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Bukhari T, Gichuhi J, Mbare O, Ochwal VA, Fillinger U, Herren JK. Willingness to accept and participate in a Microsporidia MB-based mosquito release strategy: a community-based rapid assessment in western Kenya. Malar J 2024; 23:113. [PMID: 38643165 PMCID: PMC11031974 DOI: 10.1186/s12936-024-04941-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Accepted: 04/10/2024] [Indexed: 04/22/2024] Open
Abstract
BACKGROUND Microsporidia MB, an endosymbiont naturally found in Anopheles mosquitoes inhibits transmission of Plasmodium and is a promising candidate for a transmission-blocking strategy that may involve mosquito release. A rapid assessment was carried out to develop insight into sociodemographic factors, public health concerns, and malaria awareness, management, and prevention practices with the willingness to accept and participate in Microsporidia MB-based transmission-blocking strategy to develop an informed stakeholder engagement process. METHODS The assessment consisted of a survey conducted in two communities in western Kenya that involved administering a questionnaire consisting of structured, semi-structured, and open questions to 8108 household heads. RESULTS There was an overall high level of willingness to accept (81%) and participate in the implementation of the strategy (96%). Although the willingness to accept was similar in both communities, Ombeyi community was more willing to participate (OR 22, 95% CI 13-36). Women were less willing to accept (OR 0.8, 95% CI 0.7-0.9) compared to men due to fear of increased mosquito bites near homes. Household heads with incomplete primary education were more willing to accept (OR 1.6, 95% CI 01.2-2.2) compared to those educated to primary level or higher. Perceiving malaria as a moderate or low public health issue was also associated with a lower willingness to accept and participate. Experience of > 3 malaria cases in the family over the last six months and knowledge that malaria is transmitted by only mosquito bites, increased the willingness to accept but reduced the willingness to participate. Awareness of malaria control methods based on mosquitoes that cannot transmit malaria increases the willingness to participate. CONCLUSION The study showed a high level of willingness to accept and participate in a Microsporidia MB-based strategy in the community, which is influenced by several factors such as community, disease risk perception, gender, education level, knowledge, and experience of malaria. Further research will need to focus on understanding the concerns of women, educated, and employed community members, and factors that contribute to the lower disease risk perception. This improved understanding will lead to the development of an effective communication strategy.
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Affiliation(s)
- Tullu Bukhari
- Human Health, International Centre of Insect Physiology and Ecology (Icipe), Nairobi, Kenya.
| | - Joseph Gichuhi
- Human Health, International Centre of Insect Physiology and Ecology (Icipe), Nairobi, Kenya
| | - Oscar Mbare
- Human Health, International Centre of Insect Physiology and Ecology (Icipe), Nairobi, Kenya
| | - Victoria A Ochwal
- Human Health, International Centre of Insect Physiology and Ecology (Icipe), Nairobi, Kenya
| | - Ulrike Fillinger
- Human Health, International Centre of Insect Physiology and Ecology (Icipe), Nairobi, Kenya
| | - Jeremy K Herren
- Human Health, International Centre of Insect Physiology and Ecology (Icipe), Nairobi, Kenya
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Finda MF, Juma EO, Kahamba NF, Mthawanji RS, Sambo M, Emidi B, Wiener S, O'Brochta D, Santos M, James S, Okumu FO. Perspectives of African stakeholders on gene drives for malaria control and elimination: a multi-country survey. Malar J 2023; 22:384. [PMID: 38129897 PMCID: PMC10740233 DOI: 10.1186/s12936-023-04787-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 11/09/2023] [Indexed: 12/23/2023] Open
Abstract
BACKGROUND Gene drive modified mosquitoes (GDMMs) have the potential to address Africa's persistent malaria problem, but are still in early stages of development and testing. Continuous engagement of African stakeholders is crucial for successful evaluation and implementation of these technologies. The aim of this multi-country study was, therefore, to explore the insights and recommendations of key stakeholders across Africa on the potential of GDMMs for malaria control and elimination in the continent. METHODS A concurrent mixed-methods study design was used, involving a structured survey administered to 180 stakeholders in 25 countries in sub-Saharan Africa, followed by 18 in-depth discussions with selected groups and individuals. Stakeholders were drawn from academia, research and regulatory institutions, government ministries of health and environment, media and advocacy groups. Thematic content analysis was used to identify key topics from the in-depth discussions, and descriptive analysis was done to summarize information from the survey data. RESULTS Despite high levels of awareness of GDMMs among the stakeholders (76.7%), there was a relatively low-level of understanding of their key attributes and potential for malaria control (28.3%). When more information about GDMMs was provided to the stakeholders, they readily discussed their insights and concerns, and offered several recommendations to ensure successful research and implementation of the technology. These included: (i) increasing relevant technical expertise within Africa, (ii) generating local evidence on safety, applicability, and effectiveness of GDMMs, and (iii) developing country-specific regulations for safe and effective governance of GDMMs. A majority of the respondents (92.9%) stated that they would support field trials or implementation of GDMMs in their respective countries. This study also identified significant misconceptions regarding the phase of GDMM testing in Africa, as several participants incorrectly asserted that GDMMs were already present in Africa, either within laboratories or released into the field. CONCLUSION Incorporating views and recommendations of African stakeholders in the ongoing research and development of GDMMs is crucial for instilling stakeholder confidence on their potential application. These findings will enable improved planning for GDMMs in Africa as well as improved target product profiles for the technologies to maximize their potential for solving Africa's enduring malaria challenge.
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Affiliation(s)
- Marceline F Finda
- Environmental Health and Ecological Sciences, Ifakara Health Institute, PO Box 53, Ifakara, Tanzania.
