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Insecticide resistance of Anopheles sinensis and An. vagus in Hainan Island, a malaria-endemic area of China

Parasites & Vectors volume 7, Article number: 92 (2014) Cite this article

Abstract

Background

Malaria is one of the most important public health problems in Southeast Asia, including Hainan Island, China. Vector control is the main malaria control measure, and insecticide resistance is a major concern for the effectiveness of chemical insecticide control programs. The objective of this study is to determine the resistance status of the main malaria vector species to pyrethroids and other insecticides recommended by the World Health Organization (WHO) for indoor residual sprays.

Methods

The larvae and pupae of Anopheles mosquitoes were sampled from multiple sites in Hainan Island, and five sites yielded sufficient mosquitoes for insecticide susceptibility bioassays. Bioassays of female adult mosquitoes three days after emergence were conducted in the two most abundant species, Anopheles sinensis and An. vagus, using three insecticides (0.05% deltamethrin, 4% DDT, and 5% malathion) and following the WHO standard tube assay procedure. P450 monooxygenase, glutathione S-transferase and carboxylesterase activities were measured. Mutations at the knockdown resistance (kdr) gene and the ace-1 gene were detected by DNA sequencing and PCR-RFLP analysis, respectively.

Results

An. sinensis and An. vagus were the predominant Anopheles mosquito species. An. sinensis was found to be resistant to DDT and deltamethrin. An. vagus was susceptible to deltamethrin but resistant to DDT and malathion. Low kdr mutation (L1014F) frequency (<10%) was detected in An. sinensis, but no kdr mutation was detected in An. vagus populations. Modest to high (45%-75%) ace-1 mutation frequency was found in An. sinensis populations, but no ace-1 mutation was detected in An. vagus populations. Significantly higher P450 monooxygenase and carboxylesterase activities were detected in deltamethrin-resistant An. sinensis, and significantly higher P450 monooxygenase, glutathione S-transferase and carboxylesterase activities were found in malathion-resistant An. vagus mosquitoes.

Conclusions

Multiple insecticide resistance was found in An. sinensis and An. vagus in Hainan Island, a malaria-endemic area of China. Cost-effective integrated vector control programs that go beyond synthetic insecticides are urgently needed.

Background

Malaria is a major public health problem worldwide and has significantly impeded socioeconomic development. According to the latest World Health Organization (WHO) report, since 2000 the global malaria mortality rate has decreased by 45%[1]. In China, malaria incidence has been trending downward; the total number of malaria cases was reported to be less than 3,000 in 2012[1]. The Chinese government issued “Action Plan of China Malaria Elimination (2010-2020),” aiming at malaria elimination in China by 2020[2, 3]. Pyrethroid-impregnated bed nets and indoor residual sprays are the main components of malaria control and elimination strategy because of the high mosquito repellency of pyrethroids, insecticidal efficacy, and low toxicity to mammals[4–7]. However, extensive use of insecticides has resulted in widespread pyrethroid resistance, and insecticide resistance in malaria vectors is a growing concern in many countries. Insecticide resistance monitoring and management is a high priority in malaria control programs.

Hainan Island Province is one of two provinces in China with endemic Plasmodium falciparum malaria in China[8]; here, P. vivax malaria is also endemic. Hainan Island, separated from mainland China by the 30 km-wide Qiongzhou Strait, has a size of 33,920 km2 and a population of 8.6 million. It has a tropical moist monsoonal climate with annual average temperature of 25°C and precipitation of 1500-2000 mm. The southern part of the island is mountainous and is the most malarious region. Recent malaria incidence reports showed that 11 out of 17 counties in the southern part of the island had malaria incidence exceeding 1/1000[9, 10]. Major malaria vectors in Hainan Island are An. minimus and An. dirus and the secondary malaria vector is An. sinensis[11–14]. Due to recent intensive malaria vector control measures, the abundance of An. minimus and An. dirus has been decreasing and An. sinensis becomes increasingly important, as found in the present and other studies[11, 12, 14]. Although so far An. vagus has not been confirmed as a malaria vector in Hainan, An. vagus has been reported as a malaria vector in Vietnam, Laos, Cambodia[15, 16], Central Java (Purworejo, Kokap) and western Timor Island (Kupang) in Indonesia (P. falciparum)[17] and Bangladesh (P. falciparum and P. vivax)[18]. Chemical insecticides have been extensively used since the 1950s to control mosquito vectors, and historically, four major categories of insecticides have been sequentially applied: organochlorines, organophosphates, carbamates, and pyrethroids[19]. Pyrethroids are the most commonly used insecticides for insecticide-treated nets (ITN) and indoor residual spraying (IRS), which target indoor transmission and indoor-biting and–resting mosquitoes. Extensive use of pyrethroid insecticides has resulted in insecticide resistance, which has changed the mosquito vector community and population structures in Hainan Province. For example, An. sinensis, an exophagic and exophilic species, has now become a very important malaria vector due to its wide distribution, high density, and prevalent insecticide resistance[11, 19, 20].

Two insecticide resistance mechanisms have been identified in mosquitoes: increased metabolic detoxification and reduced target site sensitivity[21]. Metabolic detoxification enzymes include cytochrome P450 monooxygenases (P450s), glutathione S-transferases (GSTs) and carboxylesterases (COEs). Pyrethroids and organochlorines function as neurotoxins that act by prolonging sodium channel activation, whereas organophosphates and carbamates kill insects by inhibiting acetylcholinesterase found in the central nervous system[22–24]. Target site resistance to pyrethroids and organochlorines is caused by mutations in the para-type sodium channel gene, while target site resistance to organophosphates and carbamates is caused by a mutation at codon 119 of the acetylcholinesterase (ace-1) gene. Mutations at the para-type sodium channel gene cause knockdown resistance (kdr), and kdr frequency has been used as an index of mosquito resistance to pyrethroids[25–27]. In An. sinensis, four non-synonymous mutations at codon 1014 were reported, including L1014F[28–30], L1014C[28–30], L1014S[16, 31], and L1014W[29]. In An. gambiae, the most important malaria vector in Africa, a mutation at codon N1575Y augments pyrethroid resistance[32]. On the other hand, a mutation at codon 119 of the ace-1 gene leading to a single amino acid substitution of glycine to serine in the binding pocket of acetylcholinesterase may confer resistance to organophosphates and carbamates. Mosquitoes have two acetylcholinesterase genes (ace-1 and ace-2), but only ace-1 was found to be significantly associated with insecticide resistance[33–35].

