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Hungwe FTT, Laycock KM, Ntereke TD, Mabaka R, Paganotti GM. A historical perspective on arboviruses of public health interest in Southern Africa. Pathog Glob Health 2024; 118:131-159. [PMID: 38082563 PMCID: PMC11141323 DOI: 10.1080/20477724.2023.2290375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2024] Open
Abstract
Arboviruses are an existing and expanding threat globally, with the potential for causing devastating health and socioeconomic impacts. Mitigating this threat necessitates a One Health approach that integrates vector surveillance, rapid disease detection, and innovative prevention and control measures. In Southern Africa, limited data on the epidemiology of arboviruses, their vectors, and their hosts prevent an effective response. We reviewed the current knowledge on arboviruses in Southern Africa and identified opportunities for further research. A literature search was conducted to identify studies published on arboviruses in 10 tropical and temperate countries of the Southern African Development Community (SADC) from 1900 onward. We identified 280 studies, half (51.1%) originating from South Africa, that described 31 arboviral species, their vectors, and their clinical effects on hosts reported in the region. Arboviral research flourished in the SADC in the mid-20th century but then declined, before reemerging in the last two decades. Recent research consists largely of case reports describing outbreaks. Historical vector surveillance and serosurveys from the mid-20th century suggest that arboviruses are plentiful across Southern Africa, but large gaps remain in the current understanding of arboviral distribution, transmission dynamics, and public health impact.
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Affiliation(s)
- Faith T. T. Hungwe
- School of Engineering Sciences in Chemistry, Biotechnology and Health, KTH Royal Institute of Technology, Stockholm, Sweden
- Department of Molecular Medicine, Karolinska Institute, Stockholm, Sweden
- Department of Biochemistry and Biophysics, Stockholm University, Stockholm, Sweden
| | - Katherine M. Laycock
- The Ryan White Center for Pediatric Infectious Disease and Global Health, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA
| | | | - Rorisang Mabaka
- School of Allied Health Sciences, Faculty of Health Sciences, University of Botswana, Gaborone, Botswana
| | - Giacomo M. Paganotti
- Botswana-University of Pennsylvania Partnership, Gaborone, Botswana
- Division of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
- Department of Biomedical Sciences, University of Botswana, Gaborone, Botswana
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Hermanns K, Marklewitz M, Zirkel F, Kopp A, Kramer-Schadt S, Junglen S. Mosquito community composition shapes virus prevalence patterns along anthropogenic disturbance gradients. eLife 2023; 12:e66550. [PMID: 37702388 PMCID: PMC10547478 DOI: 10.7554/elife.66550] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Accepted: 09/12/2023] [Indexed: 09/14/2023] Open
Abstract
Previously unknown pathogens often emerge from primary ecosystems, but there is little knowledge on the mechanisms of emergence. Most studies analyzing the influence of land-use change on pathogen emergence focus on a single host-pathogen system and often observe contradictory effects. Here, we studied virus diversity and prevalence patterns in natural and disturbed ecosystems using a multi-host and multi-taxa approach. Mosquitoes sampled along a disturbance gradient in Côte d'Ivoire were tested by generic RT-PCR assays established for all major arbovirus and insect-specific virus taxa including novel viruses previously discovered in these samples based on cell culture isolates enabling an unbiased and comprehensive approach. The taxonomic composition of detected viruses was characterized and viral infection rates according to habitat and host were analyzed. We detected 331 viral sequences pertaining to 34 novel and 15 previously identified viruses of the families Flavi-, Rhabdo-, Reo-, Toga-, Mesoni- and Iflaviridae and the order Bunyavirales. Highest host and virus diversity was observed in pristine and intermediately disturbed habitats. The majority of the 49 viruses was detected with low prevalence. However, nine viruses were found frequently across different habitats of which five viruses increased in prevalence towards disturbed habitats, in congruence with the dilution effect hypothesis. These viruses were mainly associated with one specific mosquito species (Culex nebulosus), which increased in relative abundance from pristine (3%) to disturbed habitats (38%). Interestingly, the observed increased prevalence of these five viruses in disturbed habitats was not caused by higher host infection rates but by increased host abundance, an effect tentatively named abundance effect. Our data show that host species composition is critical for virus abundance. Environmental changes that lead to an uneven host community composition and to more individuals of a single species are a key driver of virus emergence.
