Quantification of human-mosquito contact rate using surveys and its application in determining dengue viral transmission risk

Abstract Aedes-borne viral diseases, including dengue fever, chikungunya, and Zika, have been surging in incidence and spreading to new areas where their mosquito vectors thrive. To estimate viral transmission risks, availability of accurate local transmission parameters is essential. One of the most important parameters to determine infection risk is the human-mosquito contact rate. However, this rate has rarely been characterized due to the lack of a feasible research method. In this study, human-mosquito contact rates were evaluated in two study sites within the Greater New Orleans Region by asking a group of survey participants to estimate mosquito bites they experienced in the past 24 hours. The fraction of the mosquito bites attributed to Ae. aegypti or Ae. albopictus was estimated by human landing sampling. The results showed a significantly higher outdoor mosquito bite exposure than indoor exposure. The number of reported mosquito bites was positively correlated with the time that study participants spent outside during at-risk periods. There was also a significant effect of the study site on outdoor bite exposure, possibly because of the difference in the numbers of host-seeking mosquitoes. We use a mathematical dengue virus transmission model to estimate the transmission risks in the study areas based on local conditions. This compartmental model demonstrated how the observed difference in the human-Aedes contact rates in the two study sites would result in differential dengue transmission risks. This study highlights the practicality of using a survey to estimate human-mosquito contact rates and serves as a basis for future evaluations. Combined with the use of mathematical modeling, this innovative method may lead to more effective mosquito-borne pathogen prevention and control. Author summary Even though the human-mosquito contact rate is among the most important indicators of mosquito-borne viral transmission risk, it is rarely characterized in the field. Human Landing Capture is a gold standard method to quantify this rate, but it ignores variables such as human behaviors and lifestyles. In this study, we tested the feasibility of using surveys to quantify mosquito bite exposure in the Southern United States. The survey results, combined with mosquito species proportion data, were used to estimate the contact rate. These rates are key parameters used in mathematical models to determine transmission risks. We found that bite exposure occurred more often outside homes and people who spent more time outdoors in the evening and night had a higher exposure. Our model analysis shows that the human-mosquito contact rate is one of the most important parameters determining outbreak potential. Disease control programs should focus their efforts on reducing this rate in addition to the mosquito density. Future studies should test if the entomological contact rates described by surveys correlate with disease incidences or other entomological indices. This study highlights the importance of characterizing how vector-human contact rates may respond to changing human behaviors and environments.