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<art><ui>1475-2875-8-268</ui><ji>1475-2875</ji><fm>
<dochead>Research</dochead>
<bibl>
<title>
<p>Environmental factors associated with the malaria vectors <it>Anopheles gambiae </it>and <it>Anopheles funestus </it>in Kenya</p>
</title>
<aug>
<au ca="yes" id="A1"><snm>Kelly-Hope</snm><mi>A</mi><fnm>Louise</fnm><insr iid="I1"/><insr iid="I2"/><email>L.Kelly-Hope@liverpool.ac.uk</email></au>
<au id="A2"><snm>Hemingway</snm><fnm>Janet</fnm><insr iid="I1"/><email>hemingway@liverpool.ac.uk</email></au>
<au id="A3"><snm>McKenzie</snm><fnm>F Ellis</fnm><insr iid="I2"/><email>mckenzel@mail.nih.gov</email></au>
</aug>
<insg>
<ins id="I1"><p>Vector Group, Liverpool School of Tropical Medicine, Liverpool, UK</p></ins>
<ins id="I2"><p>Division of Epidemiology and Population Studies, Fogarty International Center, National Institutes of Health, Bethesda, MD, USA</p></ins>
</insg>
<source>Malaria Journal</source>
<issn>1475-2875</issn>
<pubdate>2009</pubdate>
<volume>8</volume>
<issue>1</issue>
<fpage>268</fpage>
<url>http://www.malariajournal.com/content/8/1/268</url>
<xrefbib><pubidlist><pubid idtype="doi">10.1186/1475-2875-8-268</pubid><pubid idtype="pmpid">19941637</pubid></pubidlist></xrefbib>
</bibl>
<history><rec><date><day>22</day><month>7</month><year>2009</year></date></rec><acc><date><day>26</day><month>11</month><year>2009</year></date></acc><pub><date><day>26</day><month>11</month><year>2009</year></date></pub></history>
<cpyrt><year>2009</year><collab>Kelly-Hope et al; licensee BioMed Central Ltd.</collab><note>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</note></cpyrt>
<abs>
<sec>
<st>
<p>Abstract</p>
</st>
<sec>
<st>
<p>Background</p>
</st>
<p>The <it>Anopheles gambiae </it>and <it>Anopheles funestus </it>mosquito species complexes are the primary vectors of <it>Plasmodium falciparum </it>malaria in sub-Saharan Africa. To better understand the environmental factors influencing these species, the abundance, distribution and transmission data from a south-eastern Kenyan study were retrospectively analysed, and the climate, vegetation and elevation data in key locations compared.</p>
</sec>
<sec>
<st>
<p>Methods</p>
</st>
<p>Thirty villages in Malindi, Kilifi and Kwale Districts with data on <it>An. gambiae sensu strict</it>, <it>Anopheles arabiensis</it> and <it>An. funestus</it> entomological inoculation rates (EIRs), were used as focal points for spatial and environmental analyses. Transmission patterns were examined for spatial autocorrelation using the Moran's <it>I </it>statistic, and for the clustering of high or low EIR values using the Getis-Ord Gi* statistic. Environmental data were derived from remote-sensed satellite sources of precipitation, temperature, specific humidity, Normalized Difference Vegetation Index (NDVI), and elevation. The relationship between transmission and environmental measures was examined using bivariate correlations, and by comparing environmental means between locations of high and low clustering using the Mann-Whitney <it>U </it>test.</p>
</sec>
<sec>
<st>
<p>Results</p>
</st>
<p>Spatial analyses indicated positive autocorrelation of <it>An. arabiensis </it>and <it>An. funestus </it>transmission, but not of <it>An. gambiae s.s</it>., which was found to be widespread across the study region. The spatial clustering of high EIR values for <it>An. arabiensis </it>was confined to the lowland areas of Malindi, and for <it>An. funestus </it>to the southern districts of Kilifi and Kwale. Overall, <it>An. gambiae s.s</it>. and <it>An. arabiensis </it>had similar spatial and environmental trends, with higher transmission associated with higher precipitation, but lower temperature, humidity and NDVI measures than those locations with lower transmission by these species and/or in locations where transmission by <it>An. funestus </it>was high. Statistical comparisons indicated that precipitation and temperatures were significantly different between the <it>An. arabiensis </it>and <it>An. funestus </it>high and low transmission locations.</p>
</sec>
<sec>
<st>
<p>Conclusion</p>
</st>
<p>These finding suggest that the abundance, distribution and malaria transmission of different malaria vectors are driven by different environmental factors. A better understanding of the specific ecological parameters of each malaria mosquito species will help define their current distributions, and how they may currently and prospectively be affected by climate change, interventions and other factors.</p>
</sec>
</sec>
</abs>
</fm><bdy>
<sec>
<st>
<p>Background</p>
</st>
<p>In sub-Saharan Africa, <it>Plasmodium falciparum </it>malaria is primarily transmitted by mosquito species belonging to the <it>Anopheles gambiae </it>and <it>Anopheles funestus </it>complexes <abbrgrp>
<abbr bid="B1">1</abbr>
<abbr bid="B2">2</abbr>
<abbr bid="B3">3</abbr>
<abbr bid="B4">4</abbr>
</abbrgrp>. The intensity of malaria transmission is heterogeneous across the continent, and influenced by mosquito species' compositions, vector competence, and underlying demographic and environmental factors <abbrgrp>
<abbr bid="B5">5</abbr>
</abbrgrp>. High levels of transmission frequently occur where both <it>An. gambiae sensu lato </it>and <it>An. funestus </it>are present, as they tend to exploit different breeding habitats and peak at different times, thereby prolonging the transmission period. Generally, <it>Anopheles gambiae s.l</it>. are most abundant during the rainy season, and <it>An. funestus </it>is predominant at the end of the rains and beginning of the dry season <abbrgrp>
<abbr bid="B1">1</abbr>
<abbr bid="B2">2</abbr>
<abbr bid="B3">3</abbr>
</abbrgrp>. The extent to which these species are influenced by the same environmental factors is largely unknown, as very few studies have examined them simultaneously over a wide geographical range. One of the most comprehensive studies undertaken in Kenya, by Mbogo <it>et al </it>
<abbrgrp>
<abbr bid="B6">6</abbr>
</abbrgrp>, provides an opportunity to retrospectively analyse the spatial abundance, distribution and transmission data on <it>An. gambiae s.l</it>. and <it>An. funestus</it>, and compare climate, vegetation and elevation data derived from remote-sensed satellite sources in key locations.</p>
<p>The study by Mbogo <it>et al </it>
<abbrgrp>
<abbr bid="B6">6</abbr>
</abbrgrp> provides information on the numbers and transmission intensities, i.e. entomological inoculation rates (EIRs), of <it>An. gambiae s.l</it>. and <it>An. funestus </it>at 30 villages in the Malindi, Kilifi and Kwale Districts along the south-eastern coast of Kenya. Mosquito collections between June 1997 and May 1998 indicated that <it>An. gambiae sensu stricto, Anopheles arabiensis </it>and <it>An. funestus </it>were the main malaria vectors, with differing geographical abundance and transmission patterns over the 200 km study area. Interestingly, <it>An. gambiae s.s</it>. was found to be widespread, whereas <it>An. arabiensis </it>was mostly confined to Malindi in the north and <it>An. funestus </it>to Kwale in the south. Preliminary climate analyses by Mbogo <it>et al </it>
<abbrgrp>
<abbr bid="B6">6</abbr>
</abbrgrp>, found positive correlations between rainfall and the temporal distributions of <it>An. gambiae s.l</it>. and <it>An. funestus</it>, however, these varied by species and between districts, and climate data were limited to one meteorological station in each district.</p>
<p>The recent advances in space technology and increased public access to remote-sensed satellite data provide a cost-effective and efficient alternative to examine relationships between climate, the environment and mosquito vectors of human disease <abbrgrp>
<abbr bid="B7">7</abbr>
<abbr bid="B8">8</abbr>
</abbrgrp>. This is important in poorly resourced regions of the world where the collection of reliable data over large geographical areas is not possible. As a follow-up to the Mbogo <it>et al </it>
<abbrgrp>
<abbr bid="B6">6</abbr>