| | - Elijah O Juma
- Pan-African Mosquito Control Association (PAMCA), Off Mbagathi Road, PO Box 44455-00100, Nairobi, Kenya
| | - Najat F Kahamba
- Environmental Health and Ecological Sciences, Ifakara Health Institute, PO Box 53, Ifakara, Tanzania
| | - Rhosheen S Mthawanji
- Malawi Liverpool Wellcome Trust Clinical Research Programme, Blantyre 3, PO Box 30096, Chichiri, Malawi
| | - Maganga Sambo
- Environmental Health and Ecological Sciences, Ifakara Health Institute, PO Box 53, Ifakara, Tanzania
| | - Basiliana Emidi
- National Institute for Medical Research, PO Box 1462, Mwanza, Tanzania
| | - Susan Wiener
- Foundation for the National Institutes of Health, 11400 Rockville Pike, Suite 600, North Bethesda, MD, 20852, USA
| | - David O'Brochta
- Foundation for the National Institutes of Health, 11400 Rockville Pike, Suite 600, North Bethesda, MD, 20852, USA
| | - Michael Santos
- Foundation for the National Institutes of Health, 11400 Rockville Pike, Suite 600, North Bethesda, MD, 20852, USA
| | - Stephanie James
- Foundation for the National Institutes of Health, 11400 Rockville Pike, Suite 600, North Bethesda, MD, 20852, USA
| | - Fredros O Okumu
- Environmental Health and Ecological Sciences, Ifakara Health Institute, PO Box 53, Ifakara, Tanzania
- School of Life Science and Bioengineering, The Nelson Mandela African Institution of Science and Technology, P. O. Box 447, Arusha, Tanzania
- School of Biodiversity, One Health and Veterinary Medicine, University of Glasgow, Glasgow, G128QQ, UK
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, 1 Smuts Avenue, Braamofontein, 2000, South Africa
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Kormos A, Dimopoulos G, Bier E, Lanzaro GC, Marshall JM, James AA. Conceptual risk assessment of mosquito population modification gene-drive systems to control malaria transmission: preliminary hazards list workshops. Front Bioeng Biotechnol 2023; 11:1261123. [PMID: 37965050 PMCID: PMC10641379 DOI: 10.3389/fbioe.2023.1261123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 10/09/2023] [Indexed: 11/16/2023] Open
Abstract
The field-testing and eventual adoption of genetically-engineered mosquitoes (GEMs) to control vector-borne pathogen transmission will require them meeting safety criteria specified by regulatory authorities in regions where the technology is being considered for use and other locales that might be impacted. Preliminary risk considerations by researchers and developers may be useful for planning the baseline data collection and field research used to address the anticipated safety concerns. Part of this process is to identify potential hazards (defined as the inherent ability of an entity to cause harm) and their harms, and then chart the pathways to harm and evaluate their probability as part of a risk assessment. The University of California Malaria Initiative (UCMI) participated in a series of workshops held to identify potential hazards specific to mosquito population modification strains carrying gene-drive systems coupled to anti-parasite effector genes and their use in a hypothetical island field trial. The hazards identified were placed within the broader context of previous efforts discussed in the scientific literature. Five risk areas were considered i) pathogens, infections and diseases, and the impacts of GEMs on human and animal health, ii) invasiveness and persistence of GEMs, and interactions of GEMs with target organisms, iii) interactions of GEMs with non-target organisms including horizontal gene transfer, iv) impacts of techniques used for the management of GEMs and v) evolutionary and stability considerations. A preliminary hazards list (PHL) was developed and is made available here. This PHL is useful for internal project risk evaluation and is available to regulators at prospective field sites. UCMI project scientists affirm that the subsequent processes associated with the comprehensive risk assessment for the application of this technology should be driven by the stakeholders at the proposed field site and areas that could be affected by this intervention strategy.
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Affiliation(s)
- Ana Kormos
- Vector Genetics Laboratory, University of California, Davis, Davis, CA, United States
| | - George Dimopoulos
- W. Harry Feinstone Department of Molecular Microbiology and Immunology, Bloomberg School of Public Health, Malaria Research Institute, Johns Hopkins University, Baltimore, MD, United States
| | - Ethan Bier
- Department of Cell and Developmental Biology, University of California, San Diego, San Diego, CA, United States
| | - Gregory C. Lanzaro
- Vector Genetics Laboratory, University of California, Davis, Davis, CA, United States
| | - John M. Marshall
- Divisions of Epidemiology and Biostatistics, School of Public Health, University of California, Berkeley, Berkeley, CA, United States
| | - Anthony A. James
- Departments of Microbiology and Molecular Genetics and Molecular Biology and Biochemistry, University of California, Irvine, Irvine, CA, United States
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Perveen N, Muhammad K, Muzaffar SB, Zaheer T, Munawar N, Gajic B, Sparagano OA, Kishore U, Willingham AL. Host-pathogen interaction in arthropod vectors: Lessons from viral infections. Front Immunol 2023; 14:1061899. [PMID: 36817439 PMCID: PMC9929866 DOI: 10.3389/fimmu.2023.1061899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 01/17/2023] [Indexed: 02/04/2023] Open
Abstract
Haematophagous arthropods can harbor various pathogens including viruses, bacteria, protozoa, and nematodes. Insects possess an innate immune system comprising of both cellular and humoral components to fight against various infections. Haemocytes, the cellular components of haemolymph, are central to the insect immune system as their primary functions include phagocytosis, encapsulation, coagulation, detoxification, and storage and distribution of nutritive materials. Plasmatocytes and granulocytes are also involved in cellular defense responses. Blood-feeding arthropods, such as mosquitoes and ticks, can harbour a variety of viral pathogens that can cause infectious diseases in both human and animal hosts. Therefore, it is imperative to study the virus-vector-host relationships since arthropod vectors are important constituents of the ecosystem. Regardless of the complex immune response of these arthropod vectors, the viruses usually manage to survive and are transmitted to the eventual host. A multidisciplinary approach utilizing novel and strategic interventions is required to control ectoparasite infestations and block vector-borne transmission of viral pathogens to humans and animals. In this review, we discuss the arthropod immune response to viral infections with a primary focus on the innate immune responses of ticks and mosquitoes. We aim to summarize critically the vector immune system and their infection transmission strategies to mammalian hosts to foster debate that could help in developing new therapeutic strategies to protect human and animal hosts against arthropod-borne viral infections.
