The HEALTH : September 2019 | Page 14

The HEALTH | SEPTEMBER, 2019 14 SENIORS Fighting off dengue with bacteria Scientists are infecting mosquitoes to halt the spread of dengue M OSQUITOES are among the deadliest creatures on earth. Aedes aegypti, which is recognisable by the white stripes on its legs and the lyre pat- tern on its thorax, can breed in any pool of stagnant water, which makes it particularly hard to control. For many years, scientists have been studying an interesting bacteria called the wolbachia, looking for ways to use it to potentially control the mosquitoes that transmit the dengue virus. Dr Nazni Wasi Ahmad, Research Offi cer from the Institute for Medical Research (IMR) Medical Entomology Unit gives us the scoop on how Aedes mosquitoes injected with wolbachia bacteria are about to end the war against dengue. What are wolbachia-infected mosquitoes? “Wolbachia is a bacterium found naturally in almost 60 per cent of insects including fl ies, butterfl ies, grasshoppers, mosquitoes and other common insects. Th is bacteria can only live in cells of insects. However, the Aedes Aegypti mosquito, the main carrier of dengue fever does not have wolbachia,” she explains. “Th erefore the wolbachia bacteria has to be injected into the mosquito’s eggs using a micro-injection technique. When these mosquito eggs hatch, all of them will carry the wolbachia microbe in them. Th ese infected mosquitoes can then prevent the spread of dengue virus in the body.” Wolbachia infected mosquito strategy Th ere are two strategies in the game plan; the fi rst is the population replacement, and the second is the population suppression. Dr Nazni explains the prospect of using wolbachia as a viable strategy against dengue. Wolbachia is a bacterium found naturally in almost 60 per cent of insects including fl ies, butterfl ies, grasshoppers, mosquitoes and other common insects. ” and reduce the risk of transmission of dengue fever,” she states. Wolbachia is a genus of gram-negative bacteria that infects arthropod species, including a high proportion of insects, and also some nematodes. How many wolbachia-infected mosquitoes do we need to eradicate dengue? “Th e amount of mosquito released depends on the area, the population density of the area, and the number of aedes aegypti mos- quitoes. For example, in the 0.6km2 area of AU2 Keramat, as many as 16,000 Aedes wolbachia-infected mosquitoes are released weekly.” Before the release, however, Dr Nazni informs that spraying of insecticide will be done to minimize the number of wild Aedes mosquitoes in the area. “We also monitor for mosquito repairs after release. Th e results showed that there was no signifi cant increase because when the male Wolbachia-infected mates with the female in the fi eld, the resulting eggs will not hatch.” Locations so far As of now, the mosquito release studies have been done in nine high risk dengue areas around Kelana Jaya, Shah Alam, and Keramat. Th e areas include Mentari Court, Kelana Jaya, Flat PKNS Blok ABC, Seksyen 7, Shah Alam, Jalan Plumbum 103/101 Seksyen 7 Shah Alam, Flat PKNS Blok D, Seksyen 7, Shah Alam, Jalan Kristal, Seksyen 7, Shah Alam, Pusat Komersial, Seksyen 7, Shah Alam, Condo Suria Mas, Kelana Jaya, AU2 Keramat (Landed) and PKNS AU2 Keramat (Flat). — Th e Health Population replacement technique “In Malaysia, the Ministry of Health practices the population replacement technique. Th e objective of this strategy is to replace wild Aedes mosquitoes in the fi eld that can trans- mit dengue with the Wolbachia infected edes mosquito that cannot spread the dengue,” says Dr Nazni. For this purpose, male and female Aedes mosquitoes will be released into the fi eld. Th e wolbachia-infected female Aedes mosquitoes will mate with wild male Aedes mosquitoes in the fi eld and produce wolbachia-infected eggs. After the eggs hatch and mature, all adult mosquitoes will have wolbachia in their body. Mosquitoes with wolbachia can prevent the spread of dengue virus so, we hope that the transmission of dengue virus can be stopped. Do we have to worry about the wolbachia-infected mosquito? Populations suppression technique “The population suppression strategy involves the release of only male Aedes mosquitoes with the wolbachia microbe in them. When male Aedes mosquitoes mate with female Aedes mosquitoes in the fi eld, the resulting eggs will not hatch. Th is, in turn, will reduce the Aedes population in the fi eld IN efforts to win against dengue, scientist have inoculated Aedes mosquitoes with wolbachia. These Wolbachia-fi lled mosquitoes are then released into the wild for a few weeks so that they can breed with the wild mosquito population, ensuring that their offspring also have wolbachia. Not to worry, wolbachia can only live in insect cells. The mosquito bites cannot transmit wolbachia to humans. Wondering if you can start your own breeding ground for wolbachia infected mosquitos? Unfortunately, no. This mosquito cannot be bred by ordinary people. The breeders have a Standard Operating Procedure (SOP) that needs to be strictly monitored.