</abbrgrp> study, comparisons of satellite-derived precipitation, temperature, humidity, vegetation and elevation measures at each study site in Malindi, Kilifi and Kwale Districts, and in <it>An. gambiae s.s., An. arabiensis </it>and <it>An. funestus </it>clustered locations were carried out.</p>
</sec>
<sec>
<st>
<p>Methods</p>
</st>
<p>First, the average number and daily EIRs of <it>An. gambiae </it>s.l and <it>An. funestus </it>(data from Table <tblr tid="T1">1</tblr> in Mbogo <it>et al </it>
<abbrgrp>
<abbr bid="B6">6</abbr>
</abbrgrp>), and climate, vegetation and elevation data for each district were summarized. Second, the relationship between the relative contribution (%) of the three main species, i.e. <it>An. gambiae </it>s.s, <it>An. arabiensis </it>and <it>An. funestus</it>, to annual EIR (data from Table <tblr tid="T2">2</tblr> in Mbogo <it>et al </it>
<abbrgrp>
<abbr bid="B6">6</abbr>
</abbrgrp>), and each environmental variable was examined using bivariate correlations, and Pearson's correlation coefficient (2-tailed <it>P </it>value &#8804; 0.05 significance). Third, the spatial patterns of <it>An. gambiae </it>s.s, <it>An. arabiensis </it>and <it>An. funestus </it>transmission were examined in ArcGIS using Spatial Analyst tools (ESRI, Redland, CA). The Moran's <it>I </it>statistic was used to determine spatial autocorrelation patterns i.e. clustered, dispersed, random, and the Getis-Ord Gi* statistic was to identify the locations with high and low clustering (Z scores, 95% confidence levels (CI) -1.96 and +1.96 standard deviations). The distributions of clustering across the study area were highlighted in relation to elevation, using a 3D wireframe map created in the surface mapping programme Surfer 7.0 (Golden Software Inc., Golden, CO). Mean environmental measures between high and low clustering trends were compared using the Mann-Whitney <it>U </it>test with Bonferroni correction for multiple comparisons. All statistical analyses were performed in Microsoft Excel and SPSS 16.0 (SPSS Inc., Chicago, IL).</p>
<tbl id="T1"><title><p>Table 1</p></title><caption><p>Bivariate correlations between <it>Anopheles </it>species and environmental variables</p></caption><tblbdy cols="4">
      <r>
         <c ca="left">
            <p>
               <b>Environmental Variable</b>
            </p>
         </c>
         <c ca="left">
            <p>
               <b><it>An. gambiae </it>s.s</b>
            </p>
         </c>
         <c ca="left">
            <p>
               <b>
                  <it>An. arabiensis</it>
               </b>
            </p>
         </c>
         <c ca="left">
            <p>
               <b>
                  <it>An. funestus</it>
               </b>
            </p>
         </c>
      </r>
      <r>
         <c cspan="4">
            <hr/>
         </c>
      </r>
      <r>
         <c ca="left">
            <p>Precipitation</p>
         </c>
         <c ca="left">
            <p>0.246</p>
         </c>
         <c ca="left">
            <p>0.315</p>
         </c>
         <c ca="left">
            <p>-0.550**</p>
         </c>
      </r>
      <r>
         <c ca="left">
            <p>Temperature</p>
         </c>
         <c ca="left">
            <p>-0.159</p>
         </c>
         <c ca="left">
            <p>0.334</p>
         </c>
         <c ca="left">
            <p>0.656**</p>
         </c>
      </r>
      <r>
         <c ca="left">
            <p>Humidity</p>
         </c>
         <c ca="left">
            <p>-0.159</p>
         </c>
         <c ca="left">
            <p>0.334</p>
         </c>
         <c ca="left">
            <p>0.656**</p>
         </c>
      </r>
      <r>
         <c ca="left">
            <p>NDVI</p>
         </c>
         <c ca="left">
            <p>0.217</p>
         </c>
         <c ca="left">
            <p>0.031</p>
         </c>
         <c ca="left">
            <p>0.392*</p>
         </c>
      </r>
      <r>
         <c ca="left">
            <p>Elevation</p>
         </c>
         <c ca="left">
            <p>-0.186</p>
         </c>
         <c ca="left">
            <p>-0.370*</p>
         </c>
         <c ca="left">
            <p>-0.046</p>
         </c>
      </r>
      <r>
         <c ca="left">
            <p>
               <it>An. arabiensis</it>
            </p>
         </c>
         <c ca="left">
            <p>0.024</p>
         </c>
         <c ca="left">
            <p>-</p>
         </c>
         <c ca="left">
            <p>-</p>
         </c>
      </r>
      <r>
         <c ca="left">
            <p>
               <it>An. funestus</it>
            </p>
         </c>
         <c ca="left">
            <p>-0.454*</p>
         </c>
         <c ca="left">
            <p>-0.385*</p>
         </c>
         <c>
            <p/>
         </c>
      </r>
   </tblbdy><tblfn>
      <p>* Correlation is significant at &#8804;0.05 level (2-tailed)</p>
      <p>** Correlation is significant at &#8804;0.01 level (2-tailed)</p>
   </tblfn></tbl>
<tbl id="T2"><title><p>Table 2</p></title><caption><p>Comparison of mean environmental measures between <it>An. gambiae </it>s.s, <it>An. arabiensis </it>and <it>An. funestus </it>high and low clustering trends</p></caption><tblbdy cols="7">
      <r>
         <c ca="left">
            <p>
               <b>Environmental variable</b>
            </p>
         </c>
         <c cspan="2" ca="left">
            <p>
               <b><it>An. gambiae </it>s.s</b>
            </p>
         </c>
         <c cspan="2" ca="left">
            <p>
               <b>
                  <it>An. arabiensis</it>
               </b>
            </p>
         </c>
         <c cspan="2" ca="left">
            <p>
               <b>
                  <it>An. funestus</it>
               </b>
            </p>
         </c>
      </r>
      <r>
         <c>
            <p/>
         </c>
         <c ca="left">
            <p>High</p>
            <p>n = 17</p>
         </c>
         <c ca="left">
            <p>Low</p>
            <p>n = 13</p>
         </c>
         <c ca="left">
            <p>High</p>
            <p>n = 10</p>
         </c>
         <c ca="left">
            <p>Low</p>
            <p>n = 20</p>
         </c>
         <c ca="left">
            <p>High</p>
            <p>n = 11</p>
         </c>
         <c ca="left">
            <p>Low</p>
            <p>n = 19</p>
         </c>
      </r>
      <r>
         <c cspan="7">
            <hr/>
         </c>
      </r>
      <r>
         <c ca="left">
            <p>Precipitation</p>
         </c>
         <c ca="left">
            <p>3.57</p>
         </c>
         <c ca="left">
            <p>3.16*</p>
         </c>
         <c ca="left">
            <p>3.77</p>
         </c>
         <c ca="left">
            <p>3.2**</p>
         </c>
         <c ca="left">
            <p>2.95</p>
         </c>
         <c ca="left">
            <p>3.65**</p>
         </c>
      </r>
      <r>
         <c ca="left">
            <p>Temperature</p>
         </c>
         <c ca="left">
            <p>24.9</p>
         </c>
         <c ca="left">
            <p>25.2*</p>
         </c>
         <c ca="left">
            <p>24.7</p>
         </c>
         <c ca="left">
            <p>25.2**</p>
         </c>
         <c ca="left">
            <p>25.5</p>
         </c>
         <c ca="left">
            <p>24.7**</p>
         </c>
      </r>
      <r>
         <c ca="left">
            <p>Humidity</p>
         </c>
         <c ca="left">
            <p>0.0166</p>
         </c>
         <c ca="left">
            <p>0.0170</p>
         </c>
         <c ca="left">
            <p>0.0164</p>
         </c>
         <c ca="left">
            <p>0.0170</p>
         </c>
         <c ca="left">
            <p>0.0174</p>
         </c>
         <c ca="left">
            <p>0.0164**</p>
         </c>
      </r>
      <r>
         <c ca="left">
            <p>NDVI</p>
         </c>
         <c ca="left">
            <p>0.470</p>
         </c>
         <c ca="left">
            <p>0.522</p>
         </c>
