Aircraft disinsection: what is the usefulness as a public health measure?

RATIONALE FOR REVIEW

Insecticide treatments in aircraft (termed 'aircraft disinsection') aim to support the containment of potentially disease-carrying vector insects. The introduction of non-endemic mosquito species is of concern as some mosquitoes can act as vectors of many serious human diseases. Expansion of vectors to previously non-endemic regions, extended flight networks and mosquito resistance to insecticides pose challenges to contemporary vector-control approaches. Despite established efficacy of aircraft disinsection in trials, there is increasing concern over its effectiveness and feasibility in flight operations, and its usefulness as a public health measure.

KEY FINDINGS

We explored the literature on disinsection through a narrative approach to obtain a pragmatic assessment of existing and future implementation challenges. We describe the shortcomings that hinder evaluation of the success of aircraft disinsection. These shortcomings include operational constraints that may impact effective treatment outcomes, lack of longitudinal data on pesticide exposure scenarios, lack of compliance mechanisms, pesticide resistance in mosquitoes, and limited evidence of the extent and type of mosquito species potentially transported via aircraft.

CONCLUSIONS AND RECOMMENDATIONS

Concerns about the introduction of non-endemic mosquito vectors reinforce the need for effective preventive measures. Import of disease vectors is likely to occur in the future under changing environmental and operational conditions. Optimal impact from disinsection requires appropriate deployment, commitment and use. The current system of evaluation is inadequate for producing the evidence needed for informed policy decisions. While utilizing the results of research into environmentally sustainable vector-control methods for use in aircraft, future approaches to aircraft disinsection require improved evidence of anticipated benefits and harms, reliable monitoring data on insecticide resistance, and must be supported by strong vector control at airports.

Dispersal of the Mosquito Aedes vigilax (Diptera: Culicidae) From Urban Estuarine Wetlands in Sydney, Australia

Aedes vigilax (Skuse) is a pest and vector species associated with coastal wetlands and the abundance of this mosquito has been identified as contributing to increased risk of mosquito-borne disease outbreaks. As urban development continues to encroach on these coastal wetlands, pest and public health impacts are becoming of increasing concern and in the absence of broadscale mosquito control. Urban planners are looking to buffer zones and other land use planning options to minimize contact between mosquitoes and humans but gaps in the understanding of dispersal ranges of mosquitoes hamper the adoption of these strategies. A mark-release-recapture experiment was conducted to measure the dispersal of this mosquito from an urban estuarine wetland in Sydney, Australia. An estimated total of over 150,000 wild caught female mosquitoes were marked with fluorescent dust and then released. A network of 38 traps was then operated for 5 d within an area of 28 km2. A total of 280 marked mosquitoes was recaptured, representing less than 1% of the estimate 250,000 marked mosquitoes released. Marked mosquitoes were recaptured up to 3 km from the release point, providing an insight into the dispersal range of these mosquitoes. The mean distance traveled by marked mosquitoes was 0.83 km, a result reflecting the greater proportion of marked mosquitoes recaptured near release point. The findings of this study indicate that effective buffer zones between estuarine wetlands and high-density urban developments would be an impractical approach to minimizing pest and public health impacts associated with this mosquito.

Effects of attachment substrate, larval diet, and temperature on development and survival of immature Coquillettidia linealis (Skuse) and Coquillettidia xanthogaster (Edwards)

A sustainable colony allowed investigations into attachment substrates, diet and temperature in the development of the immature stages of Cq. linealis and its local congener Cq. xanthogaster. As immatures, these mosquitoes attach to submerged plants for respiration, and various field-collected and laboratory-raised plants were compared with non-living substrates. Hydroponically-grown wheat plant seedlings provided the most suitable attachment substrate. Development and survival of immatures to eclosion were investigated with three types and three quantities of a standardized diet. Development and survival at rearing temperatures between 10° and 30° C were also investigated. Diet type appeared to have little influence on development. However, at the lowest diet quantity, development to pupation was significantly reduced while the highest diet quantity impacted on the eclosion of pupae. Mean duration of immature development for Cq. linealis increased as temperature decreased. Time from 1^st instar to median eclosion did not differ significantly between 23° C (6.0 weeks) and 25° C (5.3 weeks), although it was 10 weeks at 20° C, and 30° C was lethal. For Cq. xanthogaster, similarly, mean duration of immature development increased as temperature decreased, with development time from 1^st instar to median eclosion significantly longer at 20° C (7.5 weeks) compared to 23° C (5.0 weeks) and 30° C (4.0 weeks).

Colonization of Coquillettidia linealis (Skuse) with reference to other Coquillettidia and Mansonia species

The immature stages of Coquillettidia and Mansonia mosquitoes are cryptic and spend the duration of their development attached to the tissues of subsurface aquatic plants. This obligatory association makes them difficult to collect and has precluded detailed investigation of the biology of Coquillettidia linealis, a species of significant pest and vector status in Australia, as well as other species in the genus Coquillettidia in Australia and elsewhere. This paper describes the first successful establishment and maintenance of a colony of Cq. linealis. Blood-seeking wild adults were collected and induced to oviposit under laboratory conditions, where methods were developed to rear larval populations to adult maturity in a colony that was maintained through eight successive generations. Colonies of Coquillettidia xanthogaster and Coquillettidia sp. nr crassipes were also established and reared through at least six generations and five generations, respectively, while two species of Mansonia, Mansonia uniformis and Mansonia septempunctata, were also reared successfully for six and two generations, respectively.

The impact of insecticide-treated cloth targets on the survival of Stegomyia polynesiensis (= Aedes polynesiensis) under laboratory and semi-field conditions in French Polynesia

The impact of deltamethrin-impregnated cloth targets on Stegomyia polynesiensis (= Aedes polynesiensis) (Marks) (Diptera: Culicidae) was assessed under laboratory and semi-field settings in French Polynesia. Stegomyia polynesiensis females were released into small laboratory cages and large field cages containing either a deltamethrin-treated or an untreated navy blue cloth, and mosquito knock-down and mortality were assessed. The 24-h mortality rate in mosquitoes exposed to the insecticide-treated target in small cages was 98.0%. These mosquitoes also demonstrated significantly higher levels of knock-down than those exposed to the untreated target. Mortality in field cages was assessed at 24 and 48 h. The 24-h mortality rate in mosquitoes exposed to the control target was 31.2%, whereas that in those exposed to the deltamethrin-treated target was 54.3%. The 48-h mortality rate was also elevated in mosquitoes exposed to the deltamethrin-treated target, but this result did not differ significantly from that observed in mosquitoes exposed to the control target. The significant suppression of female S. polynesiensis by deltamethrin-treated resting targets in this study indicates that these targets could play a role in the control of an important disease vector in the South Pacific region.

