1
|
Ablorde A, Kroidl I, Wieser A, Kudom AA. Impact of the exposure of sublethal dose of mosquito coil on the development of insecticide resistance in Aedes aegypti (L.) (Diptera: Culicidae). MEDICAL AND VETERINARY ENTOMOLOGY 2024. [PMID: 38739009 DOI: 10.1111/mve.12721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2023] [Accepted: 03/29/2024] [Indexed: 05/14/2024]
Abstract
Mosquito coil is commonly used in many African households for protection against mosquito bites. The coil usually has semi-volatile pyrethroids as an active ingredient, which usually diffuse across open space, and the cloud either kills mosquitoes that are exposed, or mosquitoes can be exposed to sublethal doses of the insecticides. This study was conducted to assess the impact of sublethal doses of mosquito coil on the development of insecticide resistance in Aedes aegypti, a major vector for dengue fever and several other arboviral diseases. A laboratory colony of Ae. aegypti was exposed to sublethal doses of a meperfluthrin-based mosquito coil in a Peet-Grady chamber once per generation for 16 generations. The susceptibility of the exposed colony to a diagnostic dose of the mosquito coil as well as to three other insecticides was determined. Three different kdr mutations and five enzyme activities were evaluated in both the exposed and control colonies. After 16 generations of sublethal exposure to mosquito coils, the full diagnostic dose of the coil caused 68% mortality to the exposed colony compared to 100% mortality in the control colony. Mortality caused by deltamethrin (0.05%) was also significantly lower in the exposed colony. The frequency of 1016I kdr mutation as well as MFO and alpha esterase activities were higher in the exposed colony compared to the control colony. This study provides evidence of the development of pyrethroid resistance in an Ae. aegypti population due to sublethal exposure to mosquito coil for 16 generations. Given the large-scale use of mosquito coils in many African households, its role as a pyrethroid resistance selection source should be taken into consideration when designing resistance management strategies.
Collapse
Affiliation(s)
- Aikins Ablorde
- Vector Biology and Control Group, Department of Conservation Biology and Entomology, University of Cape Coast, Cape Coast, Ghana
- CIHLMU Center for International Health, University Hospital, LMU Munich, Munich, Germany
| | - Inge Kroidl
- Division of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich, Munich, Germany
- German Center for Infection Research (DZIF), Partner Site Munich, Munich, Germany
| | - Andreas Wieser
- Division of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich, Munich, Germany
- German Center for Infection Research (DZIF), Partner Site Munich, Munich, Germany
- Max von Pettenkofer Institute of Hygiene and Medical Microbiology, Faculty of Medicine, LMU Munich, Munich, Germany
- Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Immunology, Infection and Pandemic Research, Munich, Germany
| | - Andreas A Kudom
- Vector Biology and Control Group, Department of Conservation Biology and Entomology, University of Cape Coast, Cape Coast, Ghana
| |
Collapse
|
2
|
Abdulai A, Owusu-Asenso CM, Haizel C, Mensah SKE, Sraku IK, Halou D, Doe RT, Mohammed AR, Akuamoah-Boateng Y, Forson AO, Afrane YA. The role of car tyres in the ecology of Aedes aegypti mosquitoes in Ghana. CURRENT RESEARCH IN PARASITOLOGY & VECTOR-BORNE DISEASES 2024; 5:100176. [PMID: 38746755 PMCID: PMC11091510 DOI: 10.1016/j.crpvbd.2024.100176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 04/03/2024] [Accepted: 04/11/2024] [Indexed: 05/28/2024]
Abstract
Aedes aegypti is an important vector of arboviral diseases including dengue and yellow fever. Despite the wide distribution of this mosquito species, there are limited data on the ecology of Ae. aegypti in Ghana. In this study, we report on the oviposition preference and the larval life tables of Ae. aegypti mosquitoes in Accra, Ghana. The oviposition preference of the mosquitoes to three habitat types (car tyres, drums and bowls) was measured by setting up ovitraps. We recorded the presence and abundance of larvae every 3 days. Two-hour-old Ae. aegypti larvae were introduced and raised in three habitat types to undertake larval life tables. The number of surviving larvae at each developmental stage was recorded daily until they emerged as adults. Car tyres showed a higher abundance of Ae. aegypti larvae (52.3%) than drums (32.5%) and bowls (15.1%) (ANOVA, F(2,159) = 18.79, P < 0.001). The mean development time of Ae. aegypti larvae was significantly lower in car tyres (7 ± 1 days) compared to that of bowls (9 ± 0.0 days) and drums (12.6 ± 1.5 days) (P = 0.024). The differences in pupation rates and emergence rates were not significant across the habitat types; however, the highest pupation rate was observed in bowls (0.92 ± 0.17) and the emergence rate was highest in tyres (0.84 ± 0.10). The proportion of first-instar larvae that survived to emergence was significantly higher in car tyres (0.84 ± 0.10) compared to that of bowls (0.72 ± 0.20) and drums (0.62 ± 0.20) (P = 0.009). No mortalities were observed after 9 days in car tyres, 10 days in bowls and 15 days in drums. The results confirm that discarded car tyres were the preferred habitat choice for the oviposition of gravid female Ae. aegypti mosquitoes and provide the best habitat conditions for larval development and survival. These findings are necessary for understanding the ecology of Ae. aegypti to develop appropriate strategies for their control in Ghana.