The objective of the present study was to determine the spatial heterogeneity of pyrethroid resistance in malaria vectors in Hainan Island, China. Because organochlorines and organophosphates were used for vector control and have been considered for IRS, we also determined resistance to these two classes of insecticides. We examined the frequency of kdr and ace-1 mutations and analyzed metabolic detoxification enzyme activities to determine the spatial distribution of kdr and ace-1 mutations and to ascertain whether any molecular or biochemical biomarkers may be predictive of insecticide resistance.

Methods

Mosquito sample collection

In order to minimize the confounding effects of age and blood feeding history on insecticide resistance in field-collected adult mosquitoes[36], we used female adult mosquitoes reared from field-collected larvae or pupae for the resistance bioassay. Anopheles mosquito larvae and pupae were collected from 12 localities in Hainan Island Province, China, in July–August 2012 (Figure 1). In each locality, at least 80 aquatic habitats in rice fields were sampled using 350 ml larval dippers. Malaria is endemic in all sites, but the southern part of the island had higher malaria incidence. Insecticides have been used extensively for agricultural pest and mosquito control. The main insecticides used in these areas include pyrethroids in mosquito coils, DDT, lambda-cyhalothrin, methothrin, permethrin, triazophos and triazophosphoxim. In each site, we collected as many mosquito larvae and pupae as possible from the rice fields. Mosquito larvae and pupae were reared to adults under local environmental conditions. Prior to insecticide assay, all adult mosquitoes were identified to species morphologically using the published morphological keys of Done 2010[37]. Seven of the 12 sites yielded <100 Anopheles mosquitoes; therefore, insecticide resistance bioassay was not conducted due to small sample size.

Figure 1
figure 1

A map of Anopheles mosquito sampling sites in Hainan Island, China. Pie chart shows the species composition.

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Mosquito insecticide susceptibility bioassay

We used the standard WHO insecticide susceptibility tube test[27] to determine susceptibility to deltamethrin, DDT, and malathion in An. sinensis and An. vagus wherever a sufficiently large number of mosquitoes was collected. Test papers (supplied by China CDC) were 0.05% deltamethrin, 4.0% DDT, and 5% malathion. In order to minimize the effect of mosquito age and blood feeding history on resistance, we used female adult mosquitoes three days after emergence without blood-feeding for all experiments. The susceptible control population was a laboratory An. sinensis strain that has been maintained in the insectary of the Jiangsu Institute of Parasitic Diseases in Wuxi, China, for over 10 years[30]. For each insecticide, a total of 100–200 female mosquitoes were tested with 20-25 mosquitoes per tube. Silicone oil-treated papers without insecticide (control paper) were included in the test. After a 1 hr exposure, mosquitoes were transferred to recovery cups and maintained on 10% sucrose solution for 24 hrs. Mosquito survivorship was recorded hourly during the 24 hr recovery period. Here we defined “resistant” as the mosquitoes that were alive 24 hours after 60-min exposure to the insecticides in the standard WHO tube bioassay, and “susceptible” as the mosquitoes that were knocked down within the 24-hr recovery period[38]. Mosquitoes were considered knocked down if they were unable to walk from the center to the border of a 7-cm filter paper disc, either alone or when they were mechanically stimulated[39]. After the resistance/susceptible status was recorded, one leg of each mosquito was removed and preserved individually in 95% alcohol for subsequent DNA analysis, and the remaining mosquito body was immediately tested for metabolic enzyme activities. Therefore, only fresh mosquitoes were tested for metabolic enzyme activities.

Metabolic enzyme activity assays

Three metabolic enzymes were analyzed in individual mosquitoes: cytochrome P450 monooxygenases (P450s), glutathione S-transferases (GSTs), and carboxylesterases (COEs). Measurement of P450 and GST activity followed the methods of Penilla et al.[40] and Zhong et al.[30]. COE activity was measured following the method of Hosokawa and Satoh[41]. Total protein was measured for each mosquito using the method of Bradford[42]. Mean absorbance values for each tested mosquito and enzyme were converted into enzyme activity and standardized based on the total protein amount. P450 and GST activities were calculated as pmol 7-HC/min/mg protein and μmol cDNB/min/mg protein, respectively. COE activity was calculated as μmol p-nitrophenol/min/mg protein, using the formula (Δabsorbance/min–Δblank/min) × 1.0/16.4 × 0.05 × protein (mg/ml). An absorption coefficient of 16,400 M-1 · cm-1 was used[43]. All measurements were done in duplicate. For each mosquito population and each insecticide, 100 adult female mosquitoes were tested. Although exposure to insecticides may alter the metabolic enzyme level, the ratio of metabolic enzyme level in the resistant mosquitoes to the susceptible mosquitoes should reflect the relative difference between resistant and susceptible individuals because the resistant and susceptible mosquitoes were both exposed to the insecticides in the same manner.

Mosquito DNA extraction and molecular identification of mosquito species

One leg of a single mosquito was used for DNA extraction with the EZNA™ Micro Elute Genomic DNA Kit (Promega, Madison, WI). Molecular identifications of An. sinensis and An. vagus species were conducted using species-specific PCR primers (forward: TGTGAACTGCAGGACACATGAA and reverse: AGGGTCAAGGCATACAGAAGGC for An. sinensis; forward: CACACATCCTTGAGTGCTA and reverse: ACACATCACTTGAGGCCAC for An. vagus) to amplify the second internal transcribed spacer (ITS2) and 28S-D3 rDNA regions[44, 45]. Amplification was performed in a 25 μL reaction containing 2 μL of template DNA, 2.5 μL of 10 × PCR buffer, 0.75 μL of 50 mM MgCl2, 2 μL of 2.5 mM of each dNTP, 0.5 μL of 10 μM of each primer, and 0.625unit Platinum®Taq DNA Polymerase (TaKaRa, China). The cycling conditions were as follows: initial denaturation at 94°C for 2 min, 30 cycles of 30s denaturation at 94°C, 30s annealing at 48°C and 30s extension at 72°C followed by a final extension of 10 min at 72°C. Amplification products were examined on a 2.5% agarose gel electrophoresis. The species was determined by the size of the PCR product (1,077 bp for An. sinensis and 604 bp for An. vagus). Molecular identification was conducted for all mosquitoes subjected to insecticide resistance bioassay.

