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Recent Studies
(2005-2007) Integrated Control Methods for Sand Fly
Vectors. Collaborating with WRAIR. This is a 3 year, multilab study
coordinated by WRAIR. It involves CRADAs with two bed net
manufactures. The study involves 1 year of vector surveillance to
establish the baseline density of sand fly populations (already
complete) followed by 2 years of control method testing. Control
methods to be evaluated include: various insecticide treated bed
nets (ITNs), insecticide treated tents, residual insecticide
treatment if larval habitat, barrier insecticide spraying.
Objectives: To test and improve control methods for sand flies with
the aim of developing an integrated sand fly control system.
(2006) Malaria Dipstick Assay Validation. Collaborating with WRAIR,
we are validating a reformulation of the malaria (P. falciparum and
P. vivax 247) dipstick under development.
(2006) Validation of a rapid detection tool for Leishmania
surveillance in vector populations. In collaboration with Dr. Chan
at WRAIR, we are conducting field testing of a rapid diagnostic
assay for leishmaniasis.
Background/Summary: This project is part of an SBIR (OSD04-H08) for
the “Development of a field-usable diagnostic device for the
detection of Leishmania parasite in sand flies” (awarded in January
2005). The second phase of this 2 year study will involve a field
test of prototype assays using real-time PCR as a standard
reference. The DoD overseas sites that will be participating are
Egypt (NAMRU-3), Indonesia (NAMRU-2), Peru (NMRCD), Kenya (USAMRU-K)
and Iraq. Prototype assays will be tested in Kenya with sand flies
collected in Baringo.
Objectives: The objective of this project is to develop a Leishmania
detection assay which is field portable, user-friendly, rapid (<30
min) and stable at ambient temperatures. In 2004, the Walter Reed
Army Institute of Research Entomology Department and VecTOR Test
Systems Inc, California, began developing field-usable wicking
assays to detect the parasites in sand flies.
(2006-2007) RT-PCR and “dipstick” pathogen detection assays
(collaboration with WRAIR and USAMRIID).Our role in this study is to provide logistical and site support to
a 3 person team from USAMRIID which will conduct 4, 2 week visits to
Kenya to test the assays they have developed.
Objectives: To develop, evaluate, and compare the specificity and
sensitivity of real-time PCR and conventional PCR, for the detection
of viral and parasitic pathogens (CCHF, RVFV, SFFV, WNV, Karshi
virus, JEV, TBEV, malaria, scrub typhus, and Leishmania) isolated
from arthropod vectors in the field. Field evaluations designed to
compare the ease of use, the specificity, and the reliability of
real-time PCR and conventional PCR for better integration into field
medical units.
(2006-2007) Arbovirus surveillance
Objectives: To update the regional arbovirus threat assessment.
To estimate the diversity and prevalence of key viruses in
arthropods during an inter-epidemic period; Determine the vector species that contribute to the maintenance
and/or amplification of these arboviruses.
(2002-2005) Characterization of malaria transmission in Western
Kenya. Started as a multi-year project in mid-2002 in support of a
new vaccine study site when the malaria vaccine program moved to a
new study site in the vicinity of Kombewa to establish the relative
importance of An. gambiae and An. funestus, determine biting
pressure and malaria infectivity of the vector, and study the dry
season ecology of An. gambiae. This project is on-going.
(2002) Validation of the VecTest malaria panel dipstick assay. In
collaboration with Jeff Ryan and WRAIR. Three separate studies using
5,000 mosquitoes each, each mosquito was assayed using the VecTest
strips, and a comparative sporozoite ELISA was performed on each,
which demonstrated positive efficacy leading to manufacture and
dissemination of the Malaria VecTest. (Published data – see below).
(2002) Anopheles gambiae immune gene variant project. In
collaboration with Dr. Shirley Luckhart, USAMRU-K managed the field
portion of this study, involving two Anopheles collection trips each
to Western Kenya and the Kenya coast. (Published data – see below).
(2002) Rift Valley Fever outbreak investigation. In conjunction with
the CDC, USAMRU-K, Entomology collected approximately 80,000
mosquitoes in areas of recent RVF activity in an attempt to verify
vector transmission. Mosquitoes transported to Dr. Peter Jupp in
South Africa.
(2002-2003) Spotted fever rickettsiosis in Kenya. Prompted by
deficiencies in the understanding of the epidemiology of African
Tick Bite Fever (ATBF) throughout most of sub-Saharan Africa and a
recent ATBF case report, we adopted an integrated approach employing
entomological investigations, remote sensing, and GIS to examine the
risk of ATBF in the Maasai Mara Region of Kenya. We have determined
the presence of the spotted fever group rickettsiae (SFG) in Maasai
Mara mainly in Amblyomma variegatum ticks.
(2002 – 2004) Nairobi malaria transmission study. The increase of
urbanization throughout Sub-Saharan Africa and accompanying
population mobility is introducing malaria into areas previously
considered malaria free. We conducted a study of anopheline
mosquitoes in Kibera, a shantytown area of Nairobi, confirming the
presence of infected vectors, primarily Anopheles arabiensis. The
data for the study have been presented in two international
conferences (American Society of Tropical Medicine and Hygiene, 2004
and the African Health Science Congress, 2004).
(2003) Evaluation of a Lethal Ovitrap (LO) for Dengue Mosquito
Vectors. The goal of this study was to determine the efficacy of
lethal ovitrapping in suppression of dengue mosquito vector
populations in the Coast Province of Kenya over a twelve-week
treatment period. Statistically, the traps demonstrated no
effectiveness to control dengue mosquito populations, resulting in
the traps not being further developed.
(2004) Field evaluation of novel arthropod repellents and repellent
formulations. Three repellent trials in May, July, and December 2004
were conducted against wild mosquitoes in western Kenya. Five
repellents were tested at multiple application rates. No repellent
failed over the 12 hour trial periods demonstrating parity among the
repellents. In addition, no statistical difference was demonstrated
between the control limbs of the treated and null repellent
volunteers, demonstrating a volunteer may act as his own control.
(2004) Hemorrhagic fever outbreak investigation in Lamu, Kenya. In
conjunction with CDC and GEIS, aided in the entomological support of
this investigation. Entomological data suggested the pathogen may
not be the originally suspected O’nyong nyong fever virus.(2005) Alphavirus Surveillance. In collaboration with CDC, GEIS, and
several Kenyan organizations, we are part of a group established as
a follow-up to the hemorrhagic investigations conducted in Lamu and
Mombassa, Kenya. The group maintains a response capability in
preparation for future outbreaks in east Africa.
(2005) Rift Valley Fever Virus (RVFV) Group. In collaboration with
CDC, and several Kenyan organizations, we conduct the
entomological support for this effort to survey for RVFV in Kenya.
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