DOEHS Vector Surveillance 2006 Sand Fly and Mosquito Surveillance by sarob

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									 DOEHS Vector Surveillance 2006
Sand Fly and Mosquito Surveillance in CENTCOM




                       Richard D. Wells
             ENTOMOLOGICAL SCIENCES PROGRAM
US ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE
 Vector Borne Disease Threats


• Iraq
   • Leishmaniasis
         •   Operational Risk Estimate – Low
   • Sand fly fever
         •   Operational Risk Estimate – Low

• Afghanistan
   • Malaria
         •   Operational Risk Estimate – Moderate
   • Leishmaniasis
         •   Operational Risk Estimate – Low
                Leishmaniasis
Cutaneous                    Visceral
  • Leishmania major            • L. donovani
  • L. tropica                  • L. infantum




                   Sand Flies
  Phlebotomus papatasi      L. major
  P. sergenti               L. tropica
  P. alexandri              L. donovani/infantum
IRAQ                                       Leishmaniasis Distribution
                        Mosul                   Cutaneous and Viseral Risk Areas


                                       Kirkuk

                            Tikrit


                                                         Elevated Cutaneous Risk
                                                         Elevated Viseral Risk

                                     Baghdad




Land Cover Type                                 An Nasiriyah
   Forest
   Scrub/Shrub
   Grassland
   Barren
   Urban                                             Al Basrah
   Agriculture
   Agriculture Rice
   Wetland Herbaceous
   Wetland Mangrove
   Water
   Ice/Snow
MSMR, Vol. 13 No. 1, January 2007
      DOEHS Vector Surveillance
           Key Players
PM Units

Walter Reed Army Institute of Research

USACHPPM
•   USACHPPM North
•   Deployment Environmental Surveillance Program
•   Entomological Sciences Program
Sand Fly and Mosquito Surveillance
     Supplies and Equipment

  2005
    • 35 Kits sent to Iraq and Afghanistan
    • 4 Sets of Light Traps to Iraq

  2006
    • 64 Kits sent to Iraq, Afghanistan and Kuwait
    • 14 Equipment Sets to Iraq
                Summary of Results 2003 - 2005




                                                                                           Sergentomyia
                                                                            Phlebotomus




                                                                                                           Total ID'd
                             No of
             Total # of                  No of       No of     % of Sand
                           Pools of
Year Country Sand flies                Sand flies   Positive      flies
                          Sand flies
             Collected                  Tested       Pools      Infected
                            tested

2003   Iraq    77,766       2,874       31,662        422        1.33      3,791          2,395           6,186
2004   Iraq    46,493       2,311       18,368        260        1.42      2,109          1,301           3,411
2005   Iraq    25,575       1,273       7,120          24        0.33      1,953          1,216           3,169



                        Summary of Results 2006
2006   Iraq     9,531       1,272        6,778         1         0.08      6,778          2,753           9,531
                        Leishmaniasis
   IRAQ                 Risk Estimate
                         2003-2005




Land Cover Type
   Forest
   Scrub/Shrub
   Grassland
   Barren
   Urban
   Agriculture
   Agriculture Rice
   Wetland Herbaceous
   Wetland Mangrove
   Water
   Ice/Snow
   IRAQ                 Sand Fly Surveillance
                          2006 Locations




Land Cover Type
   Forest
   Scrub/Shrub
   Grassland
   Barren
   Urban
   Agriculture
   Agriculture Rice
   Wetland Herbaceous
   Wetland Mangrove
   Water
   Ice/Snow
                                            Number Per Trap Per Night




                                                                                     1000




                                        0
                                                 1
                                                             10
                                                                             100
                              Apr-06




                              May-06




                              Jun-06




                               Jul-06




                              Aug-06
                                                                                                       Diwaniyah
                                                                                                 Phlebotomus spp. 2006
                                                                                                                                                          Collections



                              Sep-06
                                                                                                                                                         Daily Sand Fly

                                                                                                                                    per Trap per Night




                              Oct-06




                              Nov-06



              Number Per Trap Per Night                                                                Number Per Trap Per Night
                                                                                                                                                  1000




                                                                                             0
                                                                                                                 1
                                                                                                                         10
                                                                                                                              100




                                              1000




          0
                1
                         10
                                 100
Apr-06                                                                             Apr-06




May-06                                                                             May-06




Jun-06                                                                             Jun-06




                                                                                    Jul-06
 Jul-06
                                                                                                                                                              Balad Group




                                                          BIAP Group




                                                                                   Aug-06
Aug-06
                                                                                                                                                         Phlebotomus spp. 2006




