BACKGROUND The number of malaria cases in Roraima nearly tripled from 2016 to 2018. The capital, Boa Vista, considered a low-risk area for malaria transmission, reported an increasing number of autochthonous and imported cases. OBJECTIVES This study describes a spatial analysis on malaria cases in an urban region of Boa Vista, which sought to identify the autochthonous and imported cases and associated them with Anopheles habitats and the potential risk of local transmission. METHODS In a cross-sectional study at the Polyclinic Cosme e Silva, 520 individuals were interviewed and diagnosed with malaria by microscopic examination. Using a global positional system, the locations of malaria cases by type and origin and the breeding sites of anopheline vectors were mapped and the risk of malaria transmission was evaluated by spatial point pattern analysis. FINDINGS Malaria was detected in 57.5% of the individuals and there was a disproportionate number of imported cases (90.6%) linked to Brazilian coming from gold mining sites in Venezuela and Guyana. MAIN CONCLUSIONS The increase in imported malaria cases circulating in the west region of Boa Vista, where there are positive breeding sites for the main vectors, may represent a potential condition for increased autochthonous malaria transmission in this space.

Background Roraima, the northernmost State in Brazil, borders Venezuela and Guyana. Although mostly covered by the tropical forests, the urban centers of this state are highly infested with Ae. aegypti and are endemic for dengue, Zika and chikungunya. We accessed the insecticide resistance status of Ae. aegypti populations from the capital Boa Vista, two cities on international borders (Pacaraima and Bonfim) and Rorainópolis bordering Amazonas State, in order to evaluate the chemical control efficacy in these localities. Methods Tests with World Health Organization (WHO)-like tubes impregnated with the pyrethroid deltamethrin (0.05% and 0.12%) and the organophosphate malathion (0.7%) were conducted with Ae. aegypti from Boa Vista, Pacaraima, Bonfim and Rorainópolis, collected in 2016 and 2018. Genotyping of kdr mutations, related to resistance to pyrethroids, was performed for the SNP variations at sites 1016 and 1534 of the voltage gated sodium channel gene (NaV) with a TaqMan qPCR approach. Results Aedes albopictus was absent in our collections, and therefore only Ae. aegypti was tested. All Ae. aegypti populations were susceptible to 0.7% malathion in 2016; however, mortality dropped to under 90% in Bonfim and Pacaraima populations in 2018. All populations were resistant to 0.05% deltamethrin in both years. The time that 50% of females suffered knockdown (KdT50) under exposure to 0.05% deltamethrin was 3.3–5.9-fold longer in mosquitoes from the natural populations compared to the susceptible Rockefeller strain. Only the Pacaraima population (2018) remained resistant to 0.12% deltamethrin. Kdr genotyping revealed the absence of the wild-type NaVS haplotype (1016Val + 1534Phe) in the populations from Roraima, indicating that all tested insects had a genetic background for pyrethroid resistance. The double kdr NaVR2 haplotype (1016Ile + 15434Cys) was present in higher frequencies in all populations except for Rorainópolis, where this haplotype seems to have arrived recently. Conclusions These results are important for the knowledge about insecticide resistance status of Ae. aegypti populations from Roraima and will help improve vector control strategies that may be applied to diverse localities under similar geographical and urban conditions.

