) 7 I
ONCHOCERCIASIS CONTROL PROCRAMME IN THE VOLTA RTVER BASIN AREA PROCRAMME DE LUTTE CONTRE L'ONCHOCERCOSE DANS LA RECION DU BASSIN DE LA VOLTA
Til.: 333 l2 - 329.10 - 338.57 - Tdl6x ONCHO 5241 UV
EXPERT ADVISORY COMMITTEE
Third Meeting
Geneva 13-17 S tember 1982
A COMPARISON OF REINVASION BY SIMULIIJ}T DA}INOSUM
s.I.
FEMALES IN 1982 AI.ID IN THE TTTREE PRECEDING YEARS CONTROL PROSPECTS
1.
IntroductionReinvasion
is
a well-known phenomenonin
the Progranune, having reappeared regularlyEowards every rainy season since
1975. It is
essenEially certain regions adjacenE t.ounEreated zones thaE are affecced.
Reinvasion affeccs parEicular reaches
of
cerEain wat.ercourses, and the poinEsof
impaccon Ehe affected
rivers
are nowwell
known.Scudies
of
the phenomenon carried ouE since 1975 have shown EhaE Ehree speciesof
cheS damnosum complex are more parEicularly involved
in reinvasion:
two savanna species, S. damnosums.s.
andS.
sirbanumrPlus S. squamosum , whose t'migratory capaciEy" is, however,less Ehan
that of
thefirst
Ewo speciesin
termsof
the distancescovered. In
some insEancesthe same research has revealed the
starting
pointsof
the invading blackfly populaeions, Lhusenabling che problem Eo be tackled by prompt
larviciding. It
has also revealed the localized behaviourof
the reinvading females, which were found Eo be confinedto
the gallery forest along che affected waEercourses, noE radiating outmuch.
Only che approaches Eo the waEer- coursesin
a sErip no more chan 3.5 km wide would be affected wtren che levelof
Eransmission on theriver
bank was hyperendemic.However, now EhaE resisEance Eo organophosphorus insecticides
is
becoming generalin
rhe forest, and sub-forestfoci in
the south-west.of
the Programne area, wtrich may be breeding grcundsfor
reinvadingblackflies,
reinvasion control st,rat,egyis
becoming complicated.2.
AspecEsof
reinvasion beEween 1979 and 1982Before^1979, some watercourses
within
the limicsof
theinitial
Prograrrne area(654 OO0 kmz) were heavily reinvaded, and
in
the lighcof
our present knowledge these could be grouped geographicallyinto five
main rrreceptionrrfoci of
reinvading blackflies:Ehe western focus: the $ratercourses affect,ed are the Wassouloubal6, the Bago6, che
Faya and the upper Sassandra basin;
Ehe western cent,ral
focus:
with the L6raba, Ehe WhiEe Bandama and ics Eribur.ary, EheBou and the upper Marahou6;
che southern
focus:
consisEiWORLD
HEALTH
ORGANIZATIONAFRICAN RECION
ORCANISATION MONDIALE DE LA SANTE
RECION DE L'AFRIQUE
ocP/EAC3 .4 (ocP82. 10) ORIGINAL: FRENCH
between Tagadi and Bui;
ng
of
a stretchof
some IOO kmof
che lower Black VolcaocP/EAc3.4 (ocP82. ro) Page 2
Ehe south-eastern focus: comprising Ehe M6 and the upper course
of
someof
theEribucaries
of
che Oti;the eastern
focus:
inc orporaEing thetributaries of
theriver
Nigerin
Benin, the middle reachesof
which are parEicularly affected.In
1979 and the yearsthat
followed, wtren insecticides were used Eotreat
the phase IVrivers
(onchocerciasisfoci in
the south-rrest and southof
Ivory Coast), such watercourses asthe upper Bago6, che Wtrite Bandama, the L€raba and the lower Black Volta were practically
unaffect.ed by reinvasion
or
only veryslightly affected.
