Holes in netting provide potential routes for mosquitoes to enter ITNs. Despite this, there is little information on how mosquitoes respond to holes in bed nets and how their responses are affected by hole size, shape and orientation or by ambient conditions around the net.
Female
Mosquitoes were significantly more active in overhead arenas than in arenas to the side. Hole passage was significantly more likely in smaller arenas than larger ones and for larger holes than smaller ones. In arenas to the side, hole passage rate through small holes was about 50 % less likely than what could be explained by area alone. Passage rate through holes in overhead arenas was consistent with hole area. Temperature in arenas did not strongly reflect the experimenter’s presence in the simulated net. Relative humidity and absolute humidity in overhead arenas, but not in arenas to the side, were immediately affected by experimenter presence.
Higher levels of activity in overhead arenas than in arenas to the side were likely due to the rising heat and humidity plume from the experimenter. Lower than expected passage rates through smaller vertically oriented holes may have been be due to an edge effect that does not apply to horizontally oriented holes. Results suggest that current methods of assessing the importance of physical damage to ITNs may not accurately reflect mosquito entry risk in all cases.
Insecticide-treated bed nets (ITNs) have been credited with reducing the global burden of malaria since mass distribution programmes began in the early 2000s [
While it is obvious that holes in bed nets provide a potential way in for mosquitoes, there is very little understanding of how mosquitoes interact with holes in bed nets when they come across them or how they pass through them and into the net. There are several dimensions to this question. For instance, how is the probability of hole passage affected by bed net holes of different sizes (since holes may range from a few millimetres to tens of centimetres in diameter) and shapes? Additionally, holes may occur anywhere on the net. Is a hole of a given shape and size on the roof of a bed net as likely to admit mosquitoes encountering it as the same hole on the sides or ends of the net? Finally, how does the environment around the net, which is a product of ambient environmental conditions and the odour, moisture and heat produced by the bed net occupants affect mosquito hole passage behaviour and are these effects the same on all parts of the net or do they vary with location on the net?
To investigate these questions, this study used video cameras to record individual mosquito interactions with holes of different sizes in a simulated bed net. For practical purposes and because a large proportion of bed net holes are small [
Mosquitoes used for the videos were drawn from stock colonies of
Video recordings were made under subdued room lighting conditions and used eight day-old nulliparous, not previously blood-fed females. Two hours before experiments began, an appropriately aged cohort of approximately 50 female mosquitoes was placed in a half litre mesh-covered cardboard holding cage. This cage was kept outside the environmental chamber where recordings were done and away from contact with potential host stimuli.
Experiments were performed in a simulated untreated bed net set up in a 5.5 m × 2.8 m × 2.5 m high environmental chamber in the insectary facilities. General conditions in the chamber were maintained at approximately 26 °C and 60 % RH. Room fans were shut off to minimize air turbulence.
