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Reyna, B.

Publications and source records attributed to Reyna, B..

2 recordsLinked to original sources

Direct and Indirect Entomological Efficacy of Targeted Indoor Residual Spraying against Aedes aegypti in Iquitos, Peru

BackgroundControl of Aedes aegypti, the primary vector of dengue and other Aedes-borne viruses, is challenged by insecticide resistance, limited efficacy of existing tools and the large and widespread epidemics. Targeted Indoor Residual Spraying (TIRS), a modification of traditional indoor residual spraying focused on Ae. aegypti resting sites, has demonstrated promising results, yet its indirect community-wide effects remain underexplored. Methodology/Principal FindingsWe conducted an entomological cluster-randomized controlled trial in Iquitos, Peru, to evaluate the direct and indirect entomological impacts of TIRS using pirimiphos-methyl. Thirty clusters were randomized to receive either TIRS (15 clusters, 898 structures) or standard Ministry of Health vector control activities (15 clusters, 1,018 structures). Aedes aegypti indoor densities were assessed in the 45 days pre-intervention and at four time points up to 255 days post-intervention using Prokopack aspiration. Generalized linear mixed models with a negative binomial link were used to estimate incidence rate ratios (IRRs) and calculate efficacy (1-IRR) for houses that received TIRS (direct effect) and untreated houses in TIRS clusters (indirect effect). Direct efficacy reached 96% at 15 days post-spraying and remained significant (40%) at 255 days post-spraying. Indirect efficacy reached 69% at 15 days and declined to 7% by 255 days post-spraying. Despite only 57% household-level TIRS coverage, both direct and indirect impacts on Ae. aegypti were significant during early post-intervention surveys, and after 8 months in TIRS clusters. Conclusions/SignificanceTIRS provided substantial and sustained reductions in indoor Ae. aegypti density, including measurable indirect effects in untreated homes within intervention clusters. These findings demonstrate the entomological value of TIRS even at moderate coverage levels and highlight its potential for both preventive and reactive vector control programs and should be considered for implementation by Ministries of Health in dengue-endemic urban settings as well as by the U.S. military when deployed to tropical or subtropical locations.

ecology↗

Changing dynamics of Aedes aegypti invasion and vector-borne disease risk for rural communities in the Peruvian Amazon

Aedes aegypti, the primary vector of dengue virus, is predominantly considered an urban mosquito, especially in the Americas, where its reemergence began in cities after the end of continent-wide eradication campaigns. The results of our study diverge from this narrative, demonstrating the recent and widespread rural invasion of Ae. aegypti along major shipping routes in the northern Peruvian Amazon between the major cities of Iquitos, Pucallpa, and Yurimaguas. We identified Ae. aegypti populations in 29 of 30 sites surveyed across a rural to urban gradient and characterized mosquito larval habitats and Ae. aegypti adult metrics. Households, regardless of community size, were more likely to be positive for Ae. aegypti adult(s) and had a higher number of Ae. aegypti adults if a mosquito larval habitat was identified on the property, compared to houses without a larval habitat. In multiple instances, adult Ae. aegypti indices in rural villages were equal to or greater than indices in dengue-endemic cities, suggesting the entomological risk level in some rural areas is sufficient to sustain dengue transmission. Fourteen rural sites were sampled in transects from the community river port into town. In seven of these sites, houses closer to the port were significantly more likely to be infested with Ae. aegypti adults than houses further from the ports, and four additional sites had a marginal relationship to the same effect. This pattern suggests that many rural sites are invaded via adult Ae. aegypti disembarking from boats at the port, finding nearby oviposition sites, and advancing stepwise into town. The existence of the pattern also suggests that many of the sites are still experiencing active invasion, with sections of towns still Ae. aegypti-free. Only one site shows a strong signal of invasion via the egg or larval stage, with a focus of Ae. aegypti far removed from the port. The widespread infestation of Ae. aegypti in rural areas is a major public health threat given the far distance of communities to hospital care. It is important to implement control measures now before the mosquito gains a stronger foothold in zones of active invasion.

ecology↗