Mem Inst Oswaldo Cruz, Rio de Janeiro, 106(3) May 2011
Original Article

Multiple insecticide resistance in Aedes aegypti (Diptera: Culicidae) populations compromises the effectiveness of dengue vector control in French Guiana

Isabelle Dusfour+; Véronique Thalmensy; Pascal Gaborit; Jean Issaly; Romuald Carinci; Romain Girod

Unité d'entomologie Médicale, Institut Pasteur de la Guyane, 23 Avenue Pasteur, BP6010 Cayenne cedex 97306, French Guiana

Page: 346-352 DOI: 10.1590/S0074-02762011000300015
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In French Guiana, pyrethroids and organophosphates have been used for many years against Aedes aegypti. We aimed to establish both the resistance level of Ae. aegypti and the ultra low volume spray efficacy to provide mosquito control services with practical information to implement vector control and resistance management. Resistance to deltamethrin and fenitrothion was observed. In addition, the profound loss of efficacy of AquaK'othrineu00ae and the moderate loss of efficacy of Paluthionu00ae 500 were recorded. Fenitrothion remained the most effective candidate for spatial application in French Guiana until its removal in December 2010. Further investigation of the mechanism of resistance to deltamethrin demonstrated the involvement of mixed-function oxidases and, to a lesser extent, of carboxylesterases. However, these observations alone cannot explain the level of insecticide resistance we observed during tube and cage tests.

Dengue fever represents one of the major public health concerns, with millions of cases and thousands of deaths every year in urban, suburban and rural tropical areas (Guzman & Istúriz 2010). In the Americas, the disease has an endemoepidemic pattern and includes the circulation of all four serotypes. For the past 25 years, outbreaks have occurred every three-five years and their impacts have gradually gained in strength over time, moving towards a hyperendemic situation. Neither specific treatments nor vaccines currently exist against this arbovirosis. Therefore, in addition to specific health care, the most efficient option for fighting the disease is the control of the two vectors, Aedes aegypti and Aedes albopictus. In the 1950s and 60s, the Pan American Health Organization nearly eradicated Ae. aegyptiby targeting adults and immature stages of the organism in domestic habitats with insecticide treatment and breeding site elimination (Gómez-Dantés & Willoquet 2009). During the 1990s, a new strategy was implemented that was based mainly on large-scale community insecticide spraying. Now, insecticide resistance, especially against pyrethroids and organophosphates, has spread throughout latin America (Rodríguez et al. 2007). This situation may represent a growing obstacle for dengue vector control programs. To overcome the dengue burden, resistance monitoring, alternative strategies and development of new insecticides or different formulations of current insecticides have been attempted.

In French Guiana, which is an overseas French territory, ae. aegypti is the only dengue vector. Malathion, deltamethrin and temephos have been used for many years for its control. Between 2000-2006, resistance follow-ups across French Guiana demonstrated a strong resistance to temephos (an organophosphate) and the build-up of resistance to deltamethrin (pyrethroid) (Girod et al. 2008). The same studies showed that susceptibility to malathion (organophosphate), fenitrothion (organophosphate) and toxins from Bacillus thuringiensis var israeli (Bti) has remained (Girod et al. 2008). In 2007 and 2008, new evaluations performed in the town of Saint Georges de l'Oyapock (SGO) confirmed the resistance of Ae. aegypti to deltamethrin and demonstrated the recent development of malathion and fenitrothion resistance. Malathion was removed from the market by European Commission (EC) regulations in 2009 (EC 2007, MEEDAT 2008). Currently, Bti has replaced temephos as a larvicidal, while fenitrothion and deltamethrin are sprayed as adulticides. However, the efficacy of sprayed insecticides has not yet been fully evaluated in French Guiana.

The first aim of this study was to determine the resistance level of Ae. aegypti distributed along the coast and to provide mosquito control services with practical information to implement more effective vector control and resistance management strategies in the future. With these goals, the study was conducted from April-June 2009 and was carried out in the lab and in the field to evaluate the performance of deltamethrin and fenitrothion against Ae. aegypti populations. As organophosphates are progressively removed from market by EC regulations, fenitrothion has not been used since December 2010 (EC 2009, MEEDAT 2009). Therefore, to better anticipate the use of pyrethroids, more information on pyrethroid resistance mechanisms was obtained.



