A larval survey of dengue vectors was conducted from July to November 1966 and from May to November 1997 in Chiangmai Province, Thailand. Three villages in urban, transition, and rural areas were selected for the survey to clarify the spatial distribution of Ae. aegypti and Ae. albopictus along an urban-rural ecological gradient. The average number of Ae. aegypti larvae in larvitraps was higher in the urban area than in the rural area, as we expected, whereas the opposite was found for Ae. albopictus, rural area > urban area. A house survey of larvae-inhabiting containers showed significant differences in the number and composition of these containers among the study areas. Significant differences were also found in the average distance between houses, average tree height, and average percentage of vegetation cover for each house. The seasonal pattern of rainfall recorded in each study area did not show great differences among the study areas. The response of Ae. aegypti and Ae. albopictus to the urban-rural gradient is discussed in relation to the possibility of applying geographic information system techniques to plan the control strategy and surveillance of dengue vectors.

SummaryThe prevalence of the four human malaria parasites was investigated among malaria patients at northern, central and southern towns in Thailand along the border with Myanmar between September 1995 and May 1996. Thin smears obtained from 548 Thai and Burmese patients were reviewed by an acridine orange staining method, and many mixed infections with two to four species, including P. malariae and P. ovale, were detected. These diagnostic results were compared with those by two PCR-based diagnoses, microtitre plate hybridization (MPH) and a nested PCR method, both of which targets the same, species-specific regions in the 18S rRNA genes. In both PCR diagnoses, many P. malariae and P. ovale infections were also detected. Detection sensitivity of P. malariae infection was higher in nested PCR than MPH, and a total prevalence of P. malariae infection estimated by nested PCR reached 24.3% (133/548). In 16 of them, the size of PCR products amplified by the P. malariae-specific primer was about 20-bp shorter than the expected size of 115-bp. Four of 16 possessed two different bands with normal and shorter sizes, suggesting that P. malariae isolates may be separated into two types, and that those with shorter products may be new variant form (s) with a nucleotide deletion in the target region. On the other hand, 21 P. ovale infections (3.8%) were detected by nested PCR, but four of them were MPH-negative because of the sequence variation at the probe region. These results indicated that the prevalence of P. malariae and P. ovale along the ThaiMyanmar border may be substantially higher than previously reported.keywords Plasmodium malariae, Plasmodium ovale, Thailand, Myanmar, acridine orange staining, PCR diagnosis correspondence Dr F. Kawamoto,

Desbutyl-benflumetol (DBB) is a novel antimalarial compound closely related to benflumetol (lumefantrine), of which it is a putative metabolite. The in vitro response of Plasmodium falciparum to DBB was studied in Mae Hong Son and Mae Sot, in northwest Thailand, in 1997 and 1998. In total, 155 fresh isolates were successfully tested using the World Health Organization standard in vitro microtest system (Mark II). The mean 50% effective concentration (EC 50 ) and 90% effective concentration of DBB were 6.36 and 31.09 nmol/liter, respectively. The comparison of the activity of DBB and benflumetol yielded a highly significant potency ratio of 4.52, corresponding to a more than four times higher efficacy of DBB. A considerable potency difference was found between isolates from Mae Hong Son and those from Mae Sot, reflecting lesser sensitivity in the area with marked resistance to mefloquine and quinine. This observation is also supported by a highly significant activity correlation with benflumetol (P < 0.001) and to a similar degree with mefloquine (P < 0.001), reflecting a close relationship of DBB with the class II aryl amino alcohol blood schizontocides. A less distinct association was also found with artemisinin, which was significant only at the EC 50 level, and there was no correlation at all with chloroquine. DBB is a promising antimalarial compound that merits further investigation in order to define its practical therapeutic potential.

We present a detailed analysis of long-term time series of malaria incidence in northern Thailand. Positive cases for Plasmodium falciparum and P. vivax have been recorded monthly from 1977-2002 at 13 provinces in the region. Time series statistical methods are used to examine the long-term trends and seasonal dynamics of malaria incidence at regional and provincial scales. Both malarial types are declining throughout the region, except in the two provinces that share a large border with Myanmar. The rate of decline in P. vivax has decreased across the region since the end of the 1980s, and this may be a signal of developing resistance or changing vector potential. Both species display a two-peak annual seasonality that may be attributed to patterns of vector occurrence, farming practice and migration of individuals across international borders. In a number of provinces, the importance of the first seasonal peak has grown in recent years, possibly owing to increases in vector densities. The medium-term fluctuations of both species exhibit a clear spatial organisation. There is some evidence of a subtle close to 4-year super annual cycle in P. falciparum, which we suggest is driven by extrinsic factors relating to the climate of the region.

