Susceptibility of Anopheles campestris-like and Anopheles barbirostris species complexes to Plasmodium falciparum and Plasmodium vivax in Thailand

Nine colonies of five sibling species members of Anopheles barbirostris complexes were experimentally infected with Plasmodium falciparum and Plasmodium vivax. They were then dissected eight and 14 days after feeding for oocyst and sporozoite rates, respectively, and compared with Anopheles cracens. The results revealed that Anopheles campestris-like Forms E (Chiang Mai) and F (Udon Thani) as well as An. barbirostris species A3 and A4 were non-potential vectors for P. falciparum because 0 percent oocyst rates were obtained, in comparison to the 86.67-100 percent oocyst rates recovered from An. cracens. Likewise, An. campestris-like Forms E (Sa Kaeo) and F (Ayuttaya), as well as An. barbirostris species A4, were non-potential vectors for P. vivax because 0 percent sporozoite rates were obtained, in comparison to the 85.71-92.31 percent sporozoite rates recovered from An. cracens. An. barbirostris species A1, A2 and A3 were low potential vectors for P. vivax because 9.09 percent, 6.67 percent and 11.76 percent sporozoite rates were obtained, respectively, in comparison to the 85.71-92.31 percent sporozoite rates recovered from An. cracens. An. campestris-like Forms B and E (Chiang Mai) were high-potential vectors for P. vivax because 66.67 percent and 64.29 percent sporozoite rates were obtained, respectively, in comparison to 90 percent sporozoite rates recovered from An. cracens.

Adherence to antimalarial drug therapy among vivax malaria patients in northern Thailand.

Vivax malaria is a significant cause of morbidity due to malaria in northern Thailand, accounting for approximately 50% of all malaria cases. The objective of this study was to determine the behavioural factors associated with adherence to the standard 14-day course of chloroquine and primaquine, prescribed from malaria clinics, among patients with vivax malaria. A retrospective study was conducted among 206 patients living in Muang and Mae Sa Riang districts of Mae Hon Son province in northern Thailand. Data on adherence and potential behavioural factors relating to adherence were collected using a structured interviewer-administered questionnaire and supplemented with qualitative data from focus-group interviews. The results indicated that 76.21% of the 206 patients with vivax malaria did not complete the medication course. The adherence of the patients was associated with knowledge scores of malaria (adjusted odds ratio [AOR]=2.2, 95% confidence interval [CI] 1.1-4.5) and accessing drug prescription scores (AOR=5.6, 95% CI 2.13-15.3). Therefore, further effort is needed to educate patients with vivax malaria on knowledge of malaria and its treatment with simple health messages and encourage them to adhere to their treatment.

A survey of dengue viral infection in Aedes aegypti and Aedes albopictus from re-epidemic areas in the north of Thailand using nucleic acid sequence based amplification assay.

Immature stages of Aedes aegypti and Ae. albopictus were collected from 17 dengue re-epidemic areas in Chiang Mai and Lampang Provinces, in the north of Thailand. They were reared to adults and tested for dengue viral RNA by a nucleic acid sequence based amplification assay (NASBA). Of a total of 9,825 Ae. aegypti and 150 Ae. albopictus examined, none of them were found positive for the virus, suggesting that transovarial transmission may be very low in the vector populations and may not play a significant role in the epidemiology of dengue infection in Thailand.

Susceptibility of two karyotypic forms of Anopheles aconitus (Diptera: Culicidae) to Plasmodium falciparum and P. vivax

Quatro colônias desenvolvidas em laboratório, de duas formas cariotípicas de Anopheles aconitus i.e. forma B (cepa Chiang Mai e Phet Buri) e C (Cepa Chiang Mai e Mae Hong Son), foram infectadas experimentalmente com Plasmodium falciparum e P. vivax usando técnica de alimentação com membrana artificial e dissecados oito e 12 dias após alimentação da média de oocistos e esporozoitos, respectivamente. Os resultados revelaram que An. aconitus formas B e C foram suscetíveis ao P. falciparum e P. vivax isto é, forma B (cepa Chiang Mai e Phet Buri/P. falciparum e P. vivax) e forma C (cepa Chiang Mai e Mae Hong Son/P. vivax). Análises estatísticas comparativas das taxas de oocistos, número médio de oocistos por intestino médio infectado e taxas de esporozoitos entre todas as cepas de An. aconitus formas B e C ao grupo interno de vetores controles, An. minimus A e C, não exibiram nenhuma diferença significante, confirmando o alto potencial vetor das duas espécies de Plamodium. Os cristais semelhantes a esporozoitos encontrados no lobo médio das glândulas salivares que poderiam ser um fator enganoso na identificação de esporozoitos verdadeiros nas glândulas salivares foram encontrados em ambos An. aconitus formas B e C.

