Invasion of Tropical Montane Cities by Aedes aegypti and Aedes albopictus (Diptera: Culicidae) Depends on Continuous Warm Winters and Suitable Urban Biotopes

Dengue and Dengue Virus in Guangdong, China, 1978-2017: Epidemiology, Seroprevalence, Evolution, and Policies

Background

Guangdong is a hyperepidemic area of dengue, which has over 0.72 million cumulative cases within the last four decades, accounting for more than 90% of cases in China. The local epidemic of dengue in Guangdong is suspected to be triggered by imported cases and results in consequent seasonal transmission. However, the comprehensive epidemiological characteristics of dengue in Guangdong are still unclear.

Methods

The epidemiology, seroprevalence, molecular evolution of dengue virus, and the development of policies and strategies on the prevention and control of dengue were analyzed in Guangdong, China from 1978 to 2017.

Findings

Seasonal transmission of dengue virus in Guangdong, China was mainly sustained from July to October of each year. August to September was the highest risk period of local dengue outbreaks. Most of the dengue cases in Guangdong were young and middle-aged adults. Five hundred and three fatal cases were recorded, which declined within the last two decades (n = 10). The serological test of healthy donors' serum samples showed a positive rate of 5.77%. Dengue virus 1-4 (DENV 1-4) was detected in Guangdong from 1978 to 2017. DENV 1 was the dominant serotype of dengue outbreaks from 1978 to 2017, with an increasing tendency of DENV 2 since 2010. Local outbreaks of DENV 3 were rare. DENV 4 was only encountered in imported cases in Guangdong, China. The imported cases were the main source of outbreaks of DENV 1-2. Early detection, management of dengue cases, and precise vector control were the key strategies for local dengue prevention and control in Guangdong, China.

Interpretation

Dengue has not become an endemic arboviral disease in Guangdong, China. Early detection, case management, and implementation of precise control strategies are key findings for preventing local dengue transmission, which may serve for countries still struggling to combat imported dengue in the west pacific areas.

Meta-Analysis of the Relative Abundance of Nuisance and Vector Mosquitoes in Urban and Blue-Green Spaces

Blue-green spaces (BGSs), urban areas characterized by the presence of vegetation and or water, and infrastructure form a potential solution for public health threats from increasing urbanization. We conducted a meta-analysis to test the hypothesis that blue-green spaces increase the abundance of nuisance and vector mosquito species compared to non-greened urban areas. After screening 7306 studies published since 1992, we identified 18 studies containing sufficient data from both traditional urban areas and BGSs. We found no significant difference in mean abundance of all mosquito taxa in three genera (Aedes, Culex, Anopheles) when comparing blue-green spaces and non-greened urban spaces. Similarly, a separate analysis of each individual genera found no significant differences. An analysis of the taxa by larval habitat guilds found no differences for container-breeding mosquitoes. Flood-water species tended to be more abundant in blue-green spaces, but the differences were not significant. The individual taxa of Aedes albopictus and the Culex pipiens complex showed no differences between blue-green and urban spaces, while the abundance of Aedes aegypti was significantly higher in traditional urban spaces. Due to the variety existing between and among the several types of blue-green spaces, further studies comparing each unique type of blue-green space or infrastructure will be necessary to draw conclusions regarding the influence of each structure on for urban mosquito communities.

Disentangling associations between vegetation greenness and dengue in a Latin American city: Findings and challenges

Being a Re-Emerging Infectious Disease, dengue causes 390 million cases globally and is prevalent in many urban areas in South America. Understanding the fine-scale relationships between dengue incidence and environmental and socioeconomic factors can guide improved disease prevention strategies. This ecological study examines the association between dengue incidence and satellite-based vegetation greenness in 3826 census tracts nested in 474 neighborhoods in Belo Horizonte, Brazil, during the 2010 dengue epidemic. To reduce potential bias in the estimated dengue-greenness association, we adjusted for socioeconomic vulnerability, population density, building height and density, land cover composition, elevation, weather patterns, and neighborhood random effects. We found that vegetation greenness was negatively associated with dengue incidence in a univariate model, and this association attenuated after controlling for additional covariates. The dengue-greenness association was modified by socioeconomic vulnerability: while a positive association was observed in the least vulnerable census tracts, the association was negative in the most vulnerable areas. Using greenness as a proxy for vegetation quality, our results show the potential of vegetation management in reducing dengue incidence, particularly in socioeconomically vulnerable areas. We also discuss the role of water infrastructure, sanitation services, and tree cover in lowering dengue risk.