Controlling dispersal dynamics of Aedes aegypti

The dengue virus is transmitted in regions previously infested with the mosquito Aedes aegypti. To assess the spreading and establishment of the dengue disease vector, a mathematical model is developed that takes into account the diffusion and advection phenomena. A discrete model based on the cellular automata approach, which is a good framework to deal with small populations, is also developed to be compared with the continuous modeling.

Gene flow networks among American Aedes aegypti populations

Conselho Nacional de Desenvolvimento Cient��fico e Tecnol��gico (CNPq)

Caracteriza����o molecular de cepas do V��rus dengue 1 isoladas no Brasil entre os anos de 1994 a 2008

A febre do dengue �� uma das mais importantes arboviroses distribu��da por todas as ��reas tropicais do mundo. O v��rus dengue (VDEN) �� transmitido principalmente pela picada do mosquito Aedes aegypti infectado. A dispers��o do vetor e o aumento do fluxo migrat��rio entre pa��ses possibilitaram a ocorr��ncia de grandes epidemias e manifesta����es cl��nicas severas, como febre hemorr��gica do dengue (FHD) e S��ndrome do choque do dengue (SCD). O objetivo deste trabalho foi realizar a caracteriza����o molecular de isolados do VDEN sorotipo 1 (VDEN-1) no Brasil ao n��vel dos genes estruturais C/prM/M/E de 29 cepas isoladas durante epidemias ocorridas no Brasil no per��odo de 1994 a 2008. A identidade nucleot��dica entre as cepas de VDEN-1 do estudo em rela����o ��s outras isoladas no Brasil variou de 96,1% a 100%, enquanto o percentual de identidade de amino��cidos foi determinado entre 98,4% a 100%. As diferen��as de amino��cidos entre as cepas do estudo, quando comparadas com a cepa FGA/89 (Guiana Francesa), mostraram a presen��a de importantes substitui����es n��o-sin��nimas com mudan��a de car��ter bioqu��mico, tais como os res��duos E297 (Met Tre) e E338 (Ser Leu), sendo necess��rio estudos para verificar se essas altera����es podem ou n��o estar relacionadas �� virul��ncia. A an��lise filogen��tica para a prote��na E, realizada por meio do m��todo de m��xima verossimilhan��a para as cepas do estudo e outras cepas selecionadas do banco de dados do Genbank, mostraram que as cepas de VDEN-1 isoladas no Brasil desde 1982 pertencem ao gen��tipo V, corroborando com os resultados publicados anteriormente. O tempo de diverg��ncia do VDEN-1, estimado atrav��s da hip��tese de rel��gio molecular, mostrou que este v��rus teve sua origem a partir de uma linhagem ancestral, h�� aproximadamente, 113 anos e observou-se ainda que as cepas de VDEN-1 circulantes no Brasil e as provenientes da ��frica possuem um ancestral comum, sendo necess��rio estudos de filogeografia que mostrem as poss��veis rotas de entrada do VDEN-1 no Brasil.

An��lise temporal da din��mica populacional de Aedes aegypti

Dengue virus is a major public health problem worldwide. Aedes (Stegomyia) aegypti is the main dengue vector. Since there is no specific treatment or effective vaccine, control measure is focused on vector control. It is believed that population density is higher in the warmer/rainy season than in cold/dry. The study aimed to genetically characterize population dynamics of Ae. aegypti during climatic variations. Collections were performed at least once in both periods over five years by oviposition traps at Botucatu city. The technique of TaqMan allelic discrimination was used for genetic analysis, in which SNPs from nine genes distributed on three chromosomes of the mosquito were genotyped. Bayesian analysis did not show variance on population structure over the five year period. The percentage of variation among samples in statistical analysis was low (Fst = 0.0028, p = 0.7634), furthermore the allele frequencies were constant. The results show that despite wide variation in the density of adults, population size does not vary. Therefore, there is variation in the prevalence of the species life stages: adults in warmer/rainy, and possibly eggs in cold/dry, resulting in different control strategies for each period. Moreover, estimation of population size should not consider only winged adults, but all other found life stages forms

Dengue risk factor distribution in Harris County, Texas

As an important emerging arboviral disease in Texas and throughout the world, dengue fever has the potential to make a re-emergence in the Harris County/Houston metropolitan area. Harris County has seen dengue epidemics in the past. The area has a competent vector, Aedes aegypti, capable of transmission of the virus should it be introduced. It is important to examine areas of highest risk for dengue emergence and transmission in Harris County so that surveillance and educational programs can be properly implemented. This study uses mapping software to visually represent risk factor information with areas of known Ae. aegypti populations. This study focused on known demographic risk factors such as race/ethnicity, place of birth, gender as well as socioeconomic status represented by educational attainment and income. This study found that there are several areas, particularly in central Harris County that are at particular risk for dengue transmission. The findings support the hypothesis that in areas of lower socioeconomic status there were increased populations of foreign born populations, Hispanic populations, and identified locations of a competent vector present. These findings suggest that more specific surveillance of Ae. aegypti, testing of the mosquitoes for dengue virus, and active surveillance for human cases should be implemented in these areas. ^

