Primary blood-hosts of mosquitoes are influenced by social and ecological conditions in a complex urban landscape

Background Temperate urban landscapes support persistent and growing populations of Culex and Aedes mosquito vectors. Large urban mosquito populations can represent a significant risk for transmission of emergent arboviral infection. However, even large mosquito populations are only a risk to the animals they bite. The purpose of this study is to identify and assess spatial patterns of host-use in a temperate urban landscape with heterogeneous socio-economic and ecological conditions. Results Mosquito blood meals were collected from neighborhoods categorized along a socio-economic gradient in Baltimore, MD, USA. Blood meal hosts were identified for two Aedes (Ae. albopictus and Ae. japonicus) and three Culex (Cx. pipiens, Cx. restuans and Cx. salinarius) species. The brown rat (Rattus norvegicus) was the most frequently detected host in both Aedes species and Cx. salinarius. Human biting was evident in Aedes and Culex species and the proportion of human blood meals from Ae. albopictus varied significantly with neighborhood socio-economic status. Aedes albopictus was most likely to feed on human blood hosts (at 50%) in residential blocks categorized as having income above the city median, although there were still more total human bites detected from lower income blocks where Ae. albopictus was more abundant. Birds were the most frequently detected Culex blood hosts but were absent from all Aedes sampled. Conclusions This study highlights fine-scale variation in host-use by medically important mosquito vectors and specifically investigates blood meal composition at spatial scales relevant to urban mosquito dispersal and human exposure. Further, the work emphasizes the importance of neighborhood economics and infrastructure management in shaping both the relative abundance of vectors and local blood feeding strategies. The invasive brown rat was an important blood source across vector species and neighborhoods in Baltimore. We show that social and economic conditions can be important predictors of transmission potential in urban landscapes and identify important questions about the role of rodents in supporting urban mosquito populations.


Background
The establishment of an endemic West Nile virus (WNV) cycle involving Culex mosquito vectors across the United States and the global spread of Aedes mosquitoes have dramatically changed the landscape of arboviral risk in temperate cities [1][2][3][4][5][6][7]. Urban landscapes are a mosaic of land cover, with land-use varying from abandoned and unmanaged to highly managed and engineered sites [8], and where human-influenced resource availability and disturbance can limit establishment of some species while favoring others, including medically important mosquito vectors [9][10][11]. When vector mosquito species reproduce and develop in residential landscapes, the adult females emerge and initiate blood-seeking behavior in close proximity to human and peridomestic animal hosts. Host-use (and specifically human biting rate) is a well recognized and important parameter in infectious disease models and transmission management strategies [12,13].
Local transmission of arboviruses depends on female mosquitoes biting an infected host and then surviving long enough to bite again. This can occur via sequential human biting (i.e. dengue, Zika viruses) or in the case of WNV, the mosquito must bite the zoonotic (avian) reservoir before feeding from a human [14]. The probability of these specific biting sequences occurring depends on mosquito behavior or innate preferences, relative host availability, and adult mosquito longevity [15]. While studies clearly demonstrate that temperate urban habitat can support population growth of some mosquito species [7,[16][17][18], there is less consensus regarding the spatial generating mechanisms and consequences of host-use variation across urban landscapes.
Temporal and spatial variation in host-use (defined as the relative proportion of blood meals taken from a given host species in a sampled mosquito population) has been shown to influence the timing and potentially, the intensity of WNV infections transmitted by Culex mosquitoes [19][20][21][22][23]. Birds are a predominant blood meal source for both Cx. restuans and Cx. pipiens across a variety of habitat types and regions [24][25][26]. Culex pipiens pipiens (Linnaeus 1758), which prospers in highnutrient urban habitat as juveniles [6,20,27], is a primary human WNV vector, possibly because it shifts between zoophilic and anthropophilic cycles seasonally [14,23].
