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WHAT IS MALARIA? - SFU.ca · WHAT IS MALARIA? •An infective disease caused by protozoan parasites...

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WHAT IS MALARIA? An infective disease caused by protozoan parasites that are transmitted through the bite of an infected Anopheles mosquito; marked by paroxysms of chills and fever A LITTLE ETYMOLOGY The term malaria dates back to the mid 18’th century It is credited to the Italian physician Francesco Torti The name means “bad air” - mala = bad and aria = air MALARIA FACTS Causal agents are Plasmodium sp. Mosquito vectored (Anopheles sp.) 300,000 new human cases/year Kills > 700,000/yr Most victims are children MALARIA LIFE CYCLE HOW WE MODEL MALARIA Classic approach is to build S.I.R. models: Susceptible Infected Recovered IN S.I.R. MODELS We classify individuals according to their state and then use mathematical functions to determine transition rates between states (e.g. S I )
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Page 1: WHAT IS MALARIA? - SFU.ca · WHAT IS MALARIA? •An infective disease caused by protozoan parasites that are transmitted through the ... GuestLecture5Oct-Malaria.ppt Author: Bernard

WHAT IS MALARIA?

• An infective disease caused by protozoanparasites that are transmitted through thebite of an infected Anopheles mosquito;marked by paroxysms of chills and fever

A LITTLE ETYMOLOGY

• The term malaria dates back to the mid18’th century

• It is credited to the Italian physicianFrancesco Torti

• The name means “bad air” -mala = bad and aria = air

MALARIA FACTS

• Causal agents are Plasmodium sp.• Mosquito vectored (Anopheles sp.)• 300,000 new human cases/year• Kills > 700,000/yr• Most victims are children

MALARIA LIFE CYCLE

HOW WE MODEL MALARIA

• Classic approach is to build S.I.R.models:–Susceptible– Infected–Recovered

IN S.I.R. MODELS

• We classify individuals according totheir state and then use mathematicalfunctions to determine transition ratesbetween states (e.g. S ➔ I )

Page 2: WHAT IS MALARIA? - SFU.ca · WHAT IS MALARIA? •An infective disease caused by protozoan parasites that are transmitted through the ... GuestLecture5Oct-Malaria.ppt Author: Bernard

IN S.I.R. MALARIA MODELS

• There are 5 classes, 3 for humans(S.I.R.) and for mosquitoes (S.I.)

MALARIA MODEL VARIABLES

X X Healthy but susceptibleY Y InfectedZ Recovered and immuneb b Natural mortality rateα α Diseased mortality rateν Recovery rateβ Biting rateγ Immunity loss rate N = X + Y + Z

CLASSIC MALARIATHEORY

… dXdt

= !"YNX + b + #( )Y + b + $( )Z

CLASSIC MALARIATHEORY

… dXdt

= !"YNX + b + #( )Y + b + $( )Z

dYdt

= "YNX ! b + # + %( )Y

CLASSIC MALARIATHEORY

… dXdt

= !"YNX + b + #( )Y + b + $( )Z

dYdt

= "YNX ! b + # + %( )Y

dZdt

= %Y ! b + $( )Z

CLASSIC MALARIATHEORY

• …dXdt

= !"YNX + b + #( )Y

dYdt

= "YNX ! b + #( )Y

Page 3: WHAT IS MALARIA? - SFU.ca · WHAT IS MALARIA? •An infective disease caused by protozoan parasites that are transmitted through the ... GuestLecture5Oct-Malaria.ppt Author: Bernard

BASIC REPRODUCTIVE RATE

R0 =! 2NN

b + "( )+ b + " + #( )

VECTORIAL CAPACITY

Where: m = mosquito/human ratio, β = bitingfrequency, p = survival, n = length of cycle

C =m! 2"n

# ln "

VECTORIAL CAPACITY

Where: m = mosquito/human ratio, β = bitingfrequency, p = survival, n = length of cycle

C =m! 2"n

# ln "

ANOPHELES BIOLOGY

PREDIURESIS MOSQUITO NUTRITIONALECOLOGY

• What mosquitoes eat and why

Page 4: WHAT IS MALARIA? - SFU.ca · WHAT IS MALARIA? •An infective disease caused by protozoan parasites that are transmitted through the ... GuestLecture5Oct-Malaria.ppt Author: Bernard

SOME “FACTS”

• Mosquitoes feed on sugar to maintainsomatic (body) function

• Mosquitoes feed on blood for gametic(reproduction) function

• Sugar feeding trades off with bloodfeeding

• Sugar feeding impacts survivorshipand blood feeding

WHAT ABOUT SUGAR?

• The word on the street:– An. gambiae can allocate energy

from human blood to soma– Nectar feeding is rarely observed– Fructose-positive samples are not

common (e.g. 20% Beier 1996)

WHAT ABOUT SUGAR?

• The conclusion:• Plant feeding is rare and trivial for An.

gambiae (and other mosquitoes closelyassociated with humans)

BUT• There are lots of reasons to believe

otherwise

WHAT ABOUT SUGAR?

• BUT:• Without knowing sugar digestion rates,

frequency of fructose positivity ismeaningless

• Behaviors that are not frequentlyexpressed are not necessarily trivial

• Feeding on humans is dangerous

AND!!!

• Nearly every mosquito lab that I know ofprovides sugar to adult mosquitoes. WHY?

VECTORIAL CAPACITY

Where: m = mosquito/human ratio, β = bitingfrequency, p = survival, n = length of cycle

C =m! 2"n

# ln "

Page 5: WHAT IS MALARIA? - SFU.ca · WHAT IS MALARIA? •An infective disease caused by protozoan parasites that are transmitted through the ... GuestLecture5Oct-Malaria.ppt Author: Bernard

ENERGY PROFILES INNATURE LIFE IS TOUGH

• Energy is in short supply forAnopheles.

Res

erve

s

TWO MORE FACTS

• Under nutrient stress, femalemosquitoes reallocate resources awayfrom survival and towardsreproduction

• Nutrition state can affect the impact ofPlasmodium on female survival

THE SMOKING GUNS

• Observations• Crop collections• Digestion rates• Frequency estimates

CONTROLLED EXPERIMENT

• Give female mosquitoeschoice of blood host andnectar host odors

A CLEAR PREFERENCE

Page 6: WHAT IS MALARIA? - SFU.ca · WHAT IS MALARIA? •An infective disease caused by protozoan parasites that are transmitted through the ... GuestLecture5Oct-Malaria.ppt Author: Bernard

CLASSIC ASSUMPTION

• Mosquito behavior is hardwired andinvariant

• Recall, we assumed that beta was aconstant but if sugar alters beta then itisn’t

AN OBSERVATION

• Everybody is plastic

VARIABILITY IN NATURE

• …

HOW TO EXPLOIT ENERGYVARIABILITY IN NATURE

• Employ bednets in the context ofmosquito energy budgetconstraints….

Page 7: WHAT IS MALARIA? - SFU.ca · WHAT IS MALARIA? •An infective disease caused by protozoan parasites that are transmitted through the ... GuestLecture5Oct-Malaria.ppt Author: Bernard

A MINI VILLAGE

• …

HOW TO EXPLOIT ENERGYVARIABILITY IN NATURE

• Employ bednets in the context of mosquitoenergy budget constraints

TESTING THE THEORY

•Our mini domicile• ….

TESTING THE THEORY

Energy state effects

!

TESTING THE THEORY

• Semi field conditions

TESTING THE THEORY

• Semi field conditions


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