from the present study plus An. benarrochi B GenBank sequences grouped separately from Brazilian An. benarrochi GenBank sequences by 44 mutation steps, indicating that the present study specimens were An. benarrochi B. Our findings confirm the presence of An. benarrochi B in Ecuador and reported here for the first time from the Amazonian provinces of Orellana and Morona Santiago. Furthermore, we confirm that the species collected in Andoas District in the Datem del Maranon Province, Peru, is An. benarrochi B, and we observed that it is highly anthropophilic. Overall, the known distribution of An. benarrochi B has been extended and includes southern Colombia, much of Peru and eastern Ecuador.

Multiple blood feeding in mosquitoes shortens the Plasmodium falciparum incubation period and increases malaria transmission potential.

Many mosquito species, including the major malaria vector Anopheles gambiae, naturally undergo multiple reproductive cycles of blood feeding, egg development and egg laying in their lifespan. Such complex mosquito behavior is regularly overlooked when mosquitoes are experimentally infected with malaria parasites, limiting our ability to accurately describe potential effects on transmission. Here, we examine how Plasmodium falciparum development and transmission potential is impacted when infected mosquitoes feed an additional time. We measured P. falciparum oocyst size and performed sporozoite time course analyses to determine the parasite's extrinsic incubation period (EIP), i.e. the time required by parasites to reach infectious sporozoite stages, in An. gambiae females blood fed either once or twice. An additional blood feed at 3 days post infection drastically accelerates oocyst growth rates, causing earlier sporozoite accumulation in the salivary glands, thereby shortening the EIP (reduction of 2.3 ± 0.4 days). Moreover, parasite growth is further accelerated in transgenic mosquitoes with reduced reproductive capacity, which mimic genetic modifications currently proposed in population suppression gene drives. We incorporate our shortened EIP values into a measure of transmission potential, the basic reproduction number R0, and find the average R0 is higher (range: 10.1%-12.1% increase) across sub-Saharan Africa than when using traditional EIP measurements. These data suggest that malaria elimination may be substantially more challenging and that younger mosquitoes or those with reduced reproductive ability may provide a larger contribution to infection than currently believed. Our findings have profound implications for current and future mosquito control interventions.

2. Climate variations, urban solid waste management and possible implications for Anopheles mosquito breeding in selected cities of coastal Ghana

Climate-induced environmental changes are known to support prevalence of disease vectors and pathogens. Temperature, rainfall, humidity and other environmental variables are considered potential drivers of population dynamics of many vectors and pathogens of health importance, especially in the tropics. This study was conducted to understand the variability and trends in atmospheric temperature and rainfall, as well as how these factors may affect the breeding of Anopheles mosquitoes in the urban areas in the future. Accra and Sekondi-Takoradi Metropolitan Areas (AMA and STMA) of coastal Ghana were the selected study sites. Anopheles larvae were sampled from pre-identified breeding sites in the two cities. Atmospheric temperature and rainfall as measured by synoptic weather stations were collected for the two cities. Again, thirty years climate data on daily minimum and maximum temperature and rainfall for both cities from Ghana Meteorological Agency (Gmet) were employed in the study. Using a statistical downscaling approach, the average of the ENSEMBLE GCM outputs AR4-BCM2 and AR4-CNCM3 scenario A1B were downscaled to match with rainfall and temperature observations of AMA and STMA. Results showed that improper solid waste management in the cities promote the breeding of Anopheles mosquitoes. Climate data analysis showed that past rainfall in the cities were below average; in the future, however, up to year 2050, the cities may experience high rainfalls and temperatures above the average. Notably, significant increases may be observed in the total monthly rainfalls as well as a slight shift of rainfall pattern in the minor season. This implies that Anopheles mosquito breeding may no longer be seasonal in the cities but perennial and malaria transmission may also follow the same trend. Poor urban dwellers who find it difficult to adopt preventative measures will be prone to persistent malaria transmission. This will increase malaria transmission among vulnerable populations in urban areas. This study recommends that city authorities must intentionally work at lowering the surface temperatures in the cities through the growing of trees and also to regularly desilt drains in order to reduce the breeding of Anopheles mosquitoes.

