Vector importance of An. darlingi in the countries of distribution

Intensified malaria control activities have led to a decrease in the number of malaria cases in many countries in Latin America. According to the WHO [17], Mexico, El Salvador, Paraguay and Argentina have entered the elimination or pre-elimination phase and only four countries in the Americas, namely Brazil, Colombia, Haiti and Peru, are responsible for 90% of the malaria in this region in 2009. Anopheles darlingi is among the most efficient malaria vectors in the Neotropical Region [18]. The exact extent of its distribution is subject to discussion and changes continuously due to ecological changes and adaptations of this mosquito. A predicted distribution based on published records and expert opinions was recently produced by Sinka et al. [8] (Figure 1). The vector importance of An. darlingi varies throughout its area of distribution. In Mexico the main vectors in areas of high transmission risk are Anopheles pseudopunctipennis (inland) and An. albimanus (coastline and marshland). Anopheles vestitipennis is considered a secondary vector [19]. Anopheles darlingi plays a minor role in the south-eastern region of the country [20, 21], especially in the state of Oaxaca. Overall malaria in Mexico is down since a change of control strategy towards ecological measures (clearing of vegetation around houses and in waterways) in 1998 [22]. In Guatamala the main vectors are An. albimanus, An. pseudopunctipennis and An. vestipennis, but An. darlingi has been collected along the various river systems [4, 21, 23] and is considered to play a role in the malaria transmission [24]. The same four vectors play an important role in malaria transmission in Belize and Honduras[18]. In Belize An. darlingi is uncommon in the northern part of the country. In the southern regions it is mostly endophagic, more so than An. albimanus[25]. An interesting study by Roberts et al. [26] shows that in the Toledo District, where An. darlingi was the most common species in the 1940s (based on Kumm & Ram [27]), no An. darlingi were found in 1992. Instead, the most abundant mosquito was An. vestitipennis. Malaria transmission in Belize decreased after 1995 as result of a vector control programme with DDT [18]. In Honduras, An. darlingi was a suspected vector in severe malaria transmission in the early 20^th century [4]. Sugar-cane and cotton farming have dried up the southern part of the country, which led to a significant decrease of malaria cases and a move of the human population to the north. The resulting forest clearing in the north, however, has led to an increase of malaria in that area due to An. albimanus[18, 28].