Ten years of the Tiger: Aedes albopictus presence in Australia since its discovery in the Torres Strait in 2005

The “Asian tiger mosquito”, Aedes albopictus, is highly invasive, an aggressive biter and a major arbovirus vector. It is not currently present on mainland Australia despite being intercepted on numerous occasions at international ports and infesting the Torres Strait of Australia since at least 2004. In the current paper, we describe the invasion and current status of Ae. albopictus in the Torres Strait, as well as research conducted to assess the threat of this species becoming established in arbovirus transmission cycles on the Australian mainland. Genetic analysis of the invading population demonstrated that the Indonesian region was the likely origin of the invasion and not Papua New Guinea (PNG) as initially suspected. There was also intermixing between Torres Strait, PNG and Indonesian populations, indicating that the species could be re-introduced into the Torres Strait compromising any successful eradication programme. Vector competence experiments with endemic and exotic viruses revealed that Ae. albopictus from the Torres Strait are efficient alphavirus vectors, but less efficient flavivirus vectors. Ae.albopictus obtains blood meals from a range of vertebrate hosts (including humans), indicating that it could play a role in both zoonotic and human-mosquito arbovirus transmission cycles in Australia. Predictive models coupled with climate tolerance experiments suggest that a Torres Strait strain of Ae. albopictus could colonise southern Australia by overwintering in the egg stage before proliferating in the warmer months. Cohabitation experiments demonstrated that the presence of Aedes notoscriptus larvae in containers would not prevent the establishment of Ae. albopictus. Evidence from these studies, coupled with global experience suggests that we need to be prepared for the imminent invasion of Australia by Ae. albopictus by thoroughly understanding its biology and being willing to embrace emerging control technologies.

Effects of Cohabitation on the Population Performance and Survivorship of the Invasive Mosquito Aedes albopictus and the Resident Mosquito Aedes notoscriptus (Diptera: Culicidae) in Australia

The presence of Aedes albopictus (Skuse) in the Torres Strait of northern Australia increases the potential for colonization and establishment on the mainland. However, there is a possibility that native species that occupy the same habitats may influence the population performance of Ae. albopictus, potentially affecting the establishment of this species in Australia. Cohabitation experiments were performed with the endemic Aedes notoscriptus (Skuse), which has been found occupying the same larval habitats as Ae. albopictus in the Torres Strait and is the most widespread container-inhabiting Aedes species in Australia. The influence of environmental factors and cohabitation between the two species was examined using different climates, food resource levels, food resource types, and species densities. Survivorship proportions and a population performance index (λ') were calculated and compared. The consequences of increased Ae. notoscriptus densities were reduced survivorship and λ' for Ae. albopictus. Despite this, the mean λ' of Ae. albopictus and Ae. notoscriptus was consistently ≥ 1.06, indicating both species could increase under all conditions, potentially due to increasing conspecific densities negatively affecting Ae. notoscriptus. The outcomes from this study suggest that the preexisting presence of Ae. notoscriptus may not prevent the establishment of Ae. albopictus in Australia.

Ability for Aedes albopictus (Diptera: Culicidae) to survive at the climatic limits of its potential range in eastern Australia

Aedes albopictus (Skuse) is one of the most invasive mosquito species in the world and has infested islands in the Torres Strait, off the northern coast of Australia since at least 2004. This has led to fears that it may establish on the Australian mainland, including highly populated cities in southern temperate regions. To supplement theoretical projections addressing the range expansion of Ae. albopictus into Australia, laboratory-based trials were conducted to assess the performance of a Torres Strait Ae. albopictus population under a range of Australian conditions. First-instar larvae were placed in individual microcosms and maintained on a natural food resource, under average climatic conditions representing different regions of Australia's east coast. Larvae could not survive winter conditions in southern Australia. As the population performance index was >1.0 for tropical winter and summer conditions, and temperate summer conditions, populations would likely increase during these times. To test whether Ae. albopictus could overwinter during adverse conditions as eggs, we exposed cohorts to four different temperature (7, 17, 27, and 33 degrees C) and relative humidity (35, 55, and 80%) combinations for up to 3 mo. High temperatures and low humidity were most detrimental to egg survival. However, those eggs maintained under cooler climates remained viable after 3 mo, including 17% of eggs kept at 7 degrees C. Overall, this study suggests that a Torres Strait Ae. albopictus strain could proliferate all year round under northern tropical conditions and could overwinter in the egg stage before proliferating in the summer in southern temperate regions.

Enhanced arbovirus surveillance with deep sequencing: Identification of novel rhabdoviruses and bunyaviruses in Australian mosquitoes

Viral metagenomics characterizes known and identifies unknown viruses based on sequence similarities to any previously sequenced viral genomes. A metagenomics approach was used to identify virus sequences in Australian mosquitoes causing cytopathic effects in inoculated mammalian cell cultures. Sequence comparisons revealed strains of Liao Ning virus (Reovirus, Seadornavirus), previously detected only in China, livestock-infecting Stretch Lagoon virus (Reovirus, Orbivirus), two novel dimarhabdoviruses, named Beaumont and North Creek viruses, and two novel orthobunyaviruses, named Murrumbidgee and Salt Ash viruses. The novel virus proteomes diverged by ≥ 50% relative to their closest previously genetically characterized viral relatives. Deep sequencing also generated genomes of Warrego and Wallal viruses, orbiviruses linked to kangaroo blindness, whose genomes had not been fully characterized. This study highlights viral metagenomics in concert with traditional arbovirus surveillance to characterize known and new arboviruses in field-collected mosquitoes. Follow-up epidemiological studies are required to determine whether the novel viruses infect humans.