VecEor denslEies were very Low andcransmission was
int.errupted.
Consequently, Ehe reinvasionof
the wesEern cenEre and Ehesouth
of
theinicial
Prograrme area appeared Eo have been brought under controlin
three con-secutive rainy seasons (L979, l98o and
1981).
On the other hand, reinvasion continuedin
che west, the south-east and the easE.Ihese
latter
reinvasions rrere usedfor
pin-point studies, as indicaEedin
the intro- duction,to arrive
ac a betEer undersEandingof
the phenomenon. However, r"rhat.is
remarkableis
the suppressionof
the $resEern central and southern reinvasionfoci
following the treatmentof
potential sourcesof
deparEure.3.
Features of reinvasionin
19823.1
Reinvasion appearedin
1982, as every year, true Eo the st.arEof
the rainy season.However, wtten compared
with
the three previous years,ttris
reinvasion had suffered the con- sequencesof
double resistanceto
Eemephos and chlorphoxim, the only two larvicidesfor
use in simuliid conErolin aIl
seasons available to OCp.Because
of this,
Ewo sit.uations arose, at. leastin
the lead-upto
the rainy season in April-May andin
Ehe hresternzone.
For the momenE there has been no changein
reinvasion inthe eastern zone by comparison wiEh reinvasions
in
the previous years, unlessit
be inintensity,
r.rtrich appears Eo be lowerthis
year thanin
past years.Ihe
first of
the situationsin
che western zoneis like
thae wtrich prevailed before cheemergence
of
double resistanceto
the organophosphorus insecticides used by the prograrmre.Ihe valleys
of
the waEercourses habicually preferred byblackfly
populations developing in places outside the Prograntrne area have noc beenspared.
Therivers
concerned are tributariesof
che Nigerin
Mali ptus the upper basinof
che Sassandra, Eogether consEiEuc,ing Ehe wesEernreinvasion
focus. Ihis is
a sustained reinvasion.The second situation
is
a consequenceof
the double resisEance andof
the experimental useof
Teknar (R) as a substicute simuliidlarvicide in
placeof
cemephos and chlorphoxim.As
this
Larvicide cannot be used during the high-waEer period, iE has beendifficulc
Eo dealwith
the breedingsites of
onchocerciasis vectorsin
those phase IV regions recognized assources
of
the reinvasionof
the upper Bago6, Ehe white Bandama, the LEraba and the lower Black Volta,or in
other words che wesEern central and southernfoci.
As aresult,
Ehesewatercourses srere affected by reinvasion
in
the run-up Eo Ehe 1982 rainy season, Ehe earlinessof
which was resPonsiblefor
equally early reinvasion cornnrencingin
thefirst.
and second weeksof April-
However, the reEurn co the useof
Abatefor
che Ereatmentof
pot.ential sources of departurein
PhaselV
enabledthis
reinvasion, rrtrich $ras on the wanein
June on the L6raba andthe wtrite Bandama, to be brought under
cont,roI.
Thefact
EhatiE
persisted on the lower B1ack Voltain
June may possibly be a consequenceof faulty larviciding of
che lower Como6,which
is
regarded as a possible sourceof
reinvasion.3.2
A new situation as regards Ehe reinvasionof
Eheriver
l,lassouloubal6 arosein
19g2.simuriid density remained asconishingly low
at
the Yanfolila sit,e throughouE the reinvasion period,in
contrastto
previous years (sinceL977). Itris site
appearsto
have escapedreinvasion
in
1982, wttereasordinarily iE is
affectedat
the same Eime as Madina-Diassa on the Baou16 and Kankela ona
tribuEaryof
theBago6.
There has been an ecological changeat
Ehe levelof
the Yanfolila breedingsite,
rrhich was submerged beneath the wat,ersof
the newI
-l T
(
ocPf1 c3.4 (0cP82.10) Page 3 Selingu6 hydroelecEric dam
in
the 1982 rainy season, rotrereasin
previous years iE had noE beensubmerged.
ftris
observation would appear t,o be averification
ad absurdumof
Ehe hypochesis Ehat reinvading blackflies would be atEracted by the breedingsites of
the affected water-courses.