The simulated bed net consisted of netting-covered behavioural arenas placed on a shelf approximately 35 cm to the side of the seated experimenter (who filled the role of the bed net occupant) or supported approximately 35 cm above the experimenter’s head (Fig. Diagram of positions of behavioural arenas and cameras on virtual bed net (dashed line) Front (left panel) and side (right panel) views of behavioural arenas of two sizes. Larger arena (left in left panel) with a 9 mm diameter hole. Smaller arena (right in left panel) with a 13 mm hole Video cameras positioned in front of vertically oriented arena (left panel) and below horizontally oriented arenas (right panel)
Experiments were done in three sessions. Each session consisted of several recording runs involving two arenas at a time set up beside (session 1) or above (session 2) the experimenter, or four arenas at a time (session 3), two above and two beside the experimenter (Table Summary of outcomes of recording sessions 1-3 See text for a description of each session. a) Vertically oriented arenas (arenas located beside the experimenter) and b) horizontally oriented arenas (arenas located above the experimenter). Dashes in a cell indicate no recordings were made for that combination in that sessiona) Vertical orientation (beside experimenter) Small arena (85 mm dia.) Large arena (170 mm dia.) Hole diameter Hole diameter Recording session # mosquitoes 9 mm 13 mm 9 mm 13 mm Total 1 Tested 42 29 40 31 142 Showing no activity 5 1 4 3 13 Passing through hole 9 16 5 9 39 2 Tested - - - - - Showing no activity - - - - - Passing through hole - - - - - 3 Tested 25 26 30 24 105 Showing no activity 1 5 4 5 15 Passing through hole 10 15 4 11 40 Total Tested 67 55 70 55 247 Showing no activity 6 6 8 8 28 Passing through hole 19 31 9 20 79 b) Horizontal orientation (above experimenter) Small arena (85 mm dia.) Large arena (170 mm dia.) Hole diameter Hole diameter Recording session # mosquitoes 9 mm 13 mm 9 mm 13 mm Total 1 Tested - - - - - Showing no activity - - - - - Passing through hole - - - - - 2 Tested 11 9 17 12 49 Showing no activity 0 0 0 0 0 Passing through hole 7 7 8 11 33 3 Tested 21 28 28 26 103 Showing no activity 0 0 0 1 1 Passing through hole 13 23 12 8 56 Total Tested 33 37 45 38 153 Showing no activity 0 0 0 1 1 Passing through hole 20 30 20 19 89
Temperature and relative humidity conditions were measured in the arenas around the simulated bed net in a separate session with no mosquitoes present using Hobo® data loggers (Onset Technologies, model U12). One logger was placed with its sensor window down on the netting inside a 170 mm diameter arena placed in the overhead position (bed net roof simulating position) and one was placed with its sensor window facing into the simulated bed net in the side simulating position. A third (reference) logger was placed approximately 3.5 m away from the simulated net on a shelf 1.2 m above the floor. Loggers were synchronized to record once per second throughout the test which consisted of three cycles. In each cycle, the simulated net was occupied by the experimenter for 10 min and then left unoccupied for three minutes during which time the experimenter stood off to the side but did not leave the room. A five-minute period during which the simulated bed net was unoccupied preceded the first of the three cycles.
Recordings were downloaded from the recording units using HOBOware Pro® software and data were processed using Microsoft® Excel. Hoboware conversion software was used to calculate second-by-second absolute humidity values from temperature and relative humidity data for each recorder location.
All videos were analysed using Noldus Observer™ (version XT 8.0) software (Noldus Information Technology, Wageningen, The Netherlands). Behaviours of mosquitoes in each recording were classified as one of three mutually exclusive state events: ‘flying’, ‘walking’ and ‘still’. ‘Flying’ was scored any time the mosquito was beating its wings and moving in the arena. This included airborne flight and skimming over the mesh surface during which the mosquito often made repeated contact with the net. ‘Walking’ was scored as any displacing activity in the arena that could not be scored as ‘flying’. Because walking could be very slow, it was sometimes difficult to draw the line between it and the ‘still’ state. ‘Walking’ could also be more vigorous and include momentary bouts of wing beating (but no lift off from the net) and probing with the mouthparts through the net mesh. The ‘still’ state was scored any time the mosquito was standing in one place in the arena. Often mosquitoes were completely still in this state though sometimes they would clean. Hole passage was scored as a point event defined by the mosquito passing through the hole in the netting. If hole passage did not occur within 10 min, the analysis was terminated.
