Biomedical subjects

R Reuben

Publications and source records attributed to R Reuben.

At least 19 recordsLinked to original sources

PubMed2006

Impact of single dose of diethylcarbamazine and other antifilarial drug combinations on bancroftian filarial infection variables: assessment after 2 years.

The impact of single dose mass drug administration of diethylcarbamazine (DEC), DEC with albendazole (ALB), and ivermectin (IVR) with albendazole, was examined on the human bancroftian filarial infections in village scale trials in south India, from a follow-up study after 2 years. The treatment arms administered with DEC alone and DEC+ALB demonstrated long-term benefits in reducing microfilaraemia significantly (P<0.05), while antigenaemia reduction was negligible. The arm with ALB+IVR did not show such reductions. Among the antigenaemic and microfilaraemic individuals, 87% became amicrofilaraemic in DEC+ALB arm, which were higher than that observed in the other 2 treatment arms. Among amicrofilaraemics (but Ag+), nearly 35% cleared of infection in DEC+ALB, while 26% and 6% in DEC alone and IVR+ALB arms, respectively. The drug combination DEC+ALB was observed to demonstrate a significant impact in reducing filarial infection even after 2 years post treatment.

Albendazole↗

PubMed2006

Natural survivorship of immature stages of Culex vishnui (Diptera: Culicidae) complex, vectors of Japanese encephalitis virus, in rice fields in southern India.

The development and survival of immatures of Culex vishnui (Diptera: Culicidae) complex, vectors of Japanese encephalitis virus, were studied in transplanted rice, Oryza savita L., fields during three crop growing seasons. The total duration of development from the first instar to adult emergence varied from 6 to 8 d. Survival rate estimates ranged from 0.003 to 0.524, but they generally were <0.1. Unusually high survival rates (0.192-0.524) were observed in summer and long-term monsoon crop seasons during 1993. A multiple regression method using backward elimination was used to analyze the factors responsible for these variations. The model identified nine parameters related with survival rates that explained 99% of the variance. Area of water surface and hardness were negatively related, whereas green algae, notonectid adults, anisopterans, dytiscids, salinity, water depth, and dissolved oxygen were positively associated with immature survival.

Animals↗

PubMed2003

The role of urea in the oviposition behaviour of Japanese encephalitis vectors in rice fields of South India.

The effect of urea on the oviposition behaviour of culicine vectors of Japanese encephalitis was studied in rice fields. Gravid females had a strong preference for oviposition in urea treated areas in rice fields, while no such preference was exhibited in untreated areas. The egg laying declined in the area where urea treated water surface had a mechanical barrier, which allowed volatile fractions to escape, but prevented contact with the water. Urea was shown to act as an oviposition attractant/stimulant for Culex tritaeniorhynchus, but its role was not clear for Cx. vishnui, as the number of egg rafts obtained for the latter species was low.

Animals↗

PubMed2003

Long-term population migration: an important aspect to be considered during mass drug administration for elimination of lymphatic filariasis.

Annual 2-drug, single-dose mass drug administration (MDA) to 80-90% of the eligible population for 4-6 years are pre-requisites for the successful elimination of lymphatic filariasis (LF) from endemic communities by interruption of transmission and eventual elimination of new infections. In an experimental intervention project on the control of LF in Villupuram district of Tamil Nadu state, India, migration patterns of the villagers were investigated to determine the appropriate timing to implement MDA in order to attain high coverage in a village-level study. Between January and December 1997, 16 observations took place at 3-week intervals, following MDA with two drugs viz., diethylcarbamazine and ivermectin, in July-August 1996. The migrants from the village constituted 17-27% at different points of time and both short-term and long-term migrating patterns were observed. More villagers were available during the agricultural season (September-January), peaking around mid-January [83%; significantly higher (P < 0.05)] than during most of the remaining months, including a substantial portion of the migrant population. There is an urgent need to reschedule the yearly MDA in this area to take place in January and to plan mopping up operations by involving local self-help groups to include migrants (both short-term and long-term) in the LF elimination efforts.

Adolescent↗

PubMed2003

Transmission intensity index to monitor filariasis infection pressure in vectors for the evaluation of filariasis elimination programmes.