Collapse
Affiliation(s)
- Anisa Abdulai
- Centre for Vector-Borne Disease Research, Department of Medical Microbiology, University of Ghana Medical School, University of Ghana, Legon, Ghana
| | - Christopher Mfum Owusu-Asenso
- Centre for Vector-Borne Disease Research, Department of Medical Microbiology, University of Ghana Medical School, University of Ghana, Legon, Ghana
| | - Christodea Haizel
- Centre for Vector-Borne Disease Research, Department of Medical Microbiology, University of Ghana Medical School, University of Ghana, Legon, Ghana
| | - Sebastian Kow Egyin Mensah
- Centre for Vector-Borne Disease Research, Department of Medical Microbiology, University of Ghana Medical School, University of Ghana, Legon, Ghana
| | - Isaac Kwame Sraku
- Centre for Vector-Borne Disease Research, Department of Medical Microbiology, University of Ghana Medical School, University of Ghana, Legon, Ghana
| | - Daniel Halou
- Centre for Vector-Borne Disease Research, Department of Medical Microbiology, University of Ghana Medical School, University of Ghana, Legon, Ghana
| | - Richard Tettey Doe
- Centre for Vector-Borne Disease Research, Department of Medical Microbiology, University of Ghana Medical School, University of Ghana, Legon, Ghana
| | - Abdul Rahim Mohammed
- Centre for Vector-Borne Disease Research, Department of Medical Microbiology, University of Ghana Medical School, University of Ghana, Legon, Ghana
| | - Yaw Akuamoah-Boateng
- Centre for Vector-Borne Disease Research, Department of Medical Microbiology, University of Ghana Medical School, University of Ghana, Legon, Ghana
| | - Akua Obeng Forson
- Department of Medical Laboratory Sciences, School of Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
| | - Yaw Asare Afrane
- Centre for Vector-Borne Disease Research, Department of Medical Microbiology, University of Ghana Medical School, University of Ghana, Legon, Ghana
| |
Collapse
|
3
|
Abdulai A, Owusu-Asenso CM, Haizel C, Mensah SKE, Sraku IK, Mohammed AR, Akuamoah-Boateng Y, Forson AO, Afrane YA. The Role of Car Tyres in the Ecology of Aedes aegypti Mosquitoes in Ghana. RESEARCH SQUARE 2023:rs.3.rs-3286696. [PMID: 37693506 PMCID: PMC10491337 DOI: 10.21203/rs.3.rs-3286696/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/12/2023]
Abstract
Background The Aedes aegyptimosquito is an important vector of arboviral diseases including dengue and yellow fever. Despite the wide distribution of the Aedes aegypti mosquito, there is limited data on the ecology of Aedes aegypti mosquitoes in Ghana. In this study, we report on the oviposition preference and the larval life table of Aedes aegypti mosquitoes in Accra, Ghana. Methods The oviposition preference of Aedesmosquitoes to three habitat types (tyres, drums and bowls) was measured by setting up ovitraps. Ovitraps were checked for the presence of Aedes larvae every 3 days. The presence and number of larvae were recorded for each habitat type. Two-hour-old Aedes aegypti larvae were introduced into and raised in these three habitat types to undertake larval life tables. The number of surviving larvae at each developmental stage was recorded daily until they emerge as adults. Results Car tyres showed a high abundance of Aedeslarvae (52.33%) than drums (32.49%) and bowls (15.18%) (ANOVA, F _ 18.79, df _ 2, 159, P < 0.001). The mean development time of Ae. aegypti larvae was significantly lower in car tyres (7 ± 1 days) compared to that of bowls (9 ± 0.0 days) and drums (12.6 ± 1.5 days) (H (2) = 7.448, P = 0.024). The differences in pupation rates and emergence rates were not significant across the habitat types, however, the highest pupation rate was observed in bowls (0.92) and the emergence rate was highest in tyres (0.84). The proportion of first-instar larvae that survived to adults was significantly higher in tyres with a shorter survival time (0.84; 9 days) compared to that of bowls (0.72; 10 days) and drums (0.62 ± 0.2; 13 days) (H (2) = 2.822, P= 0.009). Conclusion The results confirm that discarded car tyres were the preferred habitat choice for the oviposition of gravid female Aedes aegypti mosquitoes and provide the best habitat condition for larval development and survival. These findings are necessary for understanding the ecology of Aedes mosquitoes to develop appropriate strategies for their control in Ghana.