Aedes albopictus (Skuse, 1894), more commonly known as the Asian tiger mosquito, has spread globally over the last three decades since its expansion from Southeast Asia to the Americas and is now a predominant nuisance species in many temperate cities [28][29][30][31], with clear consequences for arboviral transmission. Autochthonous transmission of chikungunya and dengue viruses by Ae. albopictus has been documented in temperate and Mediterranean Europe [32][33][34][35] and Japan [36][37][38]. Studies from across its new geographical range suggest extensive feeding plasticity ranging from exclusive human biting in urban landscapes [39][40][41] to a more generalist diet including humans, wild and peridomestic mammals, birds and even amphibians/reptiles [39,40,[42][43][44]. Research in New Jersey, USA found that although Ae. albopictus were predominantly anthropophilic, samples from neighborhoods where pets were more likely to be kept outside had a greater proportion of peridomestic mammalian hosts such as dogs and cats [44]. Unlike Culex vectors that may disperse several kilometers [45], Ae. albopictus remain close to juvenile habitat and few disperse more than 100 meters [46][47][48][49]. In urban neighborhoods where rowhome structures and paved streets can limit vector dispersal [50], non-human blood meal hosts could divert mosquitoes from human biting at fine spatial scales (e.g. zooprophylaxis [51,52]).
Aedes japonicus japonicus (Theobald, 1901) was first detected in the United States in 1998 [53] and is a competent vector for several arboviruses, including WNV, eastern equine encephalitis, and La Crosse virus [54][55][56][57]. Like Ae. albopictus, this species seems to be an opportunistic mammalian feeder, although there are few studies that have evaluated Ae. j. japonicus blood meal hosts in the field. One third of engorged females sampled in New Jersey had taken blood from humans, while over 50% of blood meals were from white-tailed deer [58]. Although it has been reported to bite humans and birds in Japan and in laboratory conditions [59], no avian hosts have been identified in recent field studies. Other mammalian hosts detected in the New Jersey study included horse and Virginia opossum.
In this study we sequenced host DNA collected from Aedes and Culex mosquitoes collected across socioeconomically distinct neighborhoods in Baltimore, MD, USA [29,60]. Baltimore City is a mosaic of distinct neighborhoods, and socio-economic conditions where housing value, educational attainment, crime rates and even life expectancy can vary significantly across short spatial distances [61][62][63]. There are an estimated 16,000 standing vacant buildings in Baltimore and this abandoned infrastructure has been demonstrated to be productive habitat for mosquitoes and other pests [29,60]. Blood meal analyses are critical for elucidating the ecological roles of vertebrate host species in supporting mosquito population growth and pathogen transmission cycles. Identifying the composition of mosquito host species across neighborhoods with differing infrastructure management and residential socio-economic status (SES) conditions can help identify how availability and access to blood meal hosts vary across the urban landscape and influence variation in transmission potential.

Study area
We focused data collection in 5 neighborhoods that (i) consisted of row homes; (ii) were categorized as having household incomes (roughly $15,000) Below, Above or at (Median) the City's median household income of $41,000 (in 2010); and (iii) were more than one kilometer from two large City Parks (Druid Hill and Leakin Park) and the Inner Harbor (Fig. 1). Neighborhoods were identified using online data from Baltimore City and the US Census Bureau (http://bniajfi.org/ and https://www.census.gov). This work was conducted as part of a larger coupled natural human systems project designed to investigate mosquito and human systems in the context of individual and community actions and urban decay (i.e. population decline, abandoned lots and unmanaged refuse) in Baltimore, Maryland. For further information about neighborhood selection and confirmation of socio-economic status (SES), see [60]. Each of the five neighborhood boundaries varies in total area but city blocks within neighborhoods are relatively consistent in size (Table 1). We sampled adult mosquitoes intensively on 2-3 blocks per neighborhood that were randomly selected from all blocks identified as predominantly residential (avoiding blocks with schools, large apartment complexes and businesses) and that were separated by at least one unsampled block (13 blocks total). Adults were only sampled on two blocks in the 'Median' category to maintain the minimum distance between blocks in these smaller neighborhoods. In addition to adult mosquito sampling, infrastructure condition metrics were recorded for each focal block, as described in [60].