The incidence of malaria in El Salvador is among the lowest in the Central American countries. Anopheles darlingi specimens have been found [21], but transmission is considered due mainly to An. albimanus and An. pseudopunctipennis, as is the case in Nicaragua where malaria transmission was high but is decreasing [29, 30]. The northern and eastern regions still have a high transmission risk [31]. Nicaragua and Costa Rica have no collection data of An. darlingi despite numerous and comprehensive surveys in the area trying to locate it. Official reporting of An. darlingi from Panama did not exist for a long time (although it was one of the first countries worldwide from where successful malaria control was reported [32]). Malaria transmission is considered due to An. albimanus and An. punctimacula, which are the most abundant species with the highest human biting rate. Anopheles aquasalis is suspected of playing a role in transmission on the eastern Atlantic coast. Recent genetic studies suggest a long and stable population of An. darlingi in (eastern) Panama, possibly originating from Colombia [33, 34]. In Colombia, An. darlingi is the principal malaria vector in the Llanos Orientale, The Amazonia, The Orinoquia, Urubai, Bajo Cauca and Magdalena Media [35]. The most important vector in Colombia is An. albimanus, representing 99% of the Anopheles population along the Pacific coast and 61% of the population along the Atlantic coast [36]. Venezuela has a very diverse Anopheles population. Anopheles darlingi is especially important in the Amazonian south along the rivers [6, 37, 38]. Studies by Moreno et al. [13, 39] showed that An. darlingi represented over 30% of the Anopheles populations in locations in the Amazonias and Bolivar state. Other important vectors are An. aquasalis (north east coast), An. albimanus (coast and subcoastal areas), An. pseudopunctipennis (Andes foothills) and An. nuneztovari (northwest) [18]. Vector control with DDT between the 1940s and 1960s proved very efficient in reducing malaria in the Guianas (Guyana, Suriname, French Guiana), eliminating it from the coastal areas of Guyana (1951) and Suriname (1968) [37, 40, 41]. Anopheles darlingi is considered the most important and often only malaria vector in the sparsely populated interiors of the three countries which are covered with rainforest [6, 39, 41–45]. Hudson [46], for instance, found that females of An. darlingi were the commonest (98.6%) of the 5,464 anophelines he collected in the rainforest of Suriname during 1979-1981. In 1980 malaria re-appeared in the coastal area of Guyana and transmission continues among the inland Amerindians [18, 40]. Despite the resurgence of malaria in the early 1990s and the continued high transmission among Amerindian and Maroon populations of the interior, the coast of Suriname is currently still free of malaria. Since 2005 a sharp decline in number of malaria cases is reported following a scale-up of intervention activities [17]. In French Guiana malaria continues to be a problem in the Amerindian populations along the Oyapock and Lawa Rivers and the Maroon population along the Marowijne River. Coastal malaria has disappeared except from import cases due to Haitian and Brazilian immigrants. This malaria is transmitted by An. darlingi, which is most likely breeding in coastal swamp areas [18, 47]. Almost all cases in Brazil originate from the Brazilian Amazon, with 74% of the cases coming from the three states Rondonia, Pará and Mato Grosso [18]. Anopheles darlingi is one of the most imporant vectors, with a natural infection rate varying between 2.7% and 4.2% in the state of Pará [48]. Other vectors include An. nuneztovari, An. triannulatus, An. oswaldoi, An. albitarsis and An. intermedius. Povoa et al. [49] reconfirmed the importance of An. darlingi in malaria transmission in the savannah eco-region of northern Amazonian Brazil. Here, the species was named an important vector in peri-urban environments.

In Equador fifty percent of the human population lives in malaria endemic areas. Especially in the Amazonian plains, east of the Andes, An. darlingi plays an important role. By contrast, An. albimanus is the main vector along the Pacific coast and An. pseudopunctipennis transmits malaria along the slopes and southern valleys of the Andes [18]. The resurgence of malaria in Peru after 1991 was thought to be associated with the spread of An. darlingi into new areas of the Amazon Basin [11, 50, 51]. A study by Schoeler et al. [50] shows that in the departments of Loreto and Ucayali, where over 60,000 mosquitoes were collected, 71% of the mosquitoes were An. benarrochi and 24% were An. darlingi. The latter species was found in almost 50% of the study areas including areas where the species had not been reported before. Flores-Mendoza et al. [12] found positive specimens of both An. benarrochi and An. darlingi at rates of 0.14% and 0.98%, respectively. In Bolivia, An. darlingi is thought to have played an important role in malaria epidemics in the first half of the 20^th century [18]. The species is found in the plains of northeastern Bolivia in the Departments of Beni, Panel and Santa Cruz [52]. Anopheles pseudopunctipennis is an important vector in areas above 500 m. asl. Other vectors include An. nuneztovari, An. triannulatus, An. marajoara and An. braziliensis. Paraguay is a transition area between the Andean countries and Brazil. Areas of moderate malaria risk are found in the Alto Paraná, Caaguazú and Canendiyú, where P. vivax is transmitted [31]. Negligible risk exists in the remaining areas. Anopheles darlingi is the only malaria vector reported [18] and its reappearance along the Paraguay border with Argentina is assumed to have been the reason for an increase in malaria on the Argentinean side [53], together with increased border traffic along the Bolivian and Paraguayan border and the ecological changes due to the construction of dams in the Paraná basin. Malaria in the north-western area of Argentina (Satla and Jujuy provinces) is mostly due to An. pseudopunctipennis[54–56]. In the northeastern part (Missiones) An. darlingi is a vector [18].