Landing response of Aedes (Stegomyia) polynesiensis mosquitoes to coloured targets

Aedes polynesiensis Marks (Diptera: Culicidae) is the primary vector of lymphatic filariasis (LF) in the island countries and territories of the South Pacific. In the development of a novel control tool, the response of Ae. polynesiensis to six different colours (three solid fabrics, two patterned fabrics and a plastic tarp) was measured using a digital photographic system. Adult mosquitoes were placed into an environmental chamber and allowed to choose between a white target and one of six experimental targets. Mosquito landing frequency and landing duration were calculated. Adult female Ae. polynesiensis preferred all of the experimental targets to the white control target. Mosquito landing frequency was highest for the solid targets (black, navy blue and red) followed in turn by the two colour pattern targets and the polyethylene target. Mosquito landing duration was greater for experimental targets when compared with white control targets. Mosquito landing frequencies did not change over time during the course of the assay. The response of male Ae. polynesiensis was also measured when exposed to a 100% cotton black target. Male mosquitoes preferred the black target to the white control target, although at levels lower than that observed in female mosquitoes. The results suggest that future investigations evaluating the visual responses of Ae. polynesiensis mosquitoes are warranted, with a special emphasis on semi-field and field-based experiments.

Characterization of virulent West Nile virus Kunjin strain, Australia, 2011

To determine the cause of an unprecedented outbreak of encephalitis among horses in New South Wales, Australia, in 2011, we performed genomic sequencing of viruses isolated from affected horses and mosquitoes. Results showed that most of the cases were caused by a variant West Nile virus (WNV) strain, WNV(NSW2011), that is most closely related to WNV Kunjin (WNV(KUN)), the indigenous WNV strain in Australia. Studies in mouse models for WNV pathogenesis showed that WNV(NSW2011) is substantially more neuroinvasive than the prototype WNV(KUN) strain. In WNV(NSW2011), this apparent increase in virulence over that of the prototype strain correlated with at least 2 known markers of WNV virulence that are not found in WNV(KUN). Additional studies are needed to determine the relationship of the WNV(NSW2011) strain to currently and previously circulating WNV(KUN) strains and to confirm the cause of the increased virulence of this emerging WNV strain.

The importance of males: larval diet and adult sugar feeding influences reproduction in Culex molestus

Culex molestus is an obligatory autogenous mosquito that is closely associated with subterranean habitats in urban areas. The objective of our study was to investigate the influence of larval and adult nutrition on the role of males in determining the expression of autogeny in Cx. molestus. Mosquitoes raised at low and high larval diets had sex ratio, wing length, mating rates, autogenous egg raft size, and hatching rates recorded. There was a higher ratio of males to females when raised at a low larval diet. Mean wing lengths of both males and females were significantly greater when raised at the high larval diet regime. Regardless of larval or adult diet, males mated with only a single female. Mosquitoes raised at the higher larval diet regimes developed significantly more autogenous eggs. However, the egg raft size was reduced when adult females were denied access to sugar. The results of this study indicate that the performance of males in the reproductive process is influenced by both larval diet and adult sugar feeding.

A review of the status and significance of the species within the Culex pipiens group in Australia

The mosquito known in the northern hemisphere as Culex pipiens (a.k.a. Culex pipiens pipiens or Culex pipiens form pipiens) is not known from Australia. However, there are four species of the Culex pipiens group: two indigenous, Culex australicus and Culex globocoxitus, and two introduced, Culex quinquefasciatus and what is known locally as Culex molestus (? = Culex pipiens molestus or Culex pipiens form molestus), all four being members of the pipiens subgroup (= 'pipiens complex'). The species status of the indigenous Cx. australicus and Cx. globocoxitus in Australia appears to be accepted as legitimate; however, the true identity of the mosquito called 'Cx. molestus' in Australia remains contentious, even as its local profile has been increasing over the past 40 years. This paper provides an overview of the taxonomic and biologic knowledge of these species, and their public health significance as vectors of arboviruses in Australia.

Is the expression of autogeny by Culex molestus Forskal (Diptera: Culicidae) influenced by larval nutrition or by adult mating, sugar feeding, or blood feeding?

Culex molestus Forskal is suspected to have been introduced into southern Australia during the 1940s. Investigations to determine factors influencing the expression of autogeny, the response of this mosquito to potential blood meals, and the subsequent influence on oviposition were undertaken. Immature mosquitoes raised at five feeding regimes had mortality rates, development rates, wing length, and autogenous egg raft size measured. All surviving female mosquitoes laid autogenous eggs but there was a significant difference between the mean number of eggs per raft. For mosquitoes raised at each of the feeding regimes, there was a significant linear relationship between the number of eggs per autogenous egg raft and wing length. Newly emerged mosquitoes were offered a blood meal (i.e., rodent) daily but no blood feeding occurred until the autogenous egg raft was laid. There was no statistical difference in the rate of autogenous oviposition or post-oviposition blood feeding between control or treatment groups. The results of this study indicate that Cx. molestus is perfectly adapted to subterranean habitats in close association with human habitation, but their preference to delay blood feeding until up to day 8 following emergence may reduce their relative importance as a vector of arboviruses.

Does the monomolecular film aquatain mosquito formula provide effective control of container-breeding mosquitoes in Australia?

The mosquito control potential of the silicone-based monomolecular film Aquatain Mosquito Formula (AMF) was investigated in field tests against the backyard mosquitoes Aedes notoscriptus and Culex quinquefasciatus. Plastic tubs, with and without emergent aquatic vegetation (Cyperus alternifolius), were sampled weekly for 2 wk prior to an application of Aquatain and up to 6 wk postapplication. The mean abundance of mosquito larvae and pupae was compared between pre- and postapplication periods as well as between treatment and control tubs. There was a significant reduction in the abundance of immature stages of both Ae. notoscriptus and Cx. quinquefasciatus within 48 h of application, and the mean weekly abundance of larvae of both species was significantly lower in treatment tubs compared with control tubs for up to 6 wk postapplication. Egg rafts, larvae, and pupae were not detected in treatment tubs until 5 wk postapplication. The results indicate that AMF holds great potential for mosquito control in backyard habitats.

Advice to travelers on topical insect repellent use against dengue mosquitoes in Far North Queensland, Australia

Dengue outbreaks occur annually in Far North Queensland, Australia. Advice on topical insect repellents provided by health authorities rarely addresses the wide range of formulations and active ingredients currently registered for use in Australia. Recommendations on the use of registered products require review.

Molecular phylogeny of edge hill virus supports its position in the yellow Fever virus group and identifies a new genetic variant

Edge Hill virus (EHV) is a mosquito-borne flavivirus isolated throughout Australia during mosquito surveillance programs. While not posing an immediate threat to the human population, EHV is a taxonomically interesting flavivirus since it remains the only member of the yellow fever virus (YFV) sub-group to be detected within Australia. Here we present both an antigenic and genetic investigation of collected isolates, and confirm taxonomic classification of the virus within the YFV-group. Isolates were not clustered based on geographical origin or time of isolation, suggesting that minimal genetic evolution of EHV has occurred over geographic distance or time within the EHV cluster. However, two isolates showed significant differences in antigenic reactivity patterns, and had a much larger divergence from the EHV prototype (19% nucleotide and 6% amino acid divergence), indicating a distinct subtype or variant within the EHV subgroup.