         <c ca="left">
            <p>0.462</p>
         </c>
         <c ca="left">
            <p>0.508</p>
         </c>
         <c ca="left">
            <p>0.526</p>
         </c>
         <c ca="left">
            <p>0.473</p>
         </c>
      </r>
      <r>
         <c ca="left">
            <p>Elevation</p>
         </c>
         <c ca="left">
            <p>54.6</p>
         </c>
         <c ca="left">
            <p>78.1</p>
         </c>
         <c ca="left">
            <p>11.4</p>
         </c>
         <c ca="left">
            <p>91.5</p>
         </c>
         <c ca="left">
            <p>104.4</p>
         </c>
         <c ca="left">
            <p>41.8</p>
         </c>
      </r>
   </tblbdy><tblfn>
      <p>Note. High = Z score>0, Low = Z score &lt;0</p>
      <p>* Significant difference at &#8804;0.05 level</p>
      <p>**Significant difference at &#8804;0.0033 level after Bonferroni correction</p>
   </tblfn></tbl>
<p>Climate and vegetation data corresponding to the 30 mosquito collection sites (i.e. latitude and longitude), and original time period (i.e 1997-1998) were obtained from the best available sources, accessed via the IRI/LDEO Climate Data Library of the International Research Institute for Climate and Society <abbrgrp>
<abbr bid="B9">9</abbr>
</abbrgrp>. Average daily precipitation (mm), monthly temperature (C&#176;) and daily specific humidity (qa) measures for each month were extracted from satellite data from the National Oceanic and Atmospheric Administration (NOAA) <abbrgrp>
<abbr bid="B10">10</abbr>
<abbr bid="B11">11</abbr>
<abbr bid="B12">12</abbr>
</abbrgrp>. Vegetation cover was based on Normalized Difference Vegetation Index (NDVI) satellite data extracted from monthly maximum NDVI data available from U.S Geological Survey's (USGS), Africa Data Dissemination Service <abbrgrp>
<abbr bid="B13">13</abbr>
</abbrgrp>. Elevation data were derived from the USGS ETOPO2 Digital Elevation Model available from ESRI (Redlands, CA).</p>
</sec>
<sec>
<st>
<p>Results</p>
</st>
<sec>
<st>
<p>District summaries</p>
</st>
<p>The findings of these analyses suggest that the different mosquito species compositions found in Malindi, Kilifi and Kwale Districts during 1997 and 1998 may be related to their different climate and topographical profiles. Figure <figr fid="F1">1</figr> shows that the 10 sites from the Malindi District in the north, comprised predominately of <it>An. gambiae s.l</it>., had significantly (95% CI) higher precipitation, but lower temperature, specific humidity, NDVI and elevation measures than the 10 sites from Kwale District in the south, where <it>An. funestus </it>was most prevalent. Overall, these trends are supported by the correlations between the three main species, and each environmental variable (Table <tblr tid="T1">1</tblr>). <it>Anopheles gambiae </it>s.s. and <it>An. arabiensis </it>are positively correlated with precipitation, and negatively correlated with temperature and humidity measures. This contrasts to <it>An. funestus</it>, which was significantly negatively correlated with precipitation, but positively with temperature, humidity and NDVI. Interestingly, correlation analysis between each of these three <it>Anopheles </it>species, indicated that <it>An. gambiae </it>s.s (r = -0.454) and <it>An. arabiensis </it>(r = -0.385) were negatively correlated with <it>An. funestus</it>, which is in accordance with observations by Mbogo <it>et al </it>
<abbrgrp>
<abbr bid="B6">6</abbr>
</abbrgrp>.</p>
<fig id="F1"><title><p>Figure 1</p></title><caption><p>Comparisons of mean entomological and environmental measures by district</p></caption><text>
   <p><b>Comparisons of mean entomological and environmental measures by district</b>. Note: Entomological data from Table 1 in Mbogo <it>et al </it>2003.</p>
</text><graphic file="1475-2875-8-268-1"/></fig>
</sec>
<sec>
<st>
<p>Spatial analyses</p>
</st>
<p>Spatial analyses indicated positive spatial autocorrelation or clustering for <it>An. arabiensis </it>(Moran's I value = 0.18, Z score = 3.8, <it>P </it>&#8804; 0.01) and <it>An. funestus </it>(MI = 0.24, Z score = 4.41, <it>P </it>&#8804; 0.01), but not for <it>An. gambiae s.s</it>. (MI = 0.03, Z score = 1, <it>P </it>&#8805; 0.05). The resultant Z scores of the Getis-Ord Gi* hot spot analyses (using inverse-distance weighting), indicated similar trends with significant spatial clusters of high and low EIR values found for <it>An. arabiensis </it>and <it>An. funestus </it>but not for <it>An. gambiae s.s</it>. The clustering trends are shown in Figure <figr fid="F2">2</figr>, and highlight the distinct patterns of each species across the study region. For <it>An. gambiae </it>s.s, 17 locations had positive Z scores (ranging 0.38 to 1.73) predominantly in the north, while the remaining 13 locations had negative Z scores (ranging -0.16 to -1.70) predominately in the south. For <it>An. arabiensis</it>, six locations with high EIR values were significantly clustered (Z scores &#8805; 1.96) in Malindi District, and two with low EIR values (Z score &#8804; -1.96) in Kwale District. This contrasts to <it>An. funestus</it>, which had five high EIR values significantly clustered in Kwale District, and five with low EIR values in Malindi District.</p>
<fig id="F2"><title><p>Figure 2</p></title><caption><p>Distribution of spatial clustering trends of high and low EIR values for <it>An. gambiae </it>s.s, <it>An. arabiensis </it>and <it>An. funestus</it></p></caption><text>
   <p><b>Distribution of spatial clustering trends of high and low EIR values for <it>An. gambiae </it>s.s, <it>An. arabiensis </it>and <it>An. funestus</it></b>. Note: Z score > 0 indicates a clustering trend of high EIR values (red dots) and Z score &lt; 0 indicates a clustering trend of low EIR values (black dots).</p>
</text><graphic file="1475-2875-8-268-2"/></fig>
</sec>
<sec>
<st>
<p>Environmental comparisons</p>
</st>
<p>For each species, comparisons of environmental measures between locations with high and low transmission trends are shown in Table <tblr tid="T2">2</tblr>. Due to the small numbers in the study, and few locations with significant spatial clustering, these analyses were limited to mean comparisons between locations with high and low EIR clustering trends defined by positive Z scores (&gt; 0) and negative Z scores (&lt; 0), respectively. Overall, <it>An. gambiae </it>s.s and <it>An. arabiensis </it>showed similar environmental trends, with locations with higher transmission having higher precipitation, but lower temperature, humidity and NDVI measures than those locations with lower transmission by these species and/or where transmission by <it>An. funestus </it>was higher. Notably, locations with higher <it>An. arabiensis </it>transmission trends had markedly low elevations, also illustrated in Figure <figr fid="F2">2</figr>. Statistical comparisons indicated that for <it>An. gambiae </it>s.s there were no significant differences (<it>P </it>value &lt;0.0033 Bonferroni corrected), while for <it>An. arabiensis </it>precipitation and temperatures were found to be significantly different, and for <it>An. funestus </it>precipitation, temperatures and humidity were found to be significantly different between the higher and lower transmission locations.</p>
</sec>
</sec>
<sec>
<st>
<p>Conclusion</p>
</st>
<p>These simple comparative analyses of 30 sites across three districts in Kenya indicate that <it>An. gambiae </it>s.l and <it>An. funestus </it>can have distinct ecological niches and requirements within a relatively small geographical area. This is supported by other entomological studies carried out in the region, which highlight the heterogeneous nature of these species' seasonality, host feeding preferences <abbrgrp>
<abbr bid="B14">14</abbr>
<abbr bid="B15">15</abbr>
<abbr bid="B16">16</abbr>
</abbrgrp>, body size <abbrgrp>
<abbr bid="B17">17</abbr>
</abbrgrp> and the distribution and type of breeding sites <abbrgrp>
<abbr bid="B18">18</abbr>
<abbr bid="B19">19</abbr>
