Selvam Kannathasan

Salinity-tolerant larvae of mosquito vectors in the tropical coast of Jaffna, Sri Lanka and the effect of salinity on the toxicity of Bacillus thuringiensis to Aedes aegypti larvae

BackgroundDengue, chikungunya, malaria, filariasis and Japanese encephalitis are common mosquito-borne diseases endemic to Sri Lanka. Aedes aegypti and Aedes albopictus, the major vectors of dengue, were recently shown to undergo pre-imaginal development in brackish water bodies in the island. A limited survey of selected coastal localities of the Jaffna district in northern Sri Lanka was carried out to identify mosquito species undergoing pre-imaginal development in brackish and saline waters. The effect of salinity on the toxicity of Bacillus thuringiensis israelensis larvicide to Ae. aegypti larvae at salinity levels naturally tolerated by Ae. aegypti was examined.MethodsLarvae collected at the selected sites along the Jaffna coast were identified and salinity of habitat water determined in the laboratory. The LC50 and LC90 of B. thuringiensis toxin, the active ingredient of a commercial formulation of the larvicide BACTIVEC®, were determined with Ae. aegypti larvae. Bioassays were also carried out at salinities varying from 0 to18 ppt to determine the toxicity of Bacillus thuringiensis to fresh and brackish water-derived larvae of Ae. aegypti.ResultsLarvae of four Anopheles, two Aedes, one Culex and one Lutzia species were collected from brackish and saline sites with salinity in the range 2 to 68 ppt. The LC50 and LC90 of B. thuringiensis toxin for the second instar larvae of Ae. aegypti in fresh water were 0.006 ppm and 0.013 ppm respectively, with corresponding values for brackish water populations of 0.008 and 0.012 ppm respectively. One hundred percent survival of second instar fresh water and brackish water-derived Ae. aegypti larvae was recorded at salinity up to 10 and 12 ppt and 100% mortality at 16 and 18 ppt, yielding an LC 50 for salinity of 13.9 ppt and 15.4 ppt at 24 h post-treatment respectively for the two populations. Statistical analysis showed significantly reduced toxicity of B. thuringiensis to fresh and brackish water-derived Ae. aegypti larvae at high salinities.ConclusionA variety of mosquito vectors of human diseases undergo pre-imaginal development in brackish or saline waters in coastal areas of the Jaffna district in northern Sri Lanka. Salinity has a small but significant negative impact on the toxicity of B. thuringiensis toxin to Ae. aegypti larvae at salinity levels where Ae. aegypti larvae are found in the environment. This has implications for the use of B. thuringiensis toxin as a larvicide in brackish waters.

Space-time clustering characteristics of dengue based on ecological, socio-economic and demographic factors in northern Sri Lanka

The aim of the present study was to identify geographical areas and time periods of potential clusters of dengue cases based on ecological, socio-economic and demographic factors in northern Sri Lanka from January 2010 to December 2013. Remote sensing (RS) was used to develop an index comprising rainfall, humidity and temperature data. Remote sensing data gathered by the AVNIR-2 instrument onboard the ALOS satellite were used to detect urbanisation, and a digital land cover map was used to extract land cover information. Other data on relevant factors and dengue outbreaks were collected through institutions and extant databases. The analysed RS data and databases were integrated into a geographical information system (GIS) enabling space-time clustering analysis. Our results indicate that increases in the number of combinations of ecological, socio-economic and demographic factors that are present or above the average contribute to significantly high rates of space-time dengue clusters. The spatio-temporal association that consolidates the two kinds of associations into one can ensure a more stable model for forecasting. An integrated spatiotemporal prediction model at a smaller level using ecological, socioeconomic and demographic factors could lead to substantial improvements in dengue control and prevention by allocating the right resources to the appropriate places at the right time.