                                                     Phlebotomus spp. 2006




                                                                                   Sep-06
Sep-06



                                                                                   Oct-06
Oct-06



                                                                                   Nov-06
Nov-06
   Average Number of Sand Flies
        per Trap per Night
2003 - 2004               2006
                           IRAQ
                     Malaria Distribution
Mosul


            Kirkuk

 Tikrit




          Baghdad
               Iraq Mosquito Surveillance 2006


  Location       Aedes   Anopheles   Culex   Culiseta   Uranotaenia   Total

  Al Asad         81         5       947       13                     1046
   Balad          199        2        87                              288
   BIAP          1877       20       2438      196          10        4541
 Diwaniyah        479       19       301                              799
   Kirkuk                            243                              243
   Mosul                             106                              106
Sulaymaniyah                          12                               12
    Taji          88                 1047       3                     1138

Grand Total      2724       46       5181      212          10        8173
          Number Per Trap Per Night                                 Number Per Trap Per Night




                                                                                           1000




                                                                    0
                                                                        1
                                                                              10
                                                                                     100




                                 1000




          0
              1
                    10
                           100
Mar-06                                                    Mar-06



Apr-06                                                    Apr-06


May-06                                                    May-06



Jun-06                                                    Jun-06


 Jul-06                                                    Jul-06
                                                                                                     Al Asad




                                          BIAP Group
Aug-06                                                    Aug-06




                                        Mosquitoes 2006
                                                                                                  Mosquitoes 2006




Sep-06                                                    Sep-06


Oct-06                                                    Oct-06



Nov-06                                                    Nov-06


Dec-06                                                    Dec-06



          Number Per Trap Per Night                                 Number Per Trap Per Night
                                                                                           1000




                                                                    0
                                                                        1
                                                                              10
                                                                                     100




                                 1000




          0
              1
                    10
Mar-06                     100                            Mar-06



Apr-06                                                    Apr-06
                                                                                                                    per Trap per Night




May-06                                                    May-06



Jun-06                                                    Jun-06


 Jul-06                                                    Jul-06
                                             Taji
                                                                                                    Diwaniyah
                                                                                                                                         Daily Mosquito Collections




Aug-06                                                    Aug-06
                                        Mosquitoes 2006
                                                                                                  Mosquitoes 2006




Sep-06                                                    Sep-06


Oct-06                                                    Oct-06



Nov-06                                                    Nov-06


Dec-06                                                    Dec-06
            Number per Trap per Night                                        Number per Trap per Night




                          10
                               100
                                     1000




                  0
                      1
                                                                                                100
                                                                                                      1000




                                                                                   0
                                                                                       1
                                                                                           10
        Mar-06
                                                                         Mar-06


        Apr-06
                                                                         Apr-06


        May-06                                                           May-06


        Jun-06                                                           Jun-06




                                                                 Aedes




Aedes
         Jul-06                                                           Jul-06
                                                                                                             Taji Mosquitoes




                                            BIAP Mosquitoes
                                                                 Culex




Culex
        Aug-06                                                           Aug-06



        Sep-06                                                           Sep-06



        Oct-06                                                           Oct-06



        Nov-06                                                           Nov-06



            Number per Trap per Night                                       Number per Traps per Night
                                                                                           10
                                                                                                100
                                                                                                      1000




                                                                                   0
                                                                                       1




                                                                         Mar-06
                          10
                               100
                                     1000




                  0
                      1
        Apr-06

                                                                         Apr-06
        May-06
                                                                                                                                    by Trap by Night




                                                                         May-06
        Jun-06

                                                                         Jun-06
         Jul-06
                                                                 Aedes




Aedes


                                                                          Jul-06
        Aug-06
                                            Al Asad Mosquitoes
                                                                 Culex




                                                                         Aug-06
Culex
                                                                                                             Diwaniyah Mosquitoes




        Sep-06

                                                                         Sep-06
        Oct-06

                                                                         Oct-06
                                                                                                                                                       Daily Culex spp. and Aedes spp. Collections




        Nov-06

                                                                         Nov-06
               Mosquito Test Results
                      2006

                                    No.      No.      No.
   Genus           Pathogen
                                   Tested   Pools   Positive
Anopheles spp.      Malaria         46       41        0
  Culex spp.     West Nile Virus   5181     1070       0
Malaria




          MSMR, Vol. 13 No. 1, January 2007
       Mosquito and Sand Fly
      DOEHS Vector Surveillance
                           2007

USACHPPM SubComands
       PCR testing capability
       Europe takes over CENTCOM specimens

USACHPPM Support
       Surveillance Kits
       Equipment Sets

GIS Threat Mapping
            Questions?



                       Richard D. Wells
             ENTOMOLOGICAL SCIENCES PROGRAM
US ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE

								
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