Dengue transmission risk maps of the continental United States

Dengue fever is a strictly human and non-human primate disease characterized by a high fever, thrombocytopenia, retro-orbital pain, and severe joint and muscle pain. Over 40% of the world population is at risk. Recent re-emergence of dengue outbreaks in Texas and Florida following the re-introduction of competent Aedes mosquito vectors in the United States have raised growing concerns about the potential for increased occurrences of dengue fever outbreaks throughout the southern United States. Current deficiencies in vector control, active surveillance and awareness among medical practitioners may contribute to a delay in recognizing and controlling a dengue virus outbreak. Previous studies have shown links between low-income census tracts, high population density, and dengue fever within the United States. Areas of low-income and high population density that correlate with the distribution of Aedes mosquitoes result in higher potential for outbreaks. In this retrospective ecologic study, nine maps were generated to model U.S. census tracts��� potential to sustain dengue virus transmission if the virus was introduced into the area. Variables in the model included presence of a competent vector in the county and census tract percent poverty and population density. Thirty states, 1,188 counties, and 34,705 census tracts were included in the analysis. Among counties with Aedes mosquito infestation, the census tracts were ranked high, medium, and low risk potential for sustained transmission of the virus. High risk census tracts were identified as areas having the vector, ���20% poverty, and ���500 persons per square mile. Census tracts with either ���20% poverty or ���500 persons per square mile and have the vector present are considered moderate risk. Census tracts that have the vector present but have <20% poverty and <500 persons per square mile are considered low risk. Furthermore, counties were characterized as moderate risk if 50% or more of the census tracts in that county were rated high or moderate risk, and high risk if 25% or greater were rated high risk. Extreme risk counties, which were primarily concentrated in Texas and Mississippi, were considered having 50% or greater of the census tracts ranked as high risk. Mapping of geographic areas with potential to sustain dengue virus transmission will support surveillance efforts and assist medical personnel in recognizing potential cases. ^

Dengue hemorr��gico : a prop��sito de un caso importado en la ciudad de Mendoza : importancia de los antecedentes epidemiol��gicos : caso cl��nico

El Dengue es una enfermedad infecciosa, endemo-epid��mica, hoy emergente, producida por virus ARN de la familia flaviviridae, que precisa de un vector, mosquitos del g��nero aedes, para ser transmitida al hombre. Los casos que aparecen en nuestro medio son importados, por lo que siempre es importante investigar la epidemiolog��a ante cuadros febriles inespec��ficos en pacientes que han estado en zonas end��micas.- Se comunica un caso de dengue hemorr��gico importado en una mujer joven con compromiso hep��tico con el prop��sito de destacar la importancia de indagar acerca de los antecedentes epidemiol��gicos y realizar una revisi��n del tema.

Dengue

Fil: Attorri, Silvia. Universidad Nacional de Cuyo. Facultad de Ciencias M��dicas

Triagem sorol��gica e influ��ncia do conhecimento sobre a dengue em pacientes do ambulat��rio de especialidades do SUS

INTRODU����O: A dengue �� causa de preocupa����o em pa��ses como o Brasil. OBJETIVO: Verificar a soropositividade dos pacientes do ambulat��rio de especialidades do Sistema ��nico de Sa��de (SUS) para anticorpos antidengue, relacionando os resultados com os dados sociodemogr��ficos. METODOLOGIA: Foram respondidos 184 question��rios de avalia����o sociodemogr��fica e de conhecimento sobre a transmiss��o da dengue. Foi utilizado o m��todo de imunoensaio enzim��tico (ELISA) para pesquisar imunoglobulina da classe M (IgM) e da classe G (IgG) contra os v��rus. RESULTADOS: Quinze por cento dos pacientes apresentaram IgG contra o v��rus, sem a presen��a de IgM. CONCLUS��O: Os pacientes demonstraram conhecimento sobre a doen��a e sua preven����o, independentemente da classe econ��mica. A infec����o assintom��tica deve ser avaliada, principalmente nos casos de doen��a febril.