We conducted longitudinal studies on filariasis control in Villupuram district of Tamil Nadu, south India, between 1995 and 2000. Overall, 23 entomological (yearly) data sets were available from seven villages, on indoor resting collections [per man hour (PMH) density and transmission intensity index (TII)] and landing collections on human volunteers [PMH and annual transmission potential (ATP)]. All four indices decreased or increased hand-in-hand with interventions or withdrawal of inputs and remained at high levels without interventions under varied circumstances of experimental design. The correlation coefficients between parameters [PMH: resting vs. landing (r = 0.77); and TII vs. ATP (r = 0.81)] were highly significant (P < 0.001). The former indices from resting collections stand a chance of replacing the latter from landing collections in the evaluation of global filariasis elimination efforts. The TII would appear to serve the purpose of a parameter that can measure infection pressure per unit time in the immediate household surroundings of human beings and can reflect the success or otherwise of control/elimination efforts along with human infection parameters. Moreover, it will not pose any additional risk of new infection(s) and avoids infringement of human rights concerns by the experimental procedures of investigators, unlike ATP that poses such a risk to volunteers.

Animals↗

PubMed2002

Factors influencing the abundance of Japanese encephalitis vectors in ricefields in India--II. Biotic.

The relationship of insect predators and phytoplankton with the abundance of Culex tritaeniorhynchus Giles, Cx. vishnui Theobald and Cx. pseudovishnui Colless mosquito larvae and pupae (Diptera: Culicidae) in ricefields was investigated during three rice growing seasons. Notonectids were the most abundant insect predators, whereas diatoms dominated among phytoplankton. Multiple regression analysis showed that the occurrence of notonectids (both nymphs and adults) was negatively associated with larval abundance. Phytoplankton, especially diatoms and blue green algae (BGA), were found to favour abundance of culicine immatures during Navarai and Kuruvai crops, respectively. Larval gut analysis showed that the intake of algae by late instars was high, with 93%, 58% and 24% of diatoms, BGA and green algae, respectively. Filamentous algae may not necessarily be of nutritive value, but they are observed to form mats, which provide protection to the mosquito immatures from the predators.

Animals↗

PubMed2002

Cost-effectiveness of the use of vector control and mass drug administration, separately or in combination, against lymphatic filariasis.

The costs and effects of two intervention strategies for the control of bancroftian filariasis-annual mass drug administrations (MDA) with a combination of diethylcarbamazine and ivermectin, with or without integrated vector control (VC)-were estimated in rural villages in South India. The aim was to compare the cost-effectiveness of MDA alone with that of MDA plus VC. Control of the local vector, Culex quinquefasciatus, was based on the application of polystyrene beads to cesspits, the treatment of drains with larvicidal Bacillus sphaericus and the stocking of wells with larvivorous fish. An itemized cost menu was used to cost MDA and MDA + VC, retrospectively. The annual transmission potential was used to assess the direct outcome of the disease-control methods, whereas the prevalence and intensity of microfilaraemia were used as indicators of the impact of each method. The per-capita costs were 1.49 U.S. dollars for two rounds of MDA, 1.70 U.S. dollars for 2 years of VC and, therefore, 3.19 U.S. dollars for 2 years of MDA + VC. Integration of VC with MDA did not appear to be cost-effective: it cost an estimated 1.80 U.S. dollars to stop an infective mosquito biting a villager using MDA alone but 3.32 U.S. dollars to achieve the same result using MDA + VC. Similarly, the cost to reduce the prevalence of microfilaraemia in a three-village group by 1% was only 96.62 U.S. dollars for MDA alone but 201.16 U.S. dollars when vector control was integrated. The implications of these results for the control and elimination of filariasis in Indian village communities, and the options for sharing and minimizing costs, are discussed.

Animals↗

PubMed2002

Use of floating layers of polystyrene beads to control populations of the filaria vector Culex quinquefasciatus.

