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      Current and future distribution of Aedes aegypti and Aedes albopictus (Diptera: Culicidae) in WHO Eastern Mediterranean Region

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          Abstract

          Background

          Aedes-borne diseases as dengue, zika, chikungunya and yellow fever are an emerging problem worldwide, being transmitted by Aedes aegypti and Aedes albopictus. Lack of up to date information about the distribution of Aedes species hampers surveillance and control. Global databases have been compiled but these did not capture data in the WHO Eastern Mediterranean Region (EMR), and any models built using these datasets fail to identify highly suitable areas where one or both species may occur. The first objective of this study was therefore to update the existing Ae. aegypti (Linnaeus, 1762) and Ae. albopictus (Skuse, 1895) compendia and the second objective was to generate species distribution models targeted to the EMR. A final objective was to engage the WHO points of contacts within the region to provide feedback and hence validate all model outputs.

          Methods

          The Ae. aegypti and Ae. albopictus compendia provided by Kraemer et al. (Sci Data 2:150035, 2015; Dryad Digit Repos, 2015) were used as starting points. These datasets were extended with more recent species and disease data. In the next step, these sets were filtered using the Köppen–Geiger classification and the Mahalanobis distance. The occurrence data were supplemented with pseudo-absence data as input to Random Forests. The resulting suitability and maximum risk of establishment maps were combined into hard-classified maps per country for expert validation.

          Results

          The EMR datasets consisted of 1995 presence locations for Ae. aegypti and 2868 presence locations for Ae. albopictus. The resulting suitability maps indicated that there exist areas with high suitability and/or maximum risk of establishment for these disease vectors in contrast with previous model output. Precipitation and host availability, expressed as population density and night-time lights, were the most important variables for Ae. aegypti. Host availability was the most important predictor in case of Ae. albopictus. Internal validation was assessed geographically. External validation showed high agreement between the predicted maps and the experts’ extensive knowledge of the terrain.

          Conclusion

          Maps of distribution and maximum risk of establishment were created for Ae. aegypti and Ae. albopictus for the WHO EMR. These region-specific maps highlighted data gaps and these gaps will be filled using targeted monitoring and surveillance. This will increase the awareness and preparedness of the different countries for Aedes borne diseases.

          Electronic supplementary material

          The online version of this article (10.1186/s12942-018-0125-0) contains supplementary material, which is available to authorized users.

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          Most cited references22

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          Selecting pseudo-absences for species distribution models: how, where and how many?

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            Spread of the tiger: global risk of invasion by the mosquito Aedes albopictus.

            Aedes albopictus, commonly known as the Asian tiger mosquito, is currently the most invasive mosquito in the world. It is of medical importance due to its aggressive daytime human-biting behavior and ability to vector many viruses, including dengue, LaCrosse, and West Nile. Invasions into new areas of its potential range are often initiated through the transportation of eggs via the international trade in used tires. We use a genetic algorithm, Genetic Algorithm for Rule Set Production (GARP), to determine the ecological niche of Ae. albopictus and predict a global ecological risk map for the continued spread of the species. We combine this analysis with risk due to importation of tires from infested countries and their proximity to countries that have already been invaded to develop a list of countries most at risk for future introductions and establishments. Methods used here have potential for predicting risks of future invasions of vectors or pathogens.
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              Epidemic arboviral diseases: priorities for research and public health.

              For decades, arboviral diseases were considered to be only minor contributors to global mortality and disability. As a result, low priority was given to arbovirus research investment and related public health infrastructure. The past five decades, however, have seen an unprecedented emergence of epidemic arboviral diseases (notably dengue, chikungunya, yellow fever, and Zika virus disease) resulting from the triad of the modern world: urbanisation, globalisation, and international mobility. The public health emergency of Zika virus, and the threat of global spread of yellow fever, combined with the resurgence of dengue and chikungunya, constitute a wake-up call for governments, academia, funders, and WHO to strengthen programmes and enhance research in aedes-transmitted diseases. The common features of these diseases should stimulate similar research themes for diagnostics, vaccines, biological targets and immune responses, environmental determinants, and vector control measures. Combining interventions known to be effective against multiple arboviral diseases will offer the most cost-effective and sustainable strategy for disease reduction. New global alliances are needed to enable the combination of efforts and resources for more effective and timely solutions.
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                Author and article information

                Contributors
                educheyne@avia-gis.com
                TranMinhN@who.int
                nhaddad@ul.edu.lb
                ward.bryssinckx@pandora.be
                evans.buliva@gmail.com
                frederic.simard@ird.fr
                malikm@who.int
                jcharlier@kreavet.com
                Valerie.DeWaele@coda-cerva.be
                osanar2002@gmail.com
                mukhtarnih@gmail.com
                ali.bouattour@pasteur.tn
                abdulhafid.yassin@gmail.com
                ghendrickx@avia-gis.com
                davidroiz@gmail.com
                Journal
                Int J Health Geogr
                Int J Health Geogr
                International Journal of Health Geographics
                BioMed Central (London )
                1476-072X
                14 February 2018
                14 February 2018
                2018
                : 17
                : 4
                Affiliations
                [1 ]GRID grid.423833.d, Avia-GIS, ; Zoersel, Belgium
                [2 ]Regional Office for the Eastern Mediterranean, World Health Organisation, Cairo, Egypt
                [3 ]ISNI 0000 0001 2324 3572, GRID grid.411324.1, Laboratory of Immunology and Vector-Borne Diseases, Faculty of Public Health, , Lebanese University, ; Fanar, Lebanon
                [4 ]MIVEGEC Lab, IRD/CNRS/UM, Montpellier, France
                [5 ]ISNI 0000 0004 0571 4213, GRID grid.415703.4, Directorate General for Disease Surveillance and Control, , Ministry of Health, ; Muscat, Sultanate of Oman
                [6 ]Directorate of Malaria Control, Islamabad, Pakistan
                [7 ]ISNI 0000 0001 2298 7385, GRID grid.418517.e, Institut Pasteur Tunis, ; Tunis, Tunisia
                [8 ]Vector Control Focal Point, Ministry of Health, Puntland, Somalia
                Author information
                http://orcid.org/0000-0003-2620-0679
                Article
                125
                10.1186/s12942-018-0125-0
                5813415
                29329535
                75e634ab-d106-4d8d-8fb1-9f3091d47eee
                © The Author(s) 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 6 November 2017
                : 2 February 2018
                Funding
                Funded by: WHO Regional Office for the Eastern Mediterranean Region
                Categories
                Research
                Custom metadata
                © The Author(s) 2018

                Public health
                aedes,aedes aegypti,aedes albopictus,distribution,chikungunya,dengue,spatial model,surveillance,yellow fever,zika

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