Detection of kdr mutation and ace-1 mutation

To determine point mutations of the kdr gene at codon 1014, we amplified a 325 bp fragment in An. sinensis and a 258 bp fragment in An. vagus flanking the codon 1014, following the methods previously described by Zhong et al.[30] and Verhaeghen et al.[16]. The PCR product was directly sequenced from both ends using the same PCR primers by the Life Genetic Service Facility (Invitrogen, Shanghai, China). To detect point mutations of the ace-1 gene at codon 119 in An. sinensis and An. vagus, a PCR-RFLP method was used[35, 46, 47]. Briefly, we designed a pair of primers (forward: GTGCGACCATGTGGAACC and reverse: ACCACGATCACGTTCTCCTC) based on the An. gambiae ace-1 gene sequence (GenBank accession: BN000066) to amplify a 193 bp fragment that flanks the target codon position 119 in the ace-1 gene. The PCR product was digested by Alu I restriction enzyme, which results in 118 bp and 75 bp fragments when there is a homozygous G119S mutation. Homozygous wildtype results in no restriction digestion (i.e., the result is a 193 bp fragment). A total of 267 An. sinensis mosquitoes and 300 An. vagus mosquitoes were sequenced for kdr and genotyped for ace-1 mutations by PCR-RFLP.

Statistical analysis

Mosquito mortality rates after the 24 hr recovery period were calculated for each insecticide and each population. The corrected mortality rates using the Abbott’s formula[48] were reported. We classified mosquito resistance status according to WHO criteria[27]: resistant if mortality is <90%, probably resistant if mortality is 90%-98%, and susceptible if mortality is >98%. Univariate analysis of variance (ANOVA) was conducted using the arcsin transformation of the mosquito mortality rate to determine among-population differences in mosquito mortality rates in the insecticide susceptibility bioassay. One-tailed Mann-Whitney U tests were used to compare the enzyme activities between resistant and susceptible mosquitoes for each population. Chi-square tests were used to examine the association between target site mutations and the resistance phenotype.

Results

Anopheles mosquito species composition in Hainan Island

A total of 10,975 Anopheles mosquito larvae and pupae were collected in the 12 sites; four sites (Ledong, Wuzhishan, Dongfang and Haikou) did not yield any collection. Among the collected mosquitoes, three species were identified based on morphological characteristics. An. vagus was the predominant species in three sites: Tunchang (100%), Dingan (100%) and Chengmai (95%) (Figure 1). An. sinensis was predominant in Sanya (65.2%) and An. tessellates in Baoting (89.3%). An. vagus and An. tessellates were also collected in three other sites (Lingao, Linshui and Wenchang), but fewer than 100 specimens were collected, and thus vector species composition was not calculated.

Insecticide susceptibility bioassay and molecular identification of species

Insecticide resistance bioassay was conducted in five mosquito populations, including An. sinensis populations from Sanya and Baoting and An. vagus from Tunchang, Dingan and Chengmai. Mortality rates of An. sinensis mosquitoes from Sanya and Baoting ranged from 85.8% to 91.0% when tested against deltamethrin and from 72.7% to 78.4% against DDT, suggesting that An. sinensis was resistant to DDT and resistant or probably resistant to deltamethrin, based on the WHO criteria. Mortality rates of An. vagus mosquitoes were high (97.9%–100%) against deltamethrin but <90% against DDT and malathion for the three populations tested (Chengmai, Dingan and Tunchang) (Table 1). Therefore, An. vagus mosquitoes were resistant to DDT and malathion but susceptible to deltamethrin. In general, An. sinensis populations were more resistant than An. vagus to deltamethrin and DDT.

Table 1 Mortality rate of insecticide resistance bioassay in Anopheles sinensis and Anopheles vagus mosquitoes from Hainan Island, China
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Molecular species identification and kdr and ace-1 allele frequencies

We confirmed our morphological species identification by performing rDNA PCR on 267 An. sinensis and 300 An. vagus mosquitoes. All mosquitoes were identified by their morphology and confirmed by molecular methods. The two methods gave consistent results. These same mosquitoes were sequenced to detect kdr mutation at codon 1014 of the para-type sodium channel gene. Only one type of kdr mutation (TTG to TTT) was detected at position 1014 in An. sinensis populations; this mutation leads to a change from leucine to phenylalanine (L1014F). Ten haplotypes were identified by DNA sequencing for An. sinensis (GenBank accession numbers: KF718269–KF718278). No homozygous kdr mutation genotype was detected. Heterozygous kdr genotype was detected in resistant mosquitoes but not in susceptible mosquitoes. The frequencies of kdr mutation in resistant An. sinensis mosquitoes were low, ranging from 6.7% (Baoting) to 9.5% (Sanya) (Table 2). Significant association was detected between kdr mutation and deltamethrin or DDT resistant phenotypes (P < 0.05) (Table 2). No kdr mutation was detected in either the An. vagus populations or the laboratory susceptible strain.

Table 2 Kdr and ace-1 genotype and mutation frequency in Anopheles sinensis mosquitoes from Hainan Island, China
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The same An. sinensis and An. vagus mosquitoes analyzed for kdr mutations were genotyped for ace-1 mutation at codon position 119 (G119S) by PCR-RFLP. DNA sequencing analysis identified 4 haplotypes in An. sinensis and 1 haplotype in An. vagus populations (GenBank accession numbers: KF718282–KF718286). The ace-1 mutation was detected in the two An. sinensis populations (Sanya and Baoting) with high frequency, ranging from 63.3% to 72.5% in resistant mosquitoes and 53.3% to 71.1% in susceptible mosquitoes. No significant association was detected between ace-1 mutation and deltamethrin and DDT resistant phenotypes (P > 0.05) (Table 2). The ace-1 mutation was not detected in the three An. vagus populations or in the laboratory susceptible strain.