<abbr bid="B20">20</abbr>
</abbrgrp>. For example, <it>An. gambiae </it>s.s larvae mostly occur in open shallow sunlit puddles and pools close to homesteads, whereas <it>An. funestus </it>larvae prevail in permanent vegetated aquatic habitats such as stream pools of rivers. In general, malaria transmission by <it>An. funestus </it>predominantly occurs in rural areas of sub-Saharan Africa, and the fact that Kwale District was less urbanized than the other districts <abbrgrp>
<abbr bid="B21">21</abbr>
<abbr bid="B22">22</abbr>
</abbrgrp>, may also explain why <it>An. funestus </it>prevailed in this region. Furthermore, the presence of both <it>An. gambiae s.s</it>. and <it>An. funestus</it>, whose ecological requirements may be complementary to each other <abbrgrp>
<abbr bid="B23">23</abbr>
</abbrgrp>, may also account for the overall higher EIRs found in Kwale District <abbrgrp>
<abbr bid="B6">6</abbr>
</abbrgrp>.</p>
<p>Changes in the local environment are important to understand because they can create, or reduce the number of, suitable breeding sites for local vectors, thereby affecting their abundance and transmission patterns. In central Kenya, the introduction of irrigated rice cultivation appeared to reduce the risk of malaria transmission by <it>An. funestus </it>but not by <it>An. arabiensis </it>
<abbrgrp>
<abbr bid="B24">24</abbr>
</abbrgrp>, and in Lake Victoria, a recent reduction in water level has created newly emerged land and habitats more suitable for <it>An. funestus </it>than for <it>An. gambiae </it>
<abbrgrp>
<abbr bid="B25">25</abbr>
</abbrgrp>. Along the Kenyan coast, information on the impact of urbanisation <abbrgrp>
<abbr bid="B22">22</abbr>
</abbrgrp>, agricultural activities and changes in climate on malaria transmission is limited, but becoming increasingly important. Currently, the prolonged drought affecting Kwale District and other Kenyan communities, has resulted in changes to human food security, population movement, cattle density, grazing and water storage practices <abbrgrp>
<abbr bid="B26">26</abbr>
<abbr bid="B27">27</abbr>
</abbrgrp>, which will almost certainly alter vector abundance distributions and the risk of malaria.</p>
<p>Similarly, the impact of interventions such as insecticide-treated bed nets (ITNs), long-lasting insecticide-treated nets (LLINs) and indoor residual spraying (IRS) should be considered as they may affect species differently, especially if distributed widely over large geographical areas. The introduction of ITNs in Kilifi and Kwale District during the 1990s significantly reduced the number of indoor-resting <it>Anopheles </it>species, and a change in mosquito composition and biting times of <it>An. gambiae s.l</it>. <abbrgrp>
<abbr bid="B28">28</abbr>
</abbrgrp>, and in feeding preference of <it>An. funestus </it>with a shift among the outdoor resting females from endophagy on humans to exophagy on animals <abbrgrp>
<abbr bid="B15">15</abbr>
</abbrgrp>. However, these ITNs were restricted to selected areas and are unlikely to have affected the overall relative abundance of the difference species in the study region. Other studies in East Africa <abbrgrp>
<abbr bid="B29">29</abbr>
<abbr bid="B30">30</abbr>
</abbrgrp> and elsewhere <abbrgrp>
<abbr bid="B31">31</abbr>
<abbr bid="B32">32</abbr>
<abbr bid="B33">33</abbr>
</abbrgrp> have shown that <it>An. funestus </it>can be readily eliminated from an entire area by IRS programmes. However, this vector can reappear and become widespread again, sometimes with resistance to the insecticides used in the spray campaign <abbrgrp>
<abbr bid="B34">34</abbr>
<abbr bid="B35">35</abbr>
<abbr bid="B36">36</abbr>
</abbrgrp>. This poses a further complication for vector control programmes. It also emphasizes the need for on-going mosquito and insecticide resistance surveillance <abbrgrp>
<abbr bid="B37">37</abbr>
</abbrgrp>, especially given the mass distribution of LLINs and IRS programmes currently taking place across sub-Saharan Africa, which could alter mosquito compositions and transmission dynamics over time <abbrgrp>
<abbr bid="B38">38</abbr>
</abbrgrp>.</p>
<p>Although there was considerable overlap between <it>An. gambiae s.s</it>. and <it>An. arabiensis</it>, <it>An. gambiae </it>s.s had no significant clustering or environmental differences between high and low transmission locations. The reasons for this may be related to its wide distribution and ability to exploit a range of habitats <abbrgrp>
<abbr bid="B1">1</abbr>
<abbr bid="B2">2</abbr>
<abbr bid="B3">3</abbr>
<abbr bid="B18">18</abbr>
</abbrgrp>, but may also be because this species may comprise different molecular or chromosomal forms which are not well defined in this region compared with other regions of sub-Saharan Africa <abbrgrp>
<abbr bid="B1">1</abbr>
</abbrgrp>. In West Africa, the chromosomal forms of <it>An. gambiae </it>s.s have shown to have differing spatial distributions and environmental parameters <abbrgrp>
<abbr bid="B39">39</abbr>
<abbr bid="B40">40</abbr>
<abbr bid="B41">41</abbr>
</abbrgrp>, and distinct differences between the M and S molecular forms have been described in Mali <abbrgrp>
<abbr bid="B42">42</abbr>
</abbrgrp>. In this coastal region of Kenya, only the <it>An. gambiae </it>S form has been detected in two locations <abbrgrp>
<abbr bid="B43">43</abbr>
</abbrgrp>, therefore, a better understanding of the speciation and transmission patterns of the <it>An. gambiae </it>s.s forms is crucial, especially as <it>An. gambiae </it>s.l appears to be the main vector of both malaria and lymphatic filariasis in Kilifi and Kwale Districts <abbrgrp>
<abbr bid="B15">15</abbr>
<abbr bid="B44">44</abbr>
<abbr bid="B45">45</abbr>
</abbrgrp>.</p>
<p>The study by Mbogo <it>et al </it>
<abbrgrp>
<abbr bid="B6">6</abbr>
</abbrgrp> collected mosquitoes using pyrethroid spray catches (PSC) inside houses, which could potentially underestimate the abundance of exophilic mosquito species such as <it>An. arabiensis</it>, as shown in other East African countries <abbrgrp>
<abbr bid="B46">46</abbr>
</abbrgrp>. In general, measuring the population dynamics of <it>An. gambiae </it>s.l and <it>An. funestus </it>is difficult, and studies have shown great variability depending on the sampling technique used, and whether interventions such as ITNs are present and acting as a deterrent <abbrgrp>
<abbr bid="B16">16</abbr>
<abbr bid="B28">28</abbr>
<abbr bid="B47">47</abbr>
<abbr bid="B48">48</abbr>
<abbr bid="B49">49</abbr>
</abbrgrp>. The presence of cattle for <it>An. arabiensis </it>is also an important consideration as they prefer to feed on these animals over humans and other livestock <abbrgrp>
<abbr bid="B46">46</abbr>
<abbr bid="B50">50</abbr>
<abbr bid="B51">51</abbr>
</abbrgrp>. Although there are limitations to using the PSC method to estimate abundance and transmission patterns, the study by Mbogo <it>et al </it>
<abbrgrp>
<abbr bid="B6">6</abbr>
</abbrgrp> is one of largest datasets available for East Africa, which compares the abundance and transmission potential of <it>An. gambiae </it>s.l and <it>An. funestus </it>across a diverse ecological range using a standard sampling technique.</p>
<p>Malaria transmission is complex, and more knowledge on the relationship between the environment, mosquito vectors, human disease and demography in sub-Saharan Africa will help implement appropriate control measures in a rapidly changing landscape. This is particularly important in areas already reporting changes in transmission intensity <abbrgrp>
<abbr bid="B52">52</abbr>
<abbr bid="B53">53</abbr>
</abbrgrp>, and may be additional factors to include in future malaria models. This small follow-up study to Mbogo <it>et al </it>
<abbrgrp>
<abbr bid="B6">6</abbr>
</abbrgrp> aimed to elucidate environmental factors associated with the <it>An. gambiae </it>and <it>An. funestus </it>complexes in one region of Kenya. It exemplifies what can be done with existing entomological data contained in the literature and elsewhere, and how modern satellite and GIS technologies in public health research may be exploited, especially for climate sensitive diseases in developing countries, such as malaria <abbrgrp>