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Affiliation(s)
- Kyra Hermanns
- Institute of Virology, Charité - Universitätsmedizin Berlin, corporate member of Free University Berlin, Humboldt-Universtiy Berlin, and Berlin Institute of HealthBerlinGermany
| | - Marco Marklewitz
- Institute of Virology, Charité - Universitätsmedizin Berlin, corporate member of Free University Berlin, Humboldt-Universtiy Berlin, and Berlin Institute of HealthBerlinGermany
| | - Florian Zirkel
- Institute of Virology, University of Bonn Medical CentreBerlinGermany
| | - Anne Kopp
- Institute of Virology, Charité - Universitätsmedizin Berlin, corporate member of Free University Berlin, Humboldt-Universtiy Berlin, and Berlin Institute of HealthBerlinGermany
| | - Stephanie Kramer-Schadt
- Department of Ecological Dynamics, Leibniz Institute for Zoo and Wildlife ResearchBerlinGermany
- Institute of Ecology, Technische Universität BerlinBerlinGermany
| | - Sandra Junglen
- Institute of Virology, Charité - Universitätsmedizin Berlin, corporate member of Free University Berlin, Humboldt-Universtiy Berlin, and Berlin Institute of HealthBerlinGermany
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Kampango A, Pinto J, Abílio AP, Machoe E, Matusse J, McCall PJ. Characterisation of human exposure to nocturnal biting by malaria and arbovirus vectors in a rural community in Chókwè district, southern Mozambique. Wellcome Open Res 2023; 8:193. [PMID: 37484481 PMCID: PMC10357080 DOI: 10.12688/wellcomeopenres.19278.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/03/2023] [Indexed: 07/25/2023] Open
Abstract
Background: Understanding the magnitude of human exposure to mosquito biting is fundamental to reduce pathogen transmission. Here we report on a study quantifying the levels of mosquitoes attacking humans throughout the night in a rural area of Southern Mozambique. Methods: Surveys were carried out in Massavasse village, southern Mozambique. The abundance and composition of host-seeking mosquito communities at night were assessed by human-landing catches (HLC) at one-hour intervals. Periods when people were located predominantly outdoors or indoors were used to estimate the amount of residents' exposure to mosquito bites in either location, to explore the potential impact a bed net could have had in reducing biting by each vector species. Results: A total of 69,758 host-seeking female mosquitoes comprising 23 species in four genera were collected. The exposure to biting by virtually all vector species was consistently high outdoors, typically at early evening and morning, with exception of An. gambiae s.l which was likely of biting a person with nearly same intensity indoors and outdoors throughout the night. Bed nets use could have reduced biting by An. gambiae s.l (dominated by An. arabiensis), Ma. africana, Ma. uniformis, Cx. pipiens, Cx. antennatus, and Cx. poicilipes by 53%, 47%, 46%, 38%, 31%, and 28% respectively, compared to non-users. Conversely, a bed net user would have had little protection against An. pharoensis, An. ziemanni, An. tenebrosus, and Cx. tritaeniorhynchus biting exposures. Conclusions: This study showed that Massavasse residents were exposed to high levels of outdoor biting by malaria and arbovirus vectors that abound in the village. The findings help to identify entomological drivers of persistent malaria transmission in Mozambique and identify a wide range of arbovirus vectors nocturnally active in rural areas, many with outbreak potential. The study highlights the need for a surveillance system for monitoring arboviral diseases vectors in Mozambique.
