Assessment of risk of dengue and yellow fever virus transmission in three major Kenyan cities based on Stegomyia indices.

Dengue (DEN) and yellow fever (YF) are re-emerging in East Africa, with contributing drivers to this trend being unplanned urbanization and increasingly adaptable anthropophilic Aedes (Stegomyia) vectors. Entomological risk assessment of these diseases remains scarce for much of East Africa and Keny...

Full description

Bibliographic Details
Main Authors: Sheila B Agha, David P Tchouassi, Armanda D S Bastos, Rosemary Sang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-08-01
Series:PLoS Neglected Tropical Diseases
Online Access:http://europepmc.org/articles/PMC5574621?pdf=render
_version_ 1818008631807836160
author Sheila B Agha
David P Tchouassi
Armanda D S Bastos
Rosemary Sang
author_facet Sheila B Agha
David P Tchouassi
Armanda D S Bastos
Rosemary Sang
author_sort Sheila B Agha
collection DOAJ
description Dengue (DEN) and yellow fever (YF) are re-emerging in East Africa, with contributing drivers to this trend being unplanned urbanization and increasingly adaptable anthropophilic Aedes (Stegomyia) vectors. Entomological risk assessment of these diseases remains scarce for much of East Africa and Kenya even in the dengue fever-prone urban coastal areas. Focusing on major cities of Kenya, we compared DEN and YF risk in Kilifi County (DEN-outbreak-prone), and Kisumu and Nairobi Counties (no documented DEN outbreaks). We surveyed water-holding containers for mosquito immature (larvae/pupae) indoors and outdoors from selected houses during the long rains, short rains and dry seasons (100 houses/season) in each County from October 2014-June 2016. House index (HI), Breteau index (BI) and Container index (CI) estimates based on Aedes (Stegomyia) immature infestations were compared by city and season. Aedes aegypti and Aedes bromeliae were the main Stegomyia species with significantly more positive houses outdoors (212) than indoors (88) (n = 900) (χ2 = 60.52, P < 0.0001). Overall, Ae. aegypti estimates of HI (17.3 vs 11.3) and BI (81.6 vs 87.7) were higher in Kilifi and Kisumu, respectively, than in Nairobi (HI, 0.3; BI,13). However, CI was highest in Kisumu (33.1), followed by Kilifi (15.1) then Nairobi (5.1). Aedes bromeliae indices were highest in Kilifi, followed by Kisumu, then Nairobi with HI (4.3, 0.3, 0); BI (21.3, 7, 0.7) and CI (3.3, 3.3, 0.3), at the respective sites. HI and BI for both species were highest in the long rains, compared to the short rains and dry seasons. We found strong positive correlations between the BI and CI, and BI and HI for Ae. aegypti, with the most productive container types being jerricans, drums, used/discarded containers and tyres. On the basis of established vector index thresholds, our findings suggest low-to-medium risk levels for urban YF and high DEN risk for Kilifi and Kisumu, whereas for Nairobi YF risk was low while DEN risk levels were low-to-medium. The study provides a baseline for future vector studies needed to further characterise the observed differential risk patterns by vector potential evaluation. Identified productive containers should be made the focus of community-based targeted vector control programs.
first_indexed 2024-04-14T05:31:46Z
format Article
id doaj.art-40fd11f331524d8486fb9a53cfa10fbd
institution Directory Open Access Journal
issn 1935-2727
1935-2735
language English
last_indexed 2024-04-14T05:31:46Z
publishDate 2017-08-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS Neglected Tropical Diseases