Surveillance BG-Sentinel TM traps baited with CO 2 and a 2.0 ml Octenol Lure (a mammal-derived attractant) were used to trap adult, blood-seeking mosquitoes in each study year. Traps were deployed at two locations on each focal block. While this trap was designed to target hostseeking Aedes, it has been demonstrated to effectively sample blooded specimens of both Aedes and Culex species when used with a BG lure [44]. A preliminary study in two of the focal neighborhoods collected greater numbers of both Culex and Aedes in the BG-Sentinel TM traps than in paired CDC light traps, both baited with CO 2 [64].
Trap sites were selected on each 0.5 block area to maximize distance between traps (50-100 m) and according to where researchers could establish property access. Trapping for 2015 and 2016 occurred on three blocks each in our ' Above' and 'Below' category SES neighborhoods and two each in the smaller 'Median' SES neighborhoods (Table 1). Traps were deployed and operational for 72 h every three weeks between May and October. After 24 h, batteries, dry ice and catch bags were replaced at each trap. Mosquito catch bags were transported on dry ice and placed at -20°C until processed, which occurred within 2 weeks of each trap date. In 2015, the trapping cycle began May 26-27th and ended October 21-22nd, for a total of 8 trapping  sessions. Trapping in 2016 started June 6-7th and ended October 11-12th, for a total of 7 trapping sessions. Trapping efforts were ended when the total number of mosquitoes collected across all sites was less than 25 individuals. Female mosquitoes from each trap were sorted by genus and enumerated. Female Aedes and some Culex mosquitoes were morphologically identified to species [65], and checked for the presence of a blood meal under a dissecting microscope. Culex pipiens and Cx. restuans [66] were differentiated using a molecular assay during blood meal processing [67]. Each female mosquito with a visibly engorged abdomen was placed in a microcentrifuge tube with silica gel beads (Grade 48, 4-10 mesh size) and a small piece of cotton, and stored at room temperature [68,69]. Desiccation was chosen as the storage protocol due to lack of access to an ultra-low temperature (-80°C) freezer, although this may have limiting consequences on amplification success [70].

Molecular processing and blood meal identification
Abdomens were removed from blood-fed Culex and Aedes mosquitoes by using forceps to apply pressure between the thorax and abdomen against the wall of an Eppendorf tube. Between dissections forceps were dipped in 70% ethanol and passed through a flame to prevent cross-contamination. DNA from the blood in the abdomens was extracted using a Qiagen DNeasy Blood and Tissue kit (Qiagen Sciences, Germantown, MD, USA). To identify the source of the blood meals, we followed a protocol that first distinguishes human from non-human mammal-derived blood meals using a multiplex PCR assay developed for use in Ae. albopictus [71]. Samples that did not amplify with this assay were subjected to additional rounds of PCR screening with specific avian [72], mammalian [73] and reptile/amphibian [74] primers. Negative controls (PCR master mix and sterile water) were used to test for contamination in all reactions. With the exception of the speciesdiagnostic human band produced by the multiplex assay [71], all PCR products were cleaned and prepared for sequencing. Single bands were cleaned with Exo-Sap-IT (USB Products, Cleveland, OH, USA). In the case of a human/non-human mammal mix displaying two bands, the non-human band was excised from the gel and cleaned with a QIAquick Gel Extraction Kit (Qiagen Sciences, Germantown, MD, USA). Purified PCR products were cycle-sequenced with the forward primer of each pair and run on capillary automated sequencers (Gen-Script, Piscataway, NJ, USA). Sequences were entered in a BLAST search (Basic Local Alignment Search Tool) in GenBank to identify known species matches (> 98% similarity) [68].