Floating layers of polystyrene beads suffocate mosquito larvae and pupae and inhibit egg laying. The layers are very durable in breeding sites with water contained within walls, as in wet pit latrines and soakage pits. In some areas such pits constitute an important breeding site for Culex quinquefasciatus. Trials have been conducted in communities in Zanzibar, Tanzania, and in Tamil Nadu, India, where such mosquito populations were the vectors of Wuchereria bancrofti. In each case, treatment of all the pits with polystyrene beads was integrated with mass treatment of the people with antifilarial drugs-in Zanzibar in 1988 with diethylcarbamazine (DEC) and in India in the 1990s with DEC plus ivermectin. The results were compared with those in communities with the mass drug treatment alone and with control communities with neither treatment. The polystyrene-bead treatments greatly and sustainably reduced the vector populations. Comparison of the communities after drug treatment ceased showed that this form of vector control contributed markedly to the prevention of a resurgence of filarial infection. Where Cx. quinquefasciatus breeding in pits form a major component of the vector population, use of polystyrene-bead layers could assist considerably in the process of eliminating lymphatic filariasis by mass drug administration.

Animals↗

PubMed2001

Factors influencing the abundance of Japanese encephalitis vectors in ricefields in India--I. Abiotic.

Mosquitoes of the Culex vishnui subgroup (Diptera: Culicidae) are the most important vectors of Japanese encephalitis (JE) and ricefields are their most productive breeding sites in south India, where predominant species of this subgroup are Culex tritaeniorhynchus Giles, Cx. pseudovishnui Colless and Cx. vishnui Theobald sensu stricto. The relationship of 13 abiotic variables with the abundance of Cx. vishnui subgroup immatures was investigated in transplanted rice fields for 3 years (1991-94) covering three different crop seasons. The results from the multiple regression model suggested paddy height (- ve), water temperature (+ ve), dissolved oxygen (- ve), ammonia nitrogen (- ve) and nitrate nitrogen (+ ve) to be the best predictor variables associated with the immature abundance, nearly always consistent in their effects within and between seasons. Application of synthetic nitrogenous fertilizers to the rice fields was followed by a rise in concentration of ammonia nitrogen and a subsequent increase in nitrate nitrogen level in the rice field water, during which an increase in the density of larval instars was observed.

Ammonia↗

PubMed2001

Annual single-dose diethylcarbamazine plus ivermectin for control of bancroftian filariasis: comparative efficacy with and without vector control.

Two intervention strategies for the control of bancroftian filariasis were compared in rural villages of southern India: annual mass treatment with single-dose diethylcarbamazine plus ivermectin, either on its own or combined with vector control. Vector control, based on the use of polystyrene beads and larvivorous fishes in the major breeding sites of Culex quinquefasciatus, brought about a drastic and sustained reduction in vector density and man-biting rates. After the first round of treatment, chemotherapy alone brought about a 60% drop in the annual transmission potential (ATP) whereas the integrated strategy reduced ATP by 96% (P < 0.05). After two annual rounds of treatment, the reduction in ATP was similar for both strategies (91%-96%), with the prevalences of microfilaraemia reduced by 88%-92%. However, when drug pressure was removed in the third and final year of the study, transmission was resumed in the absence of vector control whereas no infective female mosquitoes were detected in the villages with vector control. Vector control, though obviously not cost-effective in the short term, could play an important role in an integrated programme, by preventing re-establishment of transmission after chemotherapy is completed.

Adolescent↗

PubMed2000

Effects of organic and inorganic fertilisers on mosquito populations in rice fields of southern India.

The effects of nitrogenous (inorganic) fertilisers, organic manures and blue-green algae (BGA) biofertiliser on mosquito populations (Diptera: Culicidae) were studied in rice fields of Madurai, Tamil Nadu, south India, with particular attention to Culex vishnui Theobald, Cx. pseudovishnui Colless and Cx. tritaeniorhynchus Giles, the vectors of Japanese encephalitis (JE). The application of urea, a nitrogenous fertiliser, in rice fields significantly increased the grain yield and the population densities of mosquito larvae and pupae (anophelines as well as culicines) in a dose-related manner. Fields treated with inorganic fertilisers (N, P, K) had significantly higher population densities of mosquito immatures than fields treated with organic manures (farmyard manure and green manure). Without nitrogenous fertiliser, BGA increased paddy yield without enhancing mosquito production. Therefore, the use of BGA with less nitrogenous fertiliser is recommended, which is beneficial economically and agronomically to the farming community and also significantly reduces mosquito production in rice fields. Increased use of nitrogenous fertiliser over the past two decades may have contributed to the increased severity of Japanese encephalitis epidemics, vectors of which breed in rice fields.

Animals↗

PubMed1997

Japanese encephalitis in south Arcot district, Tamil Nadu, India: a three-year longitudinal study of vector abundance and infection frequency.

