IPRC - 2019

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    Assessment of Possible Risk Factors Affecting Transmission of Dengue in the District of Gampaha Based on Reported Dengue Cases
    (International Postgraduate Research Conference 2019, Faculty of Graduate Studies, University of Kelaniya, Sri Lanka, 2019) Perera, E.H.L.; Viswakula, S.; Gunawardene, Y.I.N.S.; Subasinghe, U.; Hapugoda, M.D.
    Dengue is a fast spreading arboviral infection transmitted by the bite of infected females of Aedes aegypti (Linnaeus) and Ae. albopictus (Skuse). According to the Epidemiology Unit, the second highest number of dengue cases is reported in the District of Gampaha, Sri Lanka over past ten years. Objective of this study was to investigate the entomological and socio-economic risk factors affecting transmission of dengue in laboratory-confirmed dengue case reported stations in the District of Gampaha. Laboratory confirmed positive dengue patients (n=100) by dengue NS1 antigen test during the period of June, 2018-August, 2019 were selected. Entomological surveillance was conducted by visiting to each patient within one week of notification of a positive case. For the collection of socio-economic data, an interviewer-administrated questionnaire was used. Adult Aedes mosquito samples collected using a back-pack aspirator showed, 98.64% (73/74) of Ae. albopictus and 1.35% (1/74) of Ae. aegypti mosquitoes. Larval collection using standard larval surveillance techniques showed 92.96% (185/199) and 7.04% (14/199) of Ae. albopictus and Ae.aegypti larvae respectively. The highest House Index (55.17%-16/29), Container Index (28.89%-13/45) and Breteau Index (44.83%-13/29) were reported in the month of June, 2019. The major Aedes breeding place was identified as plastic buckets/barrels (48.6%-84/173) that being used to discard waste. Piped borne water (88%-88/100) was the major water source of the house-holds. Water source of tube well (9%-9/100) was the next popular water source and 66.67%(6/9) of tube wells were positive breeding places for Aedes larvae. Average homestead of the premises of dengue patients was 16.14 perches. From the 100 dengue cases, 67 cases were from middle of town areas, while 2 were from rural areas. Vegetation coverage of the 78% (78/100) house-holds were grass, bushes and small trees and 3% (3/100) house-holds didn’t have any vegetation coverage. The major mosquito prevention method was usage of mosquito nets (54%-54/100) and among dengue patients 7% (7/100) of dengue patients weren’t using any mosquito prevention method. High density of Ae. albopictus mosquitoes, was reported although Ae. aegypti is the major vector of dengue. Therefore, it is required to draw more attention about the Ae. albopictus breeding sites in dengue control programmes. Participants from the study sites were well aware about the disease but still there is a lack of knowledge on breeding sites and vector control methods. Drawbacks in the waste disposal methods, lack of cleanliness in gardens, unplanned water sources and neglecting preventive actions could be considered as the possible risk factors.
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    Susceptibility among Dengue Vectors to Malathion and Deltamethrin Insecticides in Three Selected Medical Officer of Health (MOH) Areas in the District of Gampaha, Sri Lanka
    (International Postgraduate Research Conference 2019, Faculty of Graduate Studies, University of Kelaniya, Sri Lanka, 2019) Dalpadado, C.P.R.D.; Amarasinghe, L.D.; Gunathilaka, P.A.D.H.N.
    Dengue has become the most important public health problem in Sri Lanka at present. As there is no effective vaccine or drug up to now, vector control is the main arm of disease control. Of these approaches, insecticide based control is used widely. However, excess use of chemicals and inappropriate application without determining the discriminative doses has given rise to the insecticide resistance among vector mosquitoes. Entomological surveys (Ovitap) were conducted in Negombo, Attanagalla and Dompe Medical Officer of Health (MOH) areas representing Urban, Sub urban and rural conditions, respectively from December 2016 December to June 2019. A total of 100 ovitraps each was placed outdoor and indoor in randomly followed by the collection after 5 - 7days. Eggs collected from ovitraps were reared under laboratory condition the laboratory (Temperature; 27 ± 10C: Relative Humidity 70 - 80%). The reared larvae were identified using standard taxonomic keys. Identification was further confirmed by identification of adults emerged from larvae . Adult mosquitoes were reared under optimized insectary conditions provided with sugar feeding. Batch of 140 mosquitoes from Aedes aegypti (Linnaeus) and Ae. albopictus (Skuse) was taken separately from the colony 24 hour after a sugar feeding. Each batch of mosquito was exposed to malathion (0.8%) and Deltamethrin (0.03%) insecticide susceptibility following the World Health Organization (WHO) defined procedures. The experiment setup was repeated for 2 times. Mortality and corrected morality was calculated using Abbortt’s formula after 24 hours’ exposure period. The results indicate that both dengue vectors have evolved high level of insecticide resistance to malathion (0.8%) and deltamethrin (0.03%) in the District of Gampaha except Ae. albopictus mosquitoes in rural areas. Ae. albopictus mosquitoes were found fully susceptible for 0.03% deltamethrin in Dompe (rural) MOH area and emergence of resistance (95.9%) was observed in Attanagalla (suburban) area. It was found resistant in Negombo area (83.8%) which is highly populated. Ae. albopictus mosquitoes were found fully resistant for 0.8% malathion in both urban (71.5%) and Sub urban (85.3%) areas while emergence of resistance was observed in Dompe MOH area (90.8%). Ae. aegypti was found resistance to both 0.03% deltamethrin and 0.8% malathion in Negombo area (88.1%, 53.5% respectively) and resistance was suggested for 0.03% deltamethrin in Attanagalla MOH area (91.8%) while it was found resistant for 0.8% malathion (89.8%) in the same area. Ae. aegypti was not recorded in Dompe MOH area during the study period. Since both the dengue vectors have developed resistance to WHO diagnostic discriminative doses for Malathion and deltamethrin intensity bioassays (five times and ten times of discriminative dose) are needed to be done to confirm the level of resistance in these vectors. Therefore, results highlight the requirement of continuous insecticide resistance monitoring incorporated with the surveillance and control efforts. Hence, use of evidence based discriminative doses of insecticide for each area should be vital to delay the development of resistance among natural population