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Affiliation(s)
- Ayubo Kampango
- Sector de Estudo de Vectores, Instituto Nacional de Saúde (INS), Maputo, Villa de Marracuene EN1, Plot 3943, Mozambique
- Department of Zoology and Entomology, University of Pretoria, Pretoria, Hatfield, 0028, South Africa
| | - João Pinto
- Global Health and Tropical Medicine, Institute of Hygiene and Tropical Medicine (IHMT), Lisbon, Rua da Junqueira, 100 1349-008, Portugal
| | - Ana Paula Abílio
- Sector de Estudo de Vectores, Instituto Nacional de Saúde (INS), Maputo, Villa de Marracuene EN1, Plot 3943, Mozambique
| | - Elias Machoe
- Sector de Estudo de Vectores, Instituto Nacional de Saúde (INS), Maputo, Villa de Marracuene EN1, Plot 3943, Mozambique
| | - Júlio Matusse
- Sector de Estudo de Vectores, Instituto Nacional de Saúde (INS), Maputo, Villa de Marracuene EN1, Plot 3943, Mozambique
| | - Philip J. McCall
- Vector Biology Department, Liverpool School of Tropical Medicine (LSTM), Liverpool, Pembroke Place, L3 5QA, UK
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Fernandez Montoya L, Alafo C, Martí-Soler H, Máquina M, Comiche K, Cuamba I, Munguambe K, Cator L, Aide P, Galatas B, Cuamba N, Marrenjo D, Saúte F, Paaijmans KP. Overlaying human and mosquito behavioral data to estimate residual exposure to host-seeking mosquitoes and the protection of bednets in a malaria elimination setting where indoor residual spraying and nets were deployed together. PLoS One 2022; 17:e0270882. [PMID: 36107865 PMCID: PMC9477321 DOI: 10.1371/journal.pone.0270882] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Accepted: 06/21/2022] [Indexed: 11/18/2022] Open
Abstract
Characterizing persistent malaria transmission that occurs after the combined deployment of indoor residual spraying (IRS) and long-lasting insecticidal nets (LLINs) is critical to guide malaria control and elimination efforts. This requires a detailed understanding of both human and vector behaviors at the same temporal and spatial scale. Cross-sectional human behavior evaluations and mosquito collections were performed in parallel in Magude district, Mozambique. Net use and the exact time when participant moved into each of five environments (outdoor, indoor before bed, indoor in bed, indoor after getting up, and outdoor after getting up) were recorded for individuals from three different age groups and both sexes during a dry and a rainy season. Malaria mosquitoes were collected with CDC light traps in combination with collection bottle rotators. The percentage of residual exposure to host-seeking vectors that occurred in each environment was calculated for five local malaria vectors with different biting behaviors, and the actual (at observed levels of LLIN use) and potential (i.e. if all residents had used an LLIN) personal protection conferred by LLINs was estimated. Anopheles arabiensis was responsible for more than 74% of residents' residual exposure to host-seeking vectors during the Magude project. The other four vector species (An. funestus s.s., An. parensis, An. squamosus and An. merus) were responsible for less than 10% each. The personal protection conferred by LLINs prevented only 39.2% of the exposure to host-seeking vectors that survived the implementation of both IRS and LLINs, and it differed significantly across seasons, vector species and age groups. At the observed levels of bednet use, 12.5% of all residual exposure to host-seeking vectors occurred outdoor during the evening, 21.9% indoor before going to bed, almost two thirds (64%) while people were in bed, 1.4% indoors after getting up and 0.2% outdoor after leaving the house. Almost a third of the residual exposure to host-seeking vectors (32.4%) occurred during the low transmission season. The residual bites of An. funestus s.s. and An. parensis outdoors and indoor before bedtime, of An. arabiensis indoors when people are in bed, and of An. squamosus both indoors and outdoors, are likely to have sustained malaria transmission throughout the Magude project. By increasing LLIN use, an additional 24.1% of exposure to the remaining hosts-seeking vectors could have been prevented. Since An. arabiensis, the most abundant vector, feeds primarily while people are in bed, increasing net use and net feeding inhibition (through e.g. community awareness activities and the selection of more effective LLINs) could significantly reduce the exposure to remaining host-seeking mosquitoes. Nonetheless, supplementary interventions aiming to reduce human-vector contact outdoors and/or indoors before people go to bed (e.g. through larval source management, window and eave screening, eave tubes, and spatial repellents) will be needed to reduce residual exposure to the outdoor and early biting An. funestus s.s. and An. parensis.