<abbr bid="B54">54</abbr>
<abbr bid="B55">55</abbr>
</abbrgrp>.</p>
</sec>
<sec>
<st>
<p>Competing interests</p>
</st>
<p>The authors declare that they have no competing interests.</p>
</sec>
<sec>
<st>
<p>Authors' contributions</p>
</st>
<p>LKH identified data sources, designed the study, carried out the data analysis and wrote the first draft of the manuscript. JH participated in the interpretation of the results and editing of the manuscript. EM conceived the idea for the study, and contributed to the writing and editing of the manuscript. All authors have read and approved the final manuscript.</p>
</sec>
</bdy><bm>
<ack>
<sec>
<st>
<p>Acknowledgements</p>
</st>
<p>We are grateful to Dr Michael Bell, from The International Research Institute (IRI) for Climate and Society, The Earth Institute, Columbia University, USA for his advice on the best available environmental satellite data sources for this study.</p>
</sec>
</ack>
<refgrp><bibl id="B1"><title><p>Distribution of African malaria mosquitoes belonging to the <it>Anopheles gambiae </it>complex</p></title><aug><au><snm>Coetzee</snm><fnm>M</fnm></au><au><snm>Craig</snm><fnm>M</fnm></au><au><snm>le Sueur</snm><fnm>D</fnm></au></aug><source>Parasitol Today</source><pubdate>2000</pubdate><volume>16</volume><fpage>74</fpage><lpage>77</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1016/S0169-4758(99)01563-X</pubid><pubid idtype="pmpid" link="fulltext">10652493</pubid></pubidlist></xrefbib></bibl><bibl id="B2"><title><p>Advances in the study of <it>Anopheles funestus</it>, a major vector of malaria in Africa</p></title><aug><au><snm>Coetzee</snm><fnm>M</fnm></au><au><snm>Fontenille</snm><fnm>D</fnm></au></aug><source>Insect Biochem Mol Biol</source><pubdate>2004</pubdate><volume>34</volume><fpage>599</fpage><lpage>605</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1016/j.ibmb.2004.03.012</pubid><pubid idtype="pmpid" link="fulltext">15242700</pubid></pubidlist></xrefbib></bibl><bibl id="B3"><title><p>The Anophelinae of Africa South of the Sahara</p></title><aug><au><snm>Gillies</snm><fnm>MT</fnm></au><au><snm>De Meillon</snm><fnm>B</fnm></au></aug><source>South African Institute for Medical Research</source><pubdate>1968</pubdate><volume>54</volume><fpage>127</fpage><lpage>150</lpage></bibl><bibl id="B4"><title><p>Urbanization, malaria transmission and disease burden in Africa</p></title><aug><au><snm>Hay</snm><fnm>SI</fnm></au><au><snm>Guerra</snm><fnm>CA</fnm></au><au><snm>Tatem</snm><fnm>AJ</fnm></au><au><snm>Atkinson</snm><fnm>PM</fnm></au><au><snm>Snow</snm><fnm>RW</fnm></au></aug><source>Nat Rev Microbiol</source><pubdate>2005</pubdate><volume>3</volume><fpage>81</fpage><lpage>90</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1038/nrmicro1069</pubid><pubid idtype="pmpid" link="fulltext">15608702</pubid></pubidlist></xrefbib></bibl><bibl id="B5"><title><p>The multiplicity of malaria transmission: a review of entomological inoculation rate measurements and methods across sub-Saharan Africa</p></title><aug><au><snm>Kelly-Hope</snm><fnm>LA</fnm></au><au><snm>McKenzie</snm><fnm>FE</fnm></au></aug><source>Malar J</source><pubdate>2009</pubdate><volume>8</volume><fpage>19</fpage><xrefbib><pubidlist><pubid idtype="doi">10.1186/1475-2875-8-19</pubid><pubid idtype="pmcid">2656515</pubid><pubid idtype="pmpid" link="fulltext">19166589</pubid></pubidlist></xrefbib></bibl><bibl id="B6"><title><p>Spatial and temporal heterogeneity of <it>Anopheles </it>mosquitoes and <it>Plasmodium falciparum </it>transmission along the Kenyan coast</p></title><aug><au><snm>Mbogo</snm><fnm>CM</fnm></au><au><snm>Mwangangi</snm><fnm>JM</fnm></au><au><snm>Nzovu</snm><fnm>J</fnm></au><au><snm>Gu</snm><fnm>W</fnm></au><au><snm>Yan</snm><fnm>G</fnm></au><au><snm>Gunter</snm><fnm>JT</fnm></au><au><snm>Swalm</snm><fnm>C</fnm></au><au><snm>Keating</snm><fnm>J</fnm></au><au><snm>Regens</snm><fnm>JL</fnm></au><au><snm>Shililu</snm><fnm>JI</fnm></au><au><snm>Githure</snm><fnm>JI</fnm></au><au><snm>Beier</snm><fnm>JC</fnm></au></aug><source>Am J Trop Med Hyg</source><pubdate>2003</pubdate><volume>68</volume><fpage>734</fpage><lpage>742</lpage><xrefbib><pubid idtype="pmpid" link="fulltext">12887036</pubid></xrefbib></bibl><bibl id="B7"><title><p>Earth observation, geographic information systems and <it>Plasmodium falciparum </it>malaria in sub-Saharan Africa</p></title><aug><au><snm>Hay</snm><fnm>SI</fnm></au><au><snm>Omumbo</snm><fnm>JA</fnm></au><au><snm>Craig</snm><fnm>MH</fnm></au><au><snm>Snow</snm><fnm>RW</fnm></au></aug><source>Adv Parasitol</source><pubdate>2000</pubdate><volume>47</volume><fpage>173</fpage><lpage>215</lpage><xrefbib><pubidlist><pubid idtype="doi">full_text</pubid><pubid idtype="pmpid">10997207</pubid></pubidlist></xrefbib></bibl><bibl id="B8"><title><p>Global environmental data for mapping infectious disease distribution</p></title><aug><au><snm>Hay</snm><fnm>SI</fnm></au><au><snm>Tatem</snm><fnm>AJ</fnm></au><au><snm>Graham</snm><fnm>AJ</fnm></au><au><snm>Goetz</snm><fnm>SJ</fnm></au><au><snm>Rogers</snm><fnm>DJ</fnm></au></aug><source>Adv Parasitol</source><pubdate>2006</pubdate><volume>62</volume><fpage>37</fpage><lpage>77</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1016/S0065-308X(05)62002-7</pubid><pubid idtype="pmpid" link="fulltext">16647967</pubid></pubidlist></xrefbib></bibl><bibl id="B9"><title><p>IRI/LDEO Climate Data Library</p></title><aug><au><cnm>International Research Institute for Climate and Society (IRI)</cnm></au></aug><publisher>Columbia University, New York</publisher><url>http://iridl.ldeo.columbia.edu/index.html</url></bibl><bibl id="B10"><title><p>Precipitation data: NOAA NCEP CPC FEWS Africa DAILY ARC daily est_prcp</p></title><aug><au><cnm>National Oceanic and Atmospheric Administration (NOAA)</cnm></au></aug><source>Washington, DC, USA</source><url>http://iridl.ldeo.columbia.edu/SOURCES/.NOAA/.NCEP/.CPC/.FEWS/.Africa/.DAILY/.ARC/.daily/.est_prcp/</url></bibl><bibl id="B11"><title><p>Temperature data: NOAA NCEP-NCAR CDAS-1 MONTHLY Diagnostic above ground temp</p></title><aug><au><cnm>National Oceanic and Atmospheric Administration (NOAA)</cnm></au></aug><source>Washington, DC, USA</source><url>http://iridl.ldeo.columbia.edu/SOURCES/.NOAA/.NCEP-NCAR/.CDAS-1/.MONTHLY/.Diagnostic/.above_ground/.temp/</url></bibl><bibl id="B12"><title><p>Specific humidity data: NOAA NCEP-NCAR CDAS-1 DAILY Diagnostic above_ground qa</p></title><aug><au><cnm>National Oceanic and Atmospheric Administration (NOAA)</cnm></au></aug><source>Washington, DC, USA</source><url>http://iridl.ldeo.columbia.edu/SOURCES/.NOAA/.NCEP-NCAR/.CDAS-1/.DAILY/.Diagnostic/.above_ground/.qa/</url></bibl><bibl id="B13"><title><p>Normalized Difference Vegetation Index: USGS ADDS NDVI NDVIg monthly c8204 avgNDVImonmax: 1982-2004 Avg. of Monthly Maximum NDVI data</p></title><aug><au><cnm>U.S Geological Survey</cnm></au></aug><url>http://iridl.ldeo.columbia.edu/SOURCES/.USGS/.ADDS/.NDVI/.NDVIg/.monthly/.c8204/.avgNDVImonmax/</url></bibl><bibl id="B14"><title><p>Blood meal analysis for anopheline mosquitoes sampled along the Kenyan coast</p></title><aug><au><snm>Mwangangi</snm><fnm>JM</fnm></au><au><snm>Mbogo</snm><fnm>CM</fnm></au><au><snm>Nzovu</snm><fnm>JG</fnm></au><au><snm>Githure</snm><fnm>JI</fnm></au><au><snm>Yan</snm><fnm>G</fnm></au><au><snm>Beier</snm><fnm>JC</fnm></au></aug><source>J Am Mosq Contr Assoc</source><pubdate>2003</pubdate><volume>19</volume><fpage>371</fpage><lpage>375</lpage></bibl><bibl id="B15"><title><p>Permethrin-impregnated bednet effects on resting and feeding behaviour of lymphatic filariasis vector mosquitoes in Kenya</p></title><aug><au><snm>B&#248;gh</snm><fnm>C</fnm></au><au><snm>Pedersen</snm><fnm>EM</fnm></au><au><snm>Mukoko</snm><fnm>DA</fnm></au><au><snm>Ouma</snm><fnm>JH</fnm></au></aug><source>Med Vet