Metabolic enzyme activity assays and association with resistance

The metabolic enzyme activity ratio of resistant mosquitoes (R) to susceptible mosquitoes (S), or R/S ratio, varied between species and among insecticides tested (Figure 2). The P450 enzyme activities were significantly higher in deltamethrin- and DDT-resistant mosquitoes in the two An. sinensis populations tested, as evidenced by R/S ratios significantly >1.0. Similarly, deltamethrin-resistant mosquitoes showed significantly higher COE enzyme activities in An. sinensis. No significant change in P450, GST and COE activities was detected in the three An. vagus populations when tested against deltamethrin and DDT. The P450, GST and COE enzyme activities were significantly higher in two malathion-resistant An. vagus populations.

Figure 2
figure 2

Ratio of metabolic enzyme activity of resistant mosquitoes to that of susceptible mosquitoes (DE:Deltamethrin; DT:DDT; MA:malathion). Top panel (A): P450 monooxygenases (P450); middle panel (B): glutathione s-transferase (GST); bottom panel (C): carboxylesterases (COE).“*” indicates the ratio was significantly higher than 1.0 at p < 0.05.

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Discussion

Hainan Island is geographically isolated from the mainland of China and has been the most malarious region in China. Synthetic insecticide-based vector control is the primary malaria prevention and control method, thus determination of insecticide resistance status is paramount to the deployment of appropriate insecticides for malaria vector control. The present study surveyed the insecticide resistance status and determined the kdr and ace-1 mutation frequencies in An. sinensis and An. vagus in Hainan Island. We found that An. sinensis populations have developed resistance to the three classes of insecticides tested, including pyrethroid (deltamethrin), organochlorine (DDT) and organophosphate (malathion). Multiple insecticide resistance in An. sinensis suggests that the insecticide currently used for bednet impregnation and IRS may not be able to provide effective protection to humans from parasite-carrying mosquitoes. Further examination of the resistance mechanism indicated that the mutation frequency of the kdr target site (L1014F) was significantly associated with deltamethrin and DDT resistance, and P450 and COE enzyme activities may also play an important role in An. sinensis. An. vagus was susceptible to deltamethrin but resistant to DDT and malathion. Interestingly, no kdr or ace-1 mutations were detected in the 300 An. vagus specimens we analyzed. Elevated P450, GST and COE enzyme activities were found in malathion-resistant An. vagus, suggesting that metabolic resistance is the major resistance mechanism. However, it is also possible that this mosquito species exhibits behavioral avoidance to insecticides. Behavioral responses of mosquitoes to DDT and pyrethroids have been previously reported in An. vagus[49].

There have been debates in the literature over whether kdr frequency may be used as a biomarker for deltamethrin resistance[50, 51]. In the two An. sinensis populations examined in the present study, we found that kdr frequency was significantly associated with the deltamethrin-resistant phenotype, and no L1014F allele was found in the susceptible individuals. Whether kdr frequency can predict deltamethrin resistance at the population level may be contingent on a number of factors, such as kdr frequency and the relative importance of metabolic resistance. The two An. sinensis populations examined here exhibited a low kdr mutation frequency (<10%), suggesting prevalent mutations in the kdr target gene. In central Chinese provinces such as Hunan, Hubei, Jiangsu and Anhui, kdr frequency in An. sinensis was very high (>90%) and kdr allele frequency had no predictive power of deltamethrin resistance[29, 30]. On the other hand, kdr allele frequency had no predictive power when the populations completely lacked kdr mutations, as in the An. sinensis populations in Yunnan province[30]. Similar phenomena were found in An. gambiae and An. arabiensis mosquitoes in Africa, where kdr frequency was not significantly associated with pyrethroid resistance when kdr frequency was high[52, 53], or when kdr mutation was completely lacking in the population[54].

Four types of kdr mutations (L1014F, L1014C, L1014S, and L1014W) have been reported in An. sinensis mosquitoes[16, 28–31] and two types (L1014F and L1014S) in An. vagus[16, 55]. Low frequencies of L1014F kdr allele in the heterozygous state were found in An. sinensis mosquito populations examined in our study. Such a low diversity of kdr mutations in Hainan Island mosquito populations may result from the geographic isolation of the island, which may prevent kdr mutations from being introduced to Hainan. Further study is needed to examine the genetic structure of An. sinensis populations in mainland China and Hainan Island to determine the role of gene flow in the spread of kdr mutations.

We did not detect any kdr or ace-1 mutationsin An. vagus populations, which suggests either that An. vagus lacks mutations at the target sites of insecticides or that the mutation frequency was extremely low. The lack of mutations at the target sites of insecticides in An. vagus was not unique to our particular study sites. For example, a survey of An. vagus from 42 sites in Vietnam, Laos, and Cambodia did not detect kdr mutations in 35 sites, and the remaining 7 sites exhibited very low kdr frequencies[16]. Given the absence of mutations at the insecticide target sites, metabolic resistance becomes the major resistance mechanism. In the present study, we found significantly higher P450, GST and COE enzyme activities in malathion-resistant An. vagus individuals and significantly higher P450 and COE enzyme activities in deltamethrin-resistant An. sinensis. These results suggest that metabolic detoxification mechanisms were widespread in An. sinensis and An. vagus populations from Hainan Island. We want to note that all mosquito samples used for detoxification enzyme activity were pre-exposed to insecticide. It is possible that resistant and susceptible mosquitoes may exhibit differential responses to pre-exposure to insecticides in their detoxification enzyme activities. Therefore, our experimental procedure may potentially lead to skewing of R/S ratio.