A lethal ovitrap-based mass trapping scheme for dengue control in Australia: II. Impact on populations of the mosquito Aedes aegypti

In Cairns, Australia, the impacts on Aedes aegypti L. (Diptera: Culicidae) populations of two types of 'lure & kill' (L&K) lethal ovitraps (LOs), the standard lethal ovitrap (SLO) and the biodegradable lethal ovitrap (BLO) were measured during three mass-trapping interventions. To assess the efficacy of the SLO, two interventions (one dry season and one wet season) were conducted in three discrete areas, each lasting 4 weeks, with the following treatments: (i) SLOs (>200 traps, approximately 4/premise), BG-sentinel traps (BGSs; approximately 15, 1/premise) and larval control (container reduction and methoprene treatment) and (ii) larval control alone, and (iii) untreated control. Female Ae. aegypti populations were monitored for 4 weeks pre- and post-treatment in all three areas using BGSs and sticky ovitraps (SOs) or non-lethal regular ovitraps (ROs). In the dry season, 206 SLOs and 15 BGSs set at 54 and 15 houses, respectively, caught and killed an estimated 419 and 73 female Ae. aegypti, respectively. No significant decrease in collection size of female Ae. aegypti could be attributed to the treatments. In the wet season, 243 SLOs and 15 BGSs killed approximately 993 and 119 female Ae. aegypti, respectively. The mean number of female Ae. aegypti collected after 4 weeks with SOs and BGSs was significantly less than the control (LSD post-hoc test). The third mass-trapping intervention was conducted using the BLO during the wet season in Cairns. For this trial, three treatment areas were each provided with BLOs (>500, approximately 4/premise) plus larval control, and an untreated control area was designated. Adult female Ae. aegypti were collected for 4 weeks pre- and post-treatment using 15 BGSs and 20 SOs. During this period, 53.2% of BLOs contained a total of 6654 Ae. aegypti eggs. Over the intervention period, collections of Ae. aegypti in the treatment areas were significantly less than in the control area for BGSs but not SOs. An influx of relatively large numbers of young females may have confounded the measurement of changes in populations of older females in these studies. This is an important issue, with implications for assessing delayed action control measures, such as LOs and parasites/pathogens that aim to change mosquito age structure. Finally, the high public acceptability of SLOs and BLOs, coupled with significant impacts on female Ae. aegypti populations in two of the three interventions reported here, suggest that mass trapping with SLOs and BLOs can be an effective component of a dengue control strategy.

A lethal ovitrap-based mass trapping scheme for dengue control in Australia: I. Public acceptability and performance of lethal ovitraps

We report on the first field evaluation of the public acceptability and performance of two types of lethal ovitrap (LO) in three separate trials in Cairns, Australia. Health workers were able to set standard lethal ovitraps (SLOs) in 75 and 71% of premise yards in the wet and dry season, respectively, and biodegradable lethal ovitraps (BLOs) in 93% of yards. Public acceptance, measured as retention of traps by residents, was high for both trap types, with <9% of traps missing after 4 weeks. Traps retaining water after 4 weeks were 78 and 34% for the two SLO trials and 58% for the BLOs. The 'failure rate' in the 535 BLOs set in the field for 4 weeks was 47%, of which 19% were lost, 51% had holes from probable insect chewing, 23% were knocked over, 7% had dried by evaporation and 1% were split. There was no significant difference in the failure rate of BLOs set on porous (grass, soil and mulch) versus solid (tiles, concrete, wood and stone) substrates. The SLOs and the BLOs were readily acceptable to ovipositing Aedes aegypti L. (Diptera: Culicidae); the mean number of eggs/trap was 6 and 15, for the dry season and wet season SLO trial, respectively, and 15 for the BLO wet season trial. Indeed, 84-94% of premise yards had egg positive SLOs or BLOs. A high percentage of both wet and dry season SLOs (29 and 70%, respectively) and BLOs (62%) that were dry after 4 weeks were egg positive, indicating the traps had functioned. Lethal strips from SLOs and BLOs that had been exposed for 4 weeks killed 83 and 74%, respectively, of gravid Ae. aegypti in laboratory assays. These results indicate that mass trapping schemes using SLOs and BLOs are not rejected by the public and effectively target gravid Ae. aegypti. The impact of the interventions on mosquito populations is described in a companion paper.

Blood sources of mosquitoes collected from urban and peri-urban environments in eastern Australia with species-specific molecular analysis of avian blood meals

To identify the hosts of mosquitoes collected from urban and peri-urban habitats in eastern Australia, 1,180 blood fed mosquitoes representing 15 species were analyzed by enzyme-linked immunosorbent assay and molecular techniques. Four common and epidemiologically important species could be classified according to their host-feeding patterns: Aedes aegypti was anthropophilic, Ae. vigilax was mammalophilic, Culex quinquefasciatus was ornithophilic, and Cx. annulirostris was opportunistic, readily feeding on birds and mammals. Mitochondrial cytochrome b DNA sequence data showed that more than 75% of avian blood meals identified from Cx. annulirostris collected from Brisbane, Newcastle, and Sydney originated from ducks (Order Anseriformes, Family Anatidae). More than 75% of avian blood meals from Cx. quinquefasciatus from Cairns belonged to one of three Passerine species, namely Sphecotheres vieilloti (figbird), Sturnus tristis (common myna), and Philemon buceroides (helmeted friarbird). This study demonstrates associations between vectors in Australia and vertebrate hosts of endemic and exotic arboviruses.

