Impact of SumiLarv® 2MR on Aedes aegypti larvae: a multicenter study in Brazil

Background Aedes aegypti is associated with dengue, Zika, and chikungunya transmission. These arboviruses are responsible for national outbreaks with severe public health implications. Vector control is one of the tools used to prevent mosquito proliferation, and SumiLarv® 2MR is an alternative commercial product based on pyriproxyfen for larval/pupal control. In this study, the residual effectiveness of SumiLarv® 2MR in different regions of Brazil was evaluated in simulated field conditions. Methods We conducted a multicenter study across four Brazilian states—Amapá, Pernambuco, Rio de Janeiro, and São Paulo—given the importance to the country’s climatic variances in the north, northeast, and southeast regions and their influence on product efficiency. The populations of Ae. aegypti from each location were held in an insectary. Third-instar larvae (L3) were added every 2 weeks to water containers with SumiLarv® 2MR discs in 250-, 500- and 1000-l containers in Amapá and Rio de Janeiro, and 100-l containers in Pernambuco and São Paulo, using concentrations of 0.04, 0.08, and 0.16 mg/l. Results Adult emergence inhibition over 420 days was observed in all tests conducted at a concentration of 0.16 mg/l; inhibition for 308–420 days was observed for 0.08 mg/l, and 224–420 days for 0.04 mg/l. Conclusions Sumilarv® 2MR residual activity demonstrated in this study suggests that this new pyriproxyfen formulation is a promising alternative for Aedes control, regardless of climatic variations and ideal concentration, since the SumiLarv® 2MR showed adult emergence inhibition of over 80% and residual activity greater than 6 months, a period longer than that recommended by the Ministry of Health of Brazil between product re-application in larval breeding sites. Graphical abstract Supplementary Information The online version contains supplementary material available at 10.1186/s13071-023-06064-w.


Background
The control of Aedes aegypti remains a public health challenge worldwide, especially in countries like Brazil, where socio-environmental factors such as the lack of basic sanitation are common among various municipalities, with open sewer drains and water storage containers.The use of water in these containers is typically intense, leading to loss of the larvicide applied for control of the Ae.aegypti population.In this context, new products or approaches for vector control are necessary to reduce the mosquito population in areas with transmission of dengue virus (DENV), Zika virus (ZIKV, and chikungunya virus (CHIKV) [1,2].
Integrated vector management (IVM) is increasingly recommended by the World Health Organization (WHO) as a rational decision-making process that seeks the best use of resources for efficacy, cost-effectiveness, and sustainability of vector-borne disease control [3].Different strategies addressing larvicides such as Bacillus thuringiensis israelensis (Bti), spinosad, and pyriproxyfen (PPF) are being evaluated [4][5][6][7] as a part of the Brazilian Dengue Control Program (PNCD), since resistance to temephos has been detected in some Brazilian field populations of Ae. aegypti [8,9].
Pyriproxyfen is an insect growth regulator (IGR) and an analogue of the juvenile hormone used to inhibit the metamorphosis of mosquito larva, preventing its normal development into adulthood.SumiLarv 2MR is a novel product based on PPF formulated as a small resin disc with slow release of PPF through the matrix, designed to provide long persistence of lethal activity [10] in breeding sites.Studies have shown successful control using SumiLarv ® 2MR in Asia associated with the communication for behavioral impact (COMBI) program [11,12].
The main objective of this study was to evaluate the residual effectiveness of different concentrations of SumiLarv ® 2MR against four populations of Ae. aegypti mosquitoes in different Brazilian regions.This was the first multicenter collaborative study to use this formulation in Brazil, and it aims to demonstrate the different uses, strengths, and limitations of the novel product in vector control of Aedes, which could help decision-makers to improve the Aedes control program in the country.