From the combined studies reviewed above, it is apparent that An. darlingi has a very wide distribution and acts as a malaria vector in almost all South American countries, being the principle vector in the Amazon basin.

Seasonality

Seasonality patterns of An. darlingi are closely related to the annual cycle of rainfall, although the relation of the occurrence of peak abundances to rainfall patterns seems to differ at different localities or regions. Deane et al. [2] discusses the species' sensitivity to dry season conditions. Rains are thought to increase availability of breeding sites [57] and peak abundances of An. darlingi in the rainy season have been reported [10, 58–60]. The local distribution area of An. darlingi may expand during the rainy season, as was observed by Roberts et al. [25] in Belize who found adult females within the range of rivers all year round, but further away from rivers only in the wet season. Forattini [1] found a greater density of An. darlingi during the hot months in southern Brazil and considered that the annual cycle of activity of this species may depend on exogenic factors, including those which can affect the productivity of breeding sites. He considered that the occurrence of heavy rains could possibly flood breeding places and create flood currents that carry away immature forms. This was also found by Pajot et al. [42] in French Guiana who discovered that heavy rains are followed by a decrease in and sometimes a total absence of An. darlingi. This mechanism is thought to have some influence in the increase in the density of An. darlingi in the dry season or in the transitional period between the dry and the wet season [1, 61]. Following a study in Rondônia (Brazil), Gil et al. [62] make a distinction between malaria of riverine areas and dry land malaria, explaining that differences in the nature and timing of establishment of breeding sites favorable to An. darlingi may result in different ecological models for malaria transmission. In dry land conditions, rivers can flood the margins during the rainy season, but the strong water flow will prevent successful breeding. Only after rains have ended, when rivers retreat to their original size, breeding sites originate as large stable water collections left behind in previously inundated areas. This results in high mosquito densities at the beginning of the dry season and malaria outbreaks in the dry season. By contrast, in riverine areas water levels of the major rivers rise significantly during the rainy season, due to draining from the tributaries. Not only the river margins, but complete forest areas can be flooded, creating inundated forest floors with low water flow which serve as excellent breeding sites for An. darlingi. Peak occurrences will be found in the rainy season, decreasing at the beginning of the dry season, when the flooded forest floors dry up. Such differences in ecological settings may explain a study in Suriname, where Hudson [46] discovered two different seasonal patterns (rainy season peak density and dry season peak density) in areas only 40 km. distant. Rozendaal [63] adds to the evident diversity of seasonal patterns when he finds that peaks in biting densities in a focus of malaria along the Marowijne River in Suriname correlated well with periods of (i) high water level in the long rainy season, (ii) low water level in the long dry season, and (iii) abundant rainfall in the short rainy season. Critical levels of river height and rainfall were defined, which could explain most of the monthly fluctuations in malaria parasite incidence observed in this area. Knowledge about the relationship of An. darlingi with environmental conditions and the impact of seasonal cycles on the mosquito population densities is required to predict areas and seasons of high malaria risk. Considering the large variety of larval habitats of An. darlingi, depending on the (changes in) ecological environments, and considering the adaptability of the vector, there is no way of assessing seasonality of the population densities than through the study of local settings.