Entomol</source><pubdate>1998</pubdate><volume>12</volume><fpage>52</fpage><lpage>59</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1046/j.1365-2915.1998.00091.x</pubid><pubid idtype="pmpid" link="fulltext">9513939</pubid></pubidlist></xrefbib></bibl><bibl id="B16"><title><p>Blood feeding behavior of <it>Anopheles gambiae s.l</it>. and <it>Anopheles funestus </it>in Kilifi district. Kenya</p></title><aug><au><snm>Mbogo</snm><fnm>CNM</fnm></au><au><snm>Kabiru</snm><fnm>EW</fnm></au><au><snm>Muiruri</snm><fnm>SK</fnm></au><au><snm>Nzovu</snm><fnm>JM</fnm></au><au><snm>Ouma</snm><fnm>JH</fnm></au><au><snm>Githure</snm><fnm>I</fnm></au><au><snm>Beier</snm><fnm>JC</fnm></au></aug><source>J Am Mosq Contr Assoc</source><pubdate>1993</pubdate><volume>9</volume><fpage>225</fpage><lpage>227</lpage></bibl><bibl id="B17"><title><p>Relationships between body size of <it>Anopheles </it>mosquitoes and <it>Plasmodium falciparum </it>sporozoite rates along the Kenya Coast</p></title><aug><au><snm>Mwangangi</snm><fnm>JM</fnm></au><au><snm>Mbogo</snm><fnm>CM</fnm></au><au><snm>Nzovu</snm><fnm>JG</fnm></au><au><snm>Kabiru</snm><fnm>EW</fnm></au><au><snm>Mwambi</snm><fnm>H</fnm></au><au><snm>Githure</snm><fnm>JI</fnm></au><au><snm>Beier</snm><fnm>JC</fnm></au></aug><source>J Am Mosq Contr Assoc</source><pubdate>2004</pubdate><volume>20</volume><fpage>390</fpage><lpage>394</lpage></bibl><bibl id="B18"><title><p>Spatial distribution and habitat characterisation of <it>Anopheles </it>larvae along the Kenyan coast</p></title><aug><au><snm>Mwangangi</snm><fnm>JM</fnm></au><au><snm>Mbogo</snm><fnm>CM</fnm></au><au><snm>Muturi</snm><fnm>EJ</fnm></au><au><snm>Nzovu</snm><fnm>JG</fnm></au><au><snm>Githure</snm><fnm>JI</fnm></au><au><snm>Yan</snm><fnm>G</fnm></au><au><snm>Minakawa</snm><fnm>N</fnm></au><au><snm>Novak</snm><fnm>R</fnm></au><au><snm>Beier</snm><fnm>JC</fnm></au></aug><source>J Vect Borne Dis</source><pubdate>2007</pubdate><volume>44</volume><fpage>44</fpage><lpage>51</lpage></bibl><bibl id="B19"><title><p>Relationships between <it>Plasmodium falciparum </it>transmission by vector populations and the incidence of severe disease at nine sites on the Kenyan coast</p></title><aug><au><snm>Mbogo</snm><fnm>CNM</fnm></au><au><snm>Snow</snm><fnm>RW</fnm></au><au><snm>Khamala</snm><fnm>CPM</fnm></au><au><snm>Kabiru</snm><fnm>EW</fnm></au><au><snm>Ouma</snm><fnm>JH</fnm></au><au><snm>Githure</snm><fnm>JI</fnm></au><au><snm>Marsh</snm><fnm>K</fnm></au><au><snm>Beier</snm><fnm>JC</fnm></au></aug><source>Am J Trop Med Hyg</source><pubdate>1995</pubdate><volume>52</volume><fpage>201</fpage><lpage>206</lpage><xrefbib><pubid idtype="pmpid" link="fulltext">7694959</pubid></xrefbib></bibl><bibl id="B20"><title><p>Ecological studies on <it>Anopheles gambiae </it>complex sibling species on the Kenyan coast</p></title><aug><au><snm>Mosha</snm><fnm>FW</fnm></au><au><snm>Petrarca</snm><fnm>V</fnm></au></aug><source>Trans R Soc Trop Med Hyg</source><pubdate>1983</pubdate><volume>77</volume><fpage>344</fpage><lpage>345</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1016/0035-9203(83)90161-X</pubid><pubid idtype="pmpid">6623592</pubid></pubidlist></xrefbib></bibl><bibl id="B21"><title><p>Gridded Population of the World (GPW), version 3</p></title><aug><au><cnm>CIESIN/CIAT</cnm></au></aug><source>Palisades, New York CIESIN, Columbia University, Centre for International Earth Science Information Network (CIESIN), Colombia University; Centro Internacional de Agricultura Tropical (CIAT)</source><pubdate>2004</pubdate><url>http://sedac.ciesin.columbia.edu/gpw/</url></bibl><bibl id="B22"><title><p>Examining the determinants of mosquito-avoidance practices in two Kenyan cities</p></title><aug><au><snm>Macintyre</snm><fnm>K</fnm></au><au><snm>Keating</snm><fnm>J</fnm></au><au><snm>Sosler</snm><fnm>S</fnm></au><au><snm>Kibe</snm><fnm>L</fnm></au><au><snm>Mbogo</snm><fnm>CM</fnm></au><au><snm>Githeko</snm><fnm>AK</fnm></au><au><snm>Beier</snm><fnm>JC</fnm></au></aug><source>Malar J</source><pubdate>2002</pubdate><volume>15</volume><issue>1</issue><fpage>14</fpage><xrefbib><pubid idtype="doi">10.1186/1475-2875-1-14</pubid></xrefbib></bibl><bibl id="B23"><title><p>The density of adult Anopheles in the neighbourhood of an East African village</p></title><aug><au><snm>Gillies</snm><fnm>MT</fnm></au></aug><source>Am J Trop Med Hyg</source><pubdate>1955</pubdate><volume>4</volume><fpage>1103</fpage><lpage>1113</lpage><xrefbib><pubid idtype="pmpid" link="fulltext">13268818</pubid></xrefbib></bibl><bibl id="B24"><title><p>Effect of rice cultivation on malaria transmission in central Kenya</p></title><aug><au><snm>Muturi</snm><fnm>EJ</fnm></au><au><snm>Muriu</snm><fnm>S</fnm></au><au><snm>Shililu</snm><fnm>J</fnm></au><au><snm>Mwangangi</snm><fnm>J</fnm></au><au><snm>Jacob</snm><fnm>BG</fnm></au><au><snm>Mbogo</snm><fnm>C</fnm></au><au><snm>Githure</snm><fnm>J</fnm></au><au><snm>Novak</snm><fnm>RJ</fnm></au></aug><source>Am J Trop Med Hyg</source><pubdate>2008</pubdate><volume>78</volume><fpage>270</fpage><lpage>5</lpage><xrefbib><pubid idtype="pmpid" link="fulltext">18256428</pubid></xrefbib></bibl><bibl id="B25"><title><p>Recent reduction in the water level of Lake Victoria has created more habitats for <it>Anopheles funestus</it></p></title><aug><au><snm>Minakawa</snm><fnm>N</fnm></au><au><snm>Sonye</snm><fnm>G</fnm></au><au><snm>Dida</snm><fnm>GO</fnm></au><au><snm>Futami</snm><fnm>K</fnm></au><au><snm>Kaneko</snm><fnm>S</fnm></au></aug><source>Malar J</source><pubdate>2008</pubdate><volume>7</volume><fpage>119</fpage><xrefbib><pubidlist><pubid idtype="doi">10.1186/1475-2875-7-119</pubid><pubid idtype="pmcid">2490699</pubid><pubid idtype="pmpid" link="fulltext">18598355</pubid></pubidlist></xrefbib></bibl><bibl id="B26"><title><p>Kenya Drought Appeal 2009</p></title><aug><au><cnm>Kenya Red Cross Society</cnm></au></aug><source>Nairobi, Kenya</source><url>http://www.kenyaredcross.org/index.php?option=com_content&amp;task=view&amp;id=167&amp;Itemid=117</url></bibl><bibl id="B27"><title><p>FEWS Kenya Food Security Update Jun 2009 - Food security continues to deteriorate</p></title><aug><au><cnm>ReliefWeb</cnm></au></aug><source>Geneva, Switzerland</source><url>http://www.reliefweb.int/rw/rwb.nsf/db900sid/MYAI-7TJ3NL?OpenDocument</url></bibl><bibl id="B28"><title><p>The impact of permethrin-impregnated bednets on malaria vectors on the Kenyan coast</p></title><aug><au><snm>Mbogo</snm><fnm>CNM</fnm></au><au><snm>Baya</snm><fnm>NM</fnm></au><au><snm>Ofulla</snm><fnm>AVO</fnm></au><au><snm>Githure</snm><fnm>JI</fnm></au><au><snm>Snow</snm><fnm>RW</fnm></au></aug><source>Med Vet Entomol</source><pubdate>1996</pubdate><volume>10</volume><fpage>251</fpage><lpage>259</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1111/j.1365-2915.1996.tb00739.x</pubid><pubid idtype="pmpid">8887336</pubid></pubidlist></xrefbib></bibl><bibl id="B29"><title><p>Malaria in the Pare area of Tanzania. 