All statistical summaries and graphics were completed using the R Statistical Software package 3.3.1. We discuss differences in host-use and mosquito abundances across neighborhoods, making the assumption that there is modest exchange or dispersal between neighborhoods. This is based both on negative sampling results from roads between blocks and the correspondence of adult and juvenile abundances at the block scale [75]. We do not assume spatial independence between the two traps on a given block. Information from both traps on a block is combined in one per-trap-night estimate per sample period per block. Chi-square statistics were employed to assess significant differences in proportional host-use across across neighborhoods and SES category.

Results
A total of 20,551 adult female mosquitoes were collected across both years (49% in 2016). Aedes albopictus made up 73.1% (n = 15,023) of the total collected mosquitoes, 24.1% (n = 4947) were Culex species, and 2.4% (n = 531) were Ae. j. japonicus. Blood-fed mosquitoes were collected at 23 of the 26 trap sites and from all focal blocks. Fifty (< 1%) additional specimens were identified across the two years as Anopheles, Culiseta, Coquillettidia and Ae. aegypti. The majority of blooded mosquitoes were collected in July (Fig. 2). Blood fed females were generally more frequently sampled when total abundance was greatest, as for Culex and Ae. j. japonicus, although numbers of blood-fed Ae. albopictus was low in September despite persistently large populations (Fig. 2). Only one specimen with blood meals from multiple species was detected. One Ae albopictus collected in October from the Union Square neighborhood contained both human and cat DNA.
There were 208 (1.4%) Ae. albopictus that were visibly engorged and we successfully extracted DNA and determined blood meal origin from 177 individuals ( Table 2). The proportion engorged relative to total Ae. albopictus females was significantly lower in the ' Above' income neighborhoods (χ 2 = 25.91, df = 2, P < 0.001) as compared to either the 'Median' or 'Below' category neighborhoods (0.20% compared to 1.8% and 1.4%, respectively). The proportion of engorged Ae. j. japonicus collected relative to total adult female Ae. j. japonicus ranged from 1.3-2.6% and was not significantly different across neighborhood SES (χ 2 = 0.67, df = 2, P = 0.71). Aedes j. japonicus was only detected at our sites in July of either year. The brown rat (Rattus norvegicus) was the most frequently detected blood meal source in both Aedes species, making up 72% of all Ae. albopictus blood meals and 50% of Ae. j. japonicus host species (Table 2). Additional Ae. albopictus blood meals came from humans (14%), domestic cats (12%), dogs (1%) and white-tailed deer (< 1%). Additional Ae. j. japonicus hosts included an even split across human, white-tailed deer and cat ( Table 2). There were no avian hosts detected in blood meals from either Aedes species.
There was a significantly lower proportion of Ae. albopictus blood meals taken from human hosts in the 'Below' category neighborhoods (χ 2 = 12.63, df = 2, P = 0.002). Human blood made up the greatest proportion of total blood meals (50%) in ' Above' SES sites and was lowest (6%) in the 'Below' SES neighborhoods. Median income neighborhoods had significantly higher human blood meal proportions than the 'Below' income neighborhoods but were not significantly different from the ' Above' neighborhood samples (Fig. 3). SES category was not a significant predictor of relative proportions of Ae. albopictus blood meals from any of the non-human sources.