Resistance to multiple classes of insecticides is becoming a common problem in various malaria vector species. Reported multiple resistance in malaria vectors includes An. gambiae[46, 56–58], An. arabiensis[47], and An. funestus[59] in Africa, and An. culicifacies, An. subpictus, An. nigerrimus, and An. peditaeniatus[60] in Asia. Multiple insecticide resistance impedes the effectiveness of front-line malaria vector control programs, which are primarily based on the use of pyrethroids. These control programs have led to major changes in vectorial systems, including vector species composition as well as early biting behaviors and increased insecticide resistance in the past decade[61, 62]; consequently, outdoor transmission has increased[63]. Considering the prevailing resistance to pyrethroids and organophosphates, the choice for synthetic insecticides is limited. Integrated vector control programs that go beyond synthetic insecticides but remain cost effective are urgently needed. Promising methods include larval source reduction through ecological or environmental manipulation[64, 65], house modification[66], biopesticides[67], and long-lasting microbial insecticides[68]. Vector control tools with a long-lasting efficacy would help maintain the cost-effectiveness of the control program.

Conclusion

This study found multiple insecticide resistance in An. sinensis and An. vagus in Hainan Island, a malaria-endemic area of China. Low kdr mutation frequency and modest ace-1 mutation frequency were found in An. sinensis. Kdr frequency was significantly associated with deltamethrin resistance in An. sinensis, and significantly higher metabolic enzyme activities were found in resistant mosquitoes, suggesting that target-site insensitivity and metabolic resistance both play important roles in insecticide resistance in An. sinensis. In An. vagus, the absence of kdr and ace-1 mutations and significantly higher P450, GST, and COE enzyme activities in malathion-resistant mosquitoes suggest that metabolic resistance is the major resistance mechanism. Cost-effective integrated vector control programs that go beyond synthetic insecticides are urgently needed.

References

  1. WHO: World malaria report. 2013, Geneva, Switzerland: World Health Organization, Available at: http://www.who.int/malaria/publications/world_malaria_report_2013/report/en/. webcite. Accessed February 28, 2014

    Google Scholar 

  2. Ministry of Health: Action plan of China malaria elimination (2010-2020). 2010, Beijing: Ministry of Health of the People's Republic of China, Available at: http://whothailand.healthrepository.org/bitstream/123456789/1460/1/Action%20Plan%20of%20China%20%20Malaria%20Elimination%20_2010-2020_.pdf. webcite. Accessed February 28, 2014

    Google Scholar 

  3. Yin JH, Yang MN, Zhou SS, Wang Y, Feng J, Xia ZG: Changing malaria transmission and implications in China towards National Malaria Elimination Programme between 2010 and 2012. PLoS One. 2013, 8 (9): e74228. 10.1371/journal.pone.0074228.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  4. Coosemans M, Carnevale P: Malaria vector control: a critical review on chemical methods and insecticides. Ann Soc Belg Med Trop. 1995, 75 (1): 13-31.

    CAS  PubMed  Google Scholar 

  5. Liu N, Xu Q, Zhu F, Zhang LEE: Pyrethroid resistance in mosquitoes. Insect Sci. 2006, 13 (3): 159-166. 10.1111/j.1744-7917.2006.00078.x.

    Article  Google Scholar 

  6. Reigart JR, Roberts JR: Recognition and management of pesticide poisonings. 5th edition. EPA #735-R-98-003. 1999, U.S. Environmental Protection Agency, 34-74.

    Google Scholar 

  7. WHO: Global Plan for Insecticide Resistance Management in Malaria Vectors. 2012, Geneva, Switzerland: World Health Organization, Available at: http://www.who.int/malaria/publications/atoz/gpirm/en/. webcite. Accessed February 28, 2014

    Google Scholar 

  8. WHO: World malaria report 2010. 2010, Geneva, Switzerland: World Health Organization, Available at: http://www.who.int/malaria/world_malaria_report_2010/en/. webcite. Accessed February 28, 2014

    Google Scholar 

  9. Lin H, Lu L, Tian L, Zhou S, Wu H, Bi Y, Ho S, Liu Q: Spatial and temporal distribution of falciparum malaria in China. Malar J. 2009, 8 (1): 130. 10.1186/1475-2875-8-130.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Sheng HF, Zhou SS, Gu ZC, Zheng X: Malaria situation in the People’s Republic of China in 2002. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2003, 21 (4): 193-196.

    PubMed  Google Scholar 

  11. Chow C-Y: Malaria vector in China. Chinese J Entomol Special Publ. 1991, 6: 67-79.

    Google Scholar 

  12. Cai XZ: Malaria control in Hainan Island during the past 40 years. Hainan Med J. 1993, 4 (3): 1-3. (in Chinese with English abstract)

    Google Scholar 

  13. Lu BL: Prevalence of malaria and vector research in China. Lit Inf Prev Med. 2001, 7 (1): 98-100. (in Chinese with English abstract)

    CAS  Google Scholar 

  14. Zeng LH, Wang SQ, Sun DW, Zhao W, Li SG, Yang X: Resistance assay of malaria vectors to four kinds of common insecticides in some endemic areas of Hainan Province. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2011, 29 (3): 200-203.

    PubMed  Google Scholar 

  15. Rueda LM, Pecor JE, Harrison BA: Updated distribution records for Anopheles vagus (Diptera: Culicidae) in the Republic of Philippines, and considerations regarding its secondary vector roles in Southeast Asia. Trop Biomed. 2011, 28 (1): 181-187.

    CAS  PubMed  Google Scholar 

  16. Verhaeghen K, Van Bortel W, Trung H, Sochantha T, Keokenchanh K, Coosemans M: Knockdown resistance in Anopheles vagus, An. sinensis, An. paraliae and An. peditaeniatus populations of the Mekong region. Parasit Vectors. 2010, 3 (1): 59. 10.1186/1756-3305-3-59.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Elyazar IR, Sinka ME, Gething PW, Tarmidzi SN, Surya A, Kusriastuti R, Winarno Baird JK, Hay SI, Bangs MJ: The distribution and bionomics of Anopheles malaria vector mosquitoes in Indonesia. Adv Parasitol. 2013, 83: 173-266.

