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东非之与蚊媒监测和疟疾防控的季节性动态。

Seasonal dynamics of and its implications for mosquito detection and emergent malaria control in the Horn of Africa.

机构信息

Medical Research Council Centre for Global Infectious Disease Analysis, School of Public Health, Imperial College London, London W2 1PG, UK.

Department of Biology, University of Oxford, Oxford OX1 3SZ, UK.

出版信息

Proc Natl Acad Sci U S A. 2023 Feb 21;120(8):e2216142120. doi: 10.1073/pnas.2216142120. Epub 2023 Feb 15.

DOI:10.1073/pnas.2216142120
PMID:36791102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9974477/
Abstract

Invasion of the malaria vector across the Horn of Africa threatens control efforts across the continent, particularly in urban settings where the vector is able to proliferate. Malaria transmission is primarily determined by the abundance of dominant vectors, which often varies seasonally with rainfall. However, it remains unclear how abundance changes throughout the year, despite this being a crucial input to surveillance and control activities. We collate longitudinal catch data from across its endemic range to better understand the vector's seasonal dynamics and explore the implications of this seasonality for malaria surveillance and control across the Horn of Africa. Our analyses reveal pronounced variation in seasonal dynamics, the timing and nature of which are poorly predicted by rainfall patterns. Instead, they are associated with temperature and patterns of land use; frequently differing between rural and urban settings. Our results show that timing entomological surveys to coincide with rainy periods is unlikely to improve the likelihood of detecting Integrating these results into a malaria transmission model, we show that timing indoor residual spraying campaigns to coincide with peak rainfall offers little improvement in reducing disease burden compared to starting in a random month. Our results suggest that unlike other malaria vectors in Africa, rainfall may be a poor guide to predicting the timing of peaks in -driven malaria transmission. This highlights the urgent need for longitudinal entomological monitoring of the vector in its new environments given recent invasion and potential spread across the continent.

摘要

疟疾病媒在非洲之角的入侵威胁着整个非洲大陆的控制工作,特别是在城市环境中,这种病媒能够大量繁殖。疟疾传播主要取决于主要病媒的丰度,而丰度通常随降雨量季节性变化。然而,尽管这是监测和控制活动的关键投入,但全年丰度变化如何仍不清楚。我们从整个流行地区收集了纵向捕获数据,以更好地了解该病媒的季节性动态,并探讨这种季节性对非洲之角疟疾监测和控制的影响。我们的分析显示,季节性动态存在明显变化,其时间和性质很难用降雨量模式来预测。相反,它们与温度和土地利用模式有关;农村和城市环境之间经常存在差异。我们的结果表明,将昆虫学调查的时间安排与雨季相吻合不太可能提高发现 的可能性。我们将这些结果整合到疟疾传播模型中,结果表明,与在随机月份开始相比,在降雨高峰期进行室内滞留喷洒活动以减少疾病负担的效果改善很小。我们的结果表明,与非洲其他疟疾病媒不同,降雨可能不是预测 驱动的疟疾传播高峰期时间的良好指标。鉴于最近的入侵和潜在的传播,这突显了在新环境中对该病媒进行长期昆虫学监测的迫切需要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/9974477/3bb6d490e50d/pnas.2216142120fig04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/9974477/f89aa49ed65e/pnas.2216142120fig01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/9974477/ac7ea64dd0c8/pnas.2216142120fig02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/9974477/7505fd339c42/pnas.2216142120fig03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/9974477/3bb6d490e50d/pnas.2216142120fig04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/9974477/f89aa49ed65e/pnas.2216142120fig01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/9974477/ac7ea64dd0c8/pnas.2216142120fig02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/9974477/7505fd339c42/pnas.2216142120fig03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/9974477/3bb6d490e50d/pnas.2216142120fig04.jpg

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