Larval habitats

Larvae of An. darlingi are thought to require a stable chemical and physical condition in the breeding sites, which is generally not found in small water bodies [2]. This species breeds preferentially in large, deep and clear water collections like lakes, swamps or large rivers [2, 3, 10, 63]. Adequate larval conditions depend on depth of the water, temperature, pH, chemical stability and light/shade proportions [3]. A combination of shade and direct sunlight, with a certain amount of cover in the form of vertical vegetation is preferred, with a temperature of 20-28°C, and a pH 6.5-7.3 [3, 57]. Singer and Castro [64] considered the forest margins to be the principal breeding sites for An. darlingi in the Amazon. Undisturbed forests rarely provide ideal breeding sites due to a high acidity of the water and an absence of partly shaded water bodies. Black rivers with a pH below 5 and with little vegetation or plankton are unsuitable breeding sites, but Giglioli [57] found how intense rainfall created adequate breeding conditions by diminishing the acidity of black water rivers and by creating clear water swamps in areas where the water bodies had a low pH or high salinity. Rozendaal [41] collected An. darlingi larvae in water from at a temperature of 40°C, which contradicts the consideration that the breeding sites are always in cool waters [2]. This has implications for the range of possible breeding sites for this species, especially when considering ecological changes due to for instance deforestation, dam construction or mining. Vittor et al. [65] found that mosquito breeding sites with An. darlingi larvae have an average of 24% forest cover, compared with 41% for sites without A. darlingi. Further analysis of breeding-site characteristics identified seasonality, presence of algae, size of water body, presence of human populations, and the amount of forest and secondary growth as significant determinants of A. darlingi presence. Larvae are generally found around trunk, emergent plants and floating debris [7, 46, 63, 66], which seems to provide them with some amount of shadow and a stability of water condition in terms of water flow in this particular microhabitat.

Vectorial Capacity

According to Dean [2]An. darlingi is capable of maintaining a relatively high transmission of malaria even when found in low densities. The mosquito species is considered a good vector, despite its infection rates tending to be low, even in high risk malaria areas. The re-emergence of malaria in eastern Peru is for instance attributed to the spread of An. darlingi into new areas, but the vector infection rate found was less than one percent [12, 50]. In studies in the high-malaria risk area Rondônia in Brazil by Tadei [7] and Oliveira- Ferreira et al. [67], an infection rate in An. darlingi of 0.48% (one positive out of 210 and 47 positive out of 9,838, respectively) was found. Gil et al. [62] also found a low infection rate and considered that An. darlingi, which is the primary vector in that area, maintains malaria transmission by its high human biting rate and that transmission is supported through the high number of asymptomatic malaria cases in the human population. Anopheles darlingi has a relatively high susceptibility to Plasmodium infection when compared to other Amazonian species [68], and asymptomatic cases with very low parasitemias can be infective to An. darlingi, even if it is at a much lower rate than symptomatic cases [69]. The recent discovery of sub-microscopic, but highly infectious, low-density gametocytes of Plasmodium falciparum may be an additional explanation for the relatively continuous infections in the Amazon [70]. Mosquito infection rate can be relatively high at times [48]. Da Silva Vasconcelos et al. [71] found 8.5% of over 700 An. darlingi collected in Roirama (Brazil) to be infected with a Plasmodium parasite. This rate would be comparable to infection rates found for instance for An. gambiae and An. funestus in Tanzania (11.1% and 6.2% respectively [72]).

Gonotrophic cycle, longevity and age composition are considered important vector characteristics that are essential in determining the ability to transmit malaria. Based on the view that the gonotrophic cycle in other tropical anophelines lasts approximately three days [61, 73] calculated a daily mortality of An. darlingi at Arapuaña, Brazil, of approximately 38%. He considered that only those females that had completed four or more cycles would be old enough to contain malaria sporozoites [74]. Of 1,596 dissected females in his study, only seven had laid eggs four times or more, resulting in a proportion of females that could be potentially infective with malaria sporozoites of 0.4%. In reality the gonotrophic cycle of An. darlingi may be two rather than three days [75], which means that the daily mortality at Arapuaña would actually be higher than estimated by Charlwood (approximately 51%).

Terzian and Stahler [76] considered that the male-female composition of a mosquito population may influence feeding behavior, after a laboratory study with An. quadriannulatus in which the virgin females never took a blood meal. This supports the hypothesis that take-off or host-seeking behavior is inhibited until a substance is transmitted to the female during mating. Recent studies on the behavior of several other anopheline species show that pre-gravid biting is common and sometimes needed before mating can occur [77, 78]. Multiple blood meals within a single gonotrophic cycle appear to be less important in the life histories of neotropical Nyssorhynchus species, including An darlingi, compared to Afrotropical malaria vectors. One blood meal is usually enough for egg maturation [79, 80].