    Article  PubMed  Google Scholar 

  18. Alam MS, Khan MG, Chaudhury N, Deloer S, Nazib F, Bangali AM, Haque R: Prevalence of anopheline species and their Plasmodium infection status in epidemic-prone border areas of Bangladesh. Malar J. 2010, 9: 15. 10.1186/1475-2875-9-15.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Liu Y, Zhang H, Qiao C, Lu X, Cui F:Correlation between carboxylesterase alleles and insecticide resistance inCulex pipienscomplex from China.Parasit Vectors. 2011, 4 (236):

  20. Pan J-Y, Zhou S-S, Zheng X, Huang F, Wang D-Q, Shen Y-Z, Su Y-P, Zhou G-C, Liu F, Jiang J-J: Vector capacity of Anopheles sinensis in malaria outbreak areas of central China. Parasit Vectors. 2012, 5 (1): 136. 10.1186/1756-3305-5-136.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Hemingway J, Hawkes NJ, McCarroll L, Ranson H: The molecular basis of insecticide resistance in mosquitoes. Insect Biochem Mol Biol. 2004, 34 (7): 653-665. 10.1016/j.ibmb.2004.03.018.

    Article  CAS  PubMed  Google Scholar 

  22. Hemingway J, Georghiou GP: Studies on the acetylcholinesterase of Anopheles albimanus resistant and susceptible to organophosphate and carbamate insecticides. Pestic Biochem Physiol. 1983, 19 (2): 167-171. 10.1016/0048-3575(83)90136-0.

    Article  CAS  Google Scholar 

  23. Kamel F, Hoppin JA: Association of pesticide exposure with neurologic dysfunction and disease. Environ Health Perspect. 2004, 112 (9): 950-958. 10.1289/ehp.7135.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  24. Soderlund DM, Bloomquist JR: Neurotoxic actions of pyrethroid insecticides. Annu Rev Entomol. 1989, 34: 77-96. 10.1146/annurev.en.34.010189.000453.

    Article  CAS  PubMed  Google Scholar 

  25. Martinez-Torres D, Chandre F, Williamson MS, Darriet F, Berge JB, Devonshire AL, Guillet P, Pasteur N, Pauron D: Molecular characterization of pyrethroid knockdown resistance (kdr) in the major malaria vector Anopheles gambiae s.s. Insect Mol Biol. 1998, 7 (2): 179-184. 10.1046/j.1365-2583.1998.72062.x.

    Article  CAS  PubMed  Google Scholar 

  26. Ranson H, Jensen B, Vulule JM, Wang X, Hemingway J, Collins FH: Identification of a point mutation in the voltage-gated sodium channel gene of Kenyan Anopheles gambiae associated with resistance to DDT and pyrethroids. Insect Mol Biol. 2000, 9 (5): 491-497. 10.1046/j.1365-2583.2000.00209.x.

    Article  CAS  PubMed  Google Scholar 

  27. WHO: Test procedures for insecticide resistance monitoring in malaria vector mosquitoes. 2013, Geneva, Switzerland: World Health Organization, Available at: http://www.who.int/malaria/publications/atoz/9789241505154/en/. webcite. Accessed February 28, 2014

    Google Scholar 

  28. Kang S, Jung J, Lee S, Hwang H, Kim W:The polymorphism and the geographical distribution of the knockdown resistance(kdr)ofAnopheles sinensisin the Republic of Korea.Malar J. 2012, 3 (11): 151-

    Article  Google Scholar 

  29. Tan W-L, Wang Z-M, Li C-X, Chu H-L, Xu Y, Dong Y-D, Wang Z-C, Chen D-Y, Liu H, Liu D-P, Liu N, Sun J, Zhao T: First report on co-occurrence knockdown resistance mutations and susceptibility to beta-cypermethrin in Anopheles sinensis from Jiangsu Province, China. PLoS ONE. 2012, 7 (1): e29242. 10.1371/journal.pone.0029242.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  30. Zhong D, Chang X, Zhou G, He Z, Fu F, Yan Z, Zhu G, Xu T, Bonizzoni M, Wang M-H, Cui L, Zheng B, Chen B, Yan G: Relationship between knockdown resistance, metabolic detoxification and organismal resistance to pyrethroids in Anopheles sinensis. PLoS ONE. 2013, 8 (2): e55475. 10.1371/journal.pone.0055475.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  31. Tan WL, Li CX, Wang ZM, Liu MD, Dong YD, Feng XY, Wu ZM, Guo XX, Xing D, Zhang YM, Wang ZC, Zhao TY: First detection of multiple knockdown resistance (kdr)-like mutations in voltage-gated sodium channel using three new genotyping methods in Anopheles sinensis from Guangxi Province, China. J Med Entomol. 2012, 49 (5): 1012-1020. 10.1603/ME11266.

    Article  CAS  PubMed  Google Scholar 

  32. Jones CM, Liyanapathirana M, Agossa FR, Weetman D, Ranson H, Donnelly MJ, Wilding CS:Footprints of positive selection associated with a mutation (N1575Y) in the voltage-gated sodium channel ofAnopheles gambiae.Proc Natl Acad Sci U S A. 2012, 109 (17): 6614-6619. 10.1073/pnas.1201475109.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  33. Essandoh J, Yawson A, Weetman D: Acetylcholinesterase (Ace-1) target site mutation 119S is strongly diagnostic of carbamate and organophosphate resistance in Anopheles gambiae s.s. and Anopheles coluzzii across southern Ghana. Malar J. 2013, 12 (1): 404. 10.1186/1475-2875-12-404.

    Article  PubMed Central  PubMed  Google Scholar 

  34. Weill M, Fort P, Berthomieu A, Dubois MP, Pasteur N, Raymond M:A novel acetylcholinesterase gene in mosquitoes codes for the insecticide target and is non-homologous to the ace gene inDrosophila.Proc Biol Sci. 2002, 269 (1504): 2007-2016. 10.1098/rspb.2002.2122.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  35. Weill M, Malcolm C, Chandre F, Mogensen K, Berthomieu A, Marquine M, Raymond M:The unique mutation inace-1giving high insecticide resistance is easily detectable in mosquito vectors.Insect Mol Biol. 2004, 13 (1): 1-7. 10.1111/j.1365-2583.2004.00452.x.

