Martin Anne C, Kamilar Victoria, Simubali Limonty, Mudenda Twig, Hamapumbu Harry, Schue Jessica L, Gebhardt Mary E, Ali Reneé L M N, Stevenson Jennifer C, Shields Timothy, Desjardins Michael R, Curriero Frank C, Moss William J, Norris Douglas E
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore USA.
The Johns Hopkins Malaria Research Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
medRxiv. 2025 Apr 1:2025.03.31.25324992. doi: 10.1101/2025.03.31.25324992.
Malaria control is a public health priority but common control methods like indoor residual spraying and the use of bednets do not target outdoor-biting vectors. In settings with seasonal residual malaria transmission, we lack critical knowledge regarding anopheline species composition and their role in transmission. This study aimed to determine relative seasonal vector species abundance and associated household level factors in a low transmission setting in Choma District, Zambia. Indoor and outdoor adult vector collections were embedded in a community-based longitudinal cohort study in 60 households that were visited monthly for 2 years between 2018 and 2020. Surveys conducted at the time of trap placement collected information on animal ownership, housing structure, and the receipt of malaria interventions. Anopheline species identities were molecularly confirmed by polymerase chain reaction, and enzyme-linked immunosorbent assay was used to detect the circumsporozoite protein of . Generalized linear mixed effects negative binomial regression with zero-inflation models were used to describe the relationship between risk factors and the outcome of monthly anopheline counts at each household, stratified by season. The study collected 1,532 female anophelines, 76% of which were caught outdoors. The relative abundance differed by season: in the dry season, 90% of female anophelines were caught outdoors. was overall the most common vector, but made up only 28% of outdoor collections; the remainder were understudied anophelines including , , , The only -infected mosquito was an that was caught outdoors. Owning more goats was associated with a 3.5 (IRR 4.47, 95% confidence interval [CI]: 2.00, 10.01) and 7.7 (IRR 8.73, 95% CI: 4.40, 17.32) times increase in indoor and outdoor anopheline collections in the dry season and a 1.2 (IRR 2.18, 95% CI: 1.12, 4.23) times higher risk of outdoor anophelines in the rainy season. Improved housing structure was associated with fewer indoor anophelines in the rainy season, but not during dry season or outdoor anopheline abundance any time of year. Vector control in this low transmission setting, therefore, needs to target anopheline mosquitoes year-round, must be expanded to target traditionally zoophillic mosquitoes, and leverage known risk factors when selecting methods of control.
疟疾防控是公共卫生的重点事项,但诸如室内滞留喷洒和使用蚊帐等常见防控方法并未针对户外叮咬的病媒。在存在季节性残留疟疾传播的地区,我们缺乏关于按蚊种类组成及其在传播中作用的关键知识。本研究旨在确定赞比亚乔马区低传播环境下按蚊种类的相对季节性丰度及相关家庭层面因素。在2018年至2020年的两年间,每月对60户家庭进行一次室内和室外成蚊采集,并将其纳入一项基于社区的纵向队列研究。在放置诱捕器时进行的调查收集了有关家畜饲养情况、房屋结构以及疟疾干预措施接受情况的信息。通过聚合酶链反应对按蚊种类进行分子确认,并用酶联免疫吸附测定法检测……的环子孢子蛋白。使用带有零膨胀模型的广义线性混合效应负二项回归来描述风险因素与每个家庭每月按蚊计数结果之间的关系,并按季节分层。该研究共收集到1532只雌性按蚊,其中76%是在户外捕获的。相对丰度因季节而异:在旱季,90%的雌性按蚊是在户外捕获的。……总体上是最常见的病媒,但仅占户外捕获量的28%;其余为研究较少的按蚊,包括……唯一一只感染……的蚊子是在户外捕获的一只……饲养更多山羊与旱季室内和室外按蚊捕获量分别增加3.5倍(发病率比4.47,95%置信区间[CI]:2.00,10.01)和7.7倍(发病率比8.73,95%CI:4.40,17.32)以及雨季户外按蚊风险升高1.2倍(发病率比2.18,95%CI:1.12,4.23)相关。房屋结构改善与雨季室内按蚊数量减少相关,但在旱季或一年中任何时候的户外按蚊丰度方面并无关联。因此,在这种低传播环境下的病媒控制需要全年针对按蚊,必须扩大范围以针对传统上嗜动物血的蚊子,并在选择控制方法时利用已知的风险因素。