In the South Arcot district, an area endemic for Japanese encephalitis in Tamil Nadu, Culex tritaeniorhynchus Giles, Culex vishnui Theobald, Culex gelidus Theobald and Culex fuscocephala Theobald constituted 93.6% of 422,621 adult females representing 27 culicine species collected between August 1991 and July 1994. Vector abundance was lowest in the hot and dry season (April-June) and highest in the cool and wet season (October-December). Overall, 285,531 adult female mosquitoes (5,710 pools) were tested for virus using an enzyme-linked immunosorbent assay or by inoculation into larvae of Toxorhynchites splendens Wiedemann and identification by immunofluorescent test using JE virus specific monoclonal antibody or by both. In total, 91 isolations were made, of which 80 (88%) were identified as JE virus; 58 isolations were from Cx. tritaeniorhynchus, 22 from Cx. vishnui, 6 from Cx. fuscocephala and 5 from Cx. gelidus, giving similar minimum infection rates (MIR) of 0.28, 0.41, 0.39, and 0.52, respectively. Vector abundance and MIR increased from July concurrently with the initiation of rice cultivation. MIR peaked in September followed by a decrease in October, but mosquitoes remained abundant until March. The decrease in MIR from October onward coincided with rising herd immunity in pigs. Although MIRs in October (0.47) and November (0.42) were lower than in September (0.92), a comparable high risk of infection for humans continued because of high vector abundance and human biting rates. In the South Arcot district, the probability of a child receiving an infective bite was 0.53 per JE transmission season.

Animals↗

PubMed1995

Prospects and problems of intermittent irrigation for control of vector breeding in rice fields in southern India.

The impact of water management on the abundance and interaction of aquatic stages of mosquitoes and some important groups of their predators was studied in a 22.3-ha plot of rice in southern India. Many pools persisted even in a year when intermittent irrigation (II) was properly implemented (fields being re-irrigated as soon as they were dry) and these acted as microrefuges for the immature stages of mosquitoes and for their predators. Although the abundance of all predators, particularly of Notonectidae, was reduced by II in this year, increased predation efficiency in the confined spaces of the persistent pools resulted in a 75%-88% reduction in the abundance of mosquito pupae, as measured by two independent sampling methods. In another year there was insufficient irrigation water for proper II and re-irrigation took place whenever water was available rather than when it was required, frequently resulting in only partial drying. This reduced predator populations without enhancing their efficiency, and so mosquito abundance was slightly higher than in conventionally irrigated fields. The implications for vector control are discussed.

Agriculture↗

PubMed1995

Development of combined use of neem (Azadirachta indica) and water management for the control of culicine mosquitoes in rice fields.

Crude neem products have earlier shown considerable promise for control of culicine mosquito vectors in rice fields as a by-product of their agricultural use as fertilizers, but suffer from disadvantages of bulkiness and lack of stability in storage. Relatively stable lipid-rich fractions of neem were shown to be as effective as good-quality crude neem products in control of breeding of culicine vectors of Japanese encephalitis, and also produced a slight but significant reduction in populations of anopheline pupae. Neem-based formulations coated over urea significantly increased grain yield, but used alone did not, whereas combining the use of neem-coated urea and water management by intermittent irrigation had a greater effect on grain yield than that of water management alone. The neem fractions were relatively cost-effective, and the combined water management and neem-coated urea strategy is acceptable to farmers, who are already aware of the benefits of the use of neem-coated urea, and of water management. This technology therefore has considerable promise as an environmentally benign method of rice-field mosquito control that could be sustainably implemented by farmers.

Agriculture↗

PubMed1995

Development of a high level of resistance to Bacillus sphaericus in a field population of Culex quinquefasciatus from Kochi, India.

Field resistance to Bacillus sphaericus was observed in a population of Culex quinquefasciatus in Kochi, India, exposed to 35 rounds of spraying with a formulation of B. sphaericus 1593 M over a 2-year period. Larvae from the sprayed area gave LC50 and LC90 values that were 146 and 180 times greater than corresponding values for a susceptible strain from an unsprayed locality. When the resistant strain was colonized in the laboratory and subjected to moderate selection pressure at each generation, resistance rapidly increased and by the 18th generation it was 6,223 and 31,325 times greater at the LC50 and LC90 levels in comparison with the susceptible strain. There were no significant differences among 6 susceptible strains tested. Tests were repeated and validated using the standard primary powder SPH88, B. sphaericus 2362. No cross resistance was observed against B. thuringiensis H-14.