    Article  CAS  PubMed  Google Scholar 

  36. Xu T, Zhong D, Chang X, Hemingway J, Fu F, Yan G, Zheng B: Anopheles sinensis mosquito insecticide resistance: comparison of three mosquito sample preparation methods in resistance measurements. Parasit Vectors. 2014, 1: in press

    Google Scholar 

  37. Dong X: The Mosquito Fauna of Yunnan (Volumes one), Volume 1. 2010, Kunming: Yunnan Publishing Group Corporation, Yunnan Science & Technology Press

    Google Scholar 

  38. Bonizzoni M, Afrane Y, Dunn WA, Atieli FK, Zhou G, Zhong D, Li J, Githeko A, Yan G: Comparative transcriptome analyses of deltamethrin-resistant and -susceptible Anopheles gambiae mosquitoes from Kenya by RNA-Seq. PLoS ONE. 2012, 7 (9): e44607. 10.1371/journal.pone.0044607.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  39. Gonzalez Audino P, Vassena C, Barrios S, Zerba E, Picollo MI: Role of enhanced detoxication in a deltamethrin-resistant population of Triatoma infestans (Hemiptera, Reduviidae) from Argentina. Mem Inst Oswaldo Cruz. 2004, 99 (3): 335-339. 10.1590/S0074-02762004000300018.

    Article  PubMed  Google Scholar 

  40. Penilla PR, RodrÍGuez AD, Hemingway J, Torres JL, Arredondo-JimÉNez JI, RodrÍGuez MH:Resistance management strategies in malaria vector mosquito control: baseline data for a large-scale field trial againstAnopheles albimanusin Mexico.Med Vet Entomol. 1998, 12 (3): 217-233. 10.1046/j.1365-2915.1998.00123.x.

    Article  CAS  PubMed  Google Scholar 

  41. Hosokawa M, Satoh T: Measurement of carboxylesterase (CES) activities. Curr Protoc Toxicol. 2002, Suppl 10: 4.7.14-4.7.14

    Google Scholar 

  42. Bradford MM: A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem. 1976, 72 (1–2): 248-254.

    Article  CAS  PubMed  Google Scholar 

  43. Enholm C, Kuusi T: Preparation, characterization, and measurement of hepatic lipase. Methods Enzymol. 1986, 129: 717-738.

    Google Scholar 

  44. Joshi D, Park MH, Saeung A, Choochote W, Min GS: Multiplex assay to identify Korean vectors of malaria. Mol Ecol Resour. 2010, 10 (4): 748-750. 10.1111/j.1755-0998.2010.02835.x.

    Article  CAS  PubMed  Google Scholar 

  45. Zomuanpuii R, Ringngheti L, Brindha S, Gurusubramanian G, Senthil Kumar N: ITS2 characterization and Anopheles species identification of the subgenus Cellia. Acta Trop. 2012, 125 (3): 309-319.

    Article  PubMed  Google Scholar 

  46. Namountougou M, Simard F, Baldet T, Diabate A, Ouedraogo JB, Martin T, Dabire RK: Multiple insecticide resistance in Anopheles gambiae s.l: populations from Burkina Faso, West Africa. PLoS ONE. 2012, 7 (11): e48412. 10.1371/journal.pone.0048412.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  47. Yewhalaw D, Wassie F, Steurbaut W, Spanoghe P, Van Bortel W, Denis L, Tessema DA, Getachew Y, Coosemans M, Duchateau L, Speybroeck N: Multiple insecticide resistance: an impediment to insecticide-based malaria vector control program. PLoS ONE. 2011, 6 (1): e16066. 10.1371/journal.pone.0016066.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  48. Abbott WS: A method of computing the effectiveness of an insecticide. J Econ Entomol. 1925, 18 (2): 265-267.

    Article  CAS  Google Scholar 

  49. Chareonviriyaphap T, Bangs M, Suwonkerd W, Kongmee M, Corbel V, Ngoen-Klan R: Review of insecticide resistance and behavioral avoidance of vectors of human diseases in Thailand. Parasit Vectors. 2013, 6: 280. 10.1186/1756-3305-6-280.

    Article  PubMed Central  PubMed  Google Scholar 

  50. Brooke BD: kdr: can a single mutation produce an entire insecticide resistance phenotype?. Trans R Soc Trop Med Hyg. 2008, 102 (6): 524-525. 10.1016/j.trstmh.2008.01.001.

    Article  PubMed  Google Scholar 

  51. Donnelly MJ, Corbel V, Weetman D, Wilding CS, Williamson MS, Black WCT: Does kdr genotype predict insecticide-resistance phenotype in mosquitoes?. Trends Parasitol. 2009, 25 (5): 213-219. 10.1016/j.pt.2009.02.007.

    Article  CAS  PubMed  Google Scholar 

  52. Protopopoff N, Matowo J, Malima R, Kavishe R, Kaaya R, Wright A, West P, Kleinschmidt I, Kisinza W, Mosha F, Rowland M: High level of resistance in the mosquito Anopheles gambiae to pyrethroid insecticides and reduced susceptibility to bendiocarb in north-western Tanzania. Malar J. 2013, 12 (1): 149. 10.1186/1475-2875-12-149.

    Article  PubMed Central  PubMed  Google Scholar 

  53. Yewhalaw D, Bortel WV, Denis L, Coosemans M, Duchateau L, Speybroeck N: First evidence of high knockdown resistance frequency in Anopheles arabiensis ( Diptera: Culicidae) from Ethiopia. Am J Trop Med Hyg. 2010, 83 (1): 122-125. 10.4269/ajtmh.2010.09-0738.

    Article  PubMed Central  PubMed  Google Scholar 

  54. Mouatcho JC, Munhenga G, Hargreaves K, Brooke BD, Coetzee M, Koekemoer LL: Pyrethroid resistance in a major African malaria vector Anopheles arabiensis from Mamfene, northern KwaZulu-Natal, South Africa. S Afr J Sci. 2009, 105: 127-131.

