Thursday 1 December 2016

How to fight mosquitoes



Being mosquitoes the vectors for malaria and other diseases it is important to understand the way to fight them.

In an article by Harbach and Besansky they explain that only females of some species bite and suck blood from human and other animals as they need this blood for the development of their own eggs; among those blood suckers there is a group of about 100 species that acts as vectors for serious illnesses affecting humans and animals.

Among those illnesses we find (AMCA):

Malaria: About 3.2 billion people are at risk of malaria.
Chikungunya:  Africa, Asia, Indian subcontinent.
Dengue: Asia, Latin America
Yellow Fever: Africa, Central and South America

The vector for malaria is the Anopheles mosquito. Eckoff  in 2011 presented a model for this specie including biological and dynamics aspects of the mosquitoes and also human measures to combat them. 

The analysis showed that two actions appeared to be effective: indoor fumigation and nets treated with insecticide.

Note 1: The author of the article is Philip Eckhoff of IDM. I suggest to those interested in modelling and diseases to visit this web that show a lot of interesting work and research.
This modelling seems very interesting and useful, among other things, as a tool to evaluate different strategies against vectors and also to assess the effects of changes in weather conditions (temperature and humidity for example) on malaria spread.

In 2013, appeared a study done in Tanzania by Huho et al. in it the authors found that the majority of the bites occurred indoor, calling for future research to check the effectiveness of different human measures, like the ones already mentioned, to avoid being bitten by mosquitoes. One interesting conclusion was that mosquitoes do not prefer to “eat” indoor but at the time of the day when they prefer to suck most of humans are indoors.

The mentioned conclusion is in line with the findings of Chitnis et al. that in 2012 made another modelling and concluded that fumigation and the use of nets together are the most effective combination reducing malaria. 

They also concluded that once the actions are suspended the original malaria status and indicators can be reached back in 3 years. This sounds perfectly logic as the main measures have the purpose of avoiding the biting not destroying the mosquitoes

Note 2: Nakul Chitnis works in Swiss THP. Another web worth to visit.

Another idea than has been present is the complete eliminations of the mosquitoes. 

In 2013 Killeen et al. wrote an article about the topic explaining the advantages of eliminating mosquitoes over controlling them. They also exposed that the challenges in this procedure were get coverage on proper time and monitoring i.e.

-          - do it fast enough to avoid creation of biological resistance in the animals and
-          - control to avoid any potential re-invasion.

But it seems something is missing in their analysis. This action could create, like climate change, a kind of ecological unbalance. As mentioned by Harbach and Besansky  mosquitoes are food for some other animals and do pollination too, so before evaluating this last alternative it should be clear the potential consequences.

Note 3: Reading an article on BBC about the annihilation of mosquitos a couple of their comments make me think about our right as human to exterminate a specie and the possible consequences of this action. Also it makes me question if all the science is good in a moral sense and if it is valid to incorporate a moral component in science.  These topics are very complex and are not the objective of this blog, but I just wanted to rise the subject.
Getting back to mosquitoes. 

I found that there are a number of institutions and researches all over the world working on the fight against mosquitoes related to malaria and other illnesses. So far, it seems that despite any weather change (than can affect the vectors patterns and behaviours) we as humans have got the tools to combat these insects and avoid or reduce their impact on health, so the question is why there are so many problems in some areas of the world. It could be possible that the answer is the availability of funds. As explained in my last post Europe was declared malaria free, I can imagine after reading the summary of the steps to get there, that this achievement was the result of many years of public policies and actions that for sure would have required a non-negligible amount of direct or indirect funds.