Biological material - Five strains of Ae. aegypti were used in this study. Four strains originated from towns in French Guiana: Saint Laurent du Maroni (SLM), Kourou (KOU), Cayenne (CAY) and SGO (Fig. 1). These colonies were established either from field-caught mosquito larvae collected from individual houses (SLM, KOU, CAY) or from eggs laid in ovitraps (SGO). The adults obtained from the F1 progeny were used for bioassays (phase I) and F1 and F2 progeny were used for field experiments (phase II). F1 and F2 CAY strain larvae were used to investigate the potential enzymatic mechanisms involved in insecticide resistance. In addition to natural populations, a susceptible reference PAEA strain, which originated from French Polynesia and has been colonised since 2003 at the Institute Pasteur in French Guiana, was used as a control.



World Health Organization (WHO) filter paper test - Insecticide resistance bioassays were conducted using tarsal contact tests with filter papers treated with technical grades of deltamethrin (CAS # 52918-63-5) and fenitrothion (CAS # 122-14-5) (Sigma-Aldrich, St Louis, MO, USA) at the respective diagnostic doses of 0.06% and 0.5%, as published in Jirakanjanakit et al. (2007). Filter papers were treated according to the WHO protocol (WHO 2005) using acetone solutions of insecticide and silicone oil as the carrier. Impregnation was conducted by evenly dripping 2 mL of each chemical (technical grade) dissolved in acetone and silicone oil onto the paper. The concentrations were expressed in w/v percentage of the active ingredient in silicone oil. The paper was dried for 24 h before testing. Following the WHO tube test protocol (WHO 2006), four batches of 25 non-blood-fed females (2-5 days old) were introduced into holding tubes for 1 h and then transferred into the exposure tube and placed vertically for 1 h. Knocked-down and dead mosquitoes were recorded after this time (1 hKD) before being transferred into the holding tubes. A mosquito was recorded as knocked-down if it was lying on its back or side and was unable to maintain flight after a gentle tap. Mortality was recorded 24 h after exposure (24 hM). Each test was replicated twice (n = 200 per dose). Controls were performed as mentioned above with a total of two batches of 25 non-blood-fed females (2-5 days old) per replicate (n = 100 per dose). The entire experiment was completed at 27 ± 2ºC with a relative humidity of 60 ± 10%. Ten per cent sugar-soaked cotton was provided to the females during the 24 h observations.

Ultra low volume (ULV) spray experiments - The two formulations tested were AquaK'othrine® (Bayer, Leverkusen, Germany), in which deltamethrin is the active insecticide, and Paluthion® 500 (500 mg/L), in which fenitrothion is the active compound. The efficacy of these formulations was evaluated by ULV spray against PAEA and the four natural populations of Ae. aegypti strains; the assay was adapted from the WHO cage bioassay method (WHO 2001). The efficacy of each insecticide was evaluated by performing space spray applications using a 4 × 4 vehicle mounted with a fogger. Trials (1 for each formulation) were conducted by the mosquito control services (Service départemental de démoustication) late in the afternoon (5:30 pm-7:30 pm) in the town of Remire-Montjoly, French Guiana. During application, the speed of the vehicle was 15 km/h and the flow rate of the machine was 500 mL/min. Formulations of AquaK'othrine® and Paluthion® 500 were applied at theoretical doses of 1 g/ha and 250 g/ha, respectively. Both were prepared according to manufacturer recommendations. Wind speed was recorded with an anemometer (Testo 415, Omniinstruments, Dundee, Scotland, UK).

Collapsible field cages (30.5 cm x 30.5 cm x 30.5 cm) (Bioquip products, Rancho Dominguez, CA, USA) covered with a mosquito net (1 mm mesh) were used to house groups of 50 adult female mosquitoes. The cages were placed on plastic sheets covering the ground for at least 15 min before the spraying treatments began. Three groups of five cages were placed 20 m from the path of the vehicle releasing the insecticide and the groups were 5 m apart. Each cage of the group contained one of the five mosquito strains mentioned above. A typical trial involved 15 cages per insecticide and three cages per mosquito strain (n = 150). The cages were placed downwind and perpendicular to the line of spray. No obstacle was present between the vehicle path and the groups of cages.

