Impact of non-pyrethroid insecticide treated durable wall lining on age structure of malaria vectors in Muheza, Tanzania.

OBJECTIVE: Malaria vectors control interventions are designed to cause immediate killing or shorten mosquito lives, therefore does not allow enough time for the development of the parasites to infective stage. The wall lining is new malaria vectors control intervention in Tanzania where its impact on age structure is not well known. Therefore this study aimed at determining the impact of non-pyrethroid durable wall lining on the age structure of malaria vectors.
RESULTS: Higher proportions of An. gambiae sensu lato (57.1%, z = 2.66, P = 0.0077) and An. funestus (64.8%, z = 3.38, P = 0.001) were collected in the control clusters. Unexpectedly, significantly higher proportion of parous An. gambiae s. l. were collected in the intervention clusters (z = - 2.78, P = 0.0054). The wall lining intervention has demonstrated low impact on age structure of An. gambiae s. l., this call for further studies on the efficacy of the intervention.

Introduction

Mosquito biting behaviour changes have been reported to be induced by vector control interventions, particularly when excito-repellent insecticides are used [1]. Spraying the walls and ceiling of houses with residual insecticides tends to reduce the survival of mosquito vectors, therefore reduce malaria transmission [2]. This is because, insecticides irritancy cause high proportion of mosquitoes to exit from treated houses. However, treated walls also contribute to decreased feeding rate and resting behaviour of indoor biting mosquitoes [3]. An. gambiae s. s. and An. funestus, which are the malaria vectors, naturally prefer to feed and rests indoors [3-5]. This is in contrast to the strongly exophilic and exophagic; An. arabiensis [6, 7]. Nevertheless, the use of indoor chemical interventions such as long lasting insecticide treated nets (LLINs) and indoor residue spray (IRS) have reported to drive malaria vectors to feed and rest outdoors resulting in a reproductive advantage for them [4]. Such shifting would also be accompanied by feeding more outdoors at dusk or dawn rather than indoors at mid-night [4, 7, 8]. Outdoor biting mosquitoes remain as secondary sources of malaria transmission as they respond poorly to indoors insecticidal interventions [9-11].

Age grading technique is applied for establishing the parous rate of mosquito populations in order to estimate longevity [12]. Normally, mosquitoes are dissected to observe ovarian dilations in order to determine the proportions that are nulliparous (have not laid eggs) or young mosquito and parous (have laid eggs) or old mosquitoes [12, 13]. Parous mosquitoes are those that have taken a blood meal and oviposited at least once [14]. Age grading in malaria vector is important in estimating the risk of malaria in a particular area [15], with respect to the presence of interventions [16]. Currently, a novel non-pyrethroid insecticide treated durable wall liner (ITWL) which works similar to IRS has been developed. It consists of a thin sheet of cloth made from high-density polypropylene treated with a mixture of two non-pyrethroid insecticides namely; abamectin and fenpyroximate [17, 18]. The impact of ITWL intervention on age structure of malaria vectors is not well known in Tanzania. Therefore, the present study aimed at determining its impact on age structure of malaria vectors under field conditions in the study area.

Main text

Materials and methods

Study area

This cross-sectional study was conducted for the duration of 7 months from November, 2015 to May, 2016 in 18 clusters in Muheza district, North-eastern coast of Tanzania. In recent years, there have been fluctuations in the rainfall patterns with long drought periods in the study area. During implementation of this study, there were long dry seasons which accompanied with dryness of the mosquito breeding sites [19]. The district covers a geographical area of 4922 km2, lying between 5°S latitude and 39°E longitude. The climate is tropical, with dense rainforest over the Usambara mountain ranges and has an annual rainfall of 1000–2000 mm. Muheza district is mainly inhabited by subsistence farmers. Administratively, Muheza district is divided into six divisions comprised of 35 wards with 175 villages [20]. The area is endemic for malaria and lymphatic filariasis whereby An. gambiae s. l. and An. funestus are the main vectors of these diseases [21, 22]. An. gambiae s. l. in this area has also been documented to be resistant to pyrethroid insecticides [23, 24].

