Administration of ivermectin to cattle induced mortality, reduced fecundity and survivorship of Anopheles arabiensis in Ethiopia: an implication for expansion of vector control toolbox

Background Although many countries have shown interest in eliminating malaria, approaches that complement existing vector control interventions are needed because existing methods have been scaled up but malaria still persists. Therefore, the effect of ivermectin administration to cattle was evaluated for its effect on mortality, survivorship and mortality of laboratory reared Anopheles arabiensis. Methods Three calves were randomly selected and injected with ivermectin at a therapeutic dose of 0.2 mg/kg, while the other two calves received no treatment and served as controls. Five tents were constructed for the trial. Calves were housed in tents (one per tent) and then 30 starved female An. arabiensis were introduced into each tent. Only fully engorged females were collected from each tent and placed in different mosquito cages to monitor their mortality, survival and fecundity. Data analysis was done using SPSS version 16. Results During the follow-up period (until day 21), ivermectin induced significantly higher mortality when compared to controls. It resulted in an average 24-h mortality rate of 81.6% against An. arabiensis on the first day following treatment. 100% An. arabiensis that fed on ivermectin-treated calves on the first day after treatment died within four days. Egg production rate of An. arabiensis that fed on ivermectin-treated calves was significantly lower compared to controls (F = 768.7, P < 0.001). Conclusion In conclusion, ivermectin induced mortality, reduced fecundity and survivorship of laboratory maintained An. arabiensis. Further study is recommended using a wild mosquito population. Moreover, mass ivermectin administration to domestic animals could be recommended to supplement the existing indoor based interventions.


Introduction
Between 2000 and 2015, there has been a significant reduction in malaria incidence and mortality rates globally [1].After 2017, the situation in Africa has deteriorated [2,3] as there has been a resurgence in the number of cases and deaths [2,3].There was an increase in the number of cases and deaths in 2020, and even more cases and deaths were documented in 2022, particularly in Africa [4].The recent increase in cases may be due to insecticide-resistant vector populations, changes in vector feeding and resting behavior, and increased antimalarial and diagnostic resistance [4].Rapid population growth increases the number of people at risk, but the supply of insecticide-treated nets (ITNs) and indoor residual spraying (IRS) chemicals does not keep up [5].That means there are people left behind without ITNs and IRS.Malaria vectors mainly feed on cattle and humans outdoors are less affected by IRS and ITN [6].In some countries, the biting hours of the malaria vectors shift to the early hours of the night before people sleep under bed nets [7][8][9].In other countries, the primary malaria vectors, An. gambiae s.s. and An.funestus have been replaced by An. arabiensis which is more attracted to animals and bites in the early night hours [10].Anopheles arabiensis has been shown to bite outdoor and in the early hours at night [7,8], which makes it a significant contributor to the transmission of residual malaria [6].Secondary malaria vectors respond poorly to ITN and IRS [11] and even highly anthropophilic Anopheles species tend feed on animal and outdoor in response to the indoor malaria control tools [12].Therefore, new complementary tools are needed to fill these gaps.
Involving the domestic animals in the control of malaria is recommended in many situations [13][14][15][16] although the evidences are controversial; some claims that animals reduce malaria infection and the other claims that animal increases mosquito bites and malaria infection [17,18].The proximity of cattle to human houses may increase the bites of malaria vectors and the risk of malaria infection [17].The number of animals and the way the animals deployed may influence the role of animal in malaria control.The application of topical insecticides on animal has shown a promising result against malaria [19].Rowland and his colleagues who worked in Pakistan documented the effectiveness of application of pyrethroid insecticide on cattle against zoophilic malaria vectors and claimed up to 56% reduction of malaria incidence [19].There are also systemic insecticides (injected into subcutaneous tissue) such as ivermectin that are effective against endo-and ectoparasites [20,21].Ivermectin was first introduced for commercial use as an anti-parasitic drug for the animal use in 1981 [22].It targets the glutamategated chloride channels found in invertebrate postsynaptic neurons and neuromuscular junctions [22,23].This action hyperpolarizes the neurons and muscle fibers, leading to paralysis and insect deaths.Ivermectin's lethal potential against a variety of arthropods, including mosquitoes, has been documented [24].
We documented the potency of ivermectin on An. arabiensis fed on human on a number of mosquito malaria transmission capacity parameters such as longevity, fecundity and fertility in Ethiopia [16].Additionally, the feeding behavior of malaria mosquitoes is thought to contribute to the effectiveness of ivermectin administration to cattle in the malaria vector control toolkit [24].In this regard the main malaria vector An.arabiensis has shown a tendency to feed on livestock in the region [25] and therefore a focus on animals could be useful in a control program.Regardless of the wide distribution of the existing malaria vector control methods, alternative approaches to supplement the existing vector control interventions are needed as malaria yet remains.The research group sought to explore evidence for potency of ivermectin administration to domestic animals as a supplementary anti-malaria vector mosquito approach.Therefore, the effect of ivermectin administration to cattle on entomological parameters of malaria was investigated.