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Affiliation(s)
- Lucia Fernandez Montoya
- ISGlobal, Hospital Clínic—Universitat de Barcelona, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Celso Alafo
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
- Goodbye Malaria, Tchau Tchau Malaria Foundation, Chibungo, Mozambique
| | | | - Mara Máquina
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Kiba Comiche
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Inocencia Cuamba
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Khatia Munguambe
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | | | - Pedro Aide
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
- Instituto Nacional da Saúde, Ministério da Saúde, Maputo, Mozambique
| | - Beatriz Galatas
- ISGlobal, Hospital Clínic—Universitat de Barcelona, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Nelson Cuamba
- Programa Nacional de Controlo da Malária, Ministério da Saúde, Maputo, Mozambique
- PMI VectorLink Project, Abt Associates Inc., Maputo, Mozambique
| | - Dulcisaria Marrenjo
- Programa Nacional de Controlo da Malária, Ministério da Saúde, Maputo, Mozambique
| | - Francisco Saúte
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Krijn P. Paaijmans
- ISGlobal, Hospital Clínic—Universitat de Barcelona, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
- Center for Evolution and Medicine, School of Life Sciences, Arizona State University, Tempe, AZ, United States of America
- The Biodesign Center for Immunotherapy, Vaccines and Virotherapy, Arizona State University, Tempe, AZ, United States of America
- Simon A. Levin Mathematical, Computational and Modeling Sciences Center, Arizona State University, Tempe, AZ, United States of America
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Fernández Montoya L, Martí-Soler H, Máquina M, Comiche K, Cuamba I, Alafo C, Koekemoer LL, Sherrard-Smith E, Bassat Q, Galatas B, Aide P, Cuamba N, Jotamo D, Saúte F, Paaijmans KP. The mosquito vectors that sustained malaria transmission during the Magude project despite the combined deployment of indoor residual spraying, insecticide-treated nets and mass-drug administration. PLoS One 2022; 17:e0271427. [PMID: 36084031 PMCID: PMC9462736 DOI: 10.1371/journal.pone.0271427] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 08/23/2022] [Indexed: 11/18/2022] Open
Abstract
The "Magude project" aimed but failed to interrupt local malaria transmission in Magude district, southern Mozambique, by using a comprehensive package of interventions, including indoor residual spraying (IRS), pyrethroid-only long-lasting insecticide treated nets (LLINs) and mass-drug administration (MDA). Here we present detailed information on the vector species that sustained malaria transmission, their association with malaria incidence and behaviors, and their amenability to the implemented control interventions. Mosquitoes were collected monthly between May 2015 and October 2017 in six sentinel sites in Magude district, using CDC light traps both indoors and outdoors. Anopheles arabiensis was the main vector during the project, while An. funestus s.s., An. merus, An. parensis and An. squamosus likely played a secondary role. The latter two species have never previously been found positive for Plasmodium falciparum in southern Mozambique. The intervention package successfully reduced vector sporozoite rates in all species throughout the project. IRS was effective in controlling An. funestus s.s. and An. parensis, which virtually disappeared after its first implementation, but less effective at controlling An. arabiensis. Despite suboptimal use, LLINs likely provided significant protection against An. arabiensis and An. merus that sought their host largely indoors when people where in bed. Adding IRS on top of LLINs and MDA likely added value to the control of malaria vectors during the Magude project. Future malaria elimination attempts in the area could benefit from i) increasing the use of LLINs, ii) using longer-lasting IRS products to counteract the increase in vector densities observed towards the end of the high transmission season, and iii) a higher coverage with MDA to reduce the likelihood of human infection. However, additional interventions targeting vectors that survive IRS and LLINs by biting outdoors or indoors before people go to bed, will be likely needed to achieve local malaria elimination.
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Affiliation(s)
- Lucía Fernández Montoya
- ISGlobal, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | | | - Mara Máquina
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Kiba Comiche
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Inocencia Cuamba
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Celso Alafo
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Lizette L. Koekemoer
- Faculty of Health Sciences, WITS Research Institute for Malaria, University of the Witswatersrand and the Natitonal Institute for Communicable Diseases, Johannesburg, South Africa
| | - Ellie Sherrard-Smith
- MRC Centre for Global Infectious Disease Analysis, Imperial College London, London, United Kingdom
| | - Quique Bassat
- ISGlobal, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
- ICREA, Barcelona, Spain
- Pediatrics Department, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues, Barcelona, Spain
- Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Beatriz Galatas
- ISGlobal, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Pedro Aide
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
- Instituto Nacional da Saúde, Ministério da Saúde, Maputo, Mozambique
| | - Nelson Cuamba
- Programa Nacional de Controlo da Malária, Ministério da Saúde, Maputo, Mozambique
- PMI VectorLink Project, Abt Associates Inc., Maputo, Mozambique
| | - Dulcisaria Jotamo
- Programa Nacional de Controlo da Malária, Ministério da Saúde, Maputo, Mozambique
