Levels of Mercury (Hg), Lead (Pb), Cadmium (Cd), Chromium (Cr), Nickel (Ni) & Thallium (Tl) were established in wastewater & soil samples obtained from 8 sites in open drainage channels at Nairobi industrial area, Kenya. Ultra-trace inductively coupled plasma mass spectroscopy (ICP-MS) was used for metal analysis. Temperature, pH & turbidity of wastewater ranged from 16.75 to 26.05 °C; 7.28 to 8.78; 160.33 to 544.69 ppm respectively and within World Health Organization (WHO) allowable limits. Wastewater conductivities in 4 sites ranged from 770 to 1074 µS/cm and above WHO limits at 25 °C. The mean concentrations of the metals in wastewater ranged from 0.0001 to 0.015 ppm in an ascending order of Tl <Cd <Hg <Ni <Cr <Pb. Levels of Cd, Cr & Ni in wastewater were within WHO, World Bank (WB), United States Environmental Protection Agency (US EPA), China, Kenya and India’s Central Pollution Control Board (CPCB) limits while Hg & Tl were above US EPA limits. The mean Pb levels in wastewater (5 sites) were above WHO, US EPA and Kenya allowable limits. Mean levels of the metals in soil samples ranged from 0.085 to 199.99 ppm, with those of Hg, Pb, Cr, Cd & Ni being above WHO limits for agricultural soils. Positive correlations (P < 0.05) for Cd & Hg in soils; and Tl (wastewater) & Cd (soil) were noted. In conclusion, wastewater in open waste channels at Nairobi industrial area had elevated levels of Pb and Hg, while the soil from the same channels had high levels of Hg, Pb, Ni, Cr, and Cd. Good management of Nairobi industrial area effluents is inevitable since it borders densely populated informal settlements which are likely to suffer exposure to toxic wastes. Effective wastewater treatment and reuse is highly recommended.

The effect of permethrin-treated bed nets (ITNs) on malaria vectors was studied as part of a large-scale, randomized, controlled trial in western Kenya. Indoor resting densities of fed Anopheles gambiae s.l. and An. funestus in intervention houses were 58.5% (P ‫ס‬ 0.010) and 94.5% (P ‫ס‬ 0.001) lower, respectively, compared with control houses. The sporozoite infection rate in An. gambiae s.l. was 0.8% in intervention areas compared with 3.4% (P ‫ס‬ 0.026) in control areas, while the sporozoite infection rates in An. funestus were not significantly different between the two areas. We estimated the overall transmission of Plasmodium falciparum in intervention areas to be 90% lower than in control areas. Permethrin resistance was not detected during the study period. As measured by densities of An. gambiae s.l., the efficacy of bed nets decreased if one or more residents did not sleep under a net or if bed nets had not been retreated within six months. These results indicate that ITNs are optimally effective if used every night and if permethrin is reapplied at least biannually.

The productivity of larval habitats of the malaria vector Anopheles gambiae for pupae (the stage preceding adult metamorphosis) is poorly known, yet adult emergence from habitats is the primary determinant of vector density. To assess it, we used absolute sampling methods in four studies involving daily sampling for 25 days in 6 habitat types in a village in western Kenya. Anopheles gambiae s.s. comprised 82.5% of emergent adults and Anopheles arabiensis the remainder. Pupal production occurred from a subset of habitats, primarily soil burrow pits, and was discontinuous in time, even when larvae occupied all habitats continuously. Habitat stability was positively associated with pupal productivity. In a dry season, pupal productivity was distributed between burrow pits and pools in streambeds. Overall, these data support the notion that source reduction measures against recognizably productive habitats would be a useful component of an integrated management program for An. gambiae in villages.

The effect of insecticide (permethrin)-treated bed nets (ITNs) on the spatial distribution of malaria vectors in neighboring villages lacking ITNs was studied during a randomized controlled trial of ITNs in western Kenya. There was a trend of decreased abundance of Anopheles gambiae with decreasing distance from intervention villages both before (P ‫ס‬ 0.027) and after (P ‫ס‬ 0.002) introduction of ITNs, but this trend was significantly stronger after ITNs were introduced (P ‫ס‬ 0.05). For An. funestus, no pre-intervention trend was observed (P ‫ס‬ 0.373), but after the intervention, a trend of decreased abundance with closer proximity to intervention compounds developed (P ‫ס‬ 0.027). Reduction in mosquito populations in villages lacking ITNs was most apparent in compounds located within 600 meters of intervention villages. Sporozoite infection rates decreased in control areas following the introduction of ITNs (P < 0.001 for both species), but no spatial association was detected between sporozoite rates and distance to nearest intervention village. We conclude that high coverage of ITNs is associated with a community-wide suppression of mosquito populations that is detectable in neighboring villages lacking ITNs, thereby affording individuals residing in these villages some protection against malaria.