Health policy impacts on malaria transmission in Costa Rica.

Costa Rica is near malaria elimination. This achievement has followed shifts in malaria health policy. Here, we evaluate the impacts that different health policies have had on malaria transmission in Costa Rica from 1913 to 2018. We identified regime shifts and used regression models to measure the impact of different health policies on malaria transmission in Costa Rica using annual case records. We found that vector control and prophylactic treatments were associated with a 50% malaria case reduction in 1929-1931 compared with 1913-1928. DDT introduction in 1946 was associated with an increase in annual malaria case reduction from 7.6% (1942-1946) to 26.4% (1947-1952). The 2006 introduction of 7-day supervised chloroquine and primaquine treatments was the most effective health policy between 1957 and 2018, reducing annual malaria cases by 98% (2009-2018) when compared with 1957-1968. We also found that effective malaria reduction policies have been sensitive to natural catastrophes and extreme climatic events, both of which have increased malaria transmission in Costa Rica. Currently, outbreaks follow malaria importation into vulnerable areas of Costa Rica. This highlights the need to timely diagnose and treat malaria, while improving living standards, in the affected areas.

Analysis of clinical malaria disease patterns and trends in Vietnam 2009\u20132015

BackgroundViet Nam has made tremendous progress towards reducing mortality and morbidity associated with malaria in recent years. Despite the success in malaria control, there has been a recent increase in cases in some provinces. In order to understand the changing malaria dynamics in Viet Nam and measure progress towards elimination, the aim of this study was to describe and quantify spatial and temporal trends of malaria by species at district level across the country.MethodsMalaria case reports at the Viet Nam National Institute of Malariology, Parasitology, and Entomology were reviewed for the period of January 2009 to December 2015. The population of each district was obtained from the Population and Housing Census-2009. A multivariate (insecticide-treated mosquito nets [ITN], indoor residual spraying [IRS], maximum temperature), zero-inflated, Poisson regression model was developed with spatial and spatiotemporal random effects modelled using a conditional autoregressive prior structure, and with posterior parameters estimated using Bayesian Markov chain Monte Carlo simulation with Gibbs sampling. Covariates included in the models were coverage of intervention (ITN and IRS) and maximum temperature.ResultsThere was a total of 57,713 Plasmodium falciparum and 32,386 Plasmodium vivax cases during the study period. The ratio of P. falciparum to P. vivax decreased from 4.3 (81.0% P. falciparum; 11,121 cases) in 2009 to 0.8 (45.0% P. falciparum; 3325 cases) in 2015. Coverage of ITN was associated with decreased P. falciparum incidence, with a 1.1% (95% credible interval [CrI] 0.009%, 1.2%) decrease in incidence for 1% increase in the ITN coverage, but this was not the case for P. vivax, nor was it the case for IRS coverage. Maximum temperature was associated with increased incidence of both species, with a 4% (95% CrI 3.5%, 4.3%) and 1.6% (95% CrI 0.9%, 2.0%) increase in P. falciparum and P. vivax incidence for a temperature increase of 1 °C, respectively. Temporal trends of P. falciparum and P. vivax incidence were significantly higher than the national average in Central and Central-Southern districts.ConclusionInterventions (ITN distribution) and environmental factors (increased temperature) were associated with incidence of P. falciparum and P. vivax during the study period. The factors reviewed were not exhaustive, however the data suggest distribution of resources can be targeted to areas and times of increased malaria transmission. Additionally, changing distribution of the two predominant malaria species in Viet Nam will require different programmatic approaches for control and elimination.

Higher Mosquito Aggressiveness and Malaria Transmission Following the Distribution of Alpha-Cypermethrin Impregnated Mosquito Nets in a District of Douala, Cameroon