    Google Scholar 

  55. Syafruddin D, Hidayati A, Asih P, Hawley W, Sukowati S, Lobo N: Detection of 1014F kdr mutation in four major Anopheline malaria vectors in Indonesia. Malar J. 2010, 9 (1): 315. 10.1186/1475-2875-9-315.

    Article  PubMed Central  PubMed  Google Scholar 

  56. Corbel V, N’Guessan R, Brengues C, Chandre F, Djogbenou L, Martin T, Akogbeto M, Hougard JM, Rowland M: Multiple insecticide resistance mechanisms in Anopheles gambiae and Culex quinquefasciatu s from Benin, West Africa. Acta Trop. 2007, 101 (3): 207-216. 10.1016/j.actatropica.2007.01.005.

    Article  CAS  PubMed  Google Scholar 

  57. Edi CV, Koudou BG, Jones CM, Weetman D, Ranson H: Multiple-insecticide resistance in Anopheles gambiae mosquitoes: Southern Cote d’Ivoire. Emerg Infect Dis. 2012, 18 (9): 1508-1511. 10.3201/eid1809.120262.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  58. Kwiatkowska RM, Platt N, Poupardin R, Irving H, Dabire RK, Mitchell S, Jones CM, Diabate A, Ranson H, Wondji CS: Dissecting the mechanisms responsible for the multiple insecticide resistance phenotype in Anopheles gambiae s.s., M form, from Vallee du Kou, Burkina Faso. Gene. 2013, 519 (1): 98-106. 10.1016/j.gene.2013.01.036.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  59. Djouaka R, Irving H, Tukur Z, Wondji CS: Exploring mechanisms of multiple insecticide resistance in a population of the malaria vector Anopheles funestus in Benin. PLoS ONE. 2011, 6 (11): e27760. 10.1371/journal.pone.0027760.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  60. Perera M, Hemingway J, Karunaratne SHPP: Multiple insecticide resistance mechanisms involving metabolic changes and insensitive target sites selected in anopheline vectors of malaria in Sri Lanka. Malar J. 2008, 7 (1): 168. 10.1186/1475-2875-7-168.

    Article  PubMed Central  PubMed  Google Scholar 

  61. Moiroux N, Gomez MB, Pennetier CD, Elanga E, Djènontin A, Chandre F, Djègbé I, Guis H, Corbel V: Changes in Anopheles funestus biting behavior following universal coverage of long-lasting insecticidal nets in Benin. J Infect Dis. 2012, 206 (10): 1622-1629. 10.1093/infdis/jis565.

    Article  CAS  PubMed  Google Scholar 

  62. Russell TL, Beebe NW, Cooper RD, Lobo NF, Burkot TR: Successful malaria elimination strategies require interventions that target changing vector behaviours. Malar J. 2013, 12 (56):

  63. Govella NJ, Ferguson H: Why use of interventions targeting outdoor biting mosquitoes will be necessary to achieve malaria elimination. Front Physiol. 2012, 3: 199-

    Article  PubMed Central  PubMed  Google Scholar 

  64. Okumu FO, Govella NJ, Moore SJ, Chitnis N, Killeen GF: Potential benefits, limitations and target product-profiles of odor-baited mosquito traps for malaria control in Africa. PLoS ONE. 2010, 5 (7): e11573. 10.1371/journal.pone.0011573.

    Article  PubMed Central  PubMed  Google Scholar 

  65. Imbahale S, Githeko A, Mukabana W, Takken W: Integrated mosquito larval source management reduces larval numbers in two highland villages in western Kenya. BMC Public Health. 2012, 12 (1): 362. 10.1186/1471-2458-12-362.

    Article  PubMed Central  PubMed  Google Scholar 

  66. Gunawardena DM, Wickremasinghe AR, Muthuwatta L, Weerasingha S, Rajakaruna J, Senanayaka T, Kotta PK, Attanayake N, Carter R, Mendis KN: Malaria risk factors in an endemic region of Sri Lanka, and the impact and cost implications of risk factor-based interventions. Am J Trop Med Hyg. 1998, 58 (5): 533-542.

    CAS  PubMed  Google Scholar 

  67. Kamareddine L: The biological control of the malaria vector. Toxins. 2012, 4 (9): 748-767.

    Article  PubMed Central  PubMed  Google Scholar 

  68. Grewal PS: Factors in the success and failure of microbial control in turfgrass. Integr Pest Manag Rev. 1999, 4 (4): 287-294. 10.1023/A:1009640909449.

    Article  Google Scholar 

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Acknowledgements

We thank Guohui Yi and Hong Guo of Hainan Medical College for their assistance with mosquito collection and Guofa Zhou of the University of California, Irvine for assistance with statistical analysis. This work is supported by grants from the National Institutes of Health (R01AI083202, R03 TW008940; D43 TW009527) and Emerging Infectious Disease Prevention and Control Key Laboratory of Guangdong Provincial Higher Education (KLB09007).

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  1. Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Education Institutes, Department of Pathogen Biology, School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, Guangdong, 510515, China

    Qian Qin, Yiji Li, Ning Zhou, Chunyuan Li & Xiao-Guang Chen

  2. Department of Parasitology, Wenzhou Medical University, Wenzhou, 325035, China

    Qian Qin

  3. Program in Public Health, College of Health Sciences, University of California at Irvine, Irvine, CA, 92697, USA

    Daibin Zhong, Xuelian Chang & Guiyun Yan

  4. Department of Entomology, Pennsylvania State University, State College, University Park, PA, 16802, USA

    Liwang Cui

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The authors declare that they have no competing interests.

Authors’ contributions

All the authors have contributed significantly to this study. Conceived and designed the experiments: XGC and LC. Performed the experiments: QQ, YL, DZ, NZ and CL. Analyzed the data: QQ, DZ and GY. Wrote and revised the manuscript: QQ, DZ, GY, XC. All authors read and approved the final manuscript.

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Qin, Q., Li, Y., Zhong, D. et al. Insecticide resistance of Anopheles sinensis and An. vagus in Hainan Island, a malaria-endemic area of China. Parasites Vectors 7, 92 (2014). https://doi.org/10.1186/1756-3305-7-92

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Parasites & Vectors

ISSN: 1756-3305

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