Age of female mosquitoes is estimated from the parity rate of a population, i.e. the rate of females which have had a blood meal and have laid eggs (as determined using the ovarian tracheole dissection by Detinova [81]). The reliability of this method, especially in older females is subject to discussion [82]. Age composition of female An. darlingi collected in the field differs over collection time, collection seasons and locality. Higher variability in age composition may be found in the dry season, possibly related to availability of breeding sites and more stable climatic conditions [83]. Hudson [46] found that the parous rates of females he caught in Suriname from 19.00-22.00 h were 10-20% higher than those of females caught at other times of the night. The differences in age composition over season and time of day or night will need to be taken into account when collecting the mosquitoes for determination of infection rate [84]. Age composition may also depend on the distance of breeding sites to nearby human settlements. More gravid females and less nulliparous females are found close to breeding sites than in villages away from breeding sites [85].

Flight range of malaria vectors is an important determinant for their success in transmission over distance. Deane et al. [2] found breeding sites as far as 1.5 to 2 km from the sites of adult captures in the Amazon. In a study in Jardim das Copaíbas (Roirama, Brazil) Monteiro de Barros et al. [80] found that 20.3% of An. darlingi would fly over 500 m., 4.6% would fly over 1000 m., and less than 1% further than 1200 m. In comparison, Achee et al. [86] found recovery rates of 29%, 11.6%, 5.8% at distances of 0, 400 and 800 m., respectively, in Belize. Tadei [7] estimates a possible flight range of 5 km when going downwind, and Charlwood and Alecrim [87] in a capture-recapture study in Brazil found two An. darlingi females at 7.2 km. from their release site, nine days after release. Recapture rate at the release site was 12-19%. This dispersal behavior is similar to what is found in African anopheline species [88]. Due to the variability of the vectorial capacity determinants and their dependence on external factors vectors, obtaining insight into local An. darlingi vectorial capacity is difficult and requires a sound methodology and understanding of the variabilities.

Relative abundance and feeding behavior

Anopheles darlingi is attracted to the human host [57, 87, 89]. Deane et al. [2] and Rachou [3] compared the attraction of the mosquitoes to humans and other mammals and found that especially humans and large mammals, like horses, are preferred. Zimmerman et al. [89] considered that host selection may in fact vary much depending on host availability and can differ significantly in different sites within one region. The tendency of An. darlingi to go indoors for biting was confirmed very early [2, 90, 91]. A study in Belize showed an indoor-outdoor ratio of 1:0.6 for An. darlingi[25]. In Brazil a larger degree of variation in behavior was found by Deane et al. [2], who discovered a stronger exophilic tendency in the Interior of Brazil. Charlwood [37] confirmed this with his study in Manaus, where he found An. darlingi to be primarily exophagic and exophilic, while in northern Brazil (towards the border with Guyana and Venezuela) it was more endophagic. Rozendaal [92] captured 73% of the An. darlingi in the Interior of Suriname outside of the houses, in the peridomestic areas. He discovered that, even when An. darlingi is anthropophilic and prospers in the presence of human blood, it is able to survive as a 'wild' population in much lower numbers on animal blood. This was also found in French Guyana by Pajot [93], and in Brazil by Deane et al. [2] where An. darlingi was collected in uninhabited areas.

Elliot [58] found that in periods of increased mosquito density the relative importance of outdoor biting (during times of human activity) declines. He offers two possible explanations, the first one being that in periods of highest density the females may have a 48 hr gonotrophic cycle, causing them to lay eggs in the early evening and start feeding in the late night of the same night. The second explanation would be that high density of mosquitoes often coincides with periods of heavier rainfall and higher relative humidity. Relative humidity inside houses, which may well inhibit entry when it is low in the first hours after sunset, would rise sooner in the wet season as the house cools, which may result in higher numbers of entry. Either or both hypotheses could be true. Hudson [46] studied the resting time of mosquitoes before and after biting in Suriname and found at Aselikamp in June 1979 that the mean resting periods observed were 7.7 min (range 1-35) for 52 unfed females, and 17.1 min (range 2-41) for 10 blood fed females.

