Assessing Aedes mosquito larval indicators, dengue virus infection rates, and risk factors in Khyber Pakhtunkhwa: Insights for improved vector control strategies

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Publicado en:PLoS Neglected Tropical Diseases vol. 19, no. 7 (Jul 2025), p. e0013252
Autor principal: Khan, Jehangir
Otros Autores: Muhammad Adil, Tsheten, Tsheten, Manrique-Saide, Pablo, Zhang, Dongjing, Aziz, Abdul, Lv, Zhiyue, Chen, Tao
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Public Library of Science
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022 |a 1935-2727 
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024 7 |a 10.1371/journal.pntd.0013252  |2 doi 
035 |a 3270866708 
045 2 |b d20250701  |b d20250731 
084 |a 174834  |2 nlm 
100 1 |a Khan, Jehangir 
245 1 |a Assessing <i>Aedes</i> mosquito larval indicators, dengue virus infection rates, and risk factors in Khyber Pakhtunkhwa: Insights for improved vector control strategies 
260 |b Public Library of Science  |c Jul 2025 
513 |a Journal Article 
520 3 |a BackgroundEffective dengue management hinges on targeting key vector breeding sites and understanding transmission risks. Despite recurring outbreaks in Pakistan’s Khyber Pakhtunkhwa (KP) Province since 2013, comprehensive entomological and virological data remain scarce. This study identified key larval-based indicators (habitats, Stegomyia indices), mosquito species composition, and dengue virus (DENV) infection rates in Aedes mosquitoes, evaluating their contributions to outbreak risk.Methodology/principal findingsFrom July to December 2021, a cross-sectional larval survey of Aedes aegypti and Ae. albopictus was conducted across epidemiologically high-risk KP districts, inspecting water-holding containers located indoors, outdoors, and on rooftops. Additionally, adult mosquitoes were collected using aspirators and nets, with weekly dengue case data sourced from Peshawar’s Directorate of Health Services. A subsample of 200 adult mosquito pools (20 per district) underwent RT-PCR to determine minimum infection rates (MIR). Larval indices revealed a House Index (HI) of 19.4%, a Container Index (CI) of 20.4%, and a Breteau Index (BI) of 89%. Aedes aegypti was the dominant species, accounting for 62% of larvae and 67.8% of adult mosquitoes. Peshawar (BI = 89.3), Nowshera (BI = 71.4), and Mardan (BI = 57) reported the highest Breteau indices and corresponding dengue case counts: 2,584 (48.8%), 404 (7.6%), and 327 (6.2%), respectively. The peak larval positivity was recorded in October (29.3%) and September (24.7%), aligning with dengue patient hospitalization rates of 52.8% and 46.8%, respectively. Common breeding sites included indoor flowerpots (25.4%), outdoor rubber tyres (16%), and roof tap water (23.7%). Container type and location significantly (P < 0.00) predicted larval abundance. Regression analysis revealed significant associations between dengue incidence, population density, and stegomyia indices. Of 38 positive pools (19%), DENV-2 and DENV-3 predominated (47.4% each), with peak MIRs recorded in Peshawar (30), Mardan (25), and Haripur (25).Conclusions/significanceHigh larval indices and dual-serotype circulation in adaptable Aedes vectors signal substantial outbreak risk in KP. These findings underscore the need for targeted vector strategies, focusing on containers with the highest breeding potentials and epidemiological significance, particularly in high-transmission areas. Further molecular and entomological investigations are critical to corroborate these findings and inform more effective interventions. 
651 4 |a Peshawar Pakistan 
651 4 |a China 
651 4 |a Hainan China 
651 4 |a Khyber Pakhtunkhwa Pakistan 
651 4 |a Pakistan 
653 |a Epidemiology 
653 |a Population density 
653 |a Species composition 
653 |a Regression analysis 
653 |a Mosquitoes 
653 |a Tires 
653 |a Outbreaks 
653 |a Dengue fever 
653 |a Larvae 
653 |a Dominant species 
653 |a Health services 
653 |a Containers 
653 |a Human diseases 
653 |a Risk factors 
653 |a Public health 
653 |a PCR 
653 |a Vectors 
653 |a Vector-borne diseases 
653 |a Surveillance 
653 |a Infections 
653 |a Breeding sites 
653 |a Displaced persons 
653 |a Community composition 
653 |a Aquatic insects 
653 |a Drinking water 
653 |a Epidemics 
653 |a Pest outbreaks 
653 |a Vectors (Biology) 
653 |a Nucleotide sequence 
653 |a Aedes aegypti 
653 |a Social 
653 |a Culicidae 
653 |a Aedes 
700 1 |a Muhammad Adil 
700 1 |a Tsheten, Tsheten 
700 1 |a Manrique-Saide, Pablo 
700 1 |a Zhang, Dongjing 
700 1 |a Aziz, Abdul 
700 1 |a Lv, Zhiyue 
700 1 |a Chen, Tao 
773 0 |t PLoS Neglected Tropical Diseases  |g vol. 19, no. 7 (Jul 2025), p. e0013252 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3270866708/abstract/embedded/CH9WPLCLQHQD1J4S?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3270866708/fulltext/embedded/CH9WPLCLQHQD1J4S?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3270866708/fulltextPDF/embedded/CH9WPLCLQHQD1J4S?source=fedsrch