Site selection and mosquito collection

A total of 18 clusters were selected; nine in control clusters and nine in intervention clusters from clusters in a randomized field trial [18]. Intervention clusters were those with high percentage (over 80%) coverage of durable wall liners installation and they were provided with LLINs while control clusters were the ones which were provided with LLINs alone. The core area of each cluster had a minimum of 124 households [18]. In each cluster, four houses with open eaves and unscreened windows were selected. In each selected house only one window of the sleeping room was chosen for setting exit traps as described in the WHO [12] in order to collect mosquitoes (Figs. 1, 2).

Fig. 1

Mosquito trapping. a House type. b Exit trap set on the window

Fig. 2

Exit trap on a window with ITWL, b collecting mosquitoes in exit trap

Data analysis

Data were entered in excel database and transferred to Stata version 13 statistical software where a Two-sample test for proportions (z) was performed. The outcomes of interest were the proportions of parous and nulliparous among the malaria vector species and intervention arms. In all analysis a P value of < 0.05 was considered statistically significant.

Mosquito identification and dissection

Adult mosquitoes were identified morphologically using identification keys [25] for Anopheles, Culicines [26] and Zootaxa 700 key was used for Aedes mosquitoes [27]. All Culicines collected were recorded after identification and then discarded. All fresh unfed An. gambiae s. l. and An. funestus were dissected to observe ovarian dilations [12, 13]. Based on tracheolar skeins, dissected mosquitoes were categorized as parous and nulliparous [12].

An. gambiae s. l. and An. funestus sibling species identification

An. gambiae s. l. was identified to sibling species by real-time polymerase chain reaction (PCR) as described by Bass et al. [28]. An. funestus sibling species were identified by PCR based on species-specific primers. Electrophoresis was performed there after and amplicons were then visualized under uv-light for scoring DNA band lengths in relation to positive controls as described by Koekemoer et al. [29].

Malaria sporozoites determination

Malaria sporozoites determination in An. gambiae s. l. and An. funestus was done by using enzyme linked-immunosorbent assay (ELISA) technique according to Witz et al. [30] whereby mosquito head and thorax were used.

Results

Mosquito collected

A total of 1757 mosquitoes were collected. Majority of mosquitoes collected were Cx. quinquefasciatus followed by An. gambiae s. l. and An. funestus. Malaria vectors (An. gambiae s. l. and An. funestus) accounted for 28.5% (n = 501). Majority of An. gambiae s. l. (57.1%, n = 205) were collected in the control clusters than in the intervention clusters and the different was statistically significant (z = 2.66, P = 0.0077). Similarly to An. gambiae s. l., majority of An. funestus (64.8%, n = 92) were collected in the control clusters, and the different was statistically significant (z = 3.38, P = 0.001) (Table 1).

Table 1

Parity status of An. gambiae s. l. and An. funestus the control and Intervention arms

Mosquito species and parity status	Clusters	An. gambiae s. l. and An. funestus, n	Proportions	95% confidence interval		z test	P value
				Lower limit	Upper limit
Total An. gambiae s. l.	Control (LLINs only)	205	0.57	0.50	0.64	2.66	0.0077*
	Intervention (ITWL and LLINs)	154	0.43	0.35	0.51
Parous An. gambiae s. l.	Control (LLINs only)	115	0.42	0.33	0.51	− 2.78	0.0054*
	Intervention (ITWL and LLINs)	162	0.58	0.51	0.66
Nulliparous An. gambiae s. l.	Control (LLINs only)	76	0.58	0.47	0.70	1.9	0.0571
	Intervention (ITWL and LLINs)	54	0.42	0.28	0.55
Total An. funestus	Control (LLINs only)	92	0.65	0.55	0.75	3.38	0.001*
	Intervention (ITWL and LLINs)	50	0.35	0.22	0.48
Parous An. funestus	Control (LLINs only)	49	0.56	0.42	0.70	1.06	0.290
	Intervention (ITWL and LLINs)	39	0.44	0.29	0.60
Nulliparous An. funestus	Control (LLINs only)	23	0.43	0.22	0.63	− 1.08	0.282
	Intervention (ITWL and LLINs)	31	0.57	0.40	0.75

* Statistically significant

Proportions of parous and nulliparous malaria vectors in the control and intervention clusters

The proportion of parous An. gambiae s. l. was statistically significant higher in the intervention clusters than in the control clusters (z = − 2.78, P = 0.0054). On the other hand, the proportions of nulliparous An. gambiae s. l. was higher in the control clusters although not statistically significant (z = 1.9, P = 0.0571) (Table 1).

