在肯尼亚西部基苏木县的一个村庄,室外厕所的结构特征影响了冈比亚按蚊和致倦库蚊的数量。

IF 3.5 2区 医学 Q1 PARASITOLOGY
Noriko Tamari, Heidi E Brown, Luigi Sedda, Michael A Riehle, Katherine D Ellingson, Kathleen R Walker, Gary L Christopherson, Harrysone Atieli, Stephen Munga, Kacey C Ernst
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引用次数: 0

摘要

背景:尽管在疟疾病媒控制方面作出了协调一致的努力,但在肯尼亚,疟疾仍然是导致死亡的主要原因。减少室外传播是解决疟疾残留问题的一个关键因素。室外厕所的特点是具有潮湿环境的半遮蔽结构,这可能为按蚊种类提供理想的休息场所,以人类血液为食并随后休息。本研究旨在量化房屋和室外厕所中成蚊的丰度,并探讨与蚊子丰度相关的环境因素。方法:自2023年7月至2024年4月,采用Prokopack吸蚊器每月对50所住宅及相应的室外厕所进行蚊虫取样。同时进行了家庭访谈,以收集关于在房屋中睡觉的人数和家庭内使用的蚊帐数量的数据。此外,通过聚合酶链反应(PCR)对2023年12月至2024年4月采集的吸血蚊子进行血食源鉴定。结果:在按蚊种类中,按蚊占比最高。最常见的是funestus组,其次是An。冈比亚人在房子和厕所里都有。按蚊的人血指数为50.0% (n = 15),厕所为33.3% (n = 4),牛血指数分别为60.0% (n = 18)和66.7% (n = 8)。通风改良坑式(VIP)厕所与安州死亡率下降61%有关。冈比亚蚊(校正发病率比[aIRR] = 0.39, 95%可信区间[CI] = 0.16 ~ 0.96)和致倦库蚊(aIRR = 0.38, 95% CI = 0.24 ~ 0.60)较坑式厕所减少62%。厕所中有洗澡空间与Cx增加23%有关。与无洗浴空间的厕所相比,致倦库蚊数量(aIRR = 1.88, 95% CI = 1.23-2.89)较多。使用厕所的人数与Cx呈负相关。致倦库蚊丰度(aIRR = 0.93, 95% CI = 0.89 ~ 0.97)。结论:VIP厕所与较低的An丰度有关。冈比亚s.l.和Cx。与坑式厕所相比,在厕所中存在洗澡空间与较高的Cx丰度有关。倦倦库蚊与没有洗澡空间的厕所比较。作为一种低成本干预措施,促进建设贵宾厕所的综合公共卫生规划可能为卫生和病媒控制提供共同效益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Structural features of outdoor latrines influence the abundance of Anopheles gambiae s.l. and Culex quinquefasciatus in a village in Kisumu County, western Kenya.

Structural features of outdoor latrines influence the abundance of Anopheles gambiae s.l. and Culex quinquefasciatus in a village in Kisumu County, western Kenya.

Structural features of outdoor latrines influence the abundance of Anopheles gambiae s.l. and Culex quinquefasciatus in a village in Kisumu County, western Kenya.

Structural features of outdoor latrines influence the abundance of Anopheles gambiae s.l. and Culex quinquefasciatus in a village in Kisumu County, western Kenya.

Background: Malaria remains a leading cause of mortality in Kenya, despite concerted efforts in malaria vector control. Reducing outdoor transmission is a key factor in addressing residual malaria. Outdoor latrines are characterized as semi-sheltered structures with humid environments, which may provide an ideal resting site for Anopheles species to feed on human blood and subsequently rest. This study aimed to quantify the abundance of adult mosquitoes in houses and outdoor latrines, as well as explore the environmental factors associated with mosquito abundance.

Methods: Monthly mosquito sampling was conducted in 50 houses and their corresponding outdoor latrines using Prokopack aspirators from July 2023 to April 2024. Household interviews were conducted concurrently to collect data on the number of individuals sleeping in the houses and the quantity of bednets used within the households. In addition, blood meal sources were identified through polymerase chain reaction (PCR) analysis of blood-fed mosquitoes collected from December 2023 to April 2024.

Results: Among anopheline species, the An. funestus group was the most common, followed by An. gambiae s.l. in both houses and latrines. In anophelines, the human blood index was 50.0% (n = 15) in houses and 33.3% (n = 4) in latrines, while bovine blood was 60.0% (n = 18) and 66.7% (n = 8), respectively. Ventilated improved pit (VIP) latrines were associated with a 61% decrease in An. gambiae s.l. abundance (adjusted incidence rate ratio [aIRR] = 0.39, 95% confidence interval [CI] = 0.16-0.96) and a 62% decrease in Culex quinquefasciatus abundance (aIRR = 0.38, 95% CI = 0.24-0.60), compared with pit latrines. The presence of a bathing space in latrines was associated with a 23% increase in Cx. quinquefasciatus abundance (aIRR = 1.88, 95% CI = 1.23-2.89) compared with latrines without a bathing space. There was an inverse association between the number of individuals using the latrines and Cx. quinquefasciatus abundance (aIRR = 0.93, 95% CI = 0.89-0.97).

Conclusions: VIP latrines were associated with a lower abundance of An. gambiae s.l. and Cx. quinquefasciatus compared with pit latrines, whereas the presence of a bathing space in latrines was associated with a higher abundance of Cx. quinquefasciatus compared with latrines without bathing spaces. Integrative public health programs that promote the construction of VIP latrines as a low-cost intervention may provide co-benefits for both sanitation and vector control.

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来源期刊
Parasites & Vectors
Parasites & Vectors 医学-寄生虫学
CiteScore
6.30
自引率
9.40%
发文量
433
审稿时长
1.4 months
期刊介绍: Parasites & Vectors is an open access, peer-reviewed online journal dealing with the biology of parasites, parasitic diseases, intermediate hosts, vectors and vector-borne pathogens. Manuscripts published in this journal will be available to all worldwide, with no barriers to access, immediately following acceptance. However, authors retain the copyright of their material and may use it, or distribute it, as they wish. Manuscripts on all aspects of the basic and applied biology of parasites, intermediate hosts, vectors and vector-borne pathogens will be considered. In addition to the traditional and well-established areas of science in these fields, we also aim to provide a vehicle for publication of the rapidly developing resources and technology in parasite, intermediate host and vector genomics and their impacts on biological research. We are able to publish large datasets and extensive results, frequently associated with genomic and post-genomic technologies, which are not readily accommodated in traditional journals. Manuscripts addressing broader issues, for example economics, social sciences and global climate change in relation to parasites, vectors and disease control, are also welcomed.
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