Collapse
|
4
|
Ayettey J, Ablorde A, Amlalo GK, Mensah BA, Kudom AA. Entomological surveillance on Aedes aegypti during covid 19 period in Cape Coast, Ghana: Risk of arboviral outbreaks, multiple insecticide resistance and distribution of F1534C, V410L and V1016I kdr mutations. PLoS Negl Trop Dis 2023; 17:e0011397. [PMID: 37256856 DOI: 10.1371/journal.pntd.0011397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 05/22/2023] [Indexed: 06/02/2023] Open
Abstract
BACKGROUND The study assessed the risk of transmission of Aedes-borne arboviruses in a community at Cape Coast during the Covid-19 restriction period in 2020 based on entomological indices. The spatial distribution of insecticide resistance was also assessed in Ae. aegypti population from Cape Coast. METHODS Three larval indices were calculated from a household larval survey in 100 randomly selected houses. WHO susceptibility bioassay was performed on female adult Ae. aegypti that were reared from the larvae collected from household containers and other receptacles located outside houses against four insecticides. The mosquitoes were also screened for F1534C, V1016I, and V410L kdr mutations. RESULTS The estimated larval indices in the study community were House index- 34%, Container index- 22.35%, and Breteau index- 2.02. The mosquito population was resistant to Deltamethrin (0.05%), DDT (4%), Fenitrothion (1%), and Bendiocarb (0.1%). A triple kdr mutation, F1534C, V410L and V1016I were detected in the mosquito population. CONCLUSION The study found the risk of an outbreak of Aedes-borne diseases lower in the covid-19 lockdown period than before the pandemic period. The low risk was related to frequent clean-up exercises in the community during the Covid-19 restriction period. Multiple insecticide resistance couple with three kdr mutations detected in the study population could affect the effectiveness of control measures, especially in emergency situations. The study supports sanitation improvement as a tool to control Ae. aegypti and could complement insecticide-based tools in controlling this vector.
Collapse
Affiliation(s)
- Joana Ayettey
- Department of Conservation Biology and Entomology, University of Cape Coast, Cape Coast-Ghana
| | - Aikins Ablorde
- Center for International Health, Ludwig Maximilian University of Munich, Germany
| | - Godwin K Amlalo
- Department of Parasitology, Noguchi Memorial Institute for Medical Research, University of Ghana, Accra Ghana
| | - Ben A Mensah
- Department of Conservation Biology and Entomology, University of Cape Coast, Cape Coast-Ghana
| | - Andreas A Kudom
- Department of Conservation Biology and Entomology, University of Cape Coast, Cape Coast-Ghana
| |
Collapse
|
5
|
Ablorde A, Ayettey J, Kroidl I, Wieser A, Kudom AA. Co-occurrence of multiple kdr mutations (F1534C, V1016I, V410L) in Aedes aegypti from coastal areas in Ghana and assessment of the role of mosquito coil in causing pyrethroid resistance. Acta Trop 2023; 243:106937. [PMID: 37146863 DOI: 10.1016/j.actatropica.2023.106937] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Revised: 05/01/2023] [Accepted: 05/02/2023] [Indexed: 05/07/2023]
Abstract
The rapid spread of knockdown-resistance (kdr) mutations in Africa calls for monitoring and investigation into the cause of pyrethroid resistance to inform management strategies. This study investigated the pyrethroid resistance profile of Aedes aegypti from coastal towns in Ghana and the impact of mosquito coil, a popular household pyrethroid-based anti-mosquito tool, on the development of pyrethroid resistance. Susceptibility to deltamethrin and the presence of kdr mutations was determined in adult female mosquitoes reared from larvae. Furthermore, the LT50 of a mosquito coil (meperfluthrin) against a laboratory colony was determined, and the value was used as a sublethal dose in an experimental study. The laboratory colony of Ae. aegypti was exposed to the sublethal dose of the coil once per generation for six generations (F6). The susceptibility of the exposed colony to deltamethrin (0.05%) was determined. The Ae. aegypti populations from the coastal towns were resistant to deltamethrin with co-occurrence of F1534C, V1016I and V410L kdr mutations. In the experimental study, the LT50 (95% CI) of the selected colony against the coil rose from 8 minutes (95% CI; 6-9) at F0 to 28 minutes (95% CI; 23-34) at F6. Nonetheless, deltamethrin caused similar mortalities in the selected and control colonies. The mutant allele frequencies of 1534C and 410L were similar but 1016I was higher in the selected colony (17%) than in the control (5%). However, the increased tolerance to the coil and high mutant allele frequency of 1016I in the selected colony did not affect the mosquito's resistance level to deltamethrin insecticide. Further study is needed to elucidate the role of pyrethroid-based mosquito coils in the development of insecticide resistance in mosquito vectors.
