Bionomics of malaria vectors in Lao PDR, 2018-2020: entomological surveillance as a key tool for malaria elimination.


Journal

Malaria journal
ISSN: 1475-2875
Titre abrégé: Malar J
Pays: England
ID NLM: 101139802

Informations de publication

Date de publication:
21 Oct 2023
Historique:
received: 30 05 2023
accepted: 13 10 2023
medline: 2 11 2023
pubmed: 22 10 2023
entrez: 21 10 2023
Statut: epublish

Résumé

The Lao PDR National Strategic Plan for malaria control and elimination for year 2021-2025 emphasizes the importance of routine entomological surveillance being conducted in areas with high transmission and in active malaria foci in elimination targeted areas. The collection of entomological surveillance data that is closely linked to recent epidemiological data is crucial for improving impact, as it contributes to the evidence package that supports operational and strategic decision-making of national malaria programmes, as they accelerate their last mile of elimination. The Center for Malariology Parasitology and Epidemiology (CMPE) entomology team conducted entomological surveillance activities at 13 sentinel sites in 8 provinces and at active transmission foci sites from 2018 to 2020. The techniques used for the mosquito collection were indoor and outdoor human landing collections (from houses and from cultivation areas) and cattle baited net trap collections. There were 5601 Anopheles mosquito females captured and identified throughout the study, on both human and cow bait. They represented 15 different species or species complexes. The primary malaria vectors as well as the secondary vectors were present in all collection sites in the south, indicating that people living in these rural areas with high malaria incidence are exposed to the vectors. The vectors were highly zoophilic, but they still bite humans throughout the night with a high peak of activity before midnight, both indoors and outdoors. Overall, 17% of the malaria vectors were collected indoors when the people are sleeping. This confirms the importance of bed net use during the night. Thirty-two percent of primary and secondary vectors were collected outdoors at times when people are usually awake and outdoors, which shows that people are exposed to potentially infectious mosquitoes and the importance of personal protection at these times. The findings showed that residual transmission may occur outdoors in the villages, and outside the villages in cultivation fields and forested areas. Epidemiological data showed that transmission was higher in surveillance sites which were targeted as part of a malaria response rather than sentinel sites. Understanding where and how transmission is persisting, monitoring and mapping vector species distribution in areas with active transmission, monitoring biting trends, and designing evidence based and effective vector control interventions are critical to accelerating progress toward malaria elimination. In this context, the role of entomological surveillance combined with epidemiological data should be considered as a cornerstone in achieving malaria elimination.

Sections du résumé

BACKGROUND BACKGROUND
The Lao PDR National Strategic Plan for malaria control and elimination for year 2021-2025 emphasizes the importance of routine entomological surveillance being conducted in areas with high transmission and in active malaria foci in elimination targeted areas. The collection of entomological surveillance data that is closely linked to recent epidemiological data is crucial for improving impact, as it contributes to the evidence package that supports operational and strategic decision-making of national malaria programmes, as they accelerate their last mile of elimination.
METHODS METHODS
The Center for Malariology Parasitology and Epidemiology (CMPE) entomology team conducted entomological surveillance activities at 13 sentinel sites in 8 provinces and at active transmission foci sites from 2018 to 2020. The techniques used for the mosquito collection were indoor and outdoor human landing collections (from houses and from cultivation areas) and cattle baited net trap collections.
RESULTS RESULTS
There were 5601 Anopheles mosquito females captured and identified throughout the study, on both human and cow bait. They represented 15 different species or species complexes. The primary malaria vectors as well as the secondary vectors were present in all collection sites in the south, indicating that people living in these rural areas with high malaria incidence are exposed to the vectors. The vectors were highly zoophilic, but they still bite humans throughout the night with a high peak of activity before midnight, both indoors and outdoors. Overall, 17% of the malaria vectors were collected indoors when the people are sleeping. This confirms the importance of bed net use during the night. Thirty-two percent of primary and secondary vectors were collected outdoors at times when people are usually awake and outdoors, which shows that people are exposed to potentially infectious mosquitoes and the importance of personal protection at these times. The findings showed that residual transmission may occur outdoors in the villages, and outside the villages in cultivation fields and forested areas. Epidemiological data showed that transmission was higher in surveillance sites which were targeted as part of a malaria response rather than sentinel sites.
CONCLUSIONS CONCLUSIONS
Understanding where and how transmission is persisting, monitoring and mapping vector species distribution in areas with active transmission, monitoring biting trends, and designing evidence based and effective vector control interventions are critical to accelerating progress toward malaria elimination. In this context, the role of entomological surveillance combined with epidemiological data should be considered as a cornerstone in achieving malaria elimination.

Identifiants

pubmed: 37865735
doi: 10.1186/s12936-023-04754-5
pii: 10.1186/s12936-023-04754-5
pmc: PMC10589990
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

319

Subventions

Organisme : World Health Organization
ID : 001
Pays : International

Informations de copyright

© 2023. BioMed Central Ltd., part of Springer Nature.

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Auteurs

Sébastien Marcombe (S)

VCC-SEA, Vector Control Consulting, Vientiane, Lao PDR. sebastienmarcombe@gmail.com.

Santi Maithaviphet (S)

Center for Malariology, Parasitology and Entomology, Ministry of Health, Vientiane, Lao PDR.

Rita Reyburn (R)

World Health Organization, Saphanthong Tai Rd, Vientiane, Laos.

Khamfong Kunlaya (K)

World Health Organization, Saphanthong Tai Rd, Vientiane, Laos.

Khambang Silavong (K)

Center for Malariology, Parasitology and Entomology, Ministry of Health, Vientiane, Lao PDR.

Bouasy Hongvanthong (B)

Center for Malariology, Parasitology and Entomology, Ministry of Health, Vientiane, Lao PDR.

Viengxay Vanisaveth (V)

Center for Malariology, Parasitology and Entomology, Ministry of Health, Vientiane, Lao PDR.

Viengphone Sengsavath (V)

Center for Malariology, Parasitology and Entomology, Ministry of Health, Vientiane, Lao PDR.

Vilasack Banouvong (V)

Center for Malariology, Parasitology and Entomology, Ministry of Health, Vientiane, Lao PDR.

Keobouphaphone Chindavongsa (K)

Center for Malariology, Parasitology and Entomology, Ministry of Health, Vientiane, Lao PDR.

Boualam Khamlome (B)

Center for Malariology, Parasitology and Entomology, Ministry of Health, Vientiane, Lao PDR.

Matthew Shortus (M)

World Health Organization, Saphanthong Tai Rd, Vientiane, Laos.

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