Biting cycles of An. darlingi seem to differ significantly between various regions of its distribution area, and even in localities not far apart. Some studies record unimodal [94] and other bimodal biting rythms [1, 7, 42, 59, 95]. Da Silva-Vasconcelos [71] found no defined biting peak for An. darlingi in Boa Vista (Roraima, Brazil) where over 10% of the anopheline population was found to be An. darlingi and where An. darlingi had the highest Plasmodium infection rate and together with An. albitarsis was considered the prime vector for this area. Forattini [1] found that the distribution of the 9,523 An. darlingi caught in southern Brazil at 1500 feet displayed a distinct bimodal distribution in the daily blood feeding periodicity with peaks at both dusk and dawn. Hudson [46] discovered that biting cycles of An. darlingi at his two study sites (Aselikamp and Apoma Tapoe, Suriname) showed a single main peak, but the peak would occur one hr later at Aselikamp (22.00-23.00) than at Apoma Tapoe (21.00-22.00), with smaller secondary peaks at 18.00-19.00 and 5.00-6.00 hr. Pajot et al. [42] found a trimodal cycle in nearby French Guiana, including both twilight periods and a clear nocturnal peak between 1.00-2.00. He also found that cycles of biting activity of parous and nulliparous females are similar, both inside the house and on the veranda. That different biting cycles of An. darlingi can be found in a single locality over the seasons was discovered by Leon et al. [96] in St Clara (Peru) where a unimodal cycle was found from August to December and a bimodal cycle from January to June. Vector control activities like Indoor Residual Spraying (IRS) or the use of insecticide treaded nets (ITNs) can result in a change in biting behavior [96–98].

Lunar cycles do not appear to influence daily biting rhythms of most mosquito species, but larger numbers of mosquitoes can be collected during new moon [99]. Voorham [100] discarded the likelihood of mosquito density interfering with biting behavior after his study in the State of Amapa (Brazil), this is consistent with studies in for instance French Guiana [42], but is not in line with results obtained in studies in Colombia and Brazil [101]. Voorham acknowledges that intra-population variation of biting activity can be as significant as inter-population variation, and states that plasticity in biting activity patterns can result in increased vectorial potential of mosquitoes and control strategies may have to be adjusted to account for difference in human-vector contact over time.

Mosquitoes may very well display a preference in their biting sites on their available or preferred host. Observations by De Jong and Knols [102] on mosquito biting on humans revealed that many species have preferred biting sites, and that not all species share the same preferences. Selection of these sites may be related to several factors, depending on the mosquito species, including visual and chemical properties of the host. This was confirmed by the differential attractiveness of Kenyan men to the African malaria vector An. gambiae[103] and another study that revealed that allomonal breath contributes to differential attractiveness of humans to the African malaria vector An. gambiae[104]. In a study on the South American malaria vector An. albimanus, biting sites were recorded mostly from the head region, suggesting that this species responds mostly to human breath [105]. Studies on biting site preferences of An. darlingi are necessary to provide information on cues that are important in the finding and selection of a host. This information could be applied in trapping and control activities [106].

Biological variation

The possibility that the mosquito species An. darlingi may consist of a species complex is subject of continued research. If true, it could have important implications for future malaria control schemes in Latin America. Charlwood [37] found that An. darlingi mosquitoes from the Manaus area are more chromosomically diverse than mosquitoes towards the northern edge of the distribution area (Venezuela and Guyana). He also found that female wing size can vary between populations. Wing size variation in mosquitoes can in fact be due to other than genetic variation, for instance to differences in larval population densities and food availability, as was shown for Aedes aegypti by Jirankanjanakit et al. [107]. A study by Harbach et al. [108] showed that the An. darlingi specimens found in Belize show variation in their hind tarsal markings at a more than incidental rate.