SummaryWe analysed the population genetic structure and differentiation regarding vector competence for a dengue virus of 15 Aedes aegypti samples collected from Chiang Mai in northern Thailand. Based on polymorphism of 10 isoenzyme loci, genetic differentiation was confirmed among samples collected in different subdistricts (high F ST values and P < 0.05). Based on infection rate for a dengue 2 virus, susceptibilities were similar in mosquitoes collected in San Nuea subdistrict and in Choeng Doi subdistrict, and were heterogeneous in populations sampled in other subdistricts. These findings are discussed and related to insecticide treatments.

Background: It was unknown whether the main reservoir of Plasmodium falciparum and Plasmodium vivax, which infects mosquitoes in Thailand, was (a) in people feeling sufficiently ill with malaria to come to a clinic or (b) in people who had remained in their home villages with some fever symptoms or with none.

This paper reports 2 studies. (i) After a year of baseline data collection, lambdacyhalothrin-treated bed nets were introduced into 3 of 5 villages in north-west Thailand, the remaining 2 being treated with placebo. Human bait collections were carried out in each village on 2 nights per month, for 8 months of each year, and the biting densities were compared between the first year and the second year. The treated bed nets did not have any significant impact on the density or parous rates of Anopheles sawadwongporni and A. maculatus s.s. populations. The results for A. dirus s.l. were not conclusive because of the low number caught. Significant reductions in biting and parous rates of A. minimus species A were observed in only one of the 3 treated villages, and there was no overall difference between treated and control groups. However, the trial suffered from the washing of nets by villagers and the low rate of reimpregnation. (ii) A short-term study involved 4 villages in a cross-over design, and lasted 48 d. For the first 24 d, residents of 2 villages were given new treated nets while the other 2 villages retained their own untreated nets. For the second 24 d, this situation was reversed. Daily light-trapping revealed no significant difference in the indoor densities or parous rates of A. minimus species A between the periods with treated or untreated nets.(ABSTRACT TRUNCATED AT 250 WORDS)

Comparative morphometric and morphological studies of microfilariae and infective stages were undertaken in nocturnally periodic and subperiodic Wuchereria bancrofti. For microfilariae, the body dimensions of nocturnally periodic (NP) were significantly smaller than nocturnally subperiodic (NSP), i.e. body length 268.03 ± 14.75 μm (NP), 307.61 ± 11.52 μm (NSP); cephalic space length 4.21 ± 0.62 μm (NP), 5.32 ± 0.79 μm (NSP); head to nerve ring 49.39 ± 5.43 μm (NP), 57.40 ± 4.46 μm (NSP); innenkörper length 33.05 ± 5.89 μm (NP), 44.02 ± 8.71 μm (NSP); cephalic space width 4.28 ± 0.59 μm (NP), 6.04 ± 0.68 μm (NSP); body width at nerve ring 5.01 ± 0.57 μm (NP), 7.45 ± 0.75 μm (NSP). The number of nuclei between the cephalic space and nerve ring of NP (66.67 ± 5.19) was also significantly less than in NSP (94.74 ± 6.95). For infective stages, the body dimensions of NP were significantly smaller than NSP, i.e. body length 1632.50 ± 131.48 μm (NP), 2002.63 ± 222.60 μm (NSP); head to nerve ring 103.09 ± 7.47 μm (NP), 122.44 ± 9.62 μm (NSP); head to oesophago-intestinal junction 567.69 ± 94.84 μm (NP), 666.75 ± 110.08 μm (NSP); body width at oesophago-intestinal junction 23.15 ± 1.55 μm (NP), 26.78 ± 1.62 μm (NSP). It is too early to infer the NP type as an additional sibling species of W. bancrofti but it is reasonable to treat it as a new variety and additional work is needed to clarify its status.