Mass use of insecticide-treated mosquito nets impregnated with permethrin or its derivatives is likely to result in a decline in vector density and transmission of malaria. The present study shows, on the contrary, higher mosquito aggressiveness and an increase in malaria transmission in a district of Douala where alpha-cypermethrin impregnated mosquito nets were recently distributed.Asurvey of the coverage and utilisation of insecticide-treated nets (ITNs) was conducted in February 2016 in the Youpwe district. Night catches of adult mosquitoes on human volunteers were carried out prior to (January 2016) and after (March 2016) alpha-cypermethrin impregnated mosquito nets distribution, in and outside eight randomly selected houses in the Youpwe district. Mosquitoes were identified according to morphological and molecular criteria. The physiological age of mosquitoes was determined according to the Detinova method. Vectors' infectivity was determined by the ELISA CSP test. Long-lasting insecticidal nets coverage and utilisation rates in the Youpwe district were 95.2%and 90 %, respectively. Overall, 3923 mosquitoes were collected within 32 man-night catches. Anopheles coluzzii (24.8 %, n=973) and Culex quinquefasciatus (75.2 %; n=2950) were the only species aggressive to humans. The biting rate was significantly higher after ITN distribution (P=0.024). The aggressiveness cycles were similar during the two phases of the study with a peak of activity between 22:00 and 00:00. The physiological age and infectivity of An. coluzzii were significantly lower before the distribution of ITNs (P <0.004). Poor effectiveness of alpha-cypermethrin impregnated mosquito nets at a dose of 200 mg/m2, added to first rainfalls, are the likely causes of the significant increase in aggressiveness and malaria transmission.

Declines in Malaria Burden and All-Cause Child Mortality following Increases in Control Interventions in Senegal, 2005-2010.

.Malaria is endemic in Senegal. The national malaria control strategy focuses on achieving universal coverage for major interventions, with a goal of reaching preelimination status by 2018. Senegal began distribution of insecticide-treated nets (ITNs) and introduced artemisinin-based combination therapy in 2006, then introduced rapid diagnostic tests in 2007. We evaluated the impact of these efforts using a plausibility design based on malaria’s contribution to all-cause under-five mortality (ACCM) and considering other contextual factors which may influence ACCM. Between 2005 and 2010, household ownership of ITNs increased from 20% to 63%, and the proportion of people sleeping under an ITN the night prior to the survey increased from 6% to 29%. Malaria parasite prevalence declined from 6% to 3% from 2008 to 2010 among children under five. Some nonmalaria indicators of child health improved, for example, increase of complete vaccination coverage from 58% to 64%; however, nutritional indicators deteriorated, with an increase in stunting from 16% to 26%. Although economic indicators improved, environmental conditions favored an increase in malaria transmission. ACCM decreased 40% between 2005 and 2010, from 121 (95% confidence interval [CI] 113–129) to 72 (95% CI 66–77) per 1,000, and declines were greater among age groups, epidemiologic zones, and wealth quintiles most at risk for malaria. After considering coverage of malaria interventions, trends in malaria morbidity, effects of contextual factors, and trends in ACCM, it is plausible that malaria control interventions contributed to a reduction in malaria mortality and to the impressive gains in child survival in Senegal.

Alteration of plant species assemblages can decrease the transmission potential of malaria mosquitoes.

Knowledge of the link between a vector population's pathogen-transmission potential and its biotic environment can generate more realistic forecasts of disease risk due to environmental change. It also can promote more effective vector control by both conventional and novel means.This study assessed the effect of particular plant species assemblages differing in nectar production on components of the vectorial capacity of the mosquito Anopheles gambiae s.s., an important vector of African malaria.We followed cohorts of mosquitoes for three weeks in greenhouse mesocosms holding nectar-poor and nectar-rich plant species by tracking daily mortalities and estimating daily biting rates and fecundities. At death, a mosquito's insemination status and wing length were determined. These life history traits allowed incorporation of larval dynamics into a vectorial capacity estimate. This new study provided both novel assemblages of putative host plants and a human blood host within a nocturnal period of maximum biting.Survivorship was significantly greater in nectar-rich environments than nectar-poor ones, resulting in greater total fecundity. Daily biting rate and fecundity per female between treatments was not detected. These results translated to greater estimated vectorial capacities in the nectar-rich environment in all four replicates of the experiment (means: 1,089.5 ± 125.2 vs. 518.3 ± 60.6). When mosquito density was made a function of survival and fecundity, rather than held constant, the difference between plant treatments was more pronounced, but so was the variance, so differences were not statistically significant. In the nectar-poor environment, females' survival suffered severely when a blood host was not provided. A sugar-accessibility experiment confirmed that Parthenium hysterophorus is a nectar-poor plant for these mosquitoes.Synthesis and applications. This study, assessing the effect of particular plant species assemblages on the vectorial capacity of malaria mosquitoes, highlights the likelihood that changes in plant communities (e.g. due to introduction of exotic or nectar-rich species) can increase malaria transmission and that a reduction of favourable nectar sources can reduce it. Also, plant communities' data can be used to identify potential high risk areas. Further studies are warranted to explore how and when management of plant species assemblages should be considered as an option in an integrated vector management strategy.