The African malaria vector Anopheles gambiae is polymorphic for alternative arrangements on the left arm of chromosome 2 (2La and 2L+(a)) that are non-randomly distributed with respect to degree of aridity. Detailed studies on the ecological role of inversion 2La have been hindered by the technical demands of traditional karyotype analysis and by sex- and stage-specific limitations on the availability of polytene chromosomes favorable for analysis. Recent molecular characterization of both inversion breakpoints presented the opportunity to develop a polymerase chain reaction (PCR)-based method for karyotype analysis. Here we report the development of this molecular diagnostic assay and the results of extensive field validation. When tested on 765 An. gambiae specimens sampled across Africa, the molecular approach compared favorably with traditional cytologic methods, correctly scoring > 94% of these specimens. By providing ready access to the 2La karyotype, this tool lays groundwork for future studies of the ecological genomics of this medically important species.

Background Long-lasting insecticide nets (LLINs) are a core malaria intervention. LLINs should retain efficacy against mosquito vectors for a minimum of three years. Efficacy and durability of Olyset® Plus, a permethrin and piperonyl butoxide (PBO) treated LLIN, was evaluated versus permethrin treated Olyset® Net. In the absence of WHO guidelines of how to evaluate PBO nets, and considering the manufacturer’s product claim, Olyset® Plus was evaluated as a pyrethroid LLIN. Methods This was a household randomized controlled trial in a malaria endemic rice cultivation zone of Kirinyaga County, Kenya between 2014 and 2017. Cone bioassays and tunnel tests were done against Anopheles gambiae Kisumu. The chemical content, fabric integrity and LLIN survivorship were monitored. Comparisons between nets were tested for significance using the Chi-square test. Exact binomial distribution with 95% confidence intervals (95% CI) was used for percentages. The WHO efficacy criteria used were ≥ 95% knockdown and/or ≥ 80% mortality rate in cone bioassays and ≥ 80% mortality and/or ≥ 90% blood-feeding inhibition in tunnel tests. Results At 36 months, Olyset® Plus lost 52% permethrin and 87% PBO content; Olyset® Net lost 24% permethrin. Over 80% of Olyset® Plus and Olyset® Net passed the WHO efficacy criteria for LLINs up to 18 and 12 months, respectively. At month 36, 91.2% Olyset® Plus and 86.4% Olyset® Net survived, while 72% and 63% developed at least one hole. The proportionate Hole Index (pHI) values representing nets in good, serviceable and torn condition were 49.6%, 27.1% and 23.2%, respectively for Olyset® Plus, and 44.9%, 32.8% and 22.2%, respectively for Olyset® Net but were not significantly different. Conclusions Olyset® Plus retained efficacy above or close to the WHO efficacy criteria for about 2 years than Olyset® Net (1–1.5 years). Both nets did not meet the 3-year WHO efficacy criteria, and showed little attrition, comparable physical durability and survivorship, with 50% of Olyset® Plus having good and serviceable condition after 3 years. Better community education on appropriate use and upkeep of LLINs is essential to ensure effectiveness of LLIN based malaria interventions. Graphical Abstract

Anopheles stephensi is an invasive malaria vector that is endemic to south Asia and the Arabian Peninsula. It was recently reported in the Horn of Africa countries including Djibouti (2012), Ethiopia, Sudan (2019), Somalia (2019) and most recently Nigeria (2020). This mosquito is a competent vector for both Plasmodium falciparum and P. vivax. It is characterized by a high degree of behavioral plasticity and the ability to reproduce in various types of breeding sites including containers and therefore has the potential to propagate malaria transmission in rapidly urbanizing settings with poor drainage and disposal of waste containers. The World Health Organization (WHO) has called on all countries to scale up surveillance efforts to detect and report invasion by this vector and institute appropriate and effective control mechanisms. In Kenya, the Division for National Malaria Program (DNMP) and its partners have been conducting entomological surveillance in all coastal and northern counties that are suspected to be at risk of An. stephensi invasion as well as in all counties at risk of malaria. These efforts were supported by molecular surveillance of all unidentified Anopheles mosquitoes from other studies conducted by the Kenya Medical Research Institute (KEMRI) to try and identify An. stephensi. In this article, we report the first detection of An. stephensi in two sub counties of Marsabit County, Kenya in December 2022. We used Polymerase Chain Reaction (PCR) as the primary method of identification and confirmed results using morphological keys and sequencing of the ITS2 region. With the detection of this vector in Kenya, there is an urgent need for intensified surveillance to determine its occurrence and distribution and develop tailored approaches towards control to prevent further spread.

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