Animals↗

PubMed1995

A community-based study of subclinical flavivirus infections in children in an area of Tamil Nadu, India, where Japanese encephalitis is endemic.

A characteristic feature of the epidemiology of Japanese encephalitis (JE) is the occurrence of a large number of subclinical infections. The reporting of only overt cases underestimates the total level of virus transmission, a knowledge of which is essential for the evolution of control strategies. We carried out a 3-year prospective serological study between 1989 and 1991 in a primary health centre in Tamil Nadu where JE is endemic. Each year paired specimens, taken before and after the transmission season from a cohort of schoolchildren aged 5-9 years, were tested for haemagglutination inhibition (HI) antibody titres in order to study seroconversion. The seroconversion rates in the successive years were 37.5, 42.1 and 25 percentage points, and in a third of such seroconversions it was possible to establish a specific diagnosis. Seroconversion was attributable predominantly to JE virus and minimally to West Nile virus. Relatively high dengue virus activity occurred only in 1991. There were statistically significant differences in seroconversion rates between villages and this was related to variations in the ratio cattle:humans:pigs. Very high seroconversion rates occurred among children who were negative for HI antibodies before the transmission season. HI antibodies declined to undetectable levels 6-8 months later in half the children who had seroconverted. The average net annual increase of 16.2 percentage points in seropositivity was nevertheless much higher than values reported from other areas of endemicity. The overall incidence of JE cases was 15 per 10,000 children aged 5-9 years, and the estimated ratio overt:inapparent infection was 1:270.

Antibodies, Viral↗

PubMed1995

Comparative evaluation of bioassay and ELISA for detection of Japanese encephalitis virus in field collected mosquitos.

Comparative evaluation of enzyme-linked immunosorbent assay (ELISA) and bioassay (virus isolation in Toxorhynchites splendens larvae and identification by immunofluorescence test using virus specific monoclonal antibody) was carried out in order to define a suitable strategy for monitoring Japanese encephalitis virus infection in field mosquitos. A total of 8,850 adult female mosquitos in 177 pools (Culex tritaeniorhynchus 91, Cx. vishnui 59 and Cx. fuscocephala 27) collected from an endemic area of Tamil Nadu were examined by both the techniques. In ELISA, 9 pools which had optical densities (OD) equal to the mean of normal infected pools plus > or = 4 standard deviations (SD) mean considered positive and all of them were virus positive by the bioassay also. Sixty-five pools had OD = Mean + 2-3 SD and 103 pools had OD = Mean + < 2 SD of normal pools. From these groups, 12 (18.5%) and 8 (7.8%) pools respectively were found to be virus positive by the bioassay. In total 29 (16%) pools were positive by the bioassay as against 9 (5%) by ELISA. This study demonstrated that the bioassay is sensitive for estimation of true positives and ELISA is a rapid screening system. A protocol has now been developed for surveillance in which field pools are first screened by ELISA and only those with OD = Mean + > or 2 SD are assayed in Toxorhynchites. By excluding a large majority of pools with low OD (Mean + < 2 SD), which are likely to yield to only a small percentage of true positives, the cost, time and labor involved are greatly reduced.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

PubMed1994

Composite fish culture for mosquito control in rice fields in southern India.

Composite culture of edible fishes (common carp, Cryprinus carpio; silver carp, Hypopthalmithys molitrix, grass carp, Ctenopharyngodon idella; catla, Catla catla; rohu, Labeo rohita; and mrigal, Cirrhinus mrigala) in rice fields in the Cauvery delta of Tamil Nadu, southern India, resulted in 81.0% reduction in the immature mosquito population of anophelines and 83.5% of culicines. Analysis of fish feces for mosquito larval head capsules showed that common carp and silver carp are effective larvivores. The selective feeding of common carp on culicines and silver carp on anophelines is correlated to their trophic niches. Net profit in the fish-cum-rice fields was 2.5 times greater than fields in which rice alone was cultured. Hence, rice-cum-fish culture can be recommended to the farming community in this area.

Animals↗