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Affiliation(s)
- Nighat Perveen
- Department of Biology, College of Science, United Arab Emirates University, Al-Ain, United Arab Emirates
- Department of Veterinary Medicine, College of Agriculture and Veterinary Medicine, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Khalid Muhammad
- Department of Biology, College of Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Sabir Bin Muzaffar
- Department of Biology, College of Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Tean Zaheer
- Department of Parasitology, University of Agriculture, Faisalabad, Pakistan
| | - Nayla Munawar
- Department of Chemistry, College of Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Bojan Gajic
- Department of Veterinary Medicine, College of Agriculture and Veterinary Medicine, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Olivier Andre Sparagano
- Department of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon, Hong Kong SAR, China
| | - Uday Kishore
- Department of Veterinary Medicine, College of Agriculture and Veterinary Medicine, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Arve Lee Willingham
- Department of Veterinary Medicine, College of Agriculture and Veterinary Medicine, United Arab Emirates University, Al-Ain, United Arab Emirates
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Quemada H. Lessons learned from the introduction of genetically engineered crops: relevance to gene drive deployment in Africa. Transgenic Res 2022; 31:285-311. [PMID: 35545692 PMCID: PMC9135826 DOI: 10.1007/s11248-022-00300-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Accepted: 02/04/2022] [Indexed: 11/10/2022]
Abstract
The application of gene drives to achieve public health goals, such as the suppression of Anopheles gambiae populations, or altering their ability to sustain Plasmodium spp. infections, has received much attention from researchers. If successful, this genetic tool can contribute greatly to the wellbeing of people in regions severely affected by malaria. However, engineered gene drives are a product of genetic engineering, and the experience to date, gained through the deployment of genetically engineered (GE) crops, is that GE technology has had difficulty receiving public acceptance in Africa, a key region for the deployment of gene drives. The history of GE crop deployment in this region provides good lessons for the deployment of gene drives as well. GE crops have been in commercial production for 24 years, since the planting of the first GE soybean crop in 1996. During this time, regulatory approvals and farmer adoption of these crops has grown rapidly in the Americas, and to a lesser extent in Asia. Their safety has been recognized by numerous scientific organizations. Economic and health benefits have been well documented in the countries that have grown them. However, only one transgenic crop event is being grown in Europe, and only in two countries in that region. Europe has been extremely opposed to GE crops, due in large part to the public view of agriculture that opposes "industrial" farming. This attitude is reflected in a highly precautionary regulatory and policy environment, which has highly influenced how African countries have dealt with GE technology and are likely to be applied to future genetic technologies, including gene drives. Furthermore, a mistrust of government regulatory agencies, the publication of scientific reports claiming adverse effects of GE crops, the involvement of corporations as the first GE crop developers, the lack of identifiable consumer benefit, and low public understanding of the technology further contributed to the lack of acceptance. Coupled with more emotionally impactful messaging to the public by opposition groups and the general tendency of negative messages to be more credible than positive ones, GE crops failed to gain a place in European agriculture, thus influencing African acceptance and government policy. From this experience, the following lessons have been learned that would apply to the deployment of gene drives, in Africa:It will be important to establish trust in those who are developing the technology, as well as in those who are making regulatory decisions. Engagement of the community, where those who are involved are able to make genuine contributions to the decision-making process, are necessary to achieve that trust. The use of tools to facilitate participatory modeling could be considered in order to enhance current community engagement efforts.Trusted, accurate information on gene drives should be made available to the general public, journalists, and scientists who are not connected with the field. Those sources of information should also be able to summarize and analyze important scientific results and emerging issues in the field in order to place those developments in the proper context. Engagement should involve more opportunities for participation of stakeholders in conceptualizing, planning, and decision-making.Diversifying the source of funding for gene drive research and development, particularly by participation of countries and regional bodies, would show that country or regional interests are represented.Efforts by developers and neutral groups to provide the public and decisionmakers with a more thorough understanding of the benefits and risks of this technology, especially to local communities, would help them reach more informed decisions.A better understanding of gene drive technology can be fostered by governments, as part of established biosafety policy in several African countries. Developers and neutral groups could also be helpful in increasing public understanding of the technology of genetic engineering, including gene drives.Effective messaging to balance the messaging of groups opposed to gene drives is needed. These messages should be not only factual but also have emotional and intuitive appeal.
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Affiliation(s)
- Hector Quemada
- Department of Biological Sciences, Western Michigan University, Kalamazoo, MI, 49008, USA.
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Goldsmith CL, Kang KE, Heitman E, Adelman ZN, Buchman LW, Kerns D, Liu X, Medina RF, Vedlitz A. Stakeholder Views on Engagement, Trust, Performance, and Risk Considerations About Use of Gene Drive Technology in Agricultural Pest Management. Health Secur 2021; 20:6-15. [PMID: 34981962 DOI: 10.1089/hs.2021.0101] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
Gene drive is an experimental technique that may make it possible to alter the genetic traits of whole populations of a species through the genetic modification of a relatively small number of individuals. This technology is sufficiently new that literature on the understanding and views of stakeholders and the public regarding the use of gene drive organisms in agricultural pest management is just beginning to emerge. Our team conducted a 2-pronged engagement process with Texas gene drive agricultural stakeholders to ascertain their values, beliefs, and preferences about the efficacy, safety, and risk management considerations of gene drive technology as a potential tool for agricultural pest management. We found that a majority of stakeholders support gene drive research and its potential use for managing agricultural pests. Our work with stakeholders confirms both their willingness to be engaged and the importance they place on stakeholder and public engagement regarding these issues, as well as the need to address these issues before use of gene drive as a pest management mechanism will be accepted and trusted.
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Affiliation(s)
- Carol L Goldsmith
- Carol L. Goldsmith, MPA, is Assistant Director and Research Specialist II, Institute for Science, Technology, and Public Policy (ISTPP); Ki Eun Kang, PhD, is a Postdoctoral Research Associate, ISTPP; Zach N. Adelman, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; Leah W. Buchman is a Predoctoral Research Associate, ISTPP, and a Doctoral Candidate, Department of Entomology; David Kerns, PhD, is a Professor, Extension Specialist and Statewide Integrated Pest Management Coordinator, Department of Entomology, Texas A&M AgriLife Research; Xinsheng Liu, PhD, is a Senior Research Scholar and Research Scientist, ISTPP; Raul F. Medina, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; and Arnold Vedlitz, PhD, is Director and Distinguished Research Scholar, ISTPP, and a Professor, Department of Public Service and Administration; all at Texas A&M University, College Station, TX. Elizabeth Heitman, PhD, is a Professor, Program in Ethics in Science and Medicine, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX
| | - Ki Eun Kang
- Carol L. Goldsmith, MPA, is Assistant Director and Research Specialist II, Institute for Science, Technology, and Public Policy (ISTPP); Ki Eun Kang, PhD, is a Postdoctoral Research Associate, ISTPP; Zach N. Adelman, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; Leah W. Buchman is a Predoctoral Research Associate, ISTPP, and a Doctoral Candidate, Department of Entomology; David Kerns, PhD, is a Professor, Extension Specialist and Statewide Integrated Pest Management Coordinator, Department of Entomology, Texas A&M AgriLife Research; Xinsheng Liu, PhD, is a Senior Research Scholar and Research Scientist, ISTPP; Raul F. Medina, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; and Arnold Vedlitz, PhD, is Director and Distinguished Research Scholar, ISTPP, and a Professor, Department of Public Service and Administration; all at Texas A&M University, College Station, TX. Elizabeth Heitman, PhD, is a Professor, Program in Ethics in Science and Medicine, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX
| | - Elizabeth Heitman
- Carol L. Goldsmith, MPA, is Assistant Director and Research Specialist II, Institute for Science, Technology, and Public Policy (ISTPP); Ki Eun Kang, PhD, is a Postdoctoral Research Associate, ISTPP; Zach N. Adelman, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; Leah W. Buchman is a Predoctoral Research Associate, ISTPP, and a Doctoral Candidate, Department of Entomology; David Kerns, PhD, is a Professor, Extension Specialist and Statewide Integrated Pest Management Coordinator, Department of Entomology, Texas A&M AgriLife Research; Xinsheng Liu, PhD, is a Senior Research Scholar and Research Scientist, ISTPP; Raul F. Medina, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; and Arnold Vedlitz, PhD, is Director and Distinguished Research Scholar, ISTPP, and a Professor, Department of Public Service and Administration; all at Texas A&M University, College Station, TX. Elizabeth Heitman, PhD, is a Professor, Program in Ethics in Science and Medicine, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX
| | - Zach N Adelman
- Carol L. Goldsmith, MPA, is Assistant Director and Research Specialist II, Institute for Science, Technology, and Public Policy (ISTPP); Ki Eun Kang, PhD, is a Postdoctoral Research Associate, ISTPP; Zach N. Adelman, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; Leah W. Buchman is a Predoctoral Research Associate, ISTPP, and a Doctoral Candidate, Department of Entomology; David Kerns, PhD, is a Professor, Extension Specialist and Statewide Integrated Pest Management Coordinator, Department of Entomology, Texas A&M AgriLife Research; Xinsheng Liu, PhD, is a Senior Research Scholar and Research Scientist, ISTPP; Raul F. Medina, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; and Arnold Vedlitz, PhD, is Director and Distinguished Research Scholar, ISTPP, and a Professor, Department of Public Service and Administration; all at Texas A&M University, College Station, TX. Elizabeth Heitman, PhD, is a Professor, Program in Ethics in Science and Medicine, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX
| | - Leah W Buchman
- Carol L. Goldsmith, MPA, is Assistant Director and Research Specialist II, Institute for Science, Technology, and Public Policy (ISTPP); Ki Eun Kang, PhD, is a Postdoctoral Research Associate, ISTPP; Zach N. Adelman, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; Leah W. Buchman is a Predoctoral Research Associate, ISTPP, and a Doctoral Candidate, Department of Entomology; David Kerns, PhD, is a Professor, Extension Specialist and Statewide Integrated Pest Management Coordinator, Department of Entomology, Texas A&M AgriLife Research; Xinsheng Liu, PhD, is a Senior Research Scholar and Research Scientist, ISTPP; Raul F. Medina, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; and Arnold Vedlitz, PhD, is Director and Distinguished Research Scholar, ISTPP, and a Professor, Department of Public Service and Administration; all at Texas A&M University, College Station, TX. Elizabeth Heitman, PhD, is a Professor, Program in Ethics in Science and Medicine, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX
| | - David Kerns
- Carol L. Goldsmith, MPA, is Assistant Director and Research Specialist II, Institute for Science, Technology, and Public Policy (ISTPP); Ki Eun Kang, PhD, is a Postdoctoral Research Associate, ISTPP; Zach N. Adelman, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; Leah W. Buchman is a Predoctoral Research Associate, ISTPP, and a Doctoral Candidate, Department of Entomology; David Kerns, PhD, is a Professor, Extension Specialist and Statewide Integrated Pest Management Coordinator, Department of Entomology, Texas A&M AgriLife Research; Xinsheng Liu, PhD, is a Senior Research Scholar and Research Scientist, ISTPP; Raul F. Medina, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; and Arnold Vedlitz, PhD, is Director and Distinguished Research Scholar, ISTPP, and a Professor, Department of Public Service and Administration; all at Texas A&M University, College Station, TX. Elizabeth Heitman, PhD, is a Professor, Program in Ethics in Science and Medicine, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX
| | - Xinsheng Liu
- Carol L. Goldsmith, MPA, is Assistant Director and Research Specialist II, Institute for Science, Technology, and Public Policy (ISTPP); Ki Eun Kang, PhD, is a Postdoctoral Research Associate, ISTPP; Zach N. Adelman, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; Leah W. Buchman is a Predoctoral Research Associate, ISTPP, and a Doctoral Candidate, Department of Entomology; David Kerns, PhD, is a Professor, Extension Specialist and Statewide Integrated Pest Management Coordinator, Department of Entomology, Texas A&M AgriLife Research; Xinsheng Liu, PhD, is a Senior Research Scholar and Research Scientist, ISTPP; Raul F. Medina, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; and Arnold Vedlitz, PhD, is Director and Distinguished Research Scholar, ISTPP, and a Professor, Department of Public Service and Administration; all at Texas A&M University, College Station, TX. Elizabeth Heitman, PhD, is a Professor, Program in Ethics in Science and Medicine, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX
| | - Raul F Medina
- Carol L. Goldsmith, MPA, is Assistant Director and Research Specialist II, Institute for Science, Technology, and Public Policy (ISTPP); Ki Eun Kang, PhD, is a Postdoctoral Research Associate, ISTPP; Zach N. Adelman, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; Leah W. Buchman is a Predoctoral Research Associate, ISTPP, and a Doctoral Candidate, Department of Entomology; David Kerns, PhD, is a Professor, Extension Specialist and Statewide Integrated Pest Management Coordinator, Department of Entomology, Texas A&M AgriLife Research; Xinsheng Liu, PhD, is a Senior Research Scholar and Research Scientist, ISTPP; Raul F. Medina, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; and Arnold Vedlitz, PhD, is Director and Distinguished Research Scholar, ISTPP, and a Professor, Department of Public Service and Administration; all at Texas A&M University, College Station, TX. Elizabeth Heitman, PhD, is a Professor, Program in Ethics in Science and Medicine, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX
| | - Arnold Vedlitz
- Carol L. Goldsmith, MPA, is Assistant Director and Research Specialist II, Institute for Science, Technology, and Public Policy (ISTPP); Ki Eun Kang, PhD, is a Postdoctoral Research Associate, ISTPP; Zach N. Adelman, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; Leah W. Buchman is a Predoctoral Research Associate, ISTPP, and a Doctoral Candidate, Department of Entomology; David Kerns, PhD, is a Professor, Extension Specialist and Statewide Integrated Pest Management Coordinator, Department of Entomology, Texas A&M AgriLife Research; Xinsheng Liu, PhD, is a Senior Research Scholar and Research Scientist, ISTPP; Raul F. Medina, PhD, is a Professor, Department of Entomology, Texas A&M AgriLife Research; and Arnold Vedlitz, PhD, is Director and Distinguished Research Scholar, ISTPP, and a Professor, Department of Public Service and Administration; all at Texas A&M University, College Station, TX. Elizabeth Heitman, PhD, is a Professor, Program in Ethics in Science and Medicine, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX
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Lacy K, Schaefer KA, Scheitrum DP, Klein EY. The economic value of genetically engineered mosquitoes as a Malaria control strategy depends on local transmission rates. Biotechnol J 2021; 17:e2100373. [PMID: 34873849 DOI: 10.1002/biot.202100373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Revised: 12/02/2021] [Accepted: 12/03/2021] [Indexed: 11/05/2022]
Abstract
This paper assesses the economic value of genetically engineered (GE) Anopheles gambiae mosquitoes as a malaria control strategy. We use an epidemiological-economic model of malaria transmission to evaluate this technology for a range of village-level transmission settings. In each setting, we evaluate public health outcomes following introduction of GE mosquitoes relative to a "status quo" baseline scenario. We also assess results both in contrast to-and in combination with-a Mass Drug Administration (MDA) strategy. We find that-in low transmission settings-the present value (PV) public health benefits of GE mosquito release are substantial, both relative to status quo dynamics and MDA. In contrast, in high transmission settings, the release of GE mosquitoes may increase steady-state infection rates. Our results indicate that there are substantial policy complementarities when GE mosquito release is combined with local MDA-the combined control strategy can lead to local eradication.
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Affiliation(s)
- Katherine Lacy
- Department of Economics, University of Nevada, Reno, USA
| | - K Aleks Schaefer
- Department of Agricultural Economics, Oklahoma State University, Stillwater, Oklahoma, USA
| | - Daniel P Scheitrum
- Department of Agricultural and Resource Economics, University of Arizona, Tucson, USA
| | - Eili Y Klein
- Department of Emergency Medicine, Johns Hopkins University, Baltimore, USA.,Center for Disease Dynamics, Economics and Policy, Washington, DC, USA
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Hybrid mosquitoes? Evidence from rural Tanzania on how local communities conceptualize and respond to modified mosquitoes as a tool for malaria control. Malar J 2021; 20:134. [PMID: 33676493 PMCID: PMC7937266 DOI: 10.1186/s12936-021-03663-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Accepted: 02/23/2021] [Indexed: 01/03/2023] Open
Abstract
Background Different forms of mosquito modifications are being considered as potential high-impact and low-cost tools for future malaria control in Africa. Although still under evaluation, the eventual success of these technologies will require high-level public acceptance. Understanding prevailing community perceptions of mosquito modification is, therefore, crucial for effective design and implementation of these interventions. This study investigated community perceptions regarding genetically-modified mosquitoes (GMMs) and their potential for malaria control in Tanzanian villages where no research or campaign for such technologies has yet been undertaken. Methods A mixed-methods design was used, involving: (i) focus group discussions (FGD) with community leaders to get insights on how they frame and would respond to GMMs, and (ii) structured questionnaires administered to 490 community members to assess awareness, perceptions and support for GMMs for malaria control. Descriptive statistics were used to summarize the findings and thematic content analysis was used to identify key concepts and interpret the findings. Results Nearly all survey respondents were unaware of mosquito modification technologies for malaria control (94.3%), and reported no knowledge of their specific characteristics (97.3%). However, community leaders participating in FGDs offered a set of distinctive interpretive frames to conceptualize interventions relying on GMMs for malaria control. The participants commonly referenced their experiences of cross-breeding for selecting preferred traits in domestic plants and animals. Preferred GMMs attributes included the expected reductions in insecticide use and human labour. Population suppression approaches, requiring as few releases as possible, were favoured. Common concerns included whether the GMMs would look or behave differently than wild mosquitoes, and how the technology would be integrated into current malaria control policies. The participants emphasised the importance and the challenge of educating and engaging communities during the technology development. Conclusions Understanding how communities perceive and interpret novel technologies is crucial to the design and effective implementation of new vector control programmes. This study offers vital clues on how communities with no prior experience of modified mosquitoes might conceptualize or respond to such technologies when deployed in the context of malaria control programmes. Drawing upon existing interpretive frames and locally-resonant analogies when deploying such technologies may provide a basis for more durable public support in the future.
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Yen PS, Failloux AB. A Review: Wolbachia-Based Population Replacement for Mosquito Control Shares Common Points with Genetically Modified Control Approaches. Pathogens 2020; 9:E404. [PMID: 32456036 PMCID: PMC7281599 DOI: 10.3390/pathogens9050404] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 05/15/2020] [Accepted: 05/20/2020] [Indexed: 12/13/2022] Open
Abstract
The growing expansion of mosquito vectors has made mosquito-borne arboviral diseases a global threat to public health, and the lack of licensed vaccines and treatments highlight the urgent need for efficient mosquito vector control. Compared to genetically modified control strategies, the intracellular bacterium Wolbachia, endowing a pathogen-blocking phenotype, is considered an environmentally friendly strategy to replace the target population for controlling arboviral diseases. However, the incomplete knowledge regarding the pathogen-blocking mechanism weakens the reliability of a Wolbachia-based population replacement strategy. Wolbachia infections are also vulnerable to environmental factors, temperature, and host diet, affecting their densities in mosquitoes and thus the virus-blocking phenotype. Here, we review the properties of the Wolbachia strategy as an approach to control mosquito populations in comparison with genetically modified control methods. Both strategies tend to limit arbovirus infections but increase the risk of selecting arbovirus escape mutants, rendering these strategies less reliable.
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Affiliation(s)
- Pei-Shi Yen
- Unit Arboviruses and Insect Vectors, Department of Virology, Institut Pasteur, F-75724 Paris, France
| | - Anna-Bella Failloux
- Unit Arboviruses and Insect Vectors, Department of Virology, Institut Pasteur, F-75724 Paris, France
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Finda MF, Christofides N, Lezaun J, Tarimo B, Chaki P, Kelly AH, Kapologwe N, Kazyoba P, Emidi B, Okumu FO. Opinions of key stakeholders on alternative interventions for malaria control and elimination in Tanzania. Malar J 2020; 19:164. [PMID: 32321534 PMCID: PMC7178586 DOI: 10.1186/s12936-020-03239-z] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Accepted: 04/16/2020] [Indexed: 03/03/2023] Open
Abstract
Background Malaria control in Tanzania currently relies primarily on long-lasting insecticidal nets and indoor residual spraying, alongside effective case management and behaviour change communication. This study explored opinions of key stakeholders on the national progress towards malaria elimination, the potential of currently available vector control interventions in helping achieve elimination by 2030, and the need for alternative interventions that could be used to supplement malaria elimination efforts in Tanzania. Methods In this exploratory qualitative study, Focus group discussions were held with policy-makers, regulators, research scientists and community members. Malaria control interventions discussed were: (a) improved housing, (b) larval source management, (c) mass drug administration (MDA) with ivermectin to reduce vector densities, (d) release of modified mosquitoes, including genetically modified or irradiated mosquitoes, (e) targeted spraying of mosquito swarms, and (f) spatial repellents. Results Larval source management and spatial repellents were widely supported across all stakeholder groups, while insecticide-spraying of mosquito swarms was the least preferred. Support for MDA with ivermectin was high among policy makers, regulators and research scientists, but encountered opposition among community members, who instead expressed strong support for programmes to improve housing for poor people in high transmission areas. Policy makers, however, challenged the idea of government-supported housing improvement due to its perceived high costs. Techniques of mosquito modification, specifically those involving gene drives, were viewed positively by community members, policy makers and regulators, but encountered a high degree of scepticism among scientists. Overall, policy-makers, regulators and community members trusted scientists to provide appropriate advice for decision-making. Conclusion Stakeholder opinions regarding alternative malaria interventions were divergent except for larval source management and spatial repellents, for which there was universal support. MDA with ivermectin, housing improvement and modified mosquitoes were also widely supported, though each faced concerns from at least one stakeholder group. While policy-makers, regulators and community members all noted their reliance on scientists to make informed decisions, their reasoning on the benefits and disadvantages of specific interventions included factors beyond technical efficiency. This study suggests the need to encourage and strengthen dialogue between research scientists, policy makers, regulators and communities regarding new interventions.
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Affiliation(s)
- Marceline F Finda
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania. .,School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, 1 Smuts Avenue, Braamfontein, 2000, South Africa.
| | - Nicola Christofides
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, 1 Smuts Avenue, Braamfontein, 2000, South Africa
| | - Javier Lezaun
- Institute for Science, Innovation and Society, School of Anthropology and Museum Ethnography, University of Oxford, Oxford, UK
| | - Brian Tarimo
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania
| | - Prosper Chaki
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania
| | - Ann H Kelly
- Department of Global Health and Social Medicine, King's College, London, UK
| | - Ntuli Kapologwe
- President's Office, Regional Administration and Local Government, P. O Box 1923, Dodoma, Tanzania
| | - Paul Kazyoba
- National Institute for Medical Research, 3 Barack Obama Drive, Dar es Salaam, Tanzania
| | - Basiliana Emidi
- National Institute for Medical Research, 3 Barack Obama Drive, Dar es Salaam, Tanzania.,National Malaria Control Programme, P. O. Box 743, Dodoma, Tanzania
| | - Fredros O Okumu
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania.,School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, 1 Smuts Avenue, Braamfontein, 2000, South Africa.,Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G12 8QQ, UK.,School of Life Science and Bioengineering, The Nelson Mandela African Institution of Science and Technology, P. O. Box 447, Arusha, Tanzania
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Famakinde DO. Public health concerns over gene-drive mosquitoes: will future use of gene-drive snails for schistosomiasis control gain increased level of community acceptance? Pathog Glob Health 2020; 114:55-63. [PMID: 32100643 DOI: 10.1080/20477724.2020.1731667] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
With the advent of CRISPR (clustered regularly interspaced short palindromic repeat)-based gene drive, present genetic research in schistosomiasis vector control envisages the breeding and release of transgenic schistosome-resistant (TSR) snail vectors to curb the spread of the disease. Although this approach is still in its infancy, studies focussing on production of genetically modified (GM) mosquitoes (including gene-drive mosquitoes) are well advanced and set the pace for other transgenic vector research. Unfortunately, as with other GM mosquitoes, open field release of gene-drive mosquitoes is currently challenged in part by some concerns such as gene drive failure and increased transmission potential for other mosquito-borne diseases among others, which might have adverse effects on human well-being. Therefore, not only should we learn from the GM mosquito protocols, frameworks and guidelines but also appraise the applicability of its current hurdles to other transgenic vector systems, such as the TSR snail approach. Placing these issues in a coherent comparative perspective, I argue that although the use of TSR snails may face similar technical, democratic and diplomatic challenges, some of the concerns over gene-drive mosquitoes may not apply to gene-drive snails, proposing a theory that community consent will be no harder and possibly easier to obtain for TSR snails than the experience with GM mosquitoes. In the future, these observations may help public health practitioners and policy makers in effective communication with communities on issues regarding the use of TSR snails to interrupt schistosomiasis transmission, especially in sub-Saharan Africa.
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Affiliation(s)
- Damilare O Famakinde
- Department of Medical Microbiology and Parasitology, University of Lagos, Lagos, Nigeria
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Schairer CE, Taitingfong R, Akbari OS, Bloss CS. A typology of community and stakeholder engagement based on documented examples in the field of novel vector control. PLoS Negl Trop Dis 2019; 13:e0007863. [PMID: 31765377 PMCID: PMC6901234 DOI: 10.1371/journal.pntd.0007863] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Revised: 12/09/2019] [Accepted: 10/21/2019] [Indexed: 01/17/2023] Open
Abstract
Background Despite broad consensus on the importance of community and stakeholder engagement (CSE) for guiding the development, regulation, field testing, and deployment of emerging vector control technologies (such as genetically engineered insects), the types of activities pursued have varied widely, as have the outcomes. We looked to previous CSE efforts for clarity about appropriate methods and goals. Our analysis yielded a typology of CSE, and related vocabulary, that describes distinctions that funders, organizers, and scholars should make when proposing or evaluating CSE. Methods We compiled available formal documentation of CSE projects, starting with projects mentioned in interviews with 17 key informants. Major features of these examples, including the initiators, target groups, timing, goals, and methods were identified using qualitative coding. Based on these examples, subcategories were developed for a subset of features and applied to the identified cases of CSE in the documents. Co-occurrence of subcategorized features was examined for patterns. Results We identified 14 documented examples CSE projects, which were comprised of 28 distinct CSE activities. We found no clear patterns with respect to timing. However, we found that grouping examples according to whether initiators or targets could enact the immediate desired outcome could help to clarify relationships between goals, methods, and targets. Conclusion Based on this analysis, we propose a typology that distinguishes three categories of CSE: engagement to inquire –where initiators are empowered to act on information collected through engagement with target groups; engagement to influence –where initiators engage to affect the actions of already-empowered target groups; and engagement to involve –where initiators engage to delegate authority to target groups. The proposed typology can serve as a guide for establishing the goals, identifying appropriate methods, and evaluating and reporting CSE projects by directing attention to important questions to be asked well before determining who to engage and how. Mosquito borne diseases, such as malaria and dengue, are major causes of illness and death worldwide. Furthermore, it is getting harder to control mosquitoes and other disease-carrying pests because global climate change is facilitating their spread to new areas, and over time, mosquitoes develop resistance to pesticides. Scientists are therefore developing new methods for controlling mosquito vectors using new gene editing tools. However, releasing genetically engineered insects into the environment is controversial. Many experts recommend that communities and stakeholders be consulted about if or how to use these new methods, but there are few guidelines for the best way to do this. We examined published accounts of community and stakeholder engagement pertaining to novel vector control and looked for patterns across these cases. We found that many efforts were not described in published sources, but those that were could be grouped into three categories: engagement to inquire, engagement to influence, and engagement to involve.
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Affiliation(s)
- Cynthia E. Schairer
- Department of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, CA, United States of America
- Department of Family Medicine and Public Health, School of Medicine, University of California, San Diego, La Jolla, CA, United States of America
| | - Riley Taitingfong
- Department of Communication, University of California, San Diego, La Jolla, CA, United States of America
| | - Omar S. Akbari
- Division of Biological Sciences, University of California, San Diego, La Jolla, CA, United States of America
- Tata Institute for Genetics and Society, University of California, San Diego, La Jolla, CA, United States of America
| | - Cinnamon S. Bloss
- Department of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, CA, United States of America
- Department of Family Medicine and Public Health, School of Medicine, University of California, San Diego, La Jolla, CA, United States of America
- Center for Wireless and Population Health Systems, Calit2, University of California, San Diego La Jolla, CA, United States of America
- * E-mail:
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Finda MF, Kaindoa EW, Nyoni AP, Okumu FO. 'The mosquitoes are preparing to attack us': knowledge and perceptions of communities in south-eastern Tanzania regarding mosquito swarms. Malar J 2019; 18:56. [PMID: 30808344 PMCID: PMC6390612 DOI: 10.1186/s12936-019-2686-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Accepted: 02/21/2019] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Targeting swarms of male Anopheles mosquitoes with techniques such as aerosol spraying could potentially suppress malaria vector populations and parasite transmission. Unfortunately, research on Anopheles swarming behaviours is limited, particularly in East Africa where only a handful of studies have been done. New evidence has recently emerged that such swarms are common even in Tanzania, where they could be readily identified and characterized by community-based volunteers, and potentially targeted for control. However, improved understanding of public knowledge and perceptions will be crucial for successful uptake of any interventions targeting swarms. METHODS Explanatory sequential mixed methods approach was used to assess knowledge and perceptions regarding mosquito swarms among community members in Ulanga and Kilombero districts, south-eastern Tanzania. A survey questionnaire was administered to 307 respondents, after which focus group discussions were conducted to clarify responses regarding mosquito swarms and malaria transmission. Findings from both study components were used to draw qualitative inferences. RESULTS Most community members (83%) had previously seen mosquito swarms, predominantly in farms, over long grasses or bushes, above ponds and over roofs of houses and pit-latrines. However, there was little evidence that community members could distinguish between mosquito swarms and those of other insects. Neither were they aware that swarms consisted mostly of male mosquitoes. Swarming was associated with mosquitoes preparing to attack people, foraging for food, playing or resting. Very few respondents associated swarming with mosquito mating. Nearly all community members were willing to accept interventions targeting mosquito swarms; and approximately three quarters would pay for such interventions, between 0.9 and 2.3 USD/year. CONCLUSION Majority of the community members recognized presence of mosquito swarms in their communities but did not associate these swarms with mosquito mating. Instead, swarming was associated with mosquitoes seeking food or planning to attack people, and thus were generally considered dangerous. This understanding created the basis for wide-acceptance of interventions targeting swarming mosquitoes. Although the likelihood of actual interventions targeting swarms is still low, such community knowledge will be crucial in future field studies of mosquito swarms and possible inclusion of community members in mosquito control efforts.
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Affiliation(s)
- Marceline F Finda
- Environmental Health and Ecological Science Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania.
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
| | - Emmanuel W Kaindoa
- Environmental Health and Ecological Science Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Anna P Nyoni
- Environmental Health and Ecological Science Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania
| | - Fredros O Okumu
- Environmental Health and Ecological Science Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
- Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G12 8QQ, UK
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Heydari N, Larsen DA, Neira M, Beltrán Ayala E, Fernandez P, Adrian J, Rochford R, Stewart-Ibarra AM. Household Dengue Prevention Interventions, Expenditures, and Barriers to Aedes aegypti Control in Machala, Ecuador. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:E196. [PMID: 28212349 PMCID: PMC5334750 DOI: 10.3390/ijerph14020196] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2016] [Revised: 01/24/2017] [Accepted: 02/14/2017] [Indexed: 01/25/2023]
Abstract
The Aedes aegypti mosquito is an efficient vector for the transmission of Zika, chikungunya, and dengue viruses, causing major epidemics and a significant social and economic burden throughout the tropics and subtropics. The primary means of preventing these diseases is household-level mosquito control. However, relatively little is known about the economic burden of Ae. aegypti control in resource-limited communities. We surveyed residents from 40 households in a high-risk community at the urban periphery in the city of Machala, Ecuador, on dengue perceptions, vector control interventions, household expenditures, and factors influencing purchasing decisions. The results of this study show that households spend a monthly median of US$2.00, or 1.90% (range: 0.00%, 9.21%) of their family income on Ae. aegypti control interventions. Households reported employing, on average, five different mosquito control and dengue prevention interventions, including aerosols, liquid sprays, repellents, mosquito coils, and unimpregnated bed nets. We found that effectiveness and cost were the most important factors that influence people's decisions to purchase a mosquito control product. Our findings will inform the development and deployment of new Ae. aegypti control interventions by the public health and private sectors, and add to prior studies that have focused on the economic burden of dengue-like illness.
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Affiliation(s)
- Naveed Heydari
- Colorado School of Public Health, University of Colorado Denver, Aurora, CO 80045, USA.
- Center for Global Health and Translational Science, State University of New York Upstate Medical University, Syracuse, NY 13210, USA.
| | - David A Larsen
- Department of Public Health, Food Studies and Nutrition, Syracuse University, Syracuse, NY 13244, USA.
| | - Marco Neira
- Center for Research on Health in Latin America (CISeAL), Pontificia Universidad Catolica del Ecuador, Quito 170170, Ecuador.
| | | | - Prissila Fernandez
- Center for Global Health and Translational Science, State University of New York Upstate Medical University, Syracuse, NY 13210, USA.
| | - Jefferson Adrian
- Center for Global Health and Translational Science, State University of New York Upstate Medical University, Syracuse, NY 13210, USA.
| | - Rosemary Rochford
- Colorado School of Public Health, University of Colorado Denver, Aurora, CO 80045, USA.
| | - Anna M Stewart-Ibarra
- Center for Global Health and Translational Science, State University of New York Upstate Medical University, Syracuse, NY 13210, USA.
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15
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Boëte C, Beisel U, Reis Castro L, Césard N, Reeves RG. Engaging scientists: An online survey exploring the experience of innovative biotechnological approaches to controlling vector-borne diseases. Parasit Vectors 2015; 8:414. [PMID: 26259589 PMCID: PMC4530488 DOI: 10.1186/s13071-015-0996-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2015] [Accepted: 07/09/2015] [Indexed: 11/27/2022] Open
Abstract
Background Pioneering technologies (e.g., nanotechnology, synthetic biology or climate engineering) are often associated with potential new risks and uncertainties that can become sources of controversy. The communication of information during their development and open exchanges between stakeholders is generally considered a key issue in their acceptance. While the attitudes of the public to novel technologies have been widely considered there has been relatively little investigation of the perceptions and awareness of scientists working on human or animal diseases transmitted by arthropods. Methods Consequently, we conducted a global survey on 1889 scientists working on aspects of vector-borne diseases, exploring, under the light of a variety of demographic and professional factors, their knowledge and awareness of an emerging biotechnology that has the potential to revolutionize the control of pest insect populations. Results Despite extensive media coverage of key developments (including releases of manipulated mosquitoes into human communities) this has in only one instance resulted in scientist awareness exceeding 50 % on a national or regional scale. We document that awareness of pioneering releases significantly relied on private communication sources that were not equally accessible to scientists from countries with endemic vector-borne diseases (dengue and malaria). In addition, we provide quantitative analysis of the perceptions and knowledge of specific biotechnological approaches to controlling vector-borne disease, which are likely to impact the way in which scientists around the world engage in the debate about their value. Conclusions Our results indicate that there is scope to strengthen already effective methods of communication, in addition to a strong demand by scientists (expressed by 79.9 % of respondents) to develop new, creative modes of public engagement. Electronic supplementary material The online version of this article (doi:10.1186/s13071-015-0996-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Christophe Boëte
- UMR_D 190 Emergence des Pathologies Virales, Aix Marseille Université, IRD (Institut de Recherche pour le Développement), EHESP (Ecole des Hautes Etudes en Santé Publique), 27 Bd Jean Moulin, 13385, Marseille, Cedex 5, France.
| | - Uli Beisel
- Culture and Technology in Africa, Faculty V: Cultural Studies, Universität Bayreuth, Bayreuth, Germany.
| | - Luísa Reis Castro
- History, Anthropology, and Science, Technology, and Society (HASTS) MIT, 77 Massachusetts Avenue, Cambridge, MA, 02139, USA.
| | - Nicolas Césard
- CNRS-MNHN, UMR 7206 Eco-Anthropologie et Ethnobiologie, Dept Hommes, natures et sociétés, Musée de l'Homme 17 place Trocadéro 75016, Paris, France. .,Graduate School of Asian and African Area Studies, Kyoto University, Research Bldg. No. 2, Yoshida-Honmachi, Sakyo-ku, 606-8501, Kyoto, Japan.
| | - R Guy Reeves
- Department of Evolutionary Genetics, Max Planck Institute for Evolutionary Biology August-Thienemannstrasse 2, 24306, Plön, Germany.
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16
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Okekunle AP, Akpa OM, Akinyele IO. Sociodemographic Factors Related to Quality of Life Among Premenopausal Women in Ibadan, Nigeria. Women Health 2015; 55:646-62. [DOI: 10.1080/03630242.2015.1039179] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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17
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Ng'habi KR, Lee Y, Knols BGJ, Mwasheshi D, Lanzaro GC, Ferguson HM. Colonization of malaria vectors under semi-field conditions as a strategy for maintaining genetic and phenotypic similarity with wild populations. Malar J 2015; 14:10. [PMID: 25604997 PMCID: PMC4340333 DOI: 10.1186/s12936-014-0523-0] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2014] [Accepted: 12/20/2014] [Indexed: 11/12/2022] Open
Abstract
Background Malaria still accounts for an estimated 207 million cases and 627,000 deaths worldwide each year. One proposed approach to complement existing malaria control methods is the release of genetically-modified (GM) and/or sterile male mosquitoes. As opposed to laboratory colonization, this requires realistic semi field systems to produce males that can compete for females in nature. This study investigated whether the establishment of a colony of the vector Anopheles arabiensis under more natural semi-field conditions can maintain higher levels of genetic diversity than achieved by laboratory colonization using traditional methods. Methods Wild females of the African malaria vector An. arabiensis were collected from a village in southern Tanzania and used to establish new colonies under different conditions at the Ifakara Health Institute. Levels of genetic diversity and inbreeding were monitored in colonies of An. arabiensis that were simultaneously established in small cage colonies in the SFS and in a large semi-field (SFS) cage and compared with that observed in the original founder population. Phenotypic traits that determine their fitness (body size and energetic reserves) were measured at 10th generation and compared to founder wild population. Results In contrast to small cage colonies, the SFS population of An. arabiensis exhibited a higher degree of similarity to the founding field population through time in several ways: (i) the SFS colony maintained a significantly higher level of genetic variation than small cage colonies, (ii) the SFS colony had a lower degree of inbreeding than small cage colonies, and (iii) the mean and range of mosquito body size in the SFS colony was closer to that of the founding wild population than that of small cage colonies. Small cage colonies had significantly lower lipids and higher glycogen abundances than SFS and wild population. Conclusions Colonization of An. arabiensis under semi-field conditions was associated with the retention of a higher degree of genetic diversity, reduced inbreeding and greater phenotypic similarity to the founding wild population than observed in small cage colonies. Thus, mosquitoes from such semi-field populations are expected to provide more realistic representation of mosquito ecology and physiology than those from small cage colonies.
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Affiliation(s)
- Kija R Ng'habi
- Ifakara Health Institute, Environmental Health and Ecological Sciences Thematic Group, Ifakara, Kilombero, Morogoro, United Republic of Tanzania.
| | - Yoosook Lee
- Vector Genetics Laboratory, Department of Pathology, Microbiology and Immunology, School of Veterinary Medicine, University of Calfornia, Davis, USA.
| | - Bart G J Knols
- In2Care BV, Costerweg 5, 6702 AA, Wageningen, The Netherlands.
| | - Dickson Mwasheshi
- Ifakara Health Institute, Environmental Health and Ecological Sciences Thematic Group, Ifakara, Kilombero, Morogoro, United Republic of Tanzania.
| | - Gregory C Lanzaro
- Vector Genetics Laboratory, Department of Pathology, Microbiology and Immunology, School of Veterinary Medicine, University of Calfornia, Davis, USA.
| | - Heather M Ferguson
- Institute of Biodiversity, Animal Health & Comparative Medicine, College of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, G12 8QQ, UK.
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