Towards an integrated approach in surveillance of vector-borne diseases in Europe

First report of adult Hyalomma marginatum rufipes (vector of Crimean-Congo haemorrhagic fever virus) on cattle under a continental climate in Hungary

Background

South Hungary is being monitored for the northward spreading of thermophilic ixodid species, therefore ticks were collected from cattle and wild ruminants (red, fallow and roe deer) in the autumn of 2011.

Findings

Besides indigenous species (1185 Dermacentor reticulatus and 976 Ixodes ricinus), two Hyalomma marginatum rufipes males were found on two cows, in September eight days apart.

Conclusions

This is the northernmost autochthonous infestation of the type host (cattle) with H. m. rufipes, vector of Crimean-Congo haemorrhagic fever virus. The present findings are suggestive of the moulting success of this Afro-Mediterranean tick species in a continental climate in Central Europe.

CO2 flagging - an improved method for the collection of questing ticks

BACKGROUND

Most epidemiological studies on tick-borne pathogens involve collection of ticks from the environment. An efficient collection method is essential for large sample pools. Our main aim was to evaluate the efficacy of a new method, where traditional flagging was enhanced by the use of CO2 dispersed into the white flannel. The CO2 was spread through a rubber hose network inserted into the flag blanket. The research was conducted in spring, in March-April 2011 in two locations from Cluj County, Romania.

METHODS

The research was conducted in March-April 2011 in two locations from Cluj County, Romania. The flag to be tested contained a fine silicone rubber hose network which dispersed the CO2 in the shaft. On each collection site n=30 samplings were performed. Each sampling consisted in the simultaneous use of both flags (with and without CO2) by two persons. The CO2 concentration level on the flag canvas surface was measured. The efficacy of the method was determined by counting comparatively the total number of ticks and separate developmental stage count.

RESULTS

Using the CO2 improved flag, 2411 (59%) Ixodes ricinus and 100 (53.8%) Dermacentor marginatus ticks were captured, while the CO2-free flag accounted for the collection of 1670 I. ricinus (41%) and 86 (46.2%) D. marginatus ticks. The addition of CO2 prompted a concentration difference on the surface of the flag ranging between 756.5 and 1135.0 ppm with a mean value of 848.9 ppm.

CONCLUSION

The study showed that the CO2 enhanced sweep flag increased the ability of I. ricinus (p<0001) but not of D. marginatus to be attracted to the flag blanket.

A review of the invasive mosquitoes in Europe: ecology, public health risks, and control options

There has been growing interest in Europe in recent years in the establishment and spread of invasive mosquitoes, notably the incursion of Aedes albopictus through the international trade in used tires and lucky bamboo, with onward spread within Europe through ground transport. More recently, five other non-European aedine mosquito species have been found in Europe, and in some cases populations have established locally and are spreading. Concerns have been raised about the involvement of these mosquito species in transmission cycles of pathogens of public health importance, and these concerns were borne out following the outbreak of chikungunya fever in Italy in 2007, and subsequent autochthonous cases of dengue fever in France and Croatia in 2010. This article reviews current understanding of all exotic (five introduced invasive and one intercepted) aedine species in Europe, highlighting the known import pathways, biotic and abiotic constraints for establishment, control strategies, and public health significance, and encourages Europe-wide surveillance for invasive mosquitoes.

Surveillance of dengue fever virus: a review of epidemiological models and early warning systems

Dengue fever affects over a 100 million people annually hence is one of the world's most important vector-borne diseases. The transmission area of this disease continues to expand due to many direct and indirect factors linked to urban sprawl, increased travel and global warming. Current preventative measures include mosquito control programs, yet due to the complex nature of the disease and the increased importation risk along with the lack of efficient prophylactic measures, successful disease control and elimination is not realistic in the foreseeable future. Epidemiological models attempt to predict future outbreaks using information on the risk factors of the disease. Through a systematic literature review, this paper aims at analyzing the different modeling methods and their outputs in terms of acting as an early warning system. We found that many previous studies have not sufficiently accounted for the spatio-temporal features of the disease in the modeling process. Yet with advances in technology, the ability to incorporate such information as well as the socio-environmental aspect allowed for its use as an early warning system, albeit limited geographically to a local scale.