Effect of climatic variability on malaria trends in Baringo County, Kenya

BackgroundMalaria transmission in arid and semi-arid regions of Kenya such as Baringo County, is seasonal and often influenced by climatic factors. Unravelling the relationship between climate variables and malaria transmission dynamics is therefore instrumental in developing effective malaria control strategies. The main aim of this study was to describe the effects of variability of rainfall, maximum temperature and vegetation indices on seasonal trends of malaria in selected health facilities within Baringo County, Kenya.MethodsClimate variables sourced from the International Research Institute (IRI)/Lamont-Doherty Earth Observatory (LDEO) climate database and malaria cases reported in 10 health facilities spread across four ecological zones (riverine, lowland, mid-altitude and highland) between 2004 and 2014 were subjected to a time series analysis. A negative binomial regression model with lagged climate variables was used to model long-term monthly malaria cases. The seasonal Mann–Kendall trend test was then used to detect overall monotonic trends in malaria cases.ResultsMalaria cases increased significantly in the highland and midland zones over the study period. Changes in malaria prevalence corresponded to variations in rainfall and maximum temperature. Rainfall at a time lag of 2 months resulted in an increase in malaria transmission across the four zones while an increase in temperature at time lags of 0 and 1 month resulted in an increase in malaria cases in the riverine and highland zones, respectively.ConclusionGiven the existence of a time lag between climatic variables more so rainfall and peak malaria transmission, appropriate control measures can be initiated at the onset of short and after long rains seasons.

English

Mosquito larvae feed on particulate organic matter including microorganisms. This study was conducted to investigate the diversity and abundant bacteria of Anopheles mosquito larva breeding habitats and to evaluate the contribution of maize pollen as source of nutrients for bacterial growth. The nutrient composition (COD, NH3-N and TP) of the larva breeding habitats water samples were measured by HACH 2010. Bacteria were isolated and enumerated from 18 water samples of larva habitats. The abundance of bacteria in the larva breeding habitats was significantly different. Bacteria were found to be grown abundant in habitats close to maize pollen sources (tasseled zone). This implies that maize pollen contributes to bacterial abundance. The Pearson Correlation showed that there was positive relationship between bacterial abundance and physicochemical characteristics of the water samples. The bacterial population in the habitat was dominated by species of Bacillus, Pseudomonas, Micrococcus and Serratia. The dominant bacteria were tested for their capability to grow on maize pollen medium. The growth kinetics of bacteria on maize pollen broth was performed to 18 h culture using JENWAY spectrophotometer at 600 nm wave length. The bacteria could show optimum growth on Maize Pollen broth at 15 g/l as of nutrient broth. The release of maize pollen during anthesis in rainy season in habitats close to larva breeding pool and its nutriment quality support proliferation of large array of bacteria which results in increased larval nourishment. Increased malaria transmission in Asendabo could thus be caused as the bacteria serve as source of nutrients for mosquito larva. Key words: Maize pollen, microbial flora, mosquito larva habitat, maize pollen broth, bacterial abundance.

