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Modeling framework to demonstrate elimination of a vector population: Tsetse elimination in Chad
John Hargrove1, Mahamat Hissene Mahamat2, Moukhtar Aldjibert2
1South African Centre for Epidemiological Modelling and Analysis, Centre for Epidemic Response and Innovation, School for Data Science and Computational Thinking, Stellenbosch University, Stellenbosch 7600, South Africa.
Vector-borne diseases kill over 700,000 annually. A new modeling framework helps assess vector elimination, crucial for preventing disease re-emergence and guiding public health efforts.
Area of Science:
- Epidemiology
- Mathematical Modeling
- Vector Control
Background:
- Vector-borne diseases cause significant global mortality, especially in children.
- Integrated strategies combining medical interventions and vector control have reduced Gambian Human African Trypanosomiasis (g-HAT) incidence.
- Elimination of the tsetse vector, a vector for g-HAT, remains unconfirmed, posing a risk of disease resurgence.
Purpose of the Study:
- To develop and apply a six-step modeling framework to assess the elimination of the tsetse vector (Glossina fuscipes fuscipes).
- To evaluate the probability of vector capture, false-negative detection, natural elimination, rebound, and reinvasion risk.
- To provide policymakers with data-driven guidelines for vector control and disease elimination strategies.
Main Methods:
- A six-step modeling framework was developed to calculate key probabilities related to vector elimination.
- The framework was applied to a case study of g-HAT in Mandoul, Chad, focusing on Glossina fuscipes fuscipes elimination.
- Data from vector control efforts between 2014 and 2025, with no tsetse detected since 2018, were analyzed.
Main Results:
- Current data do not provide over 90% confidence in tsetse elimination in Mandoul or the natural elimination of any remaining populations.
- With vector control cessation in April 2025, continued sampling is projected to demonstrate elimination with 99% confidence if no tsetse are detected over the next two years.
- The modeling framework offers a robust method for assessing vector elimination success.
Conclusions:
- Confirming vector elimination requires rigorous, ongoing monitoring and advanced modeling techniques.
- The developed framework can guide public health policy for vector control and disease elimination programs globally.
- Continued surveillance is essential to prevent the re-emergence of vector-borne diseases like g-HAT.
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