Rosa-Freitas et al. [109] related iso-enzymatic, behavioral and mitochondrial DNA studies on Brazilian and other Latin-American populations and deducted that An. darlingi is a monotypic species. Mirabello and Conn [110] studied the genetics of An. darlingi mosquitoes to determine whether there is a division in the gene pool between Central and South America and found no significant evidence for this. Conn et al. [111] continued this research in an attempt to find a population bottleneck in An. darlingi due to possible pressure as a result of insecticide use. The bottleneck was not found but significant differentiation between locations north and south of the Amazon River were discovered, suggesting a degree of genetic isolation between them, which was attributed to isolation by distance. Continued studies by Mirabello et al. [112] result in the conclusion that "all of the data confirm a deep divergence between Amazonia and southern Brazil (genotype 1), and Central America, Colombia, and Venezuela (genotype 2).", which indicate incipient speciation. Recent studies in Brazil and Colombia show that on a more local level speciation is less likely due to high levels of gene flow, although even on that level evidence for isolation by distance exists [113, 114].

Ecological change

In the whole of South America ongoing development results in changing environments: agriculture and industries, colonization of uninhabited areas by humans, construction of hydropower dams, and forestry and mining activities are some of the causes. The globally changing climate is another. Change of ecosystems can result in a change in availability of breeding sites for mosquitoes or a change of survival rate and reproduction [115, 116]. This may affect the malaria transmission risk. According to Patz & Olson [117], changing temperature trends, due to influences from global climate change and local land use practices, may alter malaria risk, due to 1) a shift in time needed for parasite development, 2) changing mosquito abundance and survivorship, 3) a change in gonotrophic cycle, and 4) a change in larval development and pupation rates. Non-sustainable forestry, resulting in large-scale deforestation, will have an effect on local temperature, and possibly on the availability of breeding sites. Vittor [118] found that the biting rate of An. darlingi is positively related to the amount of deforested land, and further found that deforested sites had an Anopheles darlingi biting rate that was more than 278 times higher than the rate determined for areas predominantly forested [119]. In accordance, Harris et al. [120] considered that the growing malaria problem in the Bolivian Amazon (a four-fold increase between 1991 and 1998) was largely due to forest clearance, bringing human and vector populations into closer contact. Malaria outbreaks were predicted for Belem (Brazil) as a result of the continued expansion of the city into the surrounding forest in the 1990s, and the observed increase in the population sizes of An. darlingi in these locations [121].

The construction of hydropower dams often came with special awareness of a possible increase of the malaria risk, which resulted in related studies. De Carvallo [122] found a decline in An. darlingi densities and malaria transmission after the construction of the Lages dam in Brazil. This was attributed to the variations in water level, which destroyed the preferential breeding places of An. darlingi. Rozendaal [63] found that, in contrast to the prediction by Van Thiel [123], the hydropower scheme which created Van Blommenstein lake in 1971 in Suriname, did not cause a malaria problem. No An. darlingi were found in that area. He assumed that the non-shaded shores of the lake are unsuitable breeding habitats. With the completion of the (binational) Itaipu dam between Brazil and Paraguay and the maintenance of the breeding places for An. darlingi an increasing number of malaria cases, especially in the Upper Parana River, was expected. Falavigna-Guilherme et al. [9] describe the occurrence of some P. vivax outbreaks after the completion of the dam, but believe that with the adoption of satisfactory preventive measures, including health educational and social actions, malaria can be controlled. Zeilhofer et al. [124] found a positive relationship between the An. darlingi presence and increased proximity to forested areas near reservoirs, especially in bays protected from wind and wave action. Breeding site classification with satellite imaging together with entomological studies are proposed as a valuable tool for spatial modeling of An. darlingi habitats in hydropower reservoir areas [124].