| | - Francisco Saúte
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Krijn P. Paaijmans
- ISGlobal, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
- Center for Evolution and Medicine, School of Life Sciences, Arizona State University, Tempe, AZ, United States of America
- The Biodesign Center for Immunotherapy, Vaccines and Virotherapy, Arizona State University, Tempe, AZ, United States of America
- Simon A. Levin Mathematical, Computational and Modeling Sciences Center, Arizona State University, Tempe, AZ, United States of America
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Alafo C, Martí-Soler H, Máquina M, Malheia A, Aswat AS, Koekemoer LL, Colborn J, Lobo NF, Tatarsky A, Williams YA, Marrenjo D, Cuamba N, Rabinovich R, Alonso P, Aide P, Saúte F, Paaijmans KP. To spray or target mosquitoes another way: focused entomological intelligence guides the implementation of indoor residual spraying in southern Mozambique. Malar J 2022; 21:215. [PMID: 35820899 PMCID: PMC9275269 DOI: 10.1186/s12936-022-04233-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Accepted: 06/06/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND To eliminate malaria in southern Mozambique, the National Malaria Control Programme and its partners are scaling up indoor residual spraying (IRS) activities in two provinces, Gaza and Inhambane. An entomological surveillance planning tool (ESPT) was used to answer the programmatic question of whether IRS would be effective in target geographies, given limited information on local vector bionomics. METHODS Entomological intelligence was collected in six sentinel sites at the end of the rainy season (April-May 2018) and the beginning of the dry season (June-July 2018). The primary objective was to provide an 'entomological snapshot' by collecting question-based, timely and high-quality data within one single week in each location. Host-seeking behaviour (both indoors and outdoors) was monitored by human-baited tent traps. Indoor resting behaviour was quantified by pyrethrum spray catches and window exit traps. RESULTS Five different species or species groups were identified: Anopheles funestus sensu lato (s.l.) (66.0%), Anopheles gambiae s.l. (14.0%), Anopheles pharoensis (1.4%), Anopheles tenebrosus (14.1%) and Anopheles ziemanni (4.5%). Anopheles funestus sensu stricto (s.s.) was the major vector among its sibling species, and 1.9% were positive for Plasmodium falciparum infections. Anopheles arabiensis was the most abundant vector species within the An. gambiae complex, but none tested positive for P. falciparum infections. Some An. tenebrosus were positive for P. falciparum (1.3%). When evaluating behaviours that impact IRS efficacy, i.e. endophily, the known primary vector An. funestus s.s., was found to rest indoors-demonstrating at least part of its population will be impacted by the intervention if insecticides are selected to which this vector is susceptible. However, other vector species, including An. gambiae s.l., An. tenebrosus, An. pharoensis and An. ziemanni, showed exophilic and exophagic behaviours in several of the districts surveilled. CONCLUSION The targeted approach to entomological surveillance was successful in collecting question-based entomological intelligence to inform decision-making about the use of IRS in specific districts. Endophilic An. funestus s.s. was documented as being the most prevalent and primary malaria vector suggesting that IRS can reduce malaria transmission, but the presence of other vector species both indoors and outdoors suggests that alternative vector control interventions that target these gaps in protection may increase the impact of vector control in southern Mozambique.
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Affiliation(s)
- Celso Alafo
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique
| | | | - Mara Máquina
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique
| | - Arlindo Malheia
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique
| | - Ayesha S Aswat
- WITS Research Institute for Malaria, Faculty of Health Sciences, University of the Witwatersrand, & National Institute for Communicable Diseases, Johannesburg, South Africa
| | - Lizette L Koekemoer
- WITS Research Institute for Malaria, Faculty of Health Sciences, University of the Witwatersrand, & National Institute for Communicable Diseases, Johannesburg, South Africa
| | | | - Neil F Lobo
- Eck Institute for Global Health, University of Notre Dame, Notre Dame, IN, USA
- Malaria Elimination Initiative, Institute of Global Health Sciences, University of California San Francisco, San Francisco, CA, USA
| | - Allison Tatarsky
- Malaria Elimination Initiative, Institute of Global Health Sciences, University of California San Francisco, San Francisco, CA, USA
| | - Yasmin A Williams
- Malaria Elimination Initiative, Institute of Global Health Sciences, University of California San Francisco, San Francisco, CA, USA
| | - Dulcisária Marrenjo
- Programa Nacional de Controlo da Malária, Ministério da Saúde, Maputo, Mozambique
| | - Nelson Cuamba
- Programa Nacional de Controlo da Malária, Ministério da Saúde, Maputo, Mozambique
- PMI VectorLink Project, Abt Associates Inc, Maputo, Mozambique
| | - Regina Rabinovich
- ISGlobal, Barcelona, Spain
- Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Pedro Alonso
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique
- ISGlobal, Barcelona, Spain
| | - Pedro Aide
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique
- Instituto Nacional da Saúde, Ministério da Saúde, Maputo, Mozambique
| | - Francisco Saúte
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique
| | - Krijn P Paaijmans
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique.
- ISGlobal, Barcelona, Spain.
- Center for Evolution and Medicine, School of Life Sciences, Arizona State University, Tempe, AZ, USA.