Spatio-Temporal Tracking and Phylodynamics of an Urban Dengue 3 Outbreak in Sao Paulo, Brazil

The dengue virus has a single-stranded positive-sense RNA genome of similar to 10.700 nucleotides with a single open reading frame that encodes three structural (C, prM, and E) and seven nonstructural (NS1, NS2A, NS2B, NS3, NS4A, NS4B, and NS5) proteins. It possesses four antigenically distinct serotypes (DENV 1-4). Many phylogenetic studies address particularities of the different serotypes using convenience samples that are not conducive to a spatio-temporal analysis in a single urban setting. We describe the pattern of spread of distinct lineages of DENV-3 circulating in Sao Jose do Rio Preto, Brazil, during 2006. Blood samples from patients presenting dengue-like symptoms were collected for DENV testing. We performed M-N-PCR using primers based on NS5 for virus detection and identification. The fragments were purified from PCR mixtures and sequenced. The positive dengue cases were geo-coded. To type the sequenced samples, 52 reference sequences were aligned. The dataset generated was used for iterative phylogenetic reconstruction with the maximum likelihood criterion. The best demographic model, the rate of growth, rate of evolutionary change, and Time to Most Recent Common Ancestor (TMRCA) were estimated. The basic reproductive rate during the epidemics was estimated. We obtained sequences from 82 patients among 174 blood samples. We were able to geo-code 46 sequences. The alignment generated a 399-nucleotide-long dataset with 134 taxa. The phylogenetic analysis indicated that all samples were of DENV-3 and related to strains circulating on the isle of Martinique in 2000-2001. Sixty DENV-3 from Sao Jose do Rio Preto formed a monophyletic group (lineage 1), closely related to the remaining 22 isolates (lineage 2). We assumed that these lineages appeared before 2006 in different occasions. By transforming the inferred exponential growth rates into the basic reproductive rate, we obtained values for lineage 1 of R(0) = 1.53 and values for lineage 2 of R(0) = 1.13. Under the exponential model, TMRCA of lineage 1 dated 1 year and lineage 2 dated 3.4 years before the last sampling. The possibility of inferring the spatio-temporal dynamics from genetic data has been generally little explored, and it may shed light on DENV circulation. The use of both geographic and temporally structured phylogenetic data provided a detailed view on the spread of at least two dengue viral strains in a populated urban area.

Mosquitoes infected with dengue viruses in Brazil

Dengue epidemics have been reported in Brazil since 1985. The scenery has worsened in the last decade because several serotypes are circulating and producing a hyper-endemic situation, with an increase of DHF/DSS cases as well as the number of fatalities. Herein, we report dengue virus surveillance in mosquitoes using a Flavivirus genus-specific RT-Hemi-Nested-PCR assay. The mosquitoes (Culicidae, n = 1700) collected in the Northeast, Southeast and South of Brazil, between 1999 and 2005, were grouped into 154 pools. Putative genomes of DENV-1, -2 and -3 were detected in 6 mosquito pools (3.8%). One amplicon of putative DENV-1 was detected in a pool of Haemagogus leucocelaenus suggesting that this virus could be involved in a sylvatic cycle. DENV-3 was found infecting 3 pools of larvae of Aedes albopictus and the nucleotide sequence of one of these viruses was identified as DENV-3 of genotype III, phylogenetically related to other DENV-3 isolated in Brazil. This is the first report of a nucleotide sequence of DENV-3 from larvae of Aedes albopictus.

Vector within-host feeding preference mediates transmission of a heterogeneously distributed pathogen

2. We documented the within-host distribution of two vector species that differ in transmission efficiency, the leafhoppers Draeculacephala minerva and Graphocephala atropunctata, and which are free to move throughout entirely caged alfalfa plants. The more efficient vector D. minerva fed preferentially at the base of the plant near the soil surface, whereas the less efficient G. atropunctata preferred overwhelming the top of the plant. 3. Next we documented X. fastidiosa heterogeneity in mechanically inoculated plants. Infection rates were up to 50% higher and mean bacterial population densities were 100-fold higher near the plant base than at the top or in the taproot. 4. Finally, we estimated transmission efficiency of the two leafhoppers when they were confined at either the base or top of inoculated alfalfa plants. Both vectors were inefficient when confined at the top of infected plants and were 20-60% more efficient when confined at the plant base. 5. These results show that vector transmission efficiency is determined by the interaction between leafhopper within-plant feeding behaviour and pathogen within-plant distribution. Fine-scale vector and pathogen overlap is likely to be a requirement generally for efficient transmission of vector-borne pathogens.

