Wind direction and proximity to larval sites determines malaria risk in Kilifi District in Kenya

被引:66
作者
Midega, Janet T. [1 ,2 ]
Smith, Dave L. [3 ,4 ]
Olotu, Ally [1 ]
Mwangangi, Joseph M. [1 ]
Nzovu, Joseph G. [1 ]
Wambua, Juliana [1 ]
Nyangweso, George [1 ]
Mbogo, Charles M. [1 ]
Christophides, George K. [2 ]
Marsh, Kevin [1 ,5 ]
Bejon, Philip [1 ,5 ]
机构
[1] Ctr Geog Med Res Coast, KEMRI Wellcome Trust Collaborat Res Programme, Kilifi 80108, Kenya
[2] Univ London Imperial Coll Sci Technol & Med, Dept Life Sci, London SW7 2AZ, England
[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21205 USA
[4] NIH, Fogarty Int Ctr, Bethesda, MD 20892 USA
[5] Univ Oxford, Churchill Hosp, Ctr Clin Vaccinol & Trop Med, Oxford OX3 7LJ, England
基金
美国国家卫生研究院;
关键词
ENTOMOLOGICAL INOCULATION RATE; ANOPHELES-GAMBIAE; TRANSMISSION; MOSQUITOS; CHILDREN; COAST; VILLAGE; AREA; EPIDEMIOLOGY; PHILIPPINES;
D O I
10.1038/ncomms1672
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Studies of the fine-scale spatial epidemiology of malaria consistently identify malaria hotspots, comprising clusters of homesteads at high transmission intensity. These hotspots sustain transmission, and may be targeted by malaria-control programmes. Here we describe the spatial relationship between the location of Anopheles larval sites and human malaria infection in a cohort study of 642 children, aged 1-10-years-old. Our data suggest that proximity to larval sites predict human malaria infection, when homesteads are upwind of larval sites, but not when homesteads are downwind of larval sites. We conclude that following oviposition, female Anophelines fly upwind in search for human hosts and, thus, malaria transmission may be disrupted by targeting vector larval sites in close proximity, and downwind to malaria hotspots.
引用
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页数:8
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