- The Biodesign Center for Immunotherapy, Vaccines and Virotherapy, Arizona State University, Tempe, AZ, USA.
- Simon A. Levin Mathematical, Computational and Modeling Sciences Center, Arizona State University, Tempe, AZ, USA.
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7
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Uchenna Emeribe A, Nasir Abdullahi I, O R Ajagbe O, Egede Ugwu C, Oloche Onoja S, Dahiru Abubakar S, Modesta Umeozuru C, Sunday Animasaun O, Omoruyi Omosigho P, Mukhtar Danmusa U, Alhaji Baba Mallam M, Saidu Aminu M, Yahaya H, Oyewusi S. Incidence, drivers and global health implications of the 2019/2020 yellow fever sporadic outbreaks in Sub-Saharan Africa. Pathog Dis 2021; 79:6178868. [PMID: 33739369 DOI: 10.1093/femspd/ftab017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Accepted: 03/17/2021] [Indexed: 11/13/2022] Open
Abstract
The 2019 and 2020 sporadic outbreaks of yellow fever (YF) in Sub-Saharan African countries had raised a lot of global health concerns. This article aims to narratively review the vector biology, YF vaccination program, environmental factors and climatic changes, and to understand how they could facilitate the reemergence of YF. This study comprehensively reviewed articles that focused on the interplay and complexity of YF virus (YFV) vector diversity/competence, YF vaccine immunodynamics and climatic change impacts on YFV transmission as they influence the 2019/2020 sporadic outbreaks in Sub-Saharan Africa (SSA). Based on available reports, vectorial migration, climatic changes and YF immunization level could be reasons for the re-mergence of YF at the community and national levels. Essentially, the drivers of YFV infection due to spillover are moderately constant. However, changes in land use and landscape have been shown to influence sylvan-to-urban spillover. Furthermore, increased precipitation and warmer temperatures due to climate change are likely to broaden the range of mosquitoes' habitat. The 2019/2020 YF outbreaks in SSA is basically a result of inadequate vaccination campaigns, YF surveillance and vector control. Consequently, and most importantly, adequate immunization coverage must be implemented and properly achieved under the responsibility of the public health stakeholders.
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Affiliation(s)
- Anthony Uchenna Emeribe
- Department of Medical Laboratory Science, Faculty of Allied Medical Sciences, University of Calabar, PMB 1115, Calabar, Nigeria
| | - Idris Nasir Abdullahi
- Department of Medical Laboratory Science, Faculty of Allied Sciences, Ahmadu Bello University, PMB 05 along Samaru road, Zaria, Nigeria
| | - Odunayo O R Ajagbe
- Department of Medical Laboratory Science, Ebonyi State University, P.M.B. 053, Abakaliki, Nigeria
| | - Charles Egede Ugwu
- Solina Center for International Research and development, 8 Libreville Crescent, Ahmadu Bello Way Wuse II, Abuja 23409, Nigeria
| | - Solomon Oloche Onoja
- Nigeria Field Epidemiology and Laboratory Training Programme, African Field Epidemiology Programme, Plot 801, Ebitu Ukiwe Street, Jabi, Abuja, Nigeria
| | - Sharafudeen Dahiru Abubakar
- Department of Medical Laboratory Science, Faculty of Allied Sciences, Ahmadu Bello University, PMB 05 along Samaru road, Zaria, Nigeria
| | | | | | - Pius Omoruyi Omosigho
- Faculty of Pharmacy, Kaduna State University, Tafawa Balewa Way, PMB 2339, Kaduna, Nigeria
| | - Umar Mukhtar Danmusa
- Department of Medical Laboratory Science, University of Nigeria, PMB, 420001 Nsukka, Nigeria
| | - Mala Alhaji Baba Mallam
- Department of Nursing Science, Maryam Abacha American University of Niger, ADS Avenue, Roi Muhammed VI Du Maroc Maradi, Republique Du Niger
| | - Maijiddah Saidu Aminu
- Department of Nursing Science, Maryam Abacha American University of Niger, ADS Avenue, Roi Muhammed VI Du Maroc Maradi, Republique Du Niger
| | - Hadiza Yahaya
- Department of Nursing Science, Maryam Abacha American University of Niger, ADS Avenue, Roi Muhammed VI Du Maroc Maradi, Republique Du Niger
| | - Silifat Oyewusi
- Department of Nursing Science, Maryam Abacha American University of Niger, ADS Avenue, Roi Muhammed VI Du Maroc Maradi, Republique Du Niger
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