Discussion
This study highlights fine-scale variation in mammalian and avian host-use by medically important mosquito vectors and specifically investigates blood meal composition at spatial scales relevant to urban mosquito dispersal and human exposure. Further, the work emphasizes the importance of neighborhood socio-economic status and physical condition in shaping both the relative abundance of vectors and their local affinity for avian, mammalian and especially, human blood hosts. The primary WNV vectors in the region, Cx. pipens and Cx. restuans, were predominantly ornithophagic, consistent with previous work [23,44,76]. The most frequently identified avian DNA was from the American robin, a known WNV reservoir and amplification species [23,27]. However, while American robin blood was detected in specimens from all five neighborhoods, human blood meals were only found in Cx. pipiens collected from 'Below' SES sites. Culex species tend to bite at dawn and dusk, unlike the daytime biting Aedes, and it is not clear whether this reflects differences in dawn and dusk access to humans across neighborhoods or is just a stochastic result of small sample size. The small number of engorged Culex specimens (0.5% of total females collected) may indicate need for amending sampling and processing protocols to either attract more blooded Culex or better preserve the collections prior to PCR. Resting traps were trialed in our study sites but yielded no blooded Culex. Culex species may disperse several kilometers from juvenile breeding sites to find blood meal hosts. While we do find all three adult Culex species in our juvenile sampling across these same neighborhoods [29], it is likely that there is movement between neighborhoods to locate preferred hosts. While not the focus of the current study, future work will examine host-use of different avian species in the context of variable avian composition and abundance across different neighborhood SES conditions. This work is consistent with previous studies that report opportunistic but mammalian-focused feeding   strategies for Ae. albopictus and Ae. j. japonicus. However, we further demonstrate that host feeding by Ae. albopictus in particular differs significantly across SES categories. Aedes albopictus dispersal is generally less than 100 meters, or the distance across one of our city blocks [46,77]. Thus, our results indicate that a female Ae. albopictus that developed on a higher income block is more likely to take a human blood meal than a mosquito emerging on a lower income block. However, vectorial capacity (and thus, transmission risk) is also a function of vector abundance [7,13]. Female Ae. albopictus abundance has previously been associated with SES category in these same neighborhoods -with greatest abundance on lower income blocks that have high infrastructure abandonment [29,60]. The greatest capacity for vector transmission of pathogens among humans occurs where both vector abundance and human host-use are maximized. In this system these conditions are both maximized in the median income neighborhoods where Ae. albopictus abundance is greater than in neighborhoods with higher SES and human blood meal proportion is higher than in the lower income neighborhoods (e.g. Fig. 3). We believe that the greater proportion of abandoned infrastructure in the lower income neighborhoods, where proportion of buildings occupied ranged from 23-54% (mean 37%) across individual blocks, indicates a loss of access to human blood meals that is further reduced because remaining residents are less likely to spend time in backyards or shared green space (LaDeau, unpublished data). By comparison, a greater proportion of homes in the 'Median' category neighborhoods were occupied 69-96% (mean 83.5%) and residents were generally more likely to use local community gardens and shared green spaces (LaDeau, unpublished data). This study suggests that the relevant parameters necessary to understand vectorial capacity and both the rate and frequency of arboviral transmission in the urban landscape vary significantly at fine scales within and between urban neighborhoods. Perhaps more importantly, the current study indicates that knowing something about local infrastructure management and resident behavior may help guide management strategies and generate testable hypotheses for where transmission is most likely. The invasive brown rat (also called Norway rat) is an important blood meal source across vector species and neighborhoods in Baltimore. Brown rats are a globally ubiquitous rodent in urban ecosystems, inhabiting sewer systems and dirt burrows. Urban rats have short dispersal distances and population structure is evident even at the scale of a city block [78]. Although most rat activity occurs just before or at sunset when Culex species feed, younger rats forage earlier in the day to avoid competing with larger, dominant rats [79]. This may make them more susceptible to being bitten by Aedes, as both Ae. albopictus and Ae. j. japonicus are daytime feeders. In 2004, researchers described a large, persistent brown rat population in Baltimore, MD, and trapped a majority of rats from alleys categorized as being in lower income neighborhoods [80]. Nearly 50% of the trapped rats across all sites tested positive for Seoul virus, a hantavirus that has also been detected locally in humans [81]. Rats are known reservoirs for other pathogens as well, including Salmonella, Leptospira, Rickettsia and Bartonella [82][83][84][85][86] and may be effective reservoirs for some arboviruses [87][88][89].