In each trial, the knockdown effect was measured by counting the number of knocked-down and dead females 1 h post-treatment (1 hKD). All mosquitoes from a particular cage were sucked up into collecting cups (400 cm3) (Bioquip products, Rancho Dominguez, CA, USA) and brought back to the laboratory for assessment of post-treatment mortality 24 h later (24 hM). Ten per cent sugar-soaked cotton was provided to the females during the 24-h observation. In each trial and for each strain, one cage containing 50 females was placed as a control in the neighbourhood, out of reach of the insecticide treatment. These cages were also assessed for the knockdown effect 1 h post-treatment and for mortality 24 h later and their values were used to correct mortality observed in treatment cages.

Investigating the enzymatic mechanisms of pyrethroid resistance - To assess the level of resistance of the field-caught strains compared to PAEA and to obtain a baseline of mortality for each dose and insecticide, larval bioassays were performed using late third and early fourth instar larvae of the CAY strain. The standard dose-response protocol described by the WHO was followed. For each bioassay, 25 larvae of each strain were transferred to cups containing 99 mL of distilled water. Four cups per concentration (100 larvae) and five concentrations of acetone-diluted deltamethrin or fenitrothion capable of causing 0-100% mortality were used. For each concentration, 1 mL of the insecticide at the desired concentration was added to the cups. Control treatments of 1 mL of acetone were performed for each test. Larval mortality was recorded 24 h after exposure.

Following the same protocol, larvae were exposed to the insecticide plus an enzyme inhibitor for 24 h. Three classical detoxification enzyme inhibitors were used: (i) piperonyl butoxide (PBO) ({5-[2-(2-butoxyethoxy)ethoxy] methyl}-6-propyl-1,3-benzodioxole - 90% Fluka, Buchs, Switzerland), an inhibitor of mixed-function oxidases, (ii) S,S,S-tributyl phosphorotrithioate (DEF) (98%, Chem Service, West Chester, PA, USA), an inhibitor of carboxylesterases and (iii) to a lesser extent, glutathione S-transferases (GSTs) and chlorfenethol (DMC) [1,1-bis (4-chlorophenyl) ethanol; 98% PestanalTM, Riedel-de-Haën, Seelze, Germany], a specific inhibitor of GSTs. Doses of enzyme inhibitors were determined according to preliminary bioassays that demonstrated the sublethal concentrations of these inhibitors (0.5 mg/L, 0.008 mg/L and 1 mg/L for PBO, DEF and DMC, respectively).

Data analysis - The mortality recorded in laboratory bioassays and in the field was corrected for the control mortality by the formula of Abbott (1925) (control mortality ranging from 5-20%) such that corrected mortality = [(X - Y)/X] × 100 where X = % survival in control cages/cups and Y = % survival in treated cages/cups.

The dose-response data obtained from the larval tests were subjected to a Probit analysis (Base SAS software, version 8, 1999, SAS Institute Inc, Cary, NC) to obtain the LC50 and its fiducial limits indicating the theoretical concentration for which 50% of the larval populations should be dead. The resistance ratio (RR50) defined as LC50 (natural population) divided by LC50 (reference strain) was calculated to evaluate the level of resistance of the field-caught population.

The synergistic ratio (SR) and the per cent suppression of deltamethrin tolerance were calculated using LC50 values. The SR was calculated by dividing the LC50 value of deltamethrin by the LC50 value of deltamethrin plus inhibitor. The per cent suppression was computed as described by Thomas et al. (1991), which is as follows: % suppression in resistance = [1- (LC50 of insecticide with synergist/LC50 of insecticide without synergist)] * 100.



Tarsal contact with treated filter paper - A total of 200 non-gorged females were exposed from each of the five strains and diagnostic doses. When the mortality in controls (24 hMC) was equal to or higher than 5%, we applied Abbott's formula to the exposed tube results. Deltamethrin caused 27-37% knocked-down mosquitoes, whereas fenitrothion induced a maximum of 1% (Table I). Regardless of the insecticide, all PAEA females were dead after the 24-h observation. In deltamethrin-treated tubes, F1 female mortality ranged from 14% (SLM) to 30% (SGO) (Table I). Considering the WHO thresholds, all four populations were classified as resistant to deltamethrin. Mortality in fenitrothion-treated tubes was higher than in those treated with deltamethrin, ranging from 22-85%. Therefore, SGO, Cay and Kou populations also exhibited resistance to fenitrothion, while SLM displayed a tolerance with 85% mortality.