Evidence of anopheline mosquito resistance to agrochemicals in northern Thailand.

The objective of this study was to assess insecticide resistance in anopheline mosquito populations in agroecosystems with high and low insecticide use in a malaria endemic area in Chiang Mai province in northern Thailand. Anopheline mosquitoes were collected in May and June 2004 from two locations with different agricultural insecticide intensity (HIGH and LOW), but similar in vector control strategies. The F1-generation of Anopheles maculatus s.s. and An. sawadwongporni were subjected to diagnostic doses of methyl parathion (MeP) and cypermethrin (Cyp), both commonly used insecticides in fruit orchards in Thailand. An. minimus A from the HIGH location was subjected to diagnostic doses to Cyp. CDC bottle bioassays were used to determine insecticide susceptibility. Time-mortality data were subjected to Probit analyses to estimate lethal time values (LT50 and LT90). Lethal time ratios (LTR) were computed to determine differences in lethal time response between populations from HIGH and LOW locations. The mortality of An. maculatus to MeP was 74% and 92% in the HIGH and LOW locations, respectively. The corresponding figures for An. sawadwongporni were 94% and 99%. There was no indication of resistance to Cyp for all species tested in either location. The LT90 and LT50 values of An. maculatus s.s. subjected to diagnostic doses of MeP were significantly different between locations (p<0.05). Reduced susceptibility to MeP in mosquito populations in the HIGH location is caused by intensive agricultural pest control and not by vector control activities, because organophosphates have never been used for vector control in the area. Our results indicate that there are still susceptible anopheline populations to pyrethroids, which is consistent with other research from the region. Therefore, there is presently no direct threat to vector control. However increased use of pyrethroids in agriculture may cause problems for future vector control.

Changes in malaria vector densities over a twenty-three year period in Mae Hong Son Province, northern Thailand.

Mae Hong Son Province in northwestern Thailand has a long history of malaria. During the last two decades the province has had one of the highest malaria incidences of all provinces in Thailand. Data were analyzed to determine whether the vector populations were stable or increasing during the last two decades and to determine the seasonal prevalence of the main vectors, and whether or not they were related to the malaria transmission peak, in the wet season. We compiled and analyzed accumulated entomological records from 1977 to 1999. The aim was to investigate long-term changes in mean densities of malaria vectors between two periods (1977-1989 and 1990-1999), and the differences in vector densities between two seasons (wet and dry). A total of 141,144 adult anophelines of 29 species were collected on indoor and outdoor human baits and animal baits during the study period. Of the main malaria vectors, the densities of Anopheles minimus s.l. and Anopheles maculatus complex increased significantly. Anopheles dirus s.l., however, was stable between the two periods. These vector populations were associated with consistently high malaria incidence in the province during the last two decades. An. minimus s.l. density was not significantly different between seasons. However, in the second period, both An. dirus s.l. and An. maculatus complex showed a tendency for higher wet season densities. This can explain the high malaria incidence in the rainy season in Mae Hong Son. Environmental and climatic factors seem to have been favorable for supporting a consistently high vector population in the province, and consequently a high malaria transmission rate during the period of study.

Insecticide susceptibility tests of Anopheles minimus s.l., Aedes aegypti, Aedes albopictus, and Culex quinquefasciatus in northern Thailand.

The susceptibility of Anopheles minimus s.l., Aedes aegypti, Ae. albopictus, and Culex quinquefasciatus to insecticide in northern Thailand was monitored by using the WHO standard susceptibility test. One- to two-day old female mosquitos, which were reared from wild caught females or immature stages, were exposed to discriminating dosages of insecticides for recommended exposure periods, and the 24-hour mortality recorded. The results revealed that, in general, An. minimus s.l. was still susceptible to DDT and permethrin, except in some areas where a slight increase in tolerance to DDT was observed. Ae. aegypti and Ae. albopictus were both highly resistant to DDT, but in some areas the former was also resistant to permethrin and deltamethrin. Cx. quinquefasciatus was resistant to DDT and etofenprox, with a slight increase in tolerance to permethrin, deltamethrin, malathion and fenitrothion. No resistance to lambda-cyhalothrin was detected in any of the species studied.