Use of vector control to protect people from sleeping sickness in the focus of Bonon (Côte d’Ivoire)

Background Gambian human African trypanosomiasis (gHAT) is a neglected tropical disease caused by Trypanosoma brucei gambiense transmitted by tsetse flies (Glossina). In Côte d’Ivoire, Bonon is the most important focus of gHAT, with 325 cases diagnosed from 2000 to 2015 and efforts against gHAT have relied largely on mass screening and treatment of human cases. We assessed whether the addition of tsetse control by deploying Tiny Targets offers benefit to sole reliance on the screen-and-treat strategy. Methodology and principal findings In 2015, we performed a census of the human population of the Bonon focus, followed by an exhaustive entomological survey at 278 sites. After a public sensitization campaign, ~2000 Tiny Targets were deployed across an area of 130 km2 in February of 2016, deployment was repeated annually in the same month of 2017 and 2018. The intervention’s impact on tsetse was evaluated using a network of 30 traps which were operated for 48 hours at three-month intervals from March 2016 to December 2018. A second comprehensive entomological survey was performed in December 2018 with traps deployed at 274 of the sites used in 2015. Sub-samples of tsetse were dissected and examined microscopically for presence of trypanosomes. The census recorded 26,697 inhabitants residing in 331 settlements. Prior to the deployment of targets, the mean catch of tsetse from the 30 monitoring traps was 12.75 tsetse/trap (5.047–32.203, 95%CI), i.e. 6.4 tsetse/trap/day. Following the deployment of Tiny Targets, mean catches ranged between 0.06 (0.016–0.260, 95%CI) and 0.55 (0.166–1.794, 95%CI) tsetse/trap, i.e. 0.03–0.28 tsetse/trap/day. During the final extensive survey performed in December 2018, 52 tsetse were caught compared to 1,909 in 2015, with 11.6% (5/43) and 23.1% (101/437) infected with Trypanosoma respectively. Conclusions The annual deployment of Tiny Targets in the gHAT focus of Bonon reduced the density of Glossina palpalis palpalis by >95%. Tiny Targets offer a powerful addition to current strategies towards eliminating gHAT from Côte d’Ivoire.

Evaluation of different blood-feeding frequencies on Glossina palpalis gambiensis performance in a mass-rearing insectary

Background The main challenge to the successful mass-rearing of the tsetse fly in insectaries, especially in Africa, is a sustainable supply of high-quality blood meals. As such, the collection of high-quality blood in large quantities can be an important constraint to production. One possible strategy to lessen the impact of this constraint is to modify the blood-feeding frequency. In the study reported here, we evaluated the effect of three blood-feeding frequencies on the colony performance of Glossina palpalis gambiensis, a riverine tsetse fly species. Methods The effect of three, four and six blood-feedings per week on female survival and productivity were evaluated over a 30-day period. Progeny emergence rate and flight ability were also evaluated. Results Female survival was significantly higher in flies fed four times per week (87%) than in those fed three (72%) and six times per week (78%; P < 0.05). Productivity was similar between flies fed four and six times per week (457 and 454 larvae) but significantly reduced in flies fed three times per week (280 larvae produced; P < 0.05). Both emergence rate and flight ability rate were also similar between flies fed four times per week (97 and 94%, respectively) and six times per week (96 and 97%, respectively), but they were significantly reduced when flies were fed three times per week (89 and 84%, respectively; P < 0.05). Conclusions Blood-feeding frequency could be reduced from six times per week to four times per week without affecting mass-rearing production and progeny quality. The implications of these results on tsetse mass-rearing production are discussed.

Evaluation of different blood feeding frequencies on Glossina palpalis gambiensis performance in a mass-rearing insectary

Background: In tsetse fly mass-rearing insectaries, the sustainable supply of high quality blood meals is the main challenge, especially in Africa. Because the collection of high quality blood in large quantities may be an important constraint to production, blood feeding frequency can be a lever to lessen its impact. Therefore, this study evaluates three blood feeding frequencies on Glossina palpalis gambiensis colony performance.Methods: Three effects of blood feeding treatments - three, four and six times per week - were evaluated on female survival and productivity over a 30-day period. Progeny emergence rate and flight ability were also evaluated.Results: Female survival was significantly higher for flies fed four times per week (87%) than three (72%) and six times (78%; p<0.05). Productivity was similar between flies fed four and six times per week (457 and 454 larvae) but significantly reduced when fed three times (280 larvae produced; p<0.05). Similarly, emergence rate and flight ability rate were both similar between flies fed four times (97% and 94%) and six times (96% and 97%) per week but significantly reduced when fed three times per week (89% and 84%, respectively; p<0.05).Conclusions: Blood feeding frequency could be reduced to four times per week without affecting mass-rearing production and progeny quality. We discuss the implications of these results on tsetse mass-rearing production.