spelling doaj.art-40fd11f331524d8486fb9a53cfa10fbd2022-12-22T02:09:46ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352017-08-01118e000585810.1371/journal.pntd.0005858Assessment of risk of dengue and yellow fever virus transmission in three major Kenyan cities based on Stegomyia indices.Sheila B AghaDavid P TchouassiArmanda D S BastosRosemary SangDengue (DEN) and yellow fever (YF) are re-emerging in East Africa, with contributing drivers to this trend being unplanned urbanization and increasingly adaptable anthropophilic Aedes (Stegomyia) vectors. Entomological risk assessment of these diseases remains scarce for much of East Africa and Kenya even in the dengue fever-prone urban coastal areas. Focusing on major cities of Kenya, we compared DEN and YF risk in Kilifi County (DEN-outbreak-prone), and Kisumu and Nairobi Counties (no documented DEN outbreaks). We surveyed water-holding containers for mosquito immature (larvae/pupae) indoors and outdoors from selected houses during the long rains, short rains and dry seasons (100 houses/season) in each County from October 2014-June 2016. House index (HI), Breteau index (BI) and Container index (CI) estimates based on Aedes (Stegomyia) immature infestations were compared by city and season. Aedes aegypti and Aedes bromeliae were the main Stegomyia species with significantly more positive houses outdoors (212) than indoors (88) (n = 900) (χ2 = 60.52, P < 0.0001). Overall, Ae. aegypti estimates of HI (17.3 vs 11.3) and BI (81.6 vs 87.7) were higher in Kilifi and Kisumu, respectively, than in Nairobi (HI, 0.3; BI,13). However, CI was highest in Kisumu (33.1), followed by Kilifi (15.1) then Nairobi (5.1). Aedes bromeliae indices were highest in Kilifi, followed by Kisumu, then Nairobi with HI (4.3, 0.3, 0); BI (21.3, 7, 0.7) and CI (3.3, 3.3, 0.3), at the respective sites. HI and BI for both species were highest in the long rains, compared to the short rains and dry seasons. We found strong positive correlations between the BI and CI, and BI and HI for Ae. aegypti, with the most productive container types being jerricans, drums, used/discarded containers and tyres. On the basis of established vector index thresholds, our findings suggest low-to-medium risk levels for urban YF and high DEN risk for Kilifi and Kisumu, whereas for Nairobi YF risk was low while DEN risk levels were low-to-medium. The study provides a baseline for future vector studies needed to further characterise the observed differential risk patterns by vector potential evaluation. Identified productive containers should be made the focus of community-based targeted vector control programs.http://europepmc.org/articles/PMC5574621?pdf=render
spellingShingle Sheila B Agha
David P Tchouassi
Armanda D S Bastos
Rosemary Sang
Assessment of risk of dengue and yellow fever virus transmission in three major Kenyan cities based on Stegomyia indices.
PLoS Neglected Tropical Diseases
title Assessment of risk of dengue and yellow fever virus transmission in three major Kenyan cities based on Stegomyia indices.
title_full Assessment of risk of dengue and yellow fever virus transmission in three major Kenyan cities based on Stegomyia indices.
title_fullStr Assessment of risk of dengue and yellow fever virus transmission in three major Kenyan cities based on Stegomyia indices.
title_full_unstemmed Assessment of risk of dengue and yellow fever virus transmission in three major Kenyan cities based on Stegomyia indices.
title_short Assessment of risk of dengue and yellow fever virus transmission in three major Kenyan cities based on Stegomyia indices.
title_sort assessment of risk of dengue and yellow fever virus transmission in three major kenyan cities based on stegomyia indices
url http://europepmc.org/articles/PMC5574621?pdf=render
work_keys_str_mv AT sheilabagha assessmentofriskofdengueandyellowfevervirustransmissioninthreemajorkenyancitiesbasedonstegomyiaindices
AT davidptchouassi assessmentofriskofdengueandyellowfevervirustransmissioninthreemajorkenyancitiesbasedonstegomyiaindices
AT armandadsbastos assessmentofriskofdengueandyellowfevervirustransmissioninthreemajorkenyancitiesbasedonstegomyiaindices
AT rosemarysang assessmentofriskofdengueandyellowfevervirustransmissioninthreemajorkenyancitiesbasedonstegomyiaindices