The most widespread arboviral diseases such as Dengue, Chikungunya, and Zika are transmitted mainly by Aedes mosquitoes. Due to the lack of effective therapeutics for most of these diseases, vector control remains the most effective preventative and control measure. This study investigated and compared the species composition, insecticide susceptibility, and resistance mechanisms in Aedes mosquito populations from a forest reserve converted to an eco-park and a peri-domestic sites in urban Accra, Ghana. Immature Aedes were sampled from the study sites, raised to adults, and exposed to deltamethrin, permethrin, DDT, fenitrothion, bendiocarb, permethrin + PBO, and deltamethrin + PBO using WHO tube assays. Melting curve analyses were performed for F1536C, V1016I, and V410L genetic mutations in surviving and dead mosquitoes following exposure to deltamethrin and permethrin. Microplate assay was used to access enzyme activity levels in adult mosquitoes from both populations. Aedes aegypti was found to be the dominant species from both study populations. The susceptibility test results revealed a high frequency of resistance to all the insecticides except fenitrothion. F1534C mutations were observed in 100% and 97% of mosquitoes from the peri-domestic and forest population, respectively but were associated with pyrethroid resistance only in the forest population (P < 0.0001). For the first time in Aedes mosquitoes in Ghana, we report the existence V410L mutations, mostly under selection only in the forest population (HWE P < 0.0001) and conclude that Aedes vectors in urban Accra have developed resistance to many commonly used insecticides. This information is important for the formulation of vector control strategies for Aedes control in Ghana.
Transmission dynamics is an important indicator for malaria control and elimination. As we move closer to eliminating malaria in Sub-Saharan Africa (sSA), transmission indices with higher resolution (genomic approaches) will complement our current measurements of transmission. Most of the present programmatic knowledge of malaria transmission patterns are derived from assessments of epidemiologic and clinical data, such as case counts, parasitological estimates of parasite prevalence, and Entomological Inoculation Rates (EIR). However, to eliminate malaria from endemic areas, we need to track changes in the parasite population and how they will impact transmission. This is made possible through the evolving field of genomics and genetics, as well as the development of tools for more in-depth studies on the diversity of parasites and the complexity of infections, among other topics. If malaria elimination is to be achieved globally, country-specific elimination activities should be supported by parasite genomic data from regularly collected blood samples for diagnosis, surveillance and possibly from other programmatic interventions. This presents a unique opportunity to track the spread of malaria parasites and shed additional light on intervention efficacy. In this review, various genetic techniques are highlighted along with their significance for an enhanced understanding of transmission patterns in distinct topological settings throughout Sub-Saharan Africa. The importance of these methods and their limitations in malaria surveillance to guide control and elimination strategies, are explored.
Background: Dengue, Zika and Chikungunya are Aedes-borne viral diseases that have risen to become great global health concerns in the past years. Several countries in Africa have reported outbreaks of these diseases and despite Ghana sharing borders with some of such countries, it remains free of these outbreaks. Recent studies in Ghana have revealed that there are antibodies and viral RNA of the Dengue virus serotype-2 among individuals in some localities in the Greater Accra Region. This is an indication of a possible silent transmission ongoing in the population, hence the need to assess the risk of transmission of these viruses within the country. This cross-sectional study, therefore, assessed the risk of transmission of Dengue, Zika and Chikungunya viruses in a domestic/peri-domestic (Madina) and a forest (Achimota Forest) population in the Greater Accra Region, Ghana. Methodology/Findings: All stages of the Aedes mosquito (egg, larvae, pupae and adults) were collected around homes and in the forest area for estimation of risk indices. All eggs and immature stages were reared to adults and morphologically identified. The predominant species of Aedes mosquitoes identified from both sites were Aedes aegypti (98% in Madina and 98.1% in Achimota forest). Aedes albopictus, an important arbovirus vector, was identified only in Madina at a prevalence of 1.5% but Achimota forest had the higher species diversity. Both study sites recorded high risk indices; Madina: Positive Ovitrap Index = 26.6%, Container Index = 36.8%, House Index = 19.8%, Breteau Index = 70.4%; Achimota: Positive Ovitrap Index = 34.2% and Container Index = 67.9%. RT-PCR to detect the presence of Dengue, Chikungunya and Zika viruses was negative for all pools tested. Conclusion: All entomological risk indicators estimated showed that both sites had a high potential of an outbreak of arboviral diseases following the introduction of these viruses.
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