Methods
The semi-field test (bioassay) was conducted in the states of Amapá, Rio de Janeiro, Pernambuco, and São Paulo.In Amapá, the study was performed in the city of Macapa at the Institute for Scientific and Technological Research of the State of Amapá (IEPA).In Rio de Janeiro, it was held in the capital of the state, Rio de Janeiro city, at the Laboratory of Biology, Control and Surveillance of Vector Insects (LBCVIV, Oswaldo Cruz Institute [IOC]/ Oswaldo Cruz Foundation [Fiocruz]).In Pernambuco, the study took place at the Department of Entomology, Aggeu Magalhães Institute (IAM)/Fiocruz, in the capital city Recife.In São Paulo, the research was carried out in Marília, a city in the countryside of the state, at the Superintendency for the Control of Endemic Diseases (SUCEN).The bioassays were placed in an outdoor area, conducted in a shaded or partially shaded area, without direct sun exposure.

Aedes aegypti population
Eggs were obtained from the Ae.aegypti females using ovitraps [13] in each city where the study was conducted to build the parental generation and preserve the local background.The larvae from the first offspring (F1) generation used in the test were reared in a synchronized way to avoid variations between them.The maintenance (feeding and density) of the larval rearing followed the protocols developed by researchers [14,15], with a standard feeding ratio of 1 mg/larva.

SumiLarv ® 2MR
SumiLarv ® 2MR is a product supplied by Sumitomo Chemical Company and recommended by WHO as the first long-lasting resin-based larvicide for treatment of breeding sites of mosquitoes, such as water containers [10].The active ingredient/synergist is PPF at a concentration of 2% and radius of 5 cm.The dosage is 1 disc/40-500 l water, depending on local registration, with a duration of up to 6 months.

Semi-field test (bioassay)
This study evaluated the residual larvicidal activity in a bioassay that was conducted in eight semi-field experiments in four different Brazilian regions.In Pernambuco and São Paulo, 100 l of water was used for the bioassays in the following concentrations: 0.04 (test 1), 0.08 (test 2), and 0.16 mg/l (test 3) (Fig. 1); the disks were cut to sizes appropriate for the volume of each container, and then weighed on a high-precision electronic scale.In Amapá and Rio de Janeiro, the whole disc was placed in water storage tanks of 250 (test 4), 500 (tests 5 and 6), and 1000 l (tests 7 and 8), proportionally maintaining the concentrations as shown in Fig. 1.Sixty percent of the water was replaced weekly, and each test consisted of three treated containers and one control group.
Three days before use, all containers were washed to remove possible plastic residues and then filled with water to confirm their integrity.This procedure was also carried out for the dechlorination of water obtained from the public supply system of each city, except in Amapá, where well water was used.
After the addition of 50 third-instar larvae (L3), the containers were treated with the SumiLarv ® 2MR product (the day of treatment day considered day 0).This procedure was repeated biweekly, adding the same number of Ae. aegypti larvae per replicate [15].The protocol to verify the emergence inhibition rate consisted of a first assessment 72 h after the introduction of the larvae, followed by assessments every 48 h until all adults from the control group had emerged.Climate data (temperature and pH) in the water containers were recorded to analyze the environmental characteristics of each region where the bioassays were conducted.A pH meter/thermometer (K39-0014PA, KASVI) was used in the morning period.The assays began in November 2017 and lasted until March 2019.The criterion for completing the test was an emergence inhibition rate < 80% after 31 assessments or for two consecutive biweekly assessments.

Data analysis
Emergence inhibition rate results were compared between mosquito populations from São Paulo and Pernambuco (tests 1-3), and between Amapá and Rio de Janeiro (tests 4-8).The exclusion criterion for the biweekly evaluation was mortality greater than 20% in the control group.For mortality rates between 5 and 20%, the Abbott correction was applied [16].Statistical analysis used the Shapiro-Wilk W-test followed by the Mann-Whitney-Wilcoxon test, both in the RStudio version 1.2.5001 program [17].