Results of the Observer video analyses were exported to an Excel spreadsheet and analysed in R [
Three hundred and ninety nine video recordings were made in the course of the three sessions; 247 (61.9 %) in the vertical orientation and 152 (38.1 %) in the horizontal orientation (Table
There were clear differences between activity levels of mosquitoes in differently oriented arenas (Table Flight activity (including 25th and 75th percentiles) of mosquitoes that passed and that did not pass through holes by arena orientation irrespective of hole size and arena size (including mosquitoes that were inactive)Arena orientation Passed through hole Did not pass through hole Total Median flight time (25th,75th) N (row %) Median flight time (25th,75th) N (row %) Median flight time (25th,75th) Horizontal 75 (31, 131) 89 (59) 167 (79, 371) 63 (41) 93 (40, 198) Vertical 40 (20, 103) 79 (32) 55 (8, 123) 168 (68) 48.5 (12, 118)
There was no indication that mosquitoes responded to holes as an opportunity to pass through the netting. Many instances were recorded in both orientations in which mosquitoes flew across the hole, sometimes more than once, without passing through it or pausing. In other instances, mosquitoes were observed to rest on the netting immediately beside a hole, sometimes for many seconds, without seeming to respond to it. Irrespective of hole size, orientation or arena size, virtually all mosquitoes that passed through a hole did so while flying as opposed to by walking through. In many cases, hole passage was noted not to be clean; mosquitoes often bumped into the sides of the hole while passing through. Some mosquitoes bumped the holes’ edges several times appearing to ‘pinball’ through. Still others collided with the hole edges and failed to pass through.
The rate of hole passage per second spent flying and walking was significantly higher for arenas with a 13 mm hole vs. arenas with a 9 mm hole (log rank Kaplan-Meier survival functions comparing all combinations of hole and arena size irrespective of arena orientation Kaplan-Meier survival functions comparing hole sizes (
There was no significant interaction between arena size and hole size in either the horizontally oriented or the vertically oriented arenas. Both hole size and arena size were significant factors in determining the probability of passage for both orientations of the arenas (Fig. Hazard ratio estimates from Cox PH models stratified by arena orientationExperiment characteristics N Passed through hole (%) HR (95 % CI)
Vertical orientation 219 79 (36) 9 mm hole 123 28 (23) Ref 13 mm hole 96 51 (53) 3.96 (2.48, 6.33) < 0.001 85 mm arena 110 50 (45) 3.43 (2.13, 5.51) < 0.001 170 mm arena 109 29 (27) Ref Horizontal orientation 151 89 (59) 9 mm hole 74 49 (66) Ref 13 mm hole 77 40 (52) 1.63 (1.07, 2.49) 0.02 85 mm arena 82 39 (48) 1.94 (1.27, 2.95) 0.002 170 mm arena 69 50 (72) Ref
Temperature at all measured locations generally increased from the start of the recordings (time zero) to the end (Fig. Temperature and humidity profiles at three positions in a simulated bed net. In all panels, the overhead position is green, the position to the side is red and the reference (room) is magenta. Experimenter occupied the simulated bed net in periods labelled ‘present’.
Levels of mosquito activity were significantly greater in arenas above the experimenter compared to arenas to the side. Measurements of temperature and relative humidity in both locations indicate that experimenter presence generated a convective plume that rose vertically, strongly affecting conditions in the overhead arenas but having very little effect on conditions in the arenas to the side of the experimenter. This would account for the greater activity levels exhibited by mosquitoes in the overhead arenas since moisture and heat plumes, and body and breath odours that would have been carried along with them, are known to be powerful mediators of close range host seeking in mosquitoes [
Temperature in overhead arenas, while showing a steady overall increase relative to room temperature and to temperature in arenas to the side, only weakly mirrored the experimenter’s presence in the simulated net and may not, in itself, account for the high levels of activity of the mosquitoes in the overhead arenas. On the other hand, although its overall level dropped over time, relative humidity in overhead arenas was highly responsive to experimenter presence-absence in the simulated net. The precise roles that the heat-moisture-odour stimulus play in mediating the mosquito host seeking response is not known but Takken
Electrophysiological studies of hygroreceptive sensilla in the stick insect,
These are the first measurements of the heat and humidity conditions produced by the human body in a situation that can be compared to a bed net. While these measurements were taken in a simulated bed net, human occupant(s) probably create similar conditions around real bed nets. If so, this would confirm the speculations of several authors [
In observations of mosquitoes in arenas, hole passage in both orientations happened in flight and not while walking. The expectation that hole passage probability in these experiments would be a positive function of hole area, and the resulting prediction that the rate of passage would be greater for the 13 mm holes than for the 9 mm holes was confirmed when the data were pooled across orientation (Table
The ratio of the areas of the two hole sizes in these experiments was 2:1 (area of 13 mm diameter hole = 133 mm2, area of 9 mm hole = 64 mm2) leading to the prediction that hole passage rate in a given arena size would be about two times greater for the 13 mm diameter compared to the 9 mm diameter holes. This was the case for the horizontal orientation (Table
The additional factor affecting hole passage could be interactions of the flying mosquito with the hole edge (i.e. a ‘hole edge’ effect). As previously noted, mosquito encounters with holes in the netting sometimes involved the mosquito colliding with the hole edges. While detailed information was not recorded, collisions ranged from direct hits to glancing contacts. It seems likely that the degree and number of these collisions would have an effect on hole passage.