Collapse
Affiliation(s)
- Aikins Ablorde
- Department of Conservation Biology and Entomology, University of Cape Coast, Cape Coast, Ghana; CIH(LMU) Center for International Health, University Hospital, LMU Munich, Munich, Germany
| | - Joana Ayettey
- Department of Conservation Biology and Entomology, University of Cape Coast, Cape Coast, Ghana
| | - Inge Kroidl
- Division of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich, Munich, German; German Center for Infection Research (DZIF), partner site Munich, Munich, Germany
| | - Andreas Wieser
- Division of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich, Munich, German; German Center for Infection Research (DZIF), partner site Munich, Munich, Germany; Max von Pettenkofer Institute of Hygiene and Medical Microbiology, Faculty of Medicine, LMU Munich, Munich, Germany; Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Immunology, Infection and Pandemic Research, Munich, Germany
| | - Andreas A Kudom
- Department of Conservation Biology and Entomology, University of Cape Coast, Cape Coast, Ghana.
| |
Collapse
|
6
|
Sombié A, Ouédraogo WM, Oté M, Saiki E, Sakurai T, Yaméogo F, Sanon A, McCall PJ, Kanuka H, Weetman D, Badolo A. Association of 410L, 1016I and 1534C kdr mutations with pyrethroid resistance in Aedes aegypti from Ouagadougou, Burkina Faso, and development of a one-step multiplex PCR method for the simultaneous detection of 1534C and 1016I kdr mutations. Parasit Vectors 2023; 16:137. [PMID: 37076920 PMCID: PMC10116651 DOI: 10.1186/s13071-023-05743-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 03/16/2023] [Indexed: 04/21/2023] Open
Abstract
BACKGROUND Since 2000, Burkina Faso has experienced regular dengue cases and outbreaks, making dengue an increasingly important health concern for the country. Previous studies in Burkina Faso reported that resistance of Aedes aegypti to pyrethroid insecticides was associated with the F1534C and V1016I kdr mutations. The current study reports high resistance of Ae. aegypti populations to pyrethroid insecticides, likely supported by mutations in the voltage-gated sodium channel, here evidenced by genotyping the kdr SNPs V410L, V1016I and F1534C. We also describe a new multiplex PCR-based diagnostic of F1534C and V1016I kdr SNPs. METHODS Larvae of Ae. aegypti were collected from three health districts of Ouagadougou in 2018. The resistance status of Ae. aegypti to permethrin (15 μg/ml) and deltamethrin (10 μg/ml) was tested using bottles and to malathion (5%) using WHO tube tests. All bioassays used 1-h exposure and mortality recorded 24 h post-exposure. Bioassay results were interpreted according to WHO thresholds for resistance diagnosis. The kdr mutations were screened using AS-PCR and TaqMan methods in exposed and non-exposed Aedes mosquitoes. RESULTS Females from all health districts were resistant to permethrin and deltamethrin (< 20% mortality) but were fully susceptible to 5% malathion. The F1534C and V1016I kdr mutations were successfully detected using a newly developed multiplex PCR in perfect agreement with TaqMan method. The 1534C/1016I/410L haplotype was correlated with permethrin resistance but not with deltamethrin resistance; however, the test power was limited by a low frequency of dead individuals in deltamethrin exposure. CONCLUSIONS Resistance to pyrethroid insecticides is associated with kdr mutant haplotypes, while the absence of substantial resistance to malathion suggests that it remains a viable option for dengue vector control in Ouagadougou.