Regarding An. funestus, the proportion of parous was higher in the control clusters while that of nulliparous were higher in intervention clusters although not statistically significant (Table 1).

An. gambiae s. l. and An. funestus group sibling species composition and circumsporozoite ELISA positivity

A total of 302 An. gambiae s. l. and An. funestus group mosquitoes were identified to sibling species. Among these, An. gambiae s. l. accounted for 60% (n = 181) and An. funestus group were 40% (n = 121). PCR results has shown that, An. gambiae s. l. consisted of An. gambiae s. s. (74%, n = 134) and An. arabiensis (26%, n = 47). Within the An. funestus group, four sibling species were identified; these included; An. funestus s. s. (95%, n = 115), An. leesoni (2.5%, n = 3), An. rivulorum (1.7%, n = 2) and An. parensis (0.8%, n = 1). The circumsporozoite (CSP) ELISA results revealed that, sporozoite positive among An. gambiae s. s. was 5.6% while that of An. funestus s. s. was 2.0% with two individuals from each of the species. The overall CSP positive among An. gambiae s. s and An. funestus s. s. was 2.9%.

Discussion

Muheza is one of the malaria endemic district in Tanzania where both An. funestus and An. gambiae s. l. are the main vectors for malaria transmission [23, 31]. Despite the fact that, the area had non-pyrethroid ITWL and LLINs, the overall sporozoite rate among An. gambiae s. s and An. funestus s. s. was 2.9 but the number of positive mosquitoes was too low to make any meaningful comparison between intervention and control clusters. This was in contrary to the previous study which was conducted in northern Orissa, India where presence of zerofly plastic sheeting interventions reduced malaria transmission and parous rate when compared to pre-intervention phase [32]. This study has shown that, in An. gambiae s. l., the main sibling species were An. gambiae s. s. and An. arabiensis, similarly to a previous study [33]. Within the An. funestus, four sibling species identified included; An. funestus s. s., An. leesoni, An. rivulorum and An. parensis with An. funestus s. s. which accounted for 95%, similarly to a study by Derua et al. [21].

High proportions of An. gambiae s. l. and An. funestus in the control clusters implies that, the intervention plays a role in preventing the malaria vectors from entering the houses. Our findings concur with a study conducted in the experimental huts which found that, the presence of both LLINs and non-pyrethroid ITWL have led to a significant increase the proportions of An. gambiae s. l. exiting the huts [17]. This situation has implication in reduction of malaria transmission in a malaria-endemic community [34].

It was surprising to find that, statistically significantly higher proportions of parous in the intervention clusters. These findings indicate that, the new non-pyrethroid ITWL intervention has low impact on age structure of An. gambiae s. l. under field condition as old mosquitoes were collected in the intervention clusters and young ones in the control clusters. Our findings are consistence with a previous study conducted in the same area which showed that, both pyrethroid LLINs and the non-pyrethroid ITWL in experimental huts induced exiting among An. gambiae s. l. [17]. ITWL intervention does not induced mortality in An. gambiae s. l. as demonstrated by the present study. This could be the reason why they were able to live long enough to lay eggs in intervention clusters; a situation has implication in malaria transmission.

The proportion of parous An. funestus was higher in the control clusters. The present study findings concur with a previous study conducted in India, whereby the impact of vector control intervention on reduction in parity rate and house entry of An. culicifacies were observed in the village with olyset net compared to untreated net or no nets [35]. Similar findings have also reported from the same area that, significantly higher proportions of An. funestus exited through the exit trap due to the presence of pyrethroid LLINs compared to non-pyrethroid ITWL [17]. ITWL intervention has some positive practical implications as they are durable and cost effective compared to the IRS and also it improves houses in rural settings where most of the walls are made up of mud [18]. Basing on the findings from the present study, further studies to understand the efficacy of ITWL among mosquito populations are needed.

Limitations

The study was conducted in a period of extremely dry season where the number of mosquito collected was low and this could have impact on interpretations of findings.