In flight, the mosquito’s head, mouthparts, wings and legs extend outward partly occupying a volume referred to here as the ‘in-flight profile’. The diameter of the in-flight profile of Hypothesized relationship of mosquito flight profile to edge effect.
If, when it is close to a hole in the netting, no part of the flying mosquito contacts the hole edge (i.e. if the center of the 9 mm in-flight profile is 4.5 mm or more from the hole edge (Fig. In-flight profile (dotted circle) at various possible positions relative to the hole edge (solid circle) and surrounding netting.
This proposed edge effect could account for the approximately 50 % less-than-predicted 9 mm hole passability in vertically-oriented arenas since virtually every potential passage through a hole this size (by mosquitoes this size) will bring some part of the mosquito into contact with the hole edge. This effect would rapidly diminish as hole diameter increases but may be passage-limiting for holes much smaller than the 9 mm diameter holes tested here.
The fact that that comparative passage rates through 9 mm and 13 mm holes in horizontally oriented arenas (above the experimenter) were not significantly different from what they should have been based on area alone suggests there are orientation-specific factors that counteract the edge effect seen in vertically-oriented arenas. The convective plume passing from the experimenter through the overhead arenas, but not arenas to the side (Fig.
These experiments were done using only round holes but their results have implications for the passability of non-round holes which, it is well-documented, make up the majority of holes in bed nets. Smith
The WHOPES-recommended proportionate hole index (pHI) method for assessing bed net damage [
The increasing impact of the edge effect on vertically oriented holes approaching 0.5 cm in diameter suggests that mosquitoes will not be able fly through holes around this size if they are on the sides of the bed net. The WHOPES-recommended practice of not counting holes smaller than 5 mm in ITN assessments is supported by this though only for holes in the net sides and ends. These results suggest that the passability of smaller holes on the bed net roof is not affected in the same way and they may be more passable than their counterparts on the net sides.
Work by Itoh
Mosquitoes respond to occupied bed nets in complex ways that are the result of their innate host seeking behaviours and the environment around the net. An improved understanding of this complex interaction is needed to inform changes in bed net design and deployment and more accurate ways of assessing the risk posed by bed nets in various states of deterioration.
Work by Lynd and McCall [
Insecticide-treated bed net
Carbon dioxide
United States Centers for Disease Control and Prevention
Relative humidity
Proportionate hole index
The authors declare that they have no competing interests.
JS conceived and planned the study, conducted all experiments and took part in manuscript preparation. KC conducted all statistical analyses and took part in manuscript preparation. Both authors read and approved the final version of the manuscript.
The authors gratefully acknowledge the CDC Entomology Branch for financial and facilities support for this research and the staff of the Malaria and Entomology Branches of the CDC for mosquitoes used in experiments. The quality of this paper was aided by discussions with Ellen Dotson, Tony Fiore, John Gimnig, Seth Irish, Gabriel Ponce de Leon, Steve Smith and Bob Wirtz of the CDC and Brian Byrd of the Environmental and Health Sciences Program at Western Carolina University.