Itre useof
Bellec Eraps aE chis previously reinvadedsite
has yielded resultslit,tle
beEEer than catches onman.
A detailed scudyof
the macter has been undertaken on Ehe Baould (see section 4).4.
Studyof
linear dis oersionin
1982A detailed study
is in
progress on the Baou[6 andwill
be continued throughout thereinvasion period,
i.e. for
four monEhs, from May EoAugust.
Ten sites have been selecE,ed onthe Baould and Ewo on iEs tribuEary, Ehe
D6gou. In
sofar
as possible, catcheswill
be made on Ehe same days ac siEes moreor
less equidist,ant from Madina-Diassa, Eaken as a referencesite.
IEis
also envisagedthat
therewill
be periodic rnappingof
potenEial breeding siEesat
periods when Ehere are significanE modificationsin
t}re dischargeof
watercourses.Itre
first
resultsof
the study indicate Ehat Ehe upper courseof
the Baoul6 was Ehe firsEto
be affected by invadingblackflies in 1982.
ltrereafter there rcas a gradualshift of
cheblackflies
Eowards the middle reachin
the Madina-Diassaregi.on.
Ttre stretch affected extends from l,l.ar6na upsEream Eo Madina-Diassa and Niako dorensEream.It is
onthis
sEretch beEween Mar6na and Niako that blackfly densities were highest EhroughouE Ehe reinvasion period.Higher upsEream and lower doqmstream the densities decline
rapidly
t.o the point of disappearancein
Ehe Logognasso region, towards Odienn6 andin
the Niagal6 region, norEh ofBougouni.
Ttre
first
mappingof
the breeding sites was carried out concurrentlywith
Ehearrival
of thefirst
waveof
Ehereinvasionl it
indicatesthat
che disEributionof
breedingsites
ismore
or
less uniform on the Baoul6, butthat
they are closer togetherin
che middle courseaffected by reinvasion.
5 Possible straEeeies
for
the controlof
reinvasionin
the ProAramme areaSErategic planning
is
dependenE upon whetheror
noE the potenEial sourcesof
deparEure of reinvading blackflies areaccessible.
IE should be not,ed chat since the onchocerciasisvecEors involved
in
the reinvasion are species sensitive co organophosphorus insecEicides they can be aEEackedin
Ehelarval
stagein their
breeding sites.A solut,ion had already been found
for
the western cenEral and southernfoci at
the Eimeof
che inclusionof
Phase IV regionsin
the onchocerciasis control operaEions. Although these regions arein
zonesin
wtrich forest. species have become resiscanE t.o insecEicides, the useof
Abate has been effective againsE the reinvasionof
Ehesefoci.
Studies carried ouE
in
1981 on pot.enEial sourcesof
departurefor
Ehe reinvasionof
the south-easEern focus would seemto
indicace Ehat these sources arein
Ehe basinsof
the Asukawkaw andof
the cributariesof
the upper Monoin
Ehe souEhern extensionzone. Ic
is considered Ehat appropriatelarvicidal
control could neutralize Ehe south-east.ern reinvasion focusin
theseregions.
Newfeasibility
studies are plannedfor
1983.As regards the wesEern and easEern
foci,
Ehe sourcesof
departure remain unknown,although they are certainly out.side Ehe Progranrne
limits.
On Ehe other handr given Ehat, Ehebehaviour
of
reinvading femalesin
the affected reachesis
increasinglywell
known, and EhatiE is
impossibleto
reach the sourcesof
departure, the preferred tact,icin
Ehesefoci
could be some formof adulticidal
controlsEill
to be definedin
thelight of
the conclusions fromthe linear dispersion scudy now
in
progress.I
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