A Simple Intervention to Prevent Cutaneous Larva Migrans among Devotees of the Nallur Temple in Jaffna, Sri Lanka

Background A cross sectional study conducted during the annual festival at Nallur temple in Jaffna, Sri Lanka, in 2010, showed that the prevalence of cutaneous larva migrants (CLM) among the devotees who performed the side roll ritual was 58.2% (95%CI: 51.2%–65.0%). Objective To test the hypothesis that the deworming stray dogs around the temple premises effectively reduces the prevalence of CLM among devotees. Methodology/Principal Findings All stray dogs (8) in the vicinity of the temple were treated, with mebendazole (100 mg) crushed and filled into sausages, 10 days before the commencement of festival in 2011. The same procedure was repeated a week later to ensure complete coverage. A cross-sectional study was conducted among 200 systematically selected devotees in August 2011 using an interviewer-administered questionnaire and the clinical examination of the skin. Baermanns technique was used for the recovery of nematode larvae from 40 soil samples collected from the temple premises. Ten samples of dog faeces collected from the same premises were also examined for nematode eggs. Prevalence of CLM among devotees in 2010 (Pre intervention) and 2011(Post intervention) were compared to test the hypothesis. Prevalence of CLM declined from 58% to 8% (Chi-square = 112.90, p<0.001) following the intervention. None of the subjects practiced new precautionary measures compared to the previous year. Soil and fecal samples were negative for parasites. Conclusions/Significance Regular dog deworming is an important and effective method for the prevention of CLM among the devotees doing side roll ritual and represents a pragmatic intervention that municipal authorities could perform on annual basis.

Assessing the Temporal and Spatial Dynamics of the Dengue Epidemic inNorthern Sri Lanka using Remote Sensing Data, GIS and Statistical Analysis

Dengue outbreaks are affected by biological, ecological, socio-economic and demographic factors that vary with time and space. These spatial and temporal variables have been examined separately with some success, but still elude systematic understanding. The present study investigates the covariance of spatial and temporal factors for dengue outbreaks in the northern region of Sri Lanka. The relations identified herein demonstrate spatio-temporal dynamics of the disease and can inform surveillance and control strategies. Multi-satellite remote sensing (RS) data were used to construct an index comprising rainfall, humidity and temperature data. RS data gathered by ALOS/ AVNIR-2 and a digital land cover map were used to extract land usage information. Other data on relevant factors and dengue outbreaks were collected through institutions and public databases. RS and other data were integrated and analysed for spatial association analysis and spatial statistics. Our findings show that a combination of ecological, socio-economic and demographic factors can predict spatial and temporal trends in dengue outbreaks.

A surveillance system for lymphatic filariasis after its elimination in Sri Lanka

Lymphatic filariasis (LF) has been declared eliminated in Sri Lanka in September 2016. To maintain elimination status, a surveillance system to detect hidden endemic foci or LF resurgence is of highest priority. In this paper, we have reported an investigation of LF transmission in Trincomalee district where a surveillance program was not carried out due to 30 years of civil unrest. Proposed surveillance system included, measurement of anti-filarial IgG4 in urine of schoolchildren in areas where LF transmission could exist and assessment of circulating filarial antigen (CFA) and microfilaria (mf) in all urine antibody positive schoolchildren, their family members and 10-15 neighbours of each urine antibody positive household. Spatial distribution of the anti-filarial antibody titers in urine in a high antibody suspected area was analyzed using GPS logger data. Among 2301 school children from 11 schools studied, 41 (1.8%) urine antibody positives were found. The antibody positive rates of the schools ranged between 0 and 4.0%. Nine of the 630 (1.4%) examined became positive for CFA but were negative for mf. Although there were no mf positives, positive CFA and antibody results indicated the existence of Wuchereria bancrofti in Trincomalee. Highest antibody titres in an area correlated with the prevalences of urine antibodies and CFA. Spatial analysis showed LF transmission foci. Therefore, a combination of the non-invasive methods, urine ELISA and GPS mapping, will be a new effective surveillance system to identify hidden LF transmission foci.