Results
A total of 31 assessments were recorded for 420 days, with a total of 71,700 larvae of Ae. aegypti exposed to the SumiLarv ® 2MR product.The persistence of the product in Pernambuco was 238 days for a concentration of 0.04 mg/l, 322 days for a concentration of 0.08 mg/l, and 420 days for a concentration of 0.16 mg/l in 100-l containers.The tests conducted in São Paulo showed higher persistence (322 days) for 0.04 mg/l, and the other concentrations of the product, 0.08 and 0.16 mg/l, maitained an emergence inhibition rate above 80% during the entire evaluated period (Fig. 2).In total, three assessments were excluded from the study because of a mortality rate above 20% in the control group (Additional file 1).
Statistical analyses showed a significant difference between the residual activity of the product from the populations of São Paulo and Pernambuco in the 0.08-mg/l concentration, which corresponds to test 2 of the bioassay (Fig. 3).
In Amapá and Rio de Janeiro, tests in 250-, 500-, and 1000-l water storage tanks showed residual activity for 420 days (Fig. 4).Two assessments were excluded from the analysis from test 4 and four from tests 5-8 because of a mortality rate above 20% in the control group (Additional file 1).Statistical analyses also showed that there was a significant difference (P < between the emergence inhibition rate in all tested populations of Ae. aegypti from Amapá and Rio de Janeiro (Fig. 3).
Across the four regions, the control group mortality rate was higher than expected in the first assessment (Additional file 1).
The replacement of 60% of the water per week in each container used to simulate regular domestic water consumption showed that the SumiLarv ® 2MR remained effective during the assessments.Throughout the bioassay, the water temperature ranged between 18.0 and 25.3 °C, with pH ranging from 5.9 to 7.7 in the state of São Paulo; 25.5-32.9°C and pH 6.5-7.6 in Pernambuco; 27.2-32.1 °C and pH 4.4-5.8 in Amapá; and 20.8-32.7 °C and pH 5.0-7.1 in Rio de Janeiro (Fig. 5).

