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Vector-borne Infectious Diseases in Pakistan

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25<br />

Brugian Filariasis Brugia malayi Transmission: Bite of<br />

Mansonia mosquitoes<br />

Primary vectors:<br />

M. annulifera<br />

Secondary vectors:<br />

other Mansonia species<br />

Transmission period:<br />

Year-round<br />

Incidence and<br />

seroprevalence:<br />

Endemic <strong>in</strong> the Indus<br />

Delta <strong>in</strong> western <strong>Pakistan</strong>,<br />

with sporadic cases; no<br />

further epidemiological<br />

data are available at this<br />

time<br />

Breed<strong>in</strong>g grounds:<br />

Mansonia species breed<br />

only <strong>in</strong> ponds, lakes, rivers<br />

and, occasionally, rice<br />

paddies with special<br />

plants; breed<strong>in</strong>g grounds<br />

are often difficult to f<strong>in</strong>d;<br />

flight radius up to 2 km<br />

- Bite properties:<br />

Mansonia annulifera is<br />

anthropophilic and<br />

endophagic; other<br />

Mansonia species may<br />

also display anthropophilic<br />

and endophagic<br />

characteristics, depend<strong>in</strong>g<br />

on species; primarily bite<br />

at dawn and dusk;<br />

aggressive biters;<br />

transmission is<br />

predom<strong>in</strong>antly rural; flight<br />

radius up to 2 km<br />

Preventive measures:<br />

- Indoors: Use<br />

permethr<strong>in</strong>-treated<br />

uniform and mosquito net;<br />

do not use ultraviolet<br />

lamps<br />

- Outdoors: Use <strong>in</strong>sect<br />

repellent and permethr<strong>in</strong>treated<br />

uniform; m<strong>in</strong>imize<br />

exposed sk<strong>in</strong><br />

- Cont<strong>in</strong>uous larval control<br />

<strong>in</strong> camp areas (urban<br />

vectors); elim<strong>in</strong>ate<br />

breed<strong>in</strong>g grounds

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