Description of the experimental animals
Five local male zebu cattle with a body weight of 110-150 kg and aged 1-2 years were used (Table 1).They were treated with albendazole (5 mg/kg) two weeks before commencing the trial to avoid stress, and other health problems and avoid cross-reactions if any to ivermectin.They were housed and cared for by the owner to avoid stress and to maximize the effect of the treatment.The calves were housed individually (till the end of the experiment) in separate houses to avoid contact between treatment and control groups.

Anopheles arabiensis rearing
The colony of An. arabiensis, originally maintained for decades at the Adama Malaria Research Center, has been in the Medical Entomology and Vector Control Laboratory of Arba Minch University since 2014.The colony is

Experimental design
Five white tents each of 2 m × 2 m × 2 m were set at Arba Minch University Abaya campus (Fig. 1).The metal frame was used as scaffolding on four sides, top and bottom.A tie was fixed inside each tent to restrict cattle movement and facilitate mosquito feeding.A white sheet of 2.5 m × 2.5 m × 2.5 m spread on the ground for easy recognition of knock down mosquitoes.We used white tents to visualize the resting mosquitoes.Three ivermectin treated and two untreated (control) calves were assigned randomly to each tent.In each tent, 30 starved 3-5 days old female An.arabiensis were introduced at 18:00 and allowed to feed until 20:00 h.After that, the openings were closed with zippers to prevent mosquitoes from escaping.Feeding was done on days 1, 3, 9, 14 and 21 after ivermectin administration.The residual effect of ivermectin was assessed based on its already documented residual lifespan up to day 21 [16,26,27].The same batch of laboratory-reared An. arabiensis was used for each feeding timeline in both control and treatment groups.Live An. arabiensis, including fully fed and unfed, were collected by mouth aspirator.The forceps were used to collect crushed or dead mosquitoes, which were then counted to ensure none were missing before being thrown away.

Experimental procedures Treatment of cattle with ivermectin
Ivermectin (IVOMEC D ® ) was administered subcutaneously to three randomly chosen calves at the therapeutic dose of 0.2 mg/kg of body weight, while the other two served as the control group and received no treatment.The drug was injected by a veterinarian.

Monitoring An. arabiensis mortality and survivorship
Fully engorged female An.arabiensis were transferred to individually labeled cages at all post-treatment feeding timeline to monitor the effect of ivermectin on morality and survival.Unfed mosquitoes were discarded after being chilled for 15 to 20 min.Three cages were set up for treatment and two for control to monitor mortality and survival.Mosquitoes were provided with a 10% sucrose solution and their mortality and survival were monitored for 12 consecutive days, taking into account the sporogonic development period of malarial mosquitoes in most cases.The number of mosquito dead in the first 24 h of feeding was recorded for mortality estimation, while the mosquitoes survived by each day for 12 consecutive days were recorded for survivorship estimation.The last post-treatment feeding experiment was performed on day 21 because of the residual lifespan of ivermectin [14,27].

