week 2 Flashcards

(43 cards)

1
Q

environmental factors that affect malaria epidemiology

A

temp, season, dams, migration, deforestation, urbanization

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2
Q

how does urbanization affect malaria

A

creates breeding sites
increases entomological inoculation rate
vectkrs become more tolerant of xenobiotics

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3
Q

advantages of IVM

A

improves efficacy, cost effective, sustainable, preserve efficacy of existing tools, reduce evolution of IR

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4
Q

limits of IVM

A

cost, technical capacities, human resources, political will

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5
Q

what methods of control can be used in cities

A

LSM (few fixed and findable): habitat modification of manipulation, biological control (predatory larvivorous fish), larviciding
house improvements

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6
Q

limits of LSM as a control

A

short residual effect, needs repeating often. toxicity for non-target species, labour and financial constraints

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7
Q

what are the impacts of infection on a mosquito

A

DAMAGE- to tissues, midgut, increased susceptibility to other infections
DEPLETION- lower concs of aa in haemolymp, midguts use more glucose
BEHAVIOUR- decreases apyrase(enzyme catalyses hydrolysis of atp) activity, more time feeding
SURVIVAL (filariasis infection) FECUNDITY (malaria)

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8
Q

what is involved in the insect innate immune response

A
  1. physiochemical barrier- cuticle and peritrophic matrix
  2. cellular defense- hemocytes (would healing, phagocytosis, encapsulation)
  3. Humoral response- antomicrobial peptides, melanin
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9
Q

what insecticide products contain and active ingredient as well as pyrethroid, and can be used on nets

A

chlorfenapyr

pyriproxyfen

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10
Q

main mosquito resistance mechanisms

A

behavioural avoidance
cuticular resistance
target site mutates
metabolic resistancce

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11
Q

main kdr mutations in the sodium channel

A

L1014F L1014S

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12
Q

how do OPs and carbamates work

A

phosphorylate or carabamate active site serine of AchE

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13
Q

IR operational resistance definition

A

the selection of a heritable characteristic in an insect population that results in the repeated failure of an insecticide product to provide the intended level of control when used as recommended

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14
Q

loss of susceptibility/ developing resistance definition

A

the development of an ability to tolerate doses that would prove lethal to a majority of individuals in a normal population of the same species

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15
Q

issues with current insecticides

A

only 4 used in irs, with two modes of action , therefore resistance increasing
only pyrethrpids used on nets- resistance seen

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16
Q

with IR increasing what alternatives for vector control are there

A
  1. spatial insecticides
  2. attractive toxic sugar baits
  3. microbial insecticides- bacillus used for control of aquatic insects like similum, aedes and culex
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17
Q

what is temephos

A

OP larvicide to treat water infected with mosqs midges black fly larvaee

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18
Q

major resistance development factors

A
application freq
popn isolation
rate of reproduction
persistence of effect
dosage
19
Q

define cross resistance

A

the mechanisms expressed may resist more than one insecticide

20
Q

define multiple resistance

A

an insect expresses more than one resistance mechanism

21
Q

what are the different ways to manage resistance in IRS

A
  1. single formulation containing 2+ insecticides
  2. fine-scale mosaic- application of diff MoA insecticides against the same popn eg. using 2 diff moa insecticides in diff dwellings in same village. mosqs likely to come into contact with a second insecticide if they survive exposure to first, reducing selection pressure for both insecticides
  3. rotate insectidies with diff MoA over time
22
Q

monitoring of vector susceptibility objectives

A
  1. baseline data collection at start of a programme in order to inform planning and insecticide choice
  2. monitor susceptibility over time and compare with baseline
  3. detection of resistance so management can be introduced
23
Q

what is LC50

A

conc of compound required to kill 50% popn

24
Q

what is resistance ratio

A

LC50 resistant popn / LC50 susceptible popn

25
describe the steps taken in a resistance monitoring programme
1. field collection of bloodfed adults/larvae 2. species identification 3. rear to F1 generation and/or larvae to adults 3. WHO/CDC susceptibility testes 4. kdr RT-PCR or sporozoite rate (gives idea of impact of resistance on epidemiology)
26
how to manage IR
1. reserve class of insecticide for vector control and exclude from agri and household use 2. ensure insecticide is applied properly and at the correct dose 3. use dose that kills heterozygote partially resistant vectors 4. mix compounds with diff MoA 5. rotations or mosaics of insecticides
27
define urbanization
increased movement and settlement of population from rural to urban settings
28
why might people move from rural to urban settings?
better jobs, education, health care, absence of electricity and water supply, drought, terrorism conflict, armed gangs
29
what is unplanned urbanization?
to develop an area without planning infrastructure which is unhygienic and unhealthy for the settlement. can lead to over crowding, slums and development of activities favouring vector breeding sites
30
what are the drivers of infectious disease outbreaks in cities?
1. unplanned urbanization- creates suitable habitats for vectors and rats 2. poor housing- local transmission 3. travel- dissemination of diseases 4. overcrowding slums- transmission, bad hygiene practices
31
LF was traditionally a rural disease but now urban, why?
Unplanned urbanization- lack of sanitation - Culex vector lives in polluted water and latrines
32
what endogenous factors of the mosquito affect malaria epidemiology
``` density longevity species feeding preference vectorial competency vectorial capacity immunity ```
33
what endogenous factors of plasmodium affect malaria epidemiology
density stage of development compatibility virulence
34
what endogenous factors of man affect malaria epidemiology
age immunity genetic sex
35
what exogenous (environmental) factors affect malaria epidemiology?
``` temperature season dams migration deforestation migration ```
36
advantages of IVM
improves efficacy, cost effectiveness, sustainability, preserve efficacy of existing tools, reduce evolution of IRS
37
limits of ivm
cost, technical capacities
38
name two common kdr mutations
L1014F L1014S
39
how do you manage IR in the field
monitor resistance in field popn determine the extent of resistance adjust insecticide used
40
what mechanisms of resistance are seen in insects
metabolic target site reduced penetration behavioural
41
alternative methods for killing adult mosqs?
house improvements-eave tubes, insecticide treated material insecticide treated clothing lethal host-mimicking traps (animals treated with insecticide) toxic sugar baits LSM
42
what different vector sampling methods are there
``` HLC Net traps CDC light traps barrier screens# electrocuting traps immature traps ```
43
when choosing a sampling method what should you consider
``` prevalence vector vector behaviour- how will it interact with the trap? biting rate changes over time every sampling method has some bias ```