Samples from below SES neighborhoods included both a higher proportion and greater number of rat blood meals detected. This is consistent with being where the rat populations are believed to be most abundant [80]. These lower income neighborhoods are visibly characterized by infrastructure abandonment. Abandonment is evident in boarded doors and windows and in some cases, missing roofs ( Fig. 1), but also because of the unmanaged refuse that is often illegally dumped by people external to the neighborhood. Previous work by this group has shown that these conditions support high numbers of unmanaged containers that are important habitat for immature development and production of adult Culex and Aedes populations [29,60]. The majority of cat blood meals also were found in these lower income sites (Table 2), where feral cats have been fed and even encouraged in response to the rat problem. The current study raises important questions about the role of rat populations in supporting urban mosquito populations, the possibility of rat-prophylaxis (diversion of bites from humans) as well as their potential to act as pathogen reservoirs. It is unknown, for instance, whether a mosquito that bites a rat is more likely to feed to repletion before being disturbed or have different fitness consequences than a mosquito that bites a human. Understanding the mechanistic role that rodents play in feeding urban mosquito populations is important for predicting how pest management interventions and changes in infrastructure might influence mosquito abundances and human biting pressure.
Although Ae. albopictus has been endemic in the Baltimore region for nearly three decades, Ae. j. japonicus was only detected in Maryland in 2000. This relative newcomer, was less abundant across all focal neighborhoods and only six engorged females were sampled over the two years of the study. Despite the low number of blood-fed Ae. j. japonicus examined, the blood sources identified included the range of hosts seen in the more abundant and widespread Ae. albopictus. We identified one human blood meal in Ae. j. japonicus and though detection of human feeding in this species is not new [58], the opportunistic nature of its blood feeding behavior implicates it as a potentially important vector for La Crosse virus or other zoonoses with small mammal reservoirs [2,56,90].
The socio-economic indicators of arboviral transmission risk are complex and can covary with environmental drivers, such as temperature and precipitation [60,64,91,92]. Furthermore, while higher SES neighborhoods often have lower human population densities due to larger residential footprints, urban population loss across many temperate cities is often focused in lower income neighborhoods [63]. Abundant mosquito vectors developing in the abandoned infrastructure across these neighborhoods may be less likely to encounter a human at all much less twice, as would be needed to first acquire and then transmit a non-zoonotic virus. Furthermore, this group has found that the residents in lower income Baltimore neighborhoods were more likely to spend time in the front of the row homes, where streets are paved and there is little shade or water-holding habitat for mosquitoes. By contrast, residents in higher income neighborhoods were more likely to maintain personal recreation space behind the home and to report perceived mosquito nuisance while using these spaces [29,75]. Assessing vectorial capacity in these complex urban landscapes requires some fine-scale geographical understanding of the biophysical and socio-economic conditions and human behaviors that influence juvenile and adult mosquito life stages.

Conclusions
This study demonstrates how fine-scale variation in host-use by medically important mosquito vectors can define a gradient in human exposure to mosquitoes and associated arboviruses across city neighborhoods. Further, the work emphasizes the importance of neighborhood socio-economic status and infrastructure management in shaping both the relative abundance of vectors and local affinity for avian, mammalian and especially, human blood meals. The greatest capacity for vector transmission of pathogens among humans occurs where both vector abundance and human host-use are maximized. In Baltimore this is in the median income neighborhoods where heterogeneous land management supports higher mosquito abundance than in high SES neighborhoods but resident use of outdoor spaces likely supports higher proportion human blood hosts than in low income neighborhoods. The invasive brown rat is an important blood source across vector species and sites, although it is a most frequent blood host in lower income neighborhoods. The current study raises important questions about how variation in rodent abundance and access to humans across the urban landscape can influence mosquito population growth, human biting pressure and potential transmission of endemic and emergent arboviruses.