Background Malaria control requires local action. Assessing the vector diversity and abundance provides information on the local malariogenic potential or risk of transmission. This study aimed to determine the Anopheles species composition, habitats, seasonal occurrence, and distribution in areas with autochthonous and imported malaria cases in Roraima State. Methods A longitudinal study was conducted from January 2017 to October 2018, sampling larvae and adult mosquitoes in three municipalities of Roraima State: Boa Vista, Pacaraima and São João da Baliza. These areas have different risks of malaria importation. Four to six mosquito larval habitats were selected for larval sampling at each municipality, along with two additional sites for adult mosquito collection. All larval habitats were surveyed every two months using a standardized larval sampling methodology and MosqTent for adult mosquitoes. Results A total of 544 Anopheles larvae and 1488 adult mosquitoes were collected from the three municipalities studied. Although the species abundance differed between municipalities, the larvae of Anopheles albitarsis s.l., Anopheles nuneztovari s.l. and Anopheles triannulatus s.l. were collected from all larval habitats studied while Anopheles darlingi were collected only from Boa Vista and São João da Baliza. Adults of 11 species of the genus Anopheles were collected, and the predominant species in Boa Vista was An. albitarsis (88.2%) followed by An. darlingi (6.9%), while in São João da Baliza, An. darlingi (85.6%) was the most predominant species followed by An. albitarsis s.l. (9.2%). In contrast, the most abundant species in Pacaraima was Anopheles braziliensis (62%), followed by Anopheles peryassui (18%). Overall, the majority of anophelines exhibited greater extradomicile than peridomicile-biting preference. Anopheles darlingi was the only species found indoors. Variability in biting times was observed among species and municipalities. Conclusion This study revealed the composition of anopheline species and habitats in Boa Vista, Pacaraima and São João da Baliza. The species sampled differed in their behaviour with only An. darlingi being found indoors. Anopheles darlingi appeared to be the most important vector in São João da Baliza, an area of autochthonous malaria, and An. albitarsis s.l. and An. braziliensis in areas of low transmission, although there were increasing reports of imported malaria. Understanding the diversity of vector species and their ecology is essential for designing effective vector control strategies for these municipalities.

Background. Roraima, the northernmost State in Brazil, borders Venezuela and Guyana. Although mostly covered by the tropical forests, the urban centers of this State are highly infested with Ae. aegypti and endemic for dengue, Zika and chikungunya. Herein we present the levels of Ae. aegypti infestation and number of arboviruses cases between 2015 and 2018 in the studied localities. We accessed the insecticide resistance status of Ae. aegypti populations from the capital Boa Vista, two cities on international borders (Pacaraima and Bonfim) and Rorainópolis bordering Amazonas State, in order to evaluate the chemical control efficacy in these localities. Methods. Tests with World Health Organization (WHO)-like tubes impregnated with the pyrethroid deltamethrin (0.05 and 0.12%) and the organophosphate malathion (0.7%) were conducted with Ae. aegypti from Boa Vista, Pacaraima, Bonfim and Rorainópolis, collected in 2016 and 2018. Genotyping of kdr mutations, related to resistance to pyrethroids, was performed for the SNP variations in the sites 1016 and 1534 of the voltage gated sodium channel gene (NaV) with a TaqMan qPCR approach. Results. Ae. albopictus was absent in our collections, and therefore only Ae. aegypti was tested. All Ae. aegypti populations were susceptible to 0.7% malathion in 2016, however mortality dropped to under 90% in Bonfim and Pacaraima populations in 2018. All populations were resistant to 0.05% deltamethrin in both years. The time that 50% of females suffered knockdown (KdT50) under exposition to 0.05% deltamethrin was 3.3-5.9 fold longer in mosquitoes from the populations compared to the susceptible strain Rockefeller. Only Pacaraima population (2018) remained resistant to 0.12% deltamethrin. The kdr genotyping revealed the absence of the wild-type NaVS haplotype (1016Val + 1534Phe) in the populations from Roraima, signifying that all tested insects had a genetic background for pyrethroid resistance. The double kdr NaVR2 haplotype (1016Ile + 15434Cys) was present in higher frequencies in all populations except Rorainópolis, where this haplotype seems to have arrived recently. Conclusions. These results are important for the knowledge about insecticide resistance status of Ae. aegypti populations from Roraima and will help to improve vector control strategies that may be applied to diverse localities under similar geographical and urban conditions.