Monitoring Anopheles arabiensis fecundity
Assessment of the post-administration effect of ivermectin on An. arabiensis fecundity started on day 9 due to high mortality in the first few days of feeding.For fecundity estimation (the number of eggs produced), the proportion of survivors were randomly divided into two groups on day 4 after the blood meal (for filter paper egg count and for ovarian dissection to count eggs) [28].Ovaries were extracted and dropped on distilled water to release the eggs which were then counted under a dissecting stereomicroscope.The number of eggs of a gravid female in the experiment was considered as a proxy for their fecundity.For filter paper egg count, each mosquito was transferred to a plastic container with moist filter paper to lay eggs, and then the container was covered with a nylon mesh screening.Mosquitoes were observed daily for oviposition and deposited eggs were counted under the microscope.

Data analysis
Mean, standard deviation (SD) and standard error (SE) of mean along its 95% confidence interval (CI) were analyzed to describe the survivorship.Kaplan-Meier estimator package was used to calculate the survivorship function of a random variable in time.Survivorship curves were compared using Log Rank test.Cox regression was applied to predict the proportional hazards probability.The mean difference in the number of eggs between control and treatment groups compared using a pairwise comparison test.All analyses were carried out using statistical software, SPSS version 16.

Description of mosquitoes exposed to feed on calves
Table 2 shows the number of An. arabensis exposed to calf feeding and the number collected after feeding.About 80.4% An. arabiensis was successfully fed to calves.Mean percentage of freshly fed An. arabiensis collected from treatment group was 79.5% (95% CI 75.9-83.3),and it was 81.6% (95% CI 78.4-84.9)for control group.

Effect of ivermectin on mortality of An. arabiensis
The 24 h An. arabiensis mortality was significantly higher in those fed on treated calves than the controls (Table 3).Ivermectin induced significantly higher mortality until 21 days after injection (DAI) compared to controls.A higher average mortality (81.6%; 95% CI 75.5-87.7)was observed on day 1 post-treatment, which gradually decreased to 41.7% (95% CI 36.6-46.8) on day 21 posttreatment (Fig. 2).

Effect of ivermectin on the survivorship of An. arabiensis
The survivorship of An. arabiensis reduced significantly after feeding on the ivermectin treated calves compared to those fed on the controls (F = 110.7,P < 0.001).Mean survivorship of An. arabiensis was significantly affected by the interaction of treatment and day after injection (F = 15.13,P < 0.001).All (100%) An. arabiensis that fed on ivermectin-treated calves on the first day after treatment died within 4 days, whereas 7.9% of mosquitoes in the control group died 12 days after feeding.On the other hand, 27% of An. arabiensis fed on day 21 after treatment  Fig. 2 The mean An. arabiensis mortality during 24 h of each feeding point on ivermectin treated and control calves.DAI day after injection died within 12 days and the effect was marginally significant (F = 3.6, P = 0.056) compared to control (Table 3).
The Kaplan-Meier survivorship curves showed the effect of the ivermectin versus time in comparison with the control group (Fig. 3).The median survivorship time of An. arabiensis that fed on treated group was shorter compared to those fed on the control (Table 4).The median survivorship time was significantly short among the An.arabiensis that fed on ivermectin at day 1 (F = 27.2,P < 0.001), 3 (F = 25.9,P < 0.001), 9 (F = 9.1, P = 0.003), 14 (F = 7.9, P = 0.005) and 21 after treatment (F = 3.6, P = 0.006).

Effect of ivermectin on fecundity of An. arabiensis
A total of 300 blood engorged An. arabiensis were used to estimate fecundity.Egg production rate of An. arabiensis that fed on ivermectin-treated calves was significantly lower compared to controls (F = 768.7,P < 0.001).Mean number of eggs from ovary dissection (F = 411.3,P < 0.001) and filter paper count (F = 435.3,P < 0.001) reduced significantly due to ivermectin (Tables 5, 