Despite mass vaccination campaigns and large scaled improvements in global surveillance, infectious diseases are a worldwide problem. In recent years, the ability to use models as a tool to help visualize, understand and combat infectious diseases has become more feasible and reliable. In this context, modelling focuses on transmission patterns between the different animal, human or vector components as well as including parameters which affect these pathways such as environmental, climatic or geographic ones. The output of these models can help in decision making processes concerning control purposes, surveillance methods and hopefully also as good predictive tools. Prediction forms part of surveillance systems, and more specifically in early warning systems. It is the timely collection and analysis of data as well as the use of risk-based assessments in order to aid in prompt health interventions such as movement control, vaccination campaigns or the distribution of important information. Early warning systems for vector borne diseases are especially complex due to the involvement of various factors originating from the human, animal and insect sector as well the disease itself. The authors investigate the variety and depth of available models for dengue fever surveillance and their use as early warning tools.

Spinosad: a biorational mosquito larvicide for use in car tires in southern Mexico

Background

Car tires are important habitats for mosquito development because of the high density populations they can harbor and their presence in urban settings. Water in experimental tires was treated with one of three insecticides or an untreated control. Aquatic invertebrates were sampled at weekly intervals. Eggs, larval and pupal samples were laboratory-reared to estimate seasonal fluctuations in Aedes aegypti and Ae. albopictus abundance.

Results

Spinosad treatments at 1 or 5 ppm (mg a.i./liter) provided 6–8 weeks of effective control of Ae. aegypti, Ae. albopictus, Culex quinquefasiatus and Cx. coronator larvae, both in the dry season and the rainy season when mosquito populations increased markedly in southern Mexico. Spinosad continued to provide partial control of larvae for several weeks after initial recolonization of treated tires. The larvicidal performance of VectoBac 12AS (Bacillus thuringiensis var. israelensis) was relatively poor with one week of complete control of Aedes spp. larvae and no discernible control of Culex spp., whereas the duration of larvicidal activity of 1% temephos mineral-based granules was intermediate between those of VectoBac and spinosad treatments. Populations of chironomids, ostracods and Toxorhynchites theobaldi were generally reduced in spinosad and temephos treatments, but were similar in control and VectoBac treatments.

Conclusion

The present study is the first to report spinosad as an effective larvicide against Cx. coronator, which is currently invading the southern United States. These results substantiate the use of spinosad as a highly effective mosquito larvicide, even in habitats such as unused car tires that can represent prolific sources of adult mosquitoes.

Occurrence and identification of risk areas of Ixodes ricinus-borne pathogens: a cost-effectiveness analysis in north-eastern Italy

Background

Ixodes ricinus, a competent vector of several pathogens, is the tick species most frequently reported to bite humans in Europe. The majority of human cases of Lyme borreliosis (LB) and tick-borne encephalitis (TBE) occur in the north-eastern region of Italy. The aims of this study were to detect the occurrence of endemic and emergent pathogens in north-eastern Italy using adult tick screening, and to identify areas at risk of pathogen transmission. Based on our results, different strategies for tick collection and pathogen screening and their relative costs were evaluated and discussed.

Methods

From 2006 to 2008 adult ticks were collected in 31 sites and molecularly screened for the detection of pathogens previously reported in the same area (i.e., LB agents, TBE virus, Anaplasma phagocytophilum, Rickettsia spp., Babesia spp., "Candidatus Neoehrlichia mikurensis"). Based on the results of this survey, three sampling strategies were evaluated a-posteriori, and the impact of each strategy on the final results and the overall cost reductions were analyzed. The strategies were as follows: tick collection throughout the year and testing of female ticks only (strategy A); collection from April to June and testing of all adult ticks (strategy B); collection from April to June and testing of female ticks only (strategy C).

Results

Eleven pathogens were detected in 77 out of 193 ticks collected in 14 sites. The most common microorganisms detected were Borrelia burgdorferi sensu lato (17.6%), Rickettsia helvetica (13.1%), and "Ca. N. mikurensis" (10.5%). Within the B. burgdorferi complex, four genotypes (i.e., B. valaisiana, B. garinii, B. afzelii, and B. burgdorferi sensu stricto) were found. Less prevalent pathogens included R. monacensis (3.7%), TBE virus (2.1%), A. phagocytophilum (1.5%), Bartonella spp. (1%), and Babesia EU1 (0.5%). Co-infections by more than one pathogen were diagnosed in 22% of infected ticks. The prevalences of infection assessed using the three alternative strategies were in accordance with the initial results, with 13, 11, and 10 out of 14 sites showing occurrence of at least one pathogen, respectively. The strategies A, B, and C proposed herein would allow to reduce the original costs of sampling and laboratory analyses by one third, half, and two thirds, respectively. Strategy B was demonstrated to represent the most cost-effective choice, offering a substantial reduction of costs, as well as reliable results.

Conclusions

Monitoring of tick-borne diseases is expensive, particularly in areas where several zoonotic pathogens co-occur. Cost-effectiveness studies can support the choice of the best monitoring strategy, which should take into account the ecology of the area under investigation, as well as the available budget.