3. The course of malaria transmission since the suspension of an experimental programme of residual insecticide spraying</p></title><aug><au><snm>Pringle</snm><fnm>G</fnm></au></aug><source>Trans R Soc Trop Med Hyg</source><pubdate>1967</pubdate><volume>61</volume><fpage>69</fpage><lpage>79</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1016/0035-9203(67)90055-7</pubid><pubid idtype="pmpid">6031939</pubid></pubidlist></xrefbib></bibl><bibl id="B30"><title><p>Experimental malaria control and demography in a rural East African community: a retrospect</p></title><aug><au><snm>Pringle</snm><fnm>G</fnm></au></aug><source>Trans R Soc Trop Med Hyg</source><pubdate>1969</pubdate><volume>63</volume><fpage>s2</fpage><lpage>s18</lpage><xrefbib><pubid idtype="doi">10.1016/0035-9203(69)90201-6</pubid></xrefbib></bibl><bibl id="B31"><title><p>The Garki project: research on the epidemiology and control of malaria in the Sudan savanna of West Africa</p></title><aug><au><snm>Molineaux</snm><fnm>L</fnm></au><au><snm>Gramiccia</snm><fnm>G</fnm></au></aug><publisher>World Health Organization (WHO), Geneva</publisher><pubdate>1980</pubdate></bibl><bibl id="B32"><title><p>Malaria vector control by indoor residual insecticide spraying on the tropical island of Bioko, Equatorial Guinea</p></title><aug><au><snm>Sharp</snm><fnm>BL</fnm></au><au><snm>Ridl</snm><fnm>FC</fnm></au><au><snm>Govender</snm><fnm>D</fnm></au><au><snm>Kuklinski</snm><fnm>J</fnm></au><au><snm>Kleinschmidt</snm><fnm>I</fnm></au></aug><source>Malar J</source><pubdate>2007</pubdate><volume>6</volume><fpage>52</fpage><xrefbib><pubidlist><pubid idtype="doi">10.1186/1475-2875-6-52</pubid><pubid idtype="pmcid">1868751</pubid><pubid idtype="pmpid" link="fulltext">17474975</pubid></pubidlist></xrefbib></bibl><bibl id="B33"><title><p>Seven years of regional malaria control collaboration--Mozambique, South Africa, and Swaziland</p></title><aug><au><snm>Sharp</snm><fnm>BL</fnm></au><au><snm>Kleinschmidt</snm><fnm>I</fnm></au><au><snm>Streat</snm><fnm>E</fnm></au><au><snm>Maharaj</snm><fnm>R</fnm></au><au><snm>Barnes</snm><fnm>KI</fnm></au><au><snm>Durrheim</snm><fnm>DN</fnm></au><au><snm>Ridl</snm><fnm>FC</fnm></au><au><snm>Morris</snm><fnm>N</fnm></au><au><snm>Seocharan</snm><fnm>I</fnm></au><au><snm>Kunene</snm><fnm>S</fnm></au><au><snm>LA Grange</snm><fnm>JJ</fnm></au><au><snm>Mthembu</snm><fnm>JD</fnm></au><au><snm>Maartens</snm><fnm>F</fnm></au><au><snm>Martin</snm><fnm>CL</fnm></au><au><snm>Barreto</snm><fnm>A</fnm></au></aug><source>Am J Trop Med Hyg</source><pubdate>2007</pubdate><volume>76</volume><fpage>42</fpage><lpage>47</lpage><xrefbib><pubid idtype="pmpid" link="fulltext">17255227</pubid></xrefbib></bibl><bibl id="B34"><title><p><it>Anopheles funestus </it>is resistant to pyrethroid insecticides in South Africa</p></title><aug><au><snm>Hargreaves</snm><fnm>K</fnm></au><au><snm>Koekemoer</snm><fnm>LL</fnm></au><au><snm>Brooke</snm><fnm>BD</fnm></au><au><snm>Hunt</snm><fnm>RH</fnm></au><au><snm>Mthembu</snm><fnm>J</fnm></au><au><snm>Coetzee</snm><fnm>M</fnm></au></aug><source>Med Vet Entomol</source><pubdate>2000</pubdate><volume>14</volume><fpage>181</fpage><lpage>189</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1046/j.1365-2915.2000.00234.x</pubid><pubid idtype="pmpid" link="fulltext">10872862</pubid></pubidlist></xrefbib></bibl><bibl id="B35"><title><p>Bioassay and biochemical analyses of insecticide resistance in southern African <it>Anopheles funestus </it>(Diptera: Culicidae)</p></title><aug><au><snm>Brooke</snm><fnm>BD</fnm></au><au><snm>Kloke</snm><fnm>G</fnm></au><au><snm>Hunt</snm><fnm>RH</fnm></au><au><snm>Koekemoer</snm><fnm>LL</fnm></au><au><snm>Temu</snm><fnm>EA</fnm></au><au><snm>Taylor</snm><fnm>ME</fnm></au><au><snm>Small</snm><fnm>G</fnm></au><au><snm>Hemingway</snm><fnm>J</fnm></au><au><snm>Coetzee</snm><fnm>M</fnm></au></aug><source>Bull Entomol Res</source><pubdate>2001</pubdate><volume>91</volume><fpage>265</fpage><lpage>272</lpage><xrefbib><pubid idtype="pmpid" link="fulltext">11587622</pubid></xrefbib></bibl><bibl id="B36"><title><p>Insecticide resistance in <it>Anopheles funestus </it>(Diptera: Culicidae) from Mozambique</p></title><aug><au><snm>Casimiro</snm><fnm>S</fnm></au><au><snm>Coleman</snm><fnm>M</fnm></au><au><snm>Mohloai</snm><fnm>P</fnm></au><au><snm>Hemingway</snm><fnm>J</fnm></au><au><snm>Sharp</snm><fnm>B</fnm></au></aug><source>J Med Entomol</source><pubdate>2006</pubdate><volume>43</volume><fpage>267</fpage><lpage>75</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1603/0022-2585(2006)043[0267:IRIAFD]2.0.CO;2</pubid><pubid idtype="pmpid">16619610</pubid></pubidlist></xrefbib></bibl><bibl id="B37"><title><p>Lessons from the past: managing insecticide resistance in malaria control and eradication programmes</p></title><aug><au><snm>Kelly-Hope</snm><fnm>L</fnm></au><au><snm>Ranson</snm><fnm>H</fnm></au><au><snm>Hemingway</snm><fnm>J</fnm></au></aug><source>Lancet Infect Dis</source><pubdate>2008</pubdate><volume>8</volume><fpage>387</fpage><lpage>9</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1016/S1473-3099(08)70045-8</pubid><pubid idtype="pmpid" link="fulltext">18374633</pubid></pubidlist></xrefbib></bibl><bibl id="B38"><title><p>Malaria Management: Past, Present, and Future</p></title><aug><au><snm>Enayati</snm><fnm>A</fnm></au><au><snm>Hemingway</snm><fnm>J</fnm></au></aug><source>Annu Rev Entomol</source><note>Epub 2009 Sep 15</note><xrefbib><pubid idtype="pmpid" link="fulltext">19754246</pubid></xrefbib></bibl><bibl id="B39"><title><p>Chromosomal differentiation and adaptation to human environments in the <it>Anopheles gambiae </it>complex</p></title><aug><au><snm>Coluzzi</snm><fnm>M</fnm></au><au><snm>Sabatini</snm><fnm>A</fnm></au><au><snm>Petrarca</snm><fnm>V</fnm></au><au><snm>Di Deco</snm><fnm>MA</fnm></au></aug><source>Trans R Soc Trop Med Hyg</source><pubdate>1979</pubdate><volume>73</volume><fpage>483</fpage><lpage>497</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1016/0035-9203(79)90036-1</pubid><pubid idtype="pmpid">394408</pubid></pubidlist></xrefbib></bibl><bibl id="B40"><title><p>Molecular evidence of incipient speciation within <it>Anopheles gambiae </it>s.s. in West Africa</p></title><aug><au><snm>della Torre</snm><fnm>A</fnm></au><au><snm>Fanello</snm><fnm>C</fnm></au><au><snm>Akogbeto</snm><fnm>M</fnm></au><au><snm>Dossou-yovo</snm><fnm>J</fnm></au><au><snm>Favia</snm><fnm>G</fnm></au><au><snm>Petrarca</snm><fnm>V</fnm></au><au><snm>Coluzzi</snm><fnm>M</fnm></au></aug><source>Insect Mol Biol</source><pubdate>2001</pubdate><volume>10</volume><fpage>9</fpage><lpage>18</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1046/j.1365-2583.2001.00235.x</pubid><pubid idtype="pmpid" link="fulltext">11240632</pubid></pubidlist></xrefbib></bibl><bibl id="B41"><title><p>Mapping distributions of chromosomal forms of <it>Anopheles gambiae </it>in West Africa using climate data</p></title><aug><au><snm>Bayoh</snm><fnm>MN</fnm></au><au><snm>Thomas</snm><fnm>CJ</fnm></au><au><snm>Lindsay</snm><fnm>SW</fnm></au></aug><source>Med Vet Entomol</source><pubdate>2001</pubdate><volume>15</volume><fpage>267</fpage><lpage>274</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1046/j.0269-283x.2001.00298.x</pubid><pubid idtype="pmpid" link="fulltext">11583443</pubid></pubidlist></xrefbib></bibl><bibl id="B42"><title><p>Spatial distribution of the chromosomal forms of <it>anopheles gambiae </it>in Mali</p></title><aug><au><snm>Sogoba</snm><fnm>N</fnm></au><au><snm>Vounatsou</snm><fnm>P</fnm></au><au><snm>Bagayoko</snm><fnm>MM</fnm></au><au><snm>Doumbia</snm><fnm>S</fnm></au><au><snm>Dolo</snm><fnm>G</fnm></au><au><snm>Gosoniu</snm><fnm>L</fnm></au><au><snm>Traor&#233;</snm><fnm>SF</fnm></au><au><snm>Smith</snm><fnm>TA</fnm></au><au><snm>Tour&#233;</snm><fnm>YT</fnm></au></aug><source>Malar J</source><pubdate>2008</pubdate><volume>7</volume><fpage>205</fpage><xrefbib><pubidlist><pubid idtype="doi">10.1186/1475-2875-7-205</pubid><pubid idtype="pmcid">2579919</pubid><pubid idtype="pmpid" link="fulltext">18847463</pubid></pubidlist></xrefbib></bibl><bibl id="B43"><title><p>Population Structure of <it>Anopheles gambiae </it>in Africa</p></title><aug><au><snm>Lehmann</snm><fnm>T</fnm></au><au><snm>Licht</snm><fnm>M</fnm></au><au><snm>Elissa</snm><fnm>N</fnm></au><au><snm>Maega</snm><fnm>BT</fnm></au><au><snm>Chimumbwa</snm><fnm>JM</fnm></au><au><snm>Watsenga</snm><fnm>FT</fnm></au><au><snm>Wondji</snm><fnm>CS</fnm></au><au><snm>Simard</snm><fnm>F</fnm></au><au><snm>Hawley</snm><fnm>WA</fnm></au></aug><source>J Hered</source><pubdate>2003</pubdate><volume>94</volume><fpage>133</fpage><lpage>47</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1093/jhered/esg024</pubid><pubid idtype="pmpid" link="fulltext">12721225</pubid></pubidlist></xrefbib></bibl><bibl id="B44"><title><p>Concomitant infections of <it>Plasmodium falciparum </it>and <it>Wuchereria bancrofti </it>on the Kenyan coast</p></title><aug><au><snm>Muturi</snm><fnm>EJ</fnm></au><au><snm>Mbogo</snm><fnm>CM</fnm></au><au><snm>Mwangangi</snm><fnm>JM</fnm></au><au><snm>Ng'ang'a</snm><fnm>ZW</fnm></au><au><snm>Kabiru</snm><fnm>EW</fnm></au><au><snm>Mwandawiro</snm><fnm>C</fnm></au><au><snm>Beier</snm><fnm>JC</fnm></au></aug><source>Filaria