Retrospective Assessment of Preparedness for Mosquito Control Post-Hurricane Florence in North Carolina.

OBJECTIVES: Ideally, mosquito control programs (MCPs) use surveillance to target control measures to potentially dangerous mosquito populations. In North Carolina (NC), where there is limited financial support for mosquito control, communities may suffer from mosquito-related issues post-hurricane due to lack of existing MCPs. Here, study objectives were to (1) investigate the emergency response of a subset of NC counties post-Hurricane Florence and (2) develop guidelines and policy recommendations to assist MCPs in post-hurricane mosquito control response. METHODS: A survey was administered to a subset of eastern NC counties (an area previously impacted by hurricanes) with various levels of MCPs (from none to well-developed). RESULTS: All respondents indicated that having Federal Emergency Management Agency (FEMA) training would be helpful in developing a post-hurricane emergency response plan for mosquito control. There was concern related to a lack of knowledge of emergency control methods (eg, aerial/ground, adulticiding/larviciding) post-hurricane. MCP structure (eg, infrastructure, resources, operational plans/policies) could facilitate response activities and help ensure necessary emergency financial support from agencies such as FEMA. CONCLUSIONS: Mosquito control post-hurricane protects public health. Public health and other agencies can be networking resources for MCPs. Policy recommendations include implementation of routine FEMA assistance training workshops to improve an understanding of processes involved in assistance and reimbursement.

Baseline Insecticide Susceptibility Screening Against Six Active Ingredients for Culex and Aedes (Diptera: Culicidae) Mosquitoes in the United States.

Mosquitoes may develop resistance to insecticide active ingredients (AI). Thus, mosquitoes should be tested for resistance to confirm efficacy of insecticide-based control, inform management decisions, and protect public and environmental health. Our objectives were to determine a baseline of resistance for six AIs used in mosquito control in the United States to assess how resistance differs between mosquito collection location, AI, and mosquito species (container-ovipositing Aedes and Culex that may oviposit in containers or other sources). Field-collected eggs from 26 mosquito populations of five different species or hybrid species (Aedes albopictus Say, Aedes triseriatus Say, Culex pipiens L., Culex quinquefasciatus Say, Culex pipiens/quinquefasciatus) were obtained from four regions across the United States. Centers for Disease Control and Prevention bottle bioassays were used to determine baseline resistance and susceptibility status for six AIs (bifenthrin, deltamethrin, etofenprox, malathion, permethrin, and phenothrin). World Health Organization guidelines were used to classify mosquitoes as susceptible (98-100% mortality at diagnostic time [DT]), possibly resistant (80-97% mortality at DT), or resistant (< 80% mortality at DT). Aedes spp. mosquitoes were less likely to exhibit resistance, compared with Culex spp. mosquitoes. A high degree of resistance to etofenprox and malathion was observed (4-26-fold greater resistance to these two AIs compared with the other examined AIs). Baseline data on resistance and susceptibility for mosquitoes exposed to commonly used insecticides may help us evaluate resistance trends and highlight the importance of assessing local resistance trends before insecticide-based control measures are implemented.