Spatial-Temporal Distribution and Insecticide resistance Status of Aedes Aegypti in Ghana

Abstract Background: Vector control is the main intervention to control arboviral diseases transmitted by Aedes mosquitoes because for most there are no effective vaccines or treatment. This vector control relies heavily on the use of insecticides, effectiveness of which may be impacted by resistance. In addition, rational insecticide application requires detailed knowledge of vector distribution, dynamics, resting, and feeding behaviours, which are poorly understood for Aedes vectors in Africa. This study investigated the spatio-temporal distribution and insecticide resistance status of Ae. aegypti from across ecological extremes of GhanaMethods: Immature mosquitoes were sampled from containers in and around human dwellings at each of seven study sites in urban, suburban, and rural areas of Ghana. Adult Aedes mosquitoes were sampled indoor and outdoor using Biogent sentinel-2 mosquito traps, human landing catches, and prokopack aspiration. Distributions of immatures and adult Aedes mosquitoes were determined indoors and outdoors during dry and rainy seasons at all sites. Phenotypic resistance status of Aedes mosquitoes to insecticides was determined using WHO bioassays. Host blood meal source was determined by PCR.Results: A total of 16,711 immature Aedes were sampled, with over 70% found in car tires. Significantly more breeding containers had Aedes immatures during the rainy season 70.95% (11,856) compared to the dry season 29.05% (4,855). A total of 1,895 adult Aedes mosquitos were collected, including Ae. aegypti (97.8%), Ae. africanus (2.1%) and Ae. Luteocephalus (0.1%). Indoor sampling of adult Aedes mosquitoes yielded a total of 381 (20.1%) and outdoor a total of 1,514 (79.9%) (z = -5.427; p = 0.0000) over the entire sampling period. Aedes aegypti populations were resistant to DDT at all study sites. Vectors showed suspected resistance to Bendiocarb (96-97%), Permethrin (90-96%) and Deltamethrin (91-96%) and were susceptible to the organophosphate malathion from all study sites.Blood meal analysis showed that the Aedes mosquitoes were mostly anthropophilic with HBI of 0.9 i.e. [(human = 90%), (human and dog = 5%), (dog and cow = 5%)].Conclusion: Aedes mosquitoes were found at high densities in all ecological zones of Ghana. Resistance to pyrethroids and carbamates may limit control efficacy and requires careful monitoring.