J</source><pubdate>2006</pubdate><volume>5</volume><fpage>8</fpage><xrefbib><pubidlist><pubid idtype="doi">10.1186/1475-2883-5-8</pubid><pubid idtype="pmcid">1513226</pubid><pubid idtype="pmpid" link="fulltext">16723020</pubid></pubidlist></xrefbib></bibl><bibl id="B45"><title><p>Relationship between malaria and filariasis transmission indices in an endemic area along the Kenyan Coast</p></title><aug><au><snm>Muturi</snm><fnm>EJ</fnm></au><au><snm>Mbogo</snm><fnm>CM</fnm></au><au><snm>Ng'ang'a</snm><fnm>ZW</fnm></au><au><snm>Kabiru</snm><fnm>EW</fnm></au><au><snm>Mwandawiro</snm><fnm>C</fnm></au><au><snm>Novak</snm><fnm>RJ</fnm></au><au><snm>Beier</snm><fnm>JC</fnm></au></aug><source>J Vector Borne Dis</source><pubdate>2006</pubdate><volume>43</volume><fpage>77</fpage><lpage>83</lpage><xrefbib><pubidlist><pubid idtype="pmcid">2673496</pubid><pubid idtype="pmpid" link="fulltext">16967820</pubid></pubidlist></xrefbib></bibl><bibl id="B46"><title><p>Blood-feeding behaviour of the malarial mosquito <it>Anopheles arabiensis </it>: implications for vector control</p></title><aug><au><snm>Tirados</snm><fnm>I</fnm></au><au><snm>Costantini</snm><fnm>C</fnm></au><au><snm>Gibson</snm><fnm>G</fnm></au><au><snm>Torr</snm><fnm>SJ</fnm></au></aug><source>Med Vet Entomol</source><pubdate>2006</pubdate><volume>20</volume><fpage>425</fpage><lpage>37</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1111/j.1365-2915.2006.652.x</pubid><pubid idtype="pmpid" link="fulltext">17199754</pubid></pubidlist></xrefbib></bibl><bibl id="B47"><title><p>Effect of permethrin-treated bed nets on the spatial distribution of malaria vectors in western Kenya</p></title><aug><au><snm>Gimnig</snm><fnm>JE</fnm></au><au><snm>Kolczak</snm><fnm>MS</fnm></au><au><snm>Hightower</snm><fnm>AW</fnm></au><au><snm>Vulule</snm><fnm>JM</fnm></au><au><snm>Schoute</snm><fnm>E</fnm></au><au><snm>Kamau</snm><fnm>L</fnm></au><au><snm>Phillips-Howard</snm><fnm>PA</fnm></au><au><snm>ter Kuile</snm><fnm>FO</fnm></au><au><snm>Nahlen</snm><fnm>BL</fnm></au><au><snm>Hawley</snm><fnm>WA</fnm></au></aug><source>Am J Trop Med Hyg</source><pubdate>2003</pubdate><volume>68</volume><issue>4 Suppl</issue><fpage>115</fpage><lpage>20</lpage><xrefbib><pubid idtype="pmpid" link="fulltext">12749494</pubid></xrefbib></bibl><bibl id="B48"><title><p>Effect of permethrin-impregnated nets on exiting behavior, blood feeding success, and time of feeding of malaria mosquitoes (Diptera: Culicidae) in western Kenya</p></title><aug><au><snm>Mathenge</snm><fnm>EM</fnm></au><au><snm>Gimnig</snm><fnm>JE</fnm></au><au><snm>Kolczak</snm><fnm>M</fnm></au><au><snm>Ombok</snm><fnm>M</fnm></au><au><snm>Irungu</snm><fnm>LW</fnm></au><au><snm>Hawley</snm><fnm>WA</fnm></au></aug><source>J Med Entomol</source><pubdate>2001</pubdate><volume>38</volume><fpage>531</fpage><lpage>6</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1603/0022-2585-38.4.531</pubid><pubid idtype="pmpid">11476333</pubid></pubidlist></xrefbib></bibl><bibl id="B49"><title><p>Comparative performance of the Mbita trap, CDC light trap and the human landing catch in the sampling of <it>Anopheles arabiensis</it>, <it>An. funestus </it>and culicine species in a rice irrigation in western Kenya</p></title><aug><au><snm>Mathenge</snm><fnm>EM</fnm></au><au><snm>Misiani</snm><fnm>GO</fnm></au><au><snm>Oulo</snm><fnm>DO</fnm></au><au><snm>Irungu</snm><fnm>LW</fnm></au><au><snm>Ndegwa</snm><fnm>PN</fnm></au><au><snm>Smith</snm><fnm>TA</fnm></au><au><snm>Killeen</snm><fnm>GF</fnm></au><au><snm>Knols</snm><fnm>BG</fnm></au></aug><source>Malar J</source><pubdate>2005</pubdate><volume>4</volume><fpage>7</fpage><xrefbib><pubidlist><pubid idtype="doi">10.1186/1475-2875-4-7</pubid><pubid idtype="pmcid">548676</pubid><pubid idtype="pmpid" link="fulltext">15667666</pubid></pubidlist></xrefbib></bibl><bibl id="B50"><title><p>A resting box for outdoor sampling of adult <it>Anopheles arabiensis </it>in rice irrigation schemes of lower Moshi, northern Tanzania</p></title><aug><au><snm>Kweka</snm><fnm>EJ</fnm></au><au><snm>Mwang'onde</snm><fnm>BJ</fnm></au><au><snm>Kimaro</snm><fnm>E</fnm></au><au><snm>Msangi</snm><fnm>S</fnm></au><au><snm>Massenga</snm><fnm>CP</fnm></au><au><snm>Mahande</snm><fnm>AM</fnm></au></aug><source>Malar J</source><pubdate>2009</pubdate><volume>8</volume><fpage>82</fpage><xrefbib><pubidlist><pubid idtype="doi">10.1186/1475-2875-8-82</pubid><pubid idtype="pmcid">2679767</pubid><pubid idtype="pmpid" link="fulltext">19393098</pubid></pubidlist></xrefbib></bibl><bibl id="B51"><title><p>Feeding and resting behaviour of malaria vector, <it>Anopheles arabiensis </it>with reference to zooprophylaxis</p></title><aug><au><snm>Mahande</snm><fnm>AM</fnm></au><au><snm>Mosha</snm><fnm>FW</fnm></au><au><snm>Mahande</snm><fnm>JM</fnm></au><au><snm>Kweka</snm><fnm>EJ</fnm></au></aug><source>Malar J</source><pubdate>2007</pubdate><volume>6</volume><fpage>100</fpage><xrefbib><pubidlist><pubid idtype="doi">10.1186/1475-2875-6-100</pubid><pubid idtype="pmcid">1964787</pubid><pubid idtype="pmpid" link="fulltext">17663787</pubid></pubidlist></xrefbib></bibl><bibl id="B52"><title><p>The decline in paediatric malaria admissions on the coast of Kenya</p></title><aug><au><snm>Okiro</snm><fnm>EA</fnm></au><au><snm>Hay</snm><fnm>SI</fnm></au><au><snm>Gikandi</snm><fnm>PW</fnm></au><au><snm>Sharif</snm><fnm>SK</fnm></au><au><snm>Noor</snm><fnm>AM</fnm></au><au><snm>Peshu</snm><fnm>N</fnm></au><au><snm>Marsh</snm><fnm>K</fnm></au><au><snm>Snow</snm><fnm>RW</fnm></au></aug><source>Malar J</source><pubdate>2007</pubdate><volume>6</volume><fpage>151</fpage><xrefbib><pubidlist><pubid idtype="doi">10.1186/1475-2875-6-151</pubid><pubid idtype="pmcid">2194691</pubid><pubid idtype="pmpid" link="fulltext">18005422</pubid></pubidlist></xrefbib></bibl><bibl id="B53"><title><p>Effect of a fall in malaria transmission on morbidity and mortality in Kilifi, Kenya</p></title><aug><au><snm>O'Meara</snm><fnm>WP</fnm></au><au><snm>Bejon</snm><fnm>P</fnm></au><au><snm>Mwangi</snm><fnm>TW</fnm></au><au><snm>Okiro</snm><fnm>EA</fnm></au><au><snm>Peshu</snm><fnm>N</fnm></au><au><snm>Snow</snm><fnm>RW</fnm></au><au><snm>Newton</snm><fnm>CR</fnm></au><au><snm>Marsh</snm><fnm>K</fnm></au></aug><source>Lancet</source><pubdate>2008</pubdate><volume>372</volume><fpage>1555</fpage><lpage>1562</lpage><xrefbib><pubidlist><pubid idtype="doi">10.1016/S0140-6736(08)61655-4</pubid><pubid idtype="pmcid">2607008</pubid><pubid idtype="pmpid" link="fulltext">18984188</pubid></pubidlist></xrefbib></bibl><bibl id="B54"><title><p>Spatial variability in the density, distribution and vectorial capacity of anopheline species in a high transmission village (Equatorial Guinea)</p></title><aug><au><snm>Cano</snm><fnm>J</fnm></au><au><snm>Descalzo</snm><fnm>MA</fnm></au><au><snm>Moreno</snm><fnm>M</fnm></au><au><snm>Chen</snm><fnm>Z</fnm></au><au><snm>Nzambo</snm><fnm>S</fnm></au><au><snm>Bobuakasi</snm><fnm>L</fnm></au><au><snm>Buatiche</snm><fnm>JN</fnm></au><au><snm>Ondo</snm><fnm>M</fnm></au><au><snm>Micha</snm><fnm>F</fnm></au><au><snm>Benito</snm><fnm>A</fnm></au></aug><source>Malar J</source><pubdate>2006</pubdate><volume>5</volume><fpage>21</fpage><xrefbib><pubidlist><pubid idtype="doi">10.1186/1475-2875-5-21</pubid><pubid idtype="pmcid">1435759</pubid><pubid idtype="pmpid" link="fulltext">16556321</pubid></pubidlist></xrefbib></bibl><bibl id="B55"><title><p>High spatial resolution mapping of malaria transmission risk in the Gambia, west Africa, using LANDSAT TM satellite imagery</p></title><aug><au><snm>B&#248;gh</snm><fnm>C</fnm></au><au><snm>Lindsay</snm><fnm>SW</fnm></au><au><snm>Clarke</snm><fnm>SE</fnm></au><au><snm>Dean</snm><fnm>A</fnm></au><au><snm>Jawara</snm><fnm>M</fnm></au><au><snm>Pinder</snm><fnm>M</fnm></au><au><snm>Thomas</snm><fnm>CJ</fnm></au></aug><source>Am J Trop Med Hyg</source><pubdate>2007</pubdate><volume>76</volume><fpage>875</fpage><lpage>881</lpage><xrefbib><pubid idtype="pmpid" link="fulltext">17488908</pubid></xrefbib></bibl></refgrp>
</bm></art>