ULV spray experiments - Wind speed did not exceed 15 km/h and wind direction was north-south during the two trials. The validity of the experiment was evaluated by the percentage of mortality in controls and the percentage of mortality in the PAEA strain. A mortality of less than 20% in controls and 99-100% mortality for PAEA was satisfactory to consider the results valid. A strong knockdown effect was observed after 1 h for the susceptible PAEA strain, whereas a very minor effect was recorded for the field-caught populations (this ranged from 0-5%). As observed with the filter paper test, fenitrothion had low knockdown activity in the natural populations. Mortality results obtained for the natural population strains were also in accordance with the level of resistance observed during the filter paper test (Table II). Indeed, a low efficacy of AquaK'othrine® was recorded across all four populations with mortalities varying from 9-17%. Fenitrothion produced a higher efficacy; mortality of the natural strains varied from 64-91% (Table II).

Investigating metabolic mechanisms of deltamethrin resistance - Insecticide tests performed on larvae corroborated the resistance status of these organisms at the larval stages: an RR50 of 78 calculated with an LC50 after deltamethrin exposure equalled 7.80 µg/L (6.74-8.97) for the CAY strain and 0.10 µg/L (0.05-0.24) for the PAEA strain. Therefore, we searched for mechanisms potentially involved in this resistance through the exposure to synergists. Based upon the Probit analysis, the LC50 after exposure to deltamethrin plus PBO, DEF or DMC equalled 1.95 µg/L (1.62-2.32), 4.49 µg/L (3.95-5.04) and 18.52 µg/L (14.83-24.07), respectively (Figs 2-4). A moderate implication of mixed-function oxidases and esterases in deltamethrin resistance was suggested by synergist ratios equalling 4.0 and 1.74, respectively. These results were supported by resistance suppression percentages of 75% and 42% for PBO and DEF, respectively, demonstrating a stronger implication for mixed-function oxidases than for esterases in deltamethrin resistance. No synergist action has been observed using DMC.








This study establishes a strong resistance to deltamethrin with a poor knockdown effect and low mortality overall for the four populations of Ae. aegypti distributed along the French Guiana coast. In contrast, resistance to fenitrothion was moderate. ULV space sprays used by mosquito control services reflected these resistances with similar mortality results. A highly reduced efficacy of deltamethrin was observed with a poor knockdown effect 1 h post-treatment, which was associated with a low mortality after 24 h, regardless of the population tested. In addition to their toxicity, pyrethroids are commonly used for their capability to knock down mosquitoes, an effect that induces rapid mosquito elimination in tropical areas. Our results demonstrate the poor efficacy of deltamethrin against Ae. aegypti in French Guiana. However, fenitrothion exhibited a higher efficacy than deltamethrin at 24 h post-treatment, especially against the populations originating from SLM. Therefore, fenitrothion is the more effective molecule in spatial application in French Guiana. However, this chemical was removed from the EU market in December 2010. This situation reflects a worldwide problem of increasing insecticide resistance, while the number of chemicals available for public health use is continually reduced. Environmental and toxic issues, difficulties in developing new, efficient compounds and registration constraints are the main causes of the reduced availability of these chemicals. Therefore, it is fundamental to improve the management of resistance in particular by monitoring its level on a regular basis, identifying resistance mechanisms and developing targeting strategies. Multiple insecticide resistance in ae. aegypti is not an isolated phenomenon; it has already been reported in Latin America (Rodríguez et al. 2002, 2007) and the French west Indies (Marcombe et al. 2009a). Studies from these regions demonstrated that multiple insecticide resistance may be due to the combination the over-expression of genes - such as mixed-function oxidases - involved in metabolic resistance (Flores et al. 2006, Strode et al. 2008, Marcombe et al. 2009b) and target site mutations on the sodium channel gene. Such mutations are extensively described in insects and are known to confer resistance to pyrethroids and DDT called knock-down resistance (kdr). Our results are congruent with these observations. Indeed, the implication in deltamethrin resistance of mixed-function oxidases, and to a lesser extent carboxylesterases, cannot fully explain the level of resistance we observed during the tube and field tests. In 2003, Brengues et al. (2003) found mutations in the Domain II segment 6 of the sodium channel gene in a population from CAY, but no further studies have been conducted. Further investigation of both target site mutations and metabolic resistance of adult organisms must be implemented to better understand the resistance mechanisms involved and their implications for the choice of insecticides in the future.