Discussion
Water storage tanks are very common as a domestic container in Brazil, and the weekly dynamics in the use of water, as well as specific environmental conditions, can interfere in the residual activity of products aimed to control Ae. aegypti [9,[18][19][20].For this reason, the performance of multicentric bioassays can indicate the effectiveness of products considering the actual conditions of each location, since differences among regions can be seen in these parameters and others such as temperature and water pH.
The great territorial extent of Brazil contributes to temperature variations between the different regions of the country.Thus, the temperatures in the southeast, north, and northeast are different, but high temperatures are observed in all places throughout the year.A study investigating Amazon simulated climate change scenarios showed accelerated Ae. aegypti larval development in the case of increased global temperature [21].The approach carried out in our study indicated important differences in water temperature when comparing semi-field conditions.The maximum water temperature in São Paulo was around 25 °C, while in Pernambuco this was the minimum temperature observed.A difference of 6.4 °C was found when comparing the average minimum water temperature in Amapá (27.2 °C) and Rio de Janeiro (20.8 °C), while the maximum temperature in both locations was around 32 °C.Statistical analyses showed that there was a significant difference between them.
Temperature plays an important role in Ae. aegypti development [22]; the temperature for the rearing of larvae for all four populations averaged 26 ± 2 °C in the insectary environment.The larvae were added to water storage tanks in semi-field conditions in the third stage, and one of the reasons for mortality above 20% in the control group may have been the variations in temperature between the laboratory environment and the semifield conditions.Assessment results that could not be Fig. 5 Water temperature variation observed in different containers treated with SumiLarv ® 2MR during semi-field tests in four Brazilian states: São Paulo (SP), Pernambuco (PE), Amapá (AP), and Rio de Janeiro (RJ) adjusted by Abbott's formula were excluded from the analyses.
Smaller containers showed lower residual activity than larger containers, for both high and low temperature averages, in both Pernambuco and São Paulo.As for Amapá and Rio de Janeiro, larger tanks were used, and the emergence inhibition rate was above 80%, with significant differences observed between groups.Variations in the emergence inhibition rate for 100-l storage tanks may be associated with variations in temperature.The question remains whether temperature variation was indeed responsible for the residual activity difference in containers with less water, or if the lower concentration of the product influenced the outcome.Further studies are needed to provide conclusive answers to these questions.
Another important abiotic factor for larval development is the water pH [23], which was measured during the assessments, and did not show a significant difference between São Paulo, Pernambuco, and Rio de Janeiro (range 6-7.5).However, in Amapá, the water pH was considered acidic throughout the study period, ranging from 4.4 to 5.8.This is because the water in Amapá did not go through a treatment plant, as in the other places of this study, and was taken directly from the well.We believe that the presence of chlorine in water treatment may have contributed to the larval mortality in the control group during the first evaluation of assessments in São Paulo, Rio de Janeiro, and Pernambuco.
Abiotic factors such as temperature and pH can also influence the residual activity of other products, such as Bacillus thuringiensis var.israelensis and Temephos ® , whose results in semi-field and field conditions were important for decision-making in mosquito control in Brazil [18].In our study, SumiLarv ® 2MR showed inhibition of adult emergence for more than 60 days in all tests.
According to the national Aedes control program, visits to properties for breeding site elimination and treatment of unmoved containers must take place every 2 months.Thus, the ideal setting is using the product as a control measure with a minimum residual effect of 60 days.SumiLarv ® 2MR showed persistence greater than 400 days in 250-, 500-, and 1000-l water storage tanks in Amapá and Rio de Janeiro, and in 100-l tanks in Pernambuco and São Paulo at a concentration of 0.16 mg/l.Further consideration should be given to the fact that resins in São Paulo and Pernambuco were reduced before they were added to containers, confirming the homogeneity of the activity and the efficiency of the product in lower water volume.
The long-term residual activity of SumiLarv ® 2MR observed in the tests was related to the slow release of PPF in water, since the juvenile hormone analogue influences larval development and inhibits adult emergence.
Field studies performed in Cambodia using SumiLarv ® 2MR in field conditions showed good acceptance by the population because the PPF did not cause a bad odor in the water, and because of its long-term effectiveness when compared to other larvicides.Health volunteer engagement was essential in the process of explaining the products' action, leading to higher acceptance by the population [11].
Previous studies with SumiLarv ® 2MR indicated residual efficacy for 6 months for domestic use simulation [24,25]; however, the results presented in our study showed that the residual efficacy was greater than 1 year.In field studies conducted in Asian countries with the same product in similar water storage tanks, the SumiLarv ® 2MR discs were lost, demonstrating that an integrated approach combined with COMBI strategies is required for dengue control [11,26,27].In studies where the product was added in containers with large amounts of organic matter, the results were also positive; according to the authors, organic matter in the water served as a reservoir of PPF [28].
SumiLarv in other formulations, such as in granules [29], plays an important role in control measures against mosquito-borne arbovirus.Dissemination stations using PPF have shown positive control results [30].However, with the use of juvenile hormone analogues as routine procedures in different vector control programs, the factors of susceptibility and resistance to insecticides must be considered; in the USA, larvae of Ae. aegypti showed moderate resistance to PPF [31].
The PPF powder formulation, Sumilarv ® 0.5G, was used in Brazil's National Aedes Control Program from 2010 to 2020.Rotation of larvicide classes is recommended [32] in order to guarantee the effectiveness of the insecticides over time [33] and to prevent selection for resistance, as demonstrated by several studies carried out in Brazil [34].Our results showed residual activity greater than 400 days, indicating that SumiLarv ® 2MR can be useful in the current context of Ae. aegypti and Aedes albopictus dissemination.Similar results have been highlighted in studies combining multidisciplinary approaches [35,36].

Conclusions
The larval and pupal control performance of SumiLarv ® 2MR demonstrated in this multicenter semi-field study suggests that this new PPF formulation is a promising alternative for Aedes control.Further studies are needed in field conditions incorporating active community participation as an essential strategy for improving acceptance of the product and the success and sustainability of its implementation in Aedes control programs.