Aggressive mosquito fauna and malaria transmission in a forest area targeted for the creation of an agro-industrial complex in the south of Cameroon

Baseline entomological information should be collected before the implementation of industrial projects in malaria endemic areas. This allows for subsequent monitoring and evaluation of the project impact on malaria vectors. This study aimed at assessing the vectorial system and malaria transmission in two ecologically different villages of the South-Cameroon forest bloc targeted for the creation of an agro-industrial complex. For four consecutive seasons in 2013, adult mosquitoes were captured using Human Landing Catch in NDELLE village (located along a main road in a degraded forest with many fish ponds) and KOMBO village (located 5km far from the main road in a darker forest and crossed by the Mvobo River). Morpho-taxonomic techniques were used alongside molecular techniques for the identification of mosquito species. ELISA test was used for the detection of circumsporozoite protein antigen of &lt;em&gt;Plasmodium falciparum&lt;/em&gt;. Mosquito biting rate was higher in NDELLE than in KOMBO (28.18 &lt;em&gt;versus&lt;/em&gt; 17.34 bites per person per night). Mosquitoes had a strong tendency to endophagy both in NDELLE (73.57%) and KOMBO (70.21%). Three anophelines species were identified; &lt;em&gt;An. gambiae&lt;/em&gt;, &lt;em&gt;An. funestus&lt;/em&gt; s.s and &lt;em&gt;An. moucheti&lt;/em&gt; s.s.. &lt;em&gt;An. gambiae&lt;/em&gt; and &lt;em&gt;An. funestus&lt;/em&gt; s.s. represented the bulk of aggressive mosquitoes in NDELLE (n=10,891; 96.62%). &lt;em&gt;An. gambiae&lt;/em&gt; was responsible for 62.6% and 77.72% of malaria transmission in KOMBO and NDELLE respectively. Mean entomological inoculation rate recorded in KOMBO and NDELLE were 4.82 and 2.02 infective bites per person per night respectively. Vector control was mainly based on the use of long-lasting insecticidal nets and indoor residual spraying. The degraded forest environment added to the presence of fishponds resulted in the increase of aggressive mosquito density but not of malaria transmission. The managers should use these data for monitoring and evaluation of the impact of their project; malaria control strategies should be included in their project in order to mitigate the risk of increased malaria transmission as a result of the implementation of their projects.

Individual- and Household-Level Risk Factors Associated with Malaria in Mutasa District, Zimbabwe: A Serial Cross-Sectional Study.

Malaria constitutes a major public health problem in Zimbabwe, particularly in the north and east bordering Zambia and Mozambique. In Manicaland Province in eastern Zimbabwe, malaria transmission is seasonal and unstable. Over the past decade, Manicaland Province has reported increased malaria transmission due to limited funding, drug resistance and insecticide resistance. The aim of this study was to identify risk factors at the individual and household levels to better understand the epidemiology of malaria and guide malaria control strategies in eastern Zimbabwe. Between October 2012 and September 2014, individual demographic data and household characteristics were collected from cross-sectional surveys of 1,116 individuals residing in 316 households in Mutasa District, one of the worst affected districts. Factors associated with malaria, measured by rapid diagnostic test (RDT), were identified through multilevel logistic regression models. A total of 74 participants were RDT positive. Sleeping under a bed net had a protective effect against malaria despite pyrethroid resistance in the mosquito vector. Multivariate analysis showed that malaria risk was higher among individuals younger than 25 years, residing in households located at a lower household density and in closer proximity to the Mozambique border. The risk factors identified need to be considered in targeting malaria control interventions to reduce host-vector interactions.

The effects of electricity network development besides routine malaria control measures in an underdeveloped region in the pre-elimination phase.

BackgroundThe main purpose of this study was to investigate the effects of electricity network development on malaria transmission. The study was performed in the rural areas of three districts in Sistan-va-Baluchestan Province, Iran.MethodsFrom the mentioned districts, 122 rural communities were selected. The data of the years 2005–2009 were collected retrospectively from data banks of the district health centres and the offices of the local electricity network. Fixed and random effects panel data regression models were fitted to determine the effects of electrification and other variables on malaria transmission during the elimination phase.ResultsIt seems that access to electricity of rural communities, if not harmful, has no obvious effect on malaria control and prevention at least during the elimination phase in an underdeveloped region. Elevation above sea level and precipitation during spring and summer were found to be the other important, respectively, time-invariant and time-dependent variables associated with decreasing and increasing malaria transmission. Indoor residual spraying and the use of insecticide-treated mosquito nets were not found to be effective in decreasing malaria transmission in the elimination phase.ConclusionsThe introduction of electricity to a rural community does not guarantee an absolutely good effect on the reduction of malaria transmission.