In addition to a low insecticide efficacy, ULV spray range should be discussed. In our study, the valuation of the ULV space spray was conducted in open areas. However, field conditions could limit the exposure of mosquitoes to insecticides, leading to lower space spray efficacy. This topic is controversial; some studies have proven its efficacy, while others have demonstrated a limited impact on mosquito populations (Arrendondo-Jimenez & Rivero 2006, Lothrop et al. 2007). Indeed, ULV spraying efficacy depends on a variety of factors (Mount 1998). To improve the efficacy of insecticide penetration through the environment, different methods of spraying, varied droplet sizes and new insecticide formulations have been tested (Dennett et al. 2006, Hoffmann et al. 2007). However, each configuration seems particular and small-scale field trials should be undertaken to further evaluate the efficacy of the ULV method in French Guiana.

In the absence of efficient vaccines against dengue fever and the increase of insecticide resistance worldwide, high priority must be given to the development of alternative vector control methods. In French Guiana, apart from ULV spraying, biological approaches based on Bti sprays have been implemented and have proven effective, with 100% mortality against French Guiana Ae. aegypti populations (I Dusfour, unpublished observation). An important part of vector control is educating the public on the elimination of breeding sites to reduce mosquito production. Strengthening such action will be an important initiative but must be employed in concert with other methods to limit ae. aegypti density. Indeed, when the public is classified according to educational level and knowledge of the disease, it is clear that all people are not involved in these efforts to the same extent (Pérez-Guerra et al. 2009, Shriram et al. 2009). Therefore, control based only on community action may not be easy to achieve. Recent work has successfully identified methods to increase the efficiency of current vector control by using a mixture of larvicides and/or adulticides and/or synergists (Darriet & Corbel 2006, Lucia et al. 2009), treating at different times during the year (Chung et al. 2001, Lothrop et al. 2008) or using geographic information system technology to optimise spraying operations (Mak et al. 2007). Pull-to-kill strategies (Perich et al. 2003, Williams et al. 2007) also produced promising results by reducing Aedes spp density while targeting them specifically. This advantageous method consists of attracting females to specific, insecticide-containing breeding sites. Research has also been conducted on natural insecticides (Amusan et al. 2005, Chung et al. 2010), entomopathogenic fungi (Scholte et al. 2007, Pelizza et al. 2010) and viruses (Becnel & White 2007, Lapied et al. 2009) that may provide biological control to replace chemical insecticides. Finally, innovative technologies, such as the sterile insect technique (Benedict & Robinson 2003) and genetically modified mosquitoes (Wilke et al. 2009), may become tools for the prevention and control of arthropod-borne diseases. However, such techniques are still controversial and the release of such modified insects remains an intensely-debated topic in the scientific world (Alphey et al. 2010).

Based on this study, vector control services in French Guiana were instructed to managing pyrethroid resistance by moderating the use of chemical insecticides. Using Paluthion® 500 in a targeted manner until the deadline of authorisation in December 2010 decreased the selective pressure of pyrethroid resistance. After that time, immature stage control using Bti and mechanical removal has been reinforced. Finally, an effort was made to use AquaK'othrine® only during outbreaks. In French Guiana, no other insecticides are yet available to alternate with pyrethroid-based formulations, but the combination of synergists with deltamethrin is being considered for use against adults. In addition, deltamethrin resistance levels are being monitored. Regardless, the implementation of vector control requires a dedicated budget, skilled staff and active community involvement.



To the vector control service team of Cayenne, French Guiana, for performing the spatial sprays, particularly to Dr Patrick Rabarison, Mr Léon Lescot, Mr Herman Pagamin and Mr Jean-Paul Alexander.



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Received 29 November 2010
Accepted 24 February 2011
Financial support: French ministry of health (department of health and social development, Division of health and environment)


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