Evaluation of repellent properties of volatile extracts from the Australian native plant Kunzea ambigua against Aedes aegypti (Diptera: Culcidae)

Kunzea ambigua (Smith) Druce (Myrtaceae) is an Australian native plant, commonly known as tick bush. The essential oil of the plant has been proposed as a potential mosquito repellent. Commercial K. ambigua oil was analyzed by gas chromatography-mass spectrometry (GC-MS) and its composition compared with that of oils from two individual K. ambigua plants and citronella oil. K. ambigua oils were studied for their repellency against Aedes aegypti L. Formulations of three different K. ambigua essential oils (30% vol:vol) were tested for repellency to mosquitoes using human volunteers. One oil was compared with citronella and N,N'-diethyl-3-methylbenzamide (deet) for repellency. Oil formulations were also tested for repellency with and without the addition of 5% vanillin. The formulation containing commercially produced K. ambigua oil had a mean complete protection time (CPT) of 49 +/- 24 (SD) min. All the K. ambigua formulations had comparable repellency to 40% citronella. However, the 60% citronella formulation showed higher repellency than the 40% K. ambigua formulation. The addition of 5% vanillin did not increase the repellency of K. ambigua oil. Both K. ambigua oil and citronella were significantly less repellent than deet. The K. ambigua essential oil formulations should not be advocated for use as repellents in regions prone to mosquito-borne disease.

Arboviruses isolated from mosquitoes collected from urban and peri-urban areas of eastern Australia

To determine the presence of arboviruses in mosquito populations from major urban areas of eastern Australia, a total of 67,825 mosquitoes, representing -60 species, was collected and tested from Cairns, Brisbane, and Sydney between January 2005 and April 2008. Mosquito pools were screened by inoculation onto mosquito cell cultures and the detection of viral antigen using a panel of flavivirus and alphavirus monoclonal antibodies in an enzyme-linked immunosorbent assay. Suspect positive samples were confirmed using virus-specific real-time reverse transcriptase-polymerase chain reaction assays. No flaviviruses were detected, but 2 alphaviruses were isolated from mosquito pools collected from Cairns, with 1 Barmah Forest virus isolate from a pool of 100 Aedes vigilax and 1 Ross River virus isolate from a pool of 83 Verrallina carmenti. In addition, a single Aedes alternans collected from Sydney yielded an isolate most similar to Stretch Lagoon virus, a newly described virus from the genus Orbivirus. These results suggest that during the study, arboviruses were circulating at a low level in the areas sampled. The findings from this study will promote public health awareness of the risk of arboviruses in urban areas, leading to more informative public health campaigns to safeguard the Australian public.

Are commercially available essential oils from Australian native plants repellent to mosquitoes?

While the use of topical insect repellents, particularly those containing synthetic active ingredients such as deet (N,N-diethyl-3-methylbenzamide), are a mainstay in personal protection strategies emphasized in public health messages, there is a growing demand in the community for alternative repellents, particularly those of botanical origin and thus deemed to be "natural." This study evaluated the repellency of essential oils from 11 Australian native plants in 5% v/v formulations against Aedes aegypti, Culex quinquefasciatus, and Culex annulirostris under laboratory conditions. A blend of the top 3 performing oils was then compared with deet and a commercially available botanical insect repellent. All essential oils provided at least some protection against the 3 mosquito species, with the longest protection time (110 min) afforded by Prostanthera melissifolia against Cx. quinquefasciatus. Mean protection times against Ae. aegypti were substantially lower than those for the Culex spp. tested. Deet provided significantly longer protection against Ae. aegypti than both the 5% v/v blend of Leptospermum petersonii, Prostanthera melissifolia, and Melaleuca alternifolia (the 3 most effective oils) and the commercial botanical repellent. The results of this study indicate that these essential oils from Australian native plants offer limited protection against biting mosquitoes and that a blend of essential oils holds may offer commercial potential as a short-period repellent or under conditions of low mosquito abundance. However, it is important that public health messages continue to emphasize the greater effectiveness of deet-based repellents in areas with risks of mosquito-borne disease.

The effects of sustained release metofluthrin on the biting, movement, and mortality of Aedes aegypti in a domestic setting

The impact of a sustained release metofluthrin emanator and an allethrin-based mosquito coil on biting, movement and mortality of female Aedes aegypti was assessed in an apartment. In the room in which the metofluthrin emanator was activated, mosquito biting counts were reduced to zero. Metofluthrin also had a spillover effect, significantly (P < 0.001) reducing biting counts in a neighboring room 1, 4, and 24 hours after the emanator was activated when compared with either the coil or control (untreated) treatment. Mosquitoes were neither repelled nor expelled from a room exposed to metofluthrin. Indeed, a significantly (P = 0.023) greater proportion of mosquitoes were found in the treated room after exposure to metofluthrin when compared with either the coil or control treatment. Furthermore, in the room treated with metofluthrin the majority of mosquitoes died and a spillover effect into the neighboring room caused greater than one-third mortality of the mosquitoes. Metofluthrin could be used to prevent dengue transmission within a household.

Dengue and climate change in Australia: predictions for the future should incorporate knowledge from the past

Dengue transmission in Australia is currently restricted to Queensland, where the vector mosquito Aedes aegypti is established. Locally acquired infections have been reported only from urban areas in the north-east of the state, where the vector is most abundant. Considerable attention has been drawn to the potential impact of climate change on dengue distribution within Australia, with projections for substantial rises in incidence and distribution associated with increasing temperatures. However, historical data show that much of Australia has previously sustained both the vector mosquito and dengue viruses. Although current vector distribution is restricted to Queensland, the area inhabited by A. aegypti is larger than the disease-transmission areas, and is not restricted by temperature (or vector-control programs); thus, it is unlikely that rising temperatures alone will bring increased vector or virus distribution. Factors likely to be important to dengue and vector distribution in the future include increased dengue activity in Asian and Pacific nations that would raise rates of virus importation by travellers, importation of vectors via international ports to regions without A. aegypti, higher rates of domestic collection and storage of water that would provide habitat in urban areas, and growing human populations in northern Australia. Past and recent successful control initiatives in Australia lend support to the idea that well resourced and functioning surveillance programs, and effective public health intervention capabilities, are essential to counter threats from dengue and other mosquito-borne diseases. Models projecting future activity of dengue (or other vector-borne disease) with climate change should carefully consider the local historical and contemporary data on the ecology and distribution of the vector and local virus transmission.

A laboratory investigation of the mosquito control potential of the monomolecular film Aquatain mosquito formula against immature stages of Aedes aegypti and Culex quinquefasciatus

The mosquito larvicidal and pupicidal potential of the silicone-based monomolecular film Aquatain Mosquito Formula (AMF), was investigated in laboratory trials against Aedes aegypti and Culex quinquefasciatus. Larval and pupal mortality was investigated in separate trials. After 48 h of exposure, mean mortality of Cx. quinquefasciatus 4th instars was 94.6%, significantly greater than the mean mortality rate of 33.6% for Ae. aegypti. After 180 min of exposure, 100% mortality of pupae was recorded for both species. Mean larval and pupal mortality rates for both species were significantly greater than mortality rates in untreated controls. The results indicate that AMF holds potential for mosquito control, especially in urban water-holding structures that are becoming increasingly popular in response to water conservation. Nontarget impacts must be investigated before this product can be considered for natural wetlands.