Prospects for control of African trypanosomiasis by tsetse vector manipulation

The extensive antigenic variation phenomena African trypanosomes display in their mammalian host have hampered efforts to develop effective vaccines against trypanosomiasis. Human disease management aims largely to treat infected hosts by chemotherapy, whereas control of animal diseases relies on reducing tsetse populations as well as on drug therapy. The control strategies for animal diseases are carried out and financed by livestock owners, who have an obvious economic incentive. Sustaining largely insecticide-based control at a local level and relying on drugs for treatment of infected hosts for a disease for which there is no evidence of acquired immunity could prove extremely costly in the long run. It is more likely that a combination of several methods in an integrated, phased and area-wide approach would be more effective in controlling these diseases and subsequently improving agricultural output. New approaches that are environmentally acceptable, efficacious and affordable are clearly desirable for control of various medically and agriculturally important insects including tsetse. Here, Serap Aksoy and colleagues discuss molecular genetic approaches to modulate tsetse vector competence.

Evaluation of liquid Bacillus thuringiensis var. israelensis products for control of Australian Aedes arbovirus vectors

Laboratory bioassay studies were conducted in southeast Queensland, Australia,: on the efficacy of Teknar (R), VectoBac (R) 12AS, and Cybate (R) (active ingredient: 1,200 international toxic units Bacillus thuringiensis var, israelensis [Bti]) against 3rd instars of the arbovirus vectors Aedes aegypti. Ae. notoscriptus, Ae. vigilax, and Ae. camptorhynchus. Probit analyses were then used to determine LD,, (median lethal dose), LD95, and lethal dose ratios (LDR). Aedes aegypti and Ae. notoscriptus, both container-habitat species, tolerated the highest Bti concentrations compared with saltmarsh Ae. vigilax and Ae. camptorhynchus. For example, the LDR for Ae. vigilax versus Ae. notoscriptus exposed to Cybate was 0.14 (95% confidence limit [CL] 0.03-0.61). Similarly, the Cybate LDR for Ae. camptorhynchus versus Ae. notoscriptus was 0.22 (95% CL 0.07-0.70). Teknar produced similar results with an LDR of 0.21 (95% CL 0.04-1.10) for Aedes vigilax versus Aedes notoscriptus. Differences in product efficacy were found when tested against the 2 container-breeding species. Cybate was less effective than Teknar with LDRs of 1.55 (95% CL 0.65-3.67) and 1.87 (95% CL 0.68-5.15) for Aedes aegypti and Ae. notoscriptus, respectively. The significant differences in susceptibility between mosquito species and varying efficacy between products highlight the importance of evaluating concentration-response data prior to contracting with distributors of mosquito control products. This information is crucial to resistance management strategies.

Control of Aedes vectors of dengue in three provinces of Vietnam by use of Mesocyclops (Copepoda) and community-based methods validated by entomologic, clinical, and serological surveillance

We describe remarkable success in controlling dengue vectors, Aedes aegypti (L.) and Aedes albopictus (Skuse), in 6 communes with 11,675 households and 49,647 people in the northern provinces of Haiphong, Hung Yen, and Nam Dinh in Vietnam. The communes were selected for high-frequency use of large outdoor concrete tanks and wells. These were found to be the source of 49.6-98.4% of Ae. aegypti larvae, which were amenable to treatment with local Mesocyclops, mainly M. woutersi Van der Velde, M. aspericornis (Daday) and M. thermocyclopoides Harada. Knowledge, attitude, and practice surveys were performed to determine whether the communities viewed dengue and dengue hemorrhagic fever as a serious health threat; to determine their knowledge of the etiology, attitudes, and practices regarding control methods including Mesocyclops; and to determine their receptivity to various information methods. On the basis of the knowledge, attitude, and practice data, the community-based dengue control program comprised a system of local leaders, health volunteer teachers, and schoolchildren, supported by health professionals. Recycling of discards for economic gain was enhanced, where appropriate, and this, plus 37 clean-up campaigns, removed small containers unsuitable for Mesocyclops treatment. A previously successful eradication at Phan Boi village (Hung Yen province) was extended to 7 other villages forming Di Su commune (1,750 households) in the current study. Complete control was also achieved in Nghia Hiep (Hung Yen province) and in Xuan Phong (Nam Dinh province); control efficacy was greater than or equal to 99.7% in the other 3 communes (Lac Vien in Haiphong, Nghia Dong, and Xuan Kien in Nam Dinh). Although tanks and wells were the key container types of Ae. aegypti productivity, discarded materials were the source of 51% of the standing crop of Ae. albopictus. Aedes albopictus larvae were eliminated from the 3 Nam Dinh communes, and 86-98% control was achieved in the other 3 communes. Variable dengue attack rates made the clinical and serological comparison of control and untreated communes problematic, but these data indicate that clinical surveillance by itself is inadequate to monitor dengue transmission.