One increasingly common human activity in South America is gold mining, especially in the forested areas of the Amazon. The relation between gold mines and malaria has been discussed often [125]. In fact, the re-emergence of P. falciparum malaria in Cuyuni-Mazaruni-Potaro in Guyana, after 28 years of absence of cases, was considered due to the 'gold rush' [126]. In Mato Gross (Brazil) a positive correlation existed between amount of gold extraction and malaria incidence rate [127]. Very early on it was recognized that in mining areas, old abandoned pits could be suitable as Anopheles breeding sites [57] and this was recently re-established [13]. Clear and deep water bodies remain after sand and debris are deposited on the bottom of the mining pits over time. Destruction of the surrounding forest by the mining activities may result in less than optimal amount of shadow, but An. darlingi has shown tolerance to high water temperatures [41] and an ability to adapt. Following a successful malaria intervention program in the Interior of Suriname between 2005 and 2010, the only persistent malaria areas are associated with gold mines (H. Hiwat, unpublished results).

Surveillance and Control

Capturing An. darlingi is not easy. So far, human landing catches seem the 'golden standard' for collecting this vector. The generally disappointing results of various trapping devises when compared to human landing collections (see for instance Moreno et al. [39], Brochero et al. [128], Turrel et al. [129], Dusfour et al. [130]) may lie in the high degree of anthropophily which is often found in this species. This high degree of anthropophily could indicate that An. darlingi is attracted by very specific human-related cues, and is therefore less inclined to enter traps which fail to present these cues. Since human landing catches are costly and labor-intensive and may present a risk to the collector, alternative methods are needed. Further studies into the biting behavior and preferences of An. darlingi may be instrumental in the development of an efficient alternative collecting method which can be used in vector surveillance. Identifying the host-related cues which attract the vector can ultimately result in more target-specific control measures. This line of study and tool development is currently employed for An. gambiae s.s. surveillance and control [131].

Evidence exists that vector control measures can result in changing characteristics of the targeted vector [132]. Long-term DDT use resulted in a changed susceptibility of An. darlingi populations over time [133]. Indoor Residual Spraying (IRS) and Insecticide Treated Nets (ITNs) reduced intra-domiciliary vector densities in several species and variation in biting time after their introduction has been recorded [134, 135]. Which vector control method to use at a certain location, depends very much on the characteristics of the vector and requires adequate baseline information and continuous monitoring to detect changes [136]. ITNs for instance proved very successful against An. darlingi in southern Venezuela, where a reduction of 56% of malaria cases was recorded in local indigenous populations after the introduction of lambdacyhalotrin-treated hammock nets [137]. The use of same ITNs in the Bolivian Amazon might be less successful because, as Harris et al. [120] found, 48% of mosquito biting takes place between 19.00 and 21.00 h., when most people are not yet in the protective area of the net.

The mobility of larval mosquitoes is low compared to that of the adult forms, which is why larval control of vectors can be a powerful tool in malaria control [138]. Possible options are biological control with larvivorous fish or bacteria, or chemical control, for instance with oil. Whether larval control can be successful depends on the characteristics, especially the size, of breeding habitats [139]. Anopheles darlingi breeds in various habitats, smaller and larger, often covering wide areas (see above). In clearly defined breeding sites, like the stagnant water bodies remaining after the rainy season, limited areas of swamps or inundated forest floors, and possibly mining pits or other limited breeding sites derived from human activity, larval control with microbial larvicides could be effective. Bacterial control has been successful in Africa when directed at An. gambiae[140], but also in breeding sites in Peru and Equador [141]. The difficulty of localizing the breeding sites where larval control of An. darlingi could be successful to reduce malaria incidence is yet another issue. The Amazon rainforest is still a sparsely inhabited area, and the logistics of locating and treating individual breeding sites may preclude control directed at the larval stage. Satellite imaging may prove a useful tool in this endeavor. Studies on this subject are currently undertaken [124].