Vector competence of Australian mosquito species for a North American strain of West Nile virus

Since the establishment of West Nile virus (WNV) into the United States, concern has arisen that this virus may also pose a serious threat to Australian biosecurity. The vector competence of 19 Australian mosquito species for a North American strain of WNV was evaluated. Mosquitoes collected from Cairns, Brisbane, and Sydney were exposed to blood containing 10(4.0+/-0.3) cell culture infectious dose(50)/mosquito WNV that was isolated from a crow during the 1999 New York outbreak. Mosquitoes were tested 12-15 days later to determine their infection, dissemination, and transmission rates. A number of Culex spp. demonstrated a high vector competence for this virus, with some populations of Culex annulirostris, the primary Australian Kunjin virus vector, displaying transmission rates up to 84%. Similarly, Cx. quinquefasciatus and Cx. gelidus were highly competent, with infection and transmission rates of >80% and >50%, respectively. Common Aedes spp., including Aedes notoscriptus, Ae. vigilax, and Ae. procax, were moderately susceptible, and some Verrallina spp. and Coquillettidia spp. were relatively refractory to infection. Thus, Australia possesses a number of competent mosquito species that could facilitate local transmission of WNV, should it be introduced.

Mosquitoes and disease in Australia, what does the future hold?

Australia has a history of mosquito-borne disease, with historic accounts of endemic malaria, filariasis and dengue during the 19th and early 20th centuries. Bancroftian filariasis, once relatively prevalent in Queensland, has been eliminated and malaria was declared eradicated from Australia in 1981. However, the endemic flaviruses Murray Valley encephalitis and Kunjin and the alphaviruses Ross River and Barmah Forest, which cause encephalitic and polyarthritic syndromes, respectively, continue to be active. Dengue, although no longer considered endemic, is an ongoing issue for Queensland and exotics such as Japanese encephalitis, chikungunya, West Nile and Rift Valley Fever viruses provide some cause for concern with respect to their possible introduction. Further, climate change has been proposed as likely to bring increased distribution and abundance of vectors and diseases, although regional, rural and residential development may be as much or more important. The various pathogens and the diseases they cause have to be viewed in their particular ecological contexts for a proper understanding of what the future might hold and how we will need to deal with the potential public health issues.

Postoperative fall after the use of the 3-in-1 femoral nerve block for knee surgery: a report of four cases

We present a serious postoperative complication related to the use of femoral nerve block in 4 patients, each of whom fell and sustained further injury. Preoperatively, all patients underwent a 3-in-1 femoral nerve block with 30 to 35 ml of 0.25% levobupivacaine with 1:200,000 epinephrine, with guidance by a nerve stimulator. After the falls, neurological examination of the operated legs revealed reduced 2-point discrimination, pain, and/or light touch sensation. All patients underwent further operation for the fall injury and had delayed full weight bearing. We recommend that, after having a femoral nerve block, patients should undergo enhanced postoperative evaluation of blockade and proprioceptive function to ensure safe neurological function before mobilisation.

Is there a risk of malaria transmission in NSW?

NSW has a putative malaria vector in Anopheles annulipes, and increased numbers of immigrants from malaria endemic countries who may be infective to mosquitoes but asymptomatic. We examine the factors known to influence malaria transmission and conclude that local transmission is possible but unlikely. The public health implications are that there should be systematic screening of immigrants from malaria endemic countries on arrival, and that the public health capacity to identify and respond to a malaria outbreak should be maintained.

Vector competence of three Australian mosquitoes, Verrallina carmenti, Verraullina lineata, and Mansonia septempunctata (Diptera: Culicidae), for Ross River virus

The vector competence of Verrallina carmenti (Edwards), Verrallina lineata (Taylor), and Mansonia septempunctata (Theobald) (Diptera: Culicidae) from north Queensland, Australia, was tested using two isolates of Ross River virus (family Togaviridae, genus Alphavirus, RRV). All three species were tested using RRV isolate RR102MP (ex-Cairns, Queensland, Australia), whereas Ve. carmenti and Ve. lineata also were tested using RR2186 (ex-Bourke, New South Wales, Australia). Transmission was tested using the capillary tube method, with infection of mosquito bodies and saliva determined using cell culture. Infection with RR102MP resulted in 27.5% of Ve. carmenti, 19.2% of Ve. lineata and 13.3% of Ma. septempunctata transmitting virus. When Ve. carmenti and Ve. lineata were infected with RR2186, transmission rates for both species were generally < 10%, although a transmission rate of 25% was recorded for Ve. lineata exposed to high titer virus. These results indicated that the three mosquito species have the potential to contribute to local transmission cycles.

Barmah Forest virus serology; implications for diagnosis and public health action

Barmah Forest virus (BFV) is a commonly occurring arbovirus in Australia. Notifications of Barmah Forest infections diagnosed by a single positive IgM serology test have been increasing in coastal New South Wales north of Newcastle. We report on a 6 month prospective review of all routine notifications of BFV from the Lower Mid North Coast of New South Wales. Sera from 37 consecutive cases were sent for confirmatory testing by ELISA and neutralisation assays and 32 cases were interviewed. On confirmatory testing, 7 patients' sera (19%) was found to contain no BFV antibodies and 6 (16%) had BFV IgG only. Only 4 cases had antibody levels compatible with recent infection. A clinical presentation of fever with either rash or joint pain was associated with confirmation of recent BFV infection. On the basis of these findings, caution is advised in the interpretation of a single positive IgM for Barmah Forest disease and the clinical picture is an important factor in the diagnosis. Serological notifications of BFV alone should not prompt public health action such as public warning and targeted vector control in endemic areas.

Is the extract from the plant catmint (Nepeta cataria) repellent to mosquitoes in Australia?

The repellency of Nepeta cataria (catmint or catnip) was tested against Aedes aegypti, Ae. vigilax, Culex annulirostris, and Cx. quinquefasciatus, and compared with a blend of natural plant extracts and N,N-diethyl-3-methylbenzamide (deet) on human skin. The catmint and natural plant extract blend did not provide the same level of protection from biting mosquitoes as deet. There were significant differences in the level of protection provided by catmint to the 4 species of mosquito, with mean protection times ranging from 0 min for Ae. aegypti up to 240 +/- 60 min for Cx. quinquefasciatus. Significant differences in the mean landing rates of the 4 mosquito species on untreated forearms highlighted the difficulties in comparing laboratory tests of repellents between species.