Background. Roraima, the northernmost State in Brazil, borders Venezuela and Guyana. Although mostly covered by the tropical forests, the urban centers of this State are highly infested with Ae. aegypti and endemic for dengue, Zika and chikungunya. Herein we present the levels of Ae. aegypti infestation and number of arboviruses cases between 2015 and 2018 in the studied localities. We accessed the insecticide resistance status of Ae. aegypti populations from the capital Boa Vista, two cities on international borders (Pacaraima and Bonfim) and Rorainópolis bordering Amazonas State, in order to evaluate the chemical control efficacy in these localities. Methods. Tests with World Health Organization (WHO)-like tubes impregnated with the pyrethroid deltamethrin (0.05 and 0.12%) and the organophosphate malathion (0.7%) were conducted with Ae. aegypti from Boa Vista, Pacaraima, Bonfim and Rorainópolis, collected in 2016 and 2018. Genotyping of kdr mutations, related to resistance to pyrethroids, was performed for the SNP variations in the sites 1016 and 1534 of the voltage gated sodium channel gene (NaV) with a TaqMan qPCR approach. Results. Ae. albopictus was absent in our collections, and therefore only Ae. aegypti was tested. All Ae. aegypti populations were susceptible to 0.7% malathion in 2016, however mortality dropped to under 90% in Bonfim and Pacaraima populations in 2018. All populations were resistant to 0.05% deltamethrin in both years. The time that 50% of females suffered knockdown (KdT50) under exposition to 0.05% deltamethrin was 3.3-5.9 fold longer in mosquitoes from the populations compared to the susceptible strain Rockefeller. Only Pacaraima population (2018) remained resistant to 0.12% deltamethrin. The kdr genotyping revealed the absence of the wild-type NaVS haplotype (1016Val + 1534Phe) in the populations from Roraima, signifying that all tested insects had a genetic background for pyrethroid resistance. The double kdr NaVR2 haplotype (1016Ile + 15434Cys) was present in higher frequencies in all populations except Rorainópolis, where this haplotype seems to have arrived recently. Conclusions. These results are important for the knowledge about insecticide resistance status of Ae. aegypti populations from Roraima and will help to improve vector control strategies that may be applied to diverse localities under similar geographical and urban conditions.

Background Roraima is the northernmost State in Brazil and makes international borders with Venezuela and Guyana. Although mostly covered by the tropical forests, the urban centers are highly infested with Ae. aegypti and endemic for dengue, Zika and chikungunya. Here we presented the levels of Ae. aegypti infestation and number of arboviruses cases between 2015 and 2018 in the studied localities. We evaluated the insecticide resistance status of Ae. aegypti populations from the capital Boa Vista, two cities in international borders: Pacaraima and Bonfim, and Rorainópolis in the limit with Amazonas State, collected in 2016 and 2018. Methods WHO like tube tests with the pyrethroid deltamethrin (0.05 and 0.12%) and the organophosphate malathion (0.7%) were conducted. Genotyping of kdr mutations, related to resistance to pyrethroids, were performed for the SNP variations in the sites 1016 and 1534 of the voltage gated sodium channel gene (Na V ) with a TaqMan qPCR approach. Results Only Ae. aegypti was present in our collection, meaning that there is still a barrier that Ae. albopictus was still not able to transpose from Amazonas toward Roraima. All Ae. aegypti populations were susceptible to 0.7% malathion in 2016, however mortality dropped to under 90% in Bonfim and Pacaraima in 2018. All populations were resistant to 0.5% deltamethrin in both years. The time that 50% of females suffered knockdown ( Kd T 50 ) under exposition to 0.5% deltamethrin was 3.3-5.9 fold longer in mosquitoes from the populations compared to Rockefeller. Only Pacaraima (2018) remained resistant to 0.12% deltamethrin. The kdr genotyping revealed the absence of the wild-type Na V S haplotype (1016Val + 1534Phe) in populations from Roraima, meaning that all tested individuals had a genetic background for resistance to pyrethroid. The double kdr Na V R2 haplotype (1016Ile + 15434Cys) was under higher frequencies in all populations except Rorainópolis, where this haplotype seems to have arrived recently. Conclusions These results are important to the knowledge about insecticide resistance status of Ae. aegypti populations from Roraima and will help to improve vector control strategies that may be applied to diverse localities with similar conditions.