Collapse
Affiliation(s)
- Aboubacar Sombié
- Laboratoire d'Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - Wendegoudi Mathias Ouédraogo
- Laboratoire d'Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
- Programme National de Lutte Contre Les Maladies Tropicales Négligées, Ministère de la Santé, Ouagadougou, Burkina Faso
| | - Manabu Oté
- Center for Medical Entomology, The Jikei University School of Medicine, Tokyo, Japan
- Department of Tropical Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - Erisha Saiki
- Center for Medical Entomology, The Jikei University School of Medicine, Tokyo, Japan
- Laboratory Animal Facilities, The Jikei University School of Medicine, Tokyo, Japan
| | - Tatsuya Sakurai
- Center for Medical Entomology, The Jikei University School of Medicine, Tokyo, Japan
- Laboratory Animal Facilities, The Jikei University School of Medicine, Tokyo, Japan
| | - Félix Yaméogo
- Laboratoire d'Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - Antoine Sanon
- Laboratoire d'Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - Philip J McCall
- Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Hirotaka Kanuka
- Center for Medical Entomology, The Jikei University School of Medicine, Tokyo, Japan
- Department of Tropical Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - David Weetman
- Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Athanase Badolo
- Laboratoire d'Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso.
| |
Collapse
|
7
|
Abdulai A, Owusu-Asenso CM, Akosah-Brempong G, Mohammed AR, Sraku IK, Attah SK, Forson AO, Weetman D, Afrane YA. Insecticide resistance status of Aedes aegypti in southern and northern Ghana. Parasit Vectors 2023; 16:135. [PMID: 37072865 PMCID: PMC10111668 DOI: 10.1186/s13071-023-05752-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 03/21/2023] [Indexed: 04/20/2023] Open
Abstract
BACKGROUND Outbreaks of Aedes-borne arboviral diseases are becoming rampant in Africa. In Ghana, there is no organized arboviral control programme with interventions restricted to mitigate outbreaks. Insecticide application is a crucial part of outbreak responses and future preventative control measures. Thus, knowledge of the resistance status and underlying mechanisms of Aedes populations is required to ensure optimal insecticide choices. The present study assessed the insecticide resistance status of Aedes aegypti populations from southern Ghana (Accra, Tema and Ada Foah) and northern Ghana (Navrongo) respectively. METHODS Phenotypic resistance was determined with WHO susceptibility tests using Ae. aegypti collected as larvae and reared into adults. Knockdown resistance (kdr) mutations were detected using allele-specific PCR. Synergist assays were performed with piperonyl butoxide (PBO) to investigate the possible involvement of metabolic mechanisms in resistance phenotypes. RESULTS Resistance to DDT was moderate to high across sites (11.3 to 75.8%) and, for the pyrethroids deltamethrin and permethrin, moderate resistance was detected (62.5 to 88.8%). The 1534C kdr and 1016I kdr alleles were common in all sites (0.65 to 1) and may be on a trajectory toward fixation. In addition, a third kdr mutant, V410L, was detected at lower frequencies (0.03 to 0.31). Pre-exposure to PBO significantly increased the susceptibility of Ae. aegypti to deltamethrin and permethrin (P < 0.001). This indicates that in addition to kdr mutants, metabolic enzymes (monooxygenases) may be involved in the resistance phenotypes observed in the Ae. aegypti populations in these sites. CONCLUSION Insecticide resistance underpinned by multiple mechanisms in Ae. aegypti indicates the need for surveillance to assist in developing appropriate vector control strategies for arboviral disease control in Ghana.
Collapse
Affiliation(s)
- Anisa Abdulai
- Department of Medical Microbiology, Centre for Vector-Borne Disease Research, University of Ghana Medical School, University of Ghana, Accra, Ghana
| | - Christopher Mfum Owusu-Asenso
- Department of Medical Microbiology, Centre for Vector-Borne Disease Research, University of Ghana Medical School, University of Ghana, Accra, Ghana
| | - Gabriel Akosah-Brempong
- African Regional Postgraduate Program in Insect Science, University of Ghana, Legon, Accra, Ghana
| | - Abdul Rahim Mohammed
- Department of Medical Microbiology, Centre for Vector-Borne Disease Research, University of Ghana Medical School, University of Ghana, Accra, Ghana
| | - Isaac Kwame Sraku
- Department of Medical Microbiology, Centre for Vector-Borne Disease Research, University of Ghana Medical School, University of Ghana, Accra, Ghana
| | - Simon Kwaku Attah
- Department of Medical Microbiology, Centre for Vector-Borne Disease Research, University of Ghana Medical School, University of Ghana, Accra, Ghana
| | - Akua Obeng Forson
- Department of Medical Laboratory Sciences, School of Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
| | - David Weetman
- Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Yaw Asare Afrane
- Department of Medical Microbiology, Centre for Vector-Borne Disease Research, University of Ghana Medical School, University of Ghana, Accra, Ghana
| |
Collapse
|