Impact of a bifenthrin-treated lethal ovitrap on Aedes aegypti oviposition and mortality in north Queensland, Australia

Lethal ovitraps (LOs) containing an insecticide-treated ovistrip are used as a lure-and-kill device for the container-breeding dengue vector, Aedes aegypti (L.). We aimed to affirm that the pyrethroid bifenthrin could be used effectively in LOs against Ae. aegypti in north Queensland, Australia, by quantifying oviposition in and mortality caused by LOs. Small cage experiments in which individual gravid Ae. aegypti were given a choice of LOs and untreated ovitraps revealed that although LOs were less acceptable for oviposition, they provided an average 64.6% adjusted mortality. Although 92% of mosquitoes ovipositing in LOs died, 61.8% of mosquitoes that visited but did not oviposit in an LO also died, demonstrating that lethal contact occurred without egg laying. The bifenthrin content of strips (approximately 0.1 mg/cm2; 7 mg/strip) did not decrease significantly after 4 wk of field exposure nor did the toxic effect of the LOs. Large cage trials with groups of 10 Ae. aegypti confirmed that bifenthrin-treated LOs provided consistent control (average adjusted mortality 79.7%). Four-week field trials in north Queensland showed that although LOs were acceptable to ovipositing Ae. aegypti (mean time to first egg 10.9 d; mean eggs 47.3), insecticide-free ovitraps were oviposited in more readily (6.8 d, 199 eggs). The number of eggs laid per mosquito in laboratory LOs allowed calculation of the number of Ae. aegypti killed in field-deployed LOs; rapid estimates can be made by simply dividing the number of eggs on the strip by 2.84. Overall, the studies demonstrated that bifenthrin-treated LOs have potential for use as a lure-and-kill device against Ae. aegypti and that they should be effective in the field for at least 4 wk. Given that untreated ovitraps were more acceptable for Ae. aegypti oviposition, the removal of alternative oviposition sites before deployment of LOs in the field should maximize their effectiveness.

Aedes aegypti population sampling using BG-Sentinel traps in north Queensland Australia: statistical considerations for trap deployment and sampling strategy

BG-Sentinel mosquito traps were trialed as a tool for the rapid assessment (24-h collections) and routine monitoring (72-h collections) of adult Aedes aegypti L. populations in north Queensland. Analysis of Ae. aegypti collections using BG-Sentinels set in suburban Cairns for 24 h permitted the calculation of sample size for a range of precision levels. Clusters of houses with BG-Sentinels operating continuously for 15 d, with collections every 72 h, also permitted required sample size calculation. Evidence of Ae. aegypti spatial clustering at the house scale was revealed, with statistically significant effects detected for all collection days. Less variation was detected at each trap location, with only nine of 32 trap locations revealing significant clustering over time. Trap-out effects through continuous BG-Sentinel operation at a fixed location were absent. The findings support fixed position sampling at 72-h intervals for routine monitoring ofAe. aegypti populations in Cairns. Despite the relationship between collections of adult vectors and the incidence of disease remaining unknown, BG-Sentinel collections provide an alternative and less labor-intensive abundance measure for assessing risk of dengue virus transmission and success of dengue vector control programs.

Encasing mattresses in black plastic will not provide thermal control of bed bugs, Cimex spp. (Hemiptera: Cimicidae)

The suggestion that bed bug (Cimex spp.; Hemiptera: Cimicidae)-infested mattresses wrapped in black plastic and exposed to sunlight will be heated sufficiently to kill the bed bugs was tested. Two types of mattresses were tested: a thin mattress of solid foam rubber and a thick multilayered inner spring mattress. Temperature probes were placed on both upper and lower sides of the mattresses, which were wrapped in black plastic and placed outside on a summer day for >9 h wherein the ambient temperature peaked at 36.5 degrees C. The maximum recorded temperature on the upper (sun-exposed) sides was 85 degrees C for both mattresses, whereas lower side temperatures for the thick mattress never exceeded 35 degreesC, and some areas of the thin mattress failed to exceed 36.50C. Therefore, with published thermal death points of 40-45 degrees C depending on exposure time, and opportunities for bed bugs to avoid lethal temperatures by retreating from hot zones, this technique seems to be not suitable for bed bug management.

Laboratory and field assessment of some kairomone blends for host-seeking Aedes aegypti

Using laboratory Y-tube olfactometers, the attractiveness of lactic acid and 2 kairomone blends from the United States Department of Agriculture (USDA) and BioGents GmbH (BG) was assessed for attractiveness to Aedes aegypti. Four geographically disparate populations were assessed: North Queensland Australia (NQA), Florida USA, Minas Gerais Brazil (MGB), and Singapore. In descending order, populations were attracted to USDA, BG blends, and lactic acid. MGB was poorly attracted to lactic acid alone. The blends were less attractive than human odor. Proprietary blends were modified, and their attractiveness was assessed to find the optimum attractive mixture for NQA. Adding acetone to BG, and ammonia and caproic acid to USDA, improved attractiveness in the laboratory. Field attractiveness was assessed by coupling the blends with a newly developed BG-Sentinel Ae. aegypti trap. Trials were carried out using the BG blend, BG blend plus acetone, USDA blend, USDA blend plus ammonia and caproic acid, and a control trap with no kairomones. The traps were highly effective, with mean 24-h collections up to 11.15 Ae. aegypti per trap, and this species made up 91.7% of collections. However, the effectiveness of the unbaited control trap indicated that the BG-Sentinel has visual attractive properties for Ae. aegypti and that the kairomone lures added little to trap performance in NQA.

Optimizing ovitrap use for Aedes aegypti in Cairns, Queensland, Australia: effects of some abiotic factors on field efficacy

Insecticide-treated lethal ovitraps are used for control of the dengue vector Aedes aegypti in north Queensland, Australia. In an effort to optimize their use, the influence of deployment height, premise shading, and protection from wind on trap efficacy was assessed in field experiments. Sticky ovitraps were used as a proxy for lethal ovitraps because they provide a direct measure of adult visitation rates. Sticky ovitraps deployed at ground level for 1 wk captured significantly more female Ae. aegypti (mean +/- SE, 1.7 +/- 0.4) than those set at 1.75-m elevation (1.0 +/- 0.3). Setting traps on the leeward side of houses significantly improved collections during a dry season experiment but not in the wet season. Traps set at lightly or heavily shaded premises performed equally well. To determine the optimum number of ovitraps to set per premise, five treatments making up different numbers of traps (1, 2, 4, 6, or 8) were trialled in a Latin square experimental design. Female Ae. aegypti collections increased as more traps were deployed, although mean collections by using 4 (2.6 +/- 0.6), 6 (2.4 +/- 0.5), or 8 traps (4.8 +/- 1.3) could not be separated statistically, suggesting that 4 traps was the optimum number for routine deployment.

Discovery of a widespread infestation of Aedes albopictus in the Torres Strait, Australia

Aedes albopictus is a container-breeding Stegomyia mosquito that has dispersed widely from its origins in Southeast Asia. Because Ae. albopictus is a known dengue vector and a potential vector of a variety of arboviruses and it can tolerate cooler climates than Aedes aegypti, Australian quarantine and health authorities have strategies to detect and eliminate it from international ports. Following the detection of 42 adult Ae. albopictus in BG-Sentinel traps set on Yorke island in the Torres Strait of Australia in April 2005, extensive surveys were conducted to determine the distribution of Ae. albopictus in the Torres Strait and adjoining Cape York Peninsula. A total of 17 islands and the northern peninsula area of Cape York Peninsula were surveyed by collection of larvae and pupae from flooded containers and human bait collections of adult mosquitoes with aspirators and sweep nets. Aedes albopictus was detected on 10 islands and comprised 100% of the day-biting container-breeding mosquitoes on Yorke and Stephens Islands. No Ae. albopictus were detected in the mainland sites on Cape York. Retrospective genetic analysis of larvae collected in April 2004 and April 2005 on Yorke Island indicated that Ae. albopictus was present in low densities in 2004 and that there were 3 genetically distinct mitochondrial haplotypes on Yorke Island in April 2005. Additionally, on Yorke Island there is evidence that Ae. albopictus is displacing Aedes scutellaris.

Geographic variation in attraction to human odor compounds by Aedes aegypti mosquitoes (Diptera: Culicidae): a laboratory study

Previous investigations of Aedes aegypti response to human odor components have revealed a number of compounds that attract host-seeking females. However, such studies have utilized only a small number of long-term laboratory Ae. aegypti colonies. Using laboratory y-olfactometers, we studied the attraction of four different Ae. aegypti populations (North Queensland, Australia; Florida, USA; Singapore; and Minas Gerais, Brazil) to a key attractant compound from human skin, lactic acid. Combinations of lactic acid with ammonia and a fatty acid (caproic acid) were also investigated. The aims were to determine the extent of variation in lactic acid dose response among populations and to see whether all four populations responded equally to combinations of human odor components. Although all Ae. aegypti populations were attracted to lactic acid, there were differences in the threshold dose: Florida 0.03 microg/min, Singapore 0.17 microg/min, North Queensland 1.92 microg/min, and Brazil 10.27 microg/min. Attraction to lactic acid alone (maximum <40%) was significantly lower than for human odor (>87% for all populations). Significant increases in attraction were observed when lactic acid was combined with ammonia or caproic acid, although not for all populations. In addition, the highest doses of caproic acid tested decreased attraction when combined with lactic acid. The divergent responses to host kairomones seen here may be evidence of adaptation to locally available hosts in different parts of the geographic range of Ae. aegypti.

Field efficacy of the BG-Sentinel compared with CDC Backpack Aspirators and CO2-baited EVS traps for collection of adult Aedes aegypti in Cairns, Queensland, Australia

In this study, we compared the efficacy of the newly available BG-Sentinel with an established "gold standard,", the CDC Backpack Aspirator, and a CO2-baited EVS trap for the collection of Aedes aegypti (L.) in Cairns, Australia. BG-Sentinels collected significantly more (P = 0.017) female Ae. aegypti (mean per collection, 1.92 +/- 0.39) than both the CDC Backpack Aspirator (1.00 +/- 0.35) and the EVS trap (0.71 +/- 0.27). Male-only and combined male-female Ae. aegypti collections for th BG-Sentinel and the CDC Backpack Aspirator were also greater than EVS trap collections. The CDC Backpack Aspirator and the BG-Sentinel captured proportionally fewer females compared with the EVS trap. The BG-Sentinel was the most Ae. aegypti specific collection method. The CDC Backpack Aspirator collected proportionally more bloodfed Ae. aegypti than the other methods, which collected a greater proportion of nullipars. The data presented here will aid researchers in deciding what Ae. aegypti sampling device best suits their needs. BG-Sentinels and CDC Backpack Aspirators should be considered as alternatives to human-bait collections for Ae. aegypti sampling.

Mark-release-recapture study to measure dispersal of the mosquito Aedes aegypti in Cairns, Queensland, Australia

In Queensland, Australia, in response to isolated cases of dengue infection, larval control of the vector Aedes aegypti (L.) (Diptera: Culicidae) is targeted at breeding sites within 200 m of a case and interior spraying with a pyrethroid adulticide is targeted at premises within 100 m. To ascertain whether these limits are appropriate, we conducted a mark-release-recapture study to measure the dispersal of female Ae. aegypti in the city of Cairns where transmission occurs. Female mosquitoes reared from wild collected eggs were differentially marked with fluorescent dust depending on whether they were to be released blood-fed or non-blood-fed, and a total of 1,948 females was released. A total of 132 sticky ovitraps was set at 64 premises within a 200 m radius and collections of trapped adults were made at 5-15 days post-release. Sixty-seven females (3.4%) were recaptured, with the furthest being caught 200 m from the release point, and the mean distance travelled was 78 m. Overall, 23.1% of the recaptures outside the release site were taken beyond 100 m by day 15. Dispersal was comparable for both blood-fed and non-blood-fed releases. There was a significant tendency for dispersal to be in a north-westerly direction, probably because of the presence of numerous containers and heavy shading by trees in this direction and a busy road to the south of the release point that appeared to inhibit dispersal. The results suggest that adulticiding may have to be extended beyond 100 m if more than 8 days have elapsed since female Ae. aegypti could have fed upon a viraemic dengue case. The study also shows that dispersal is not random, and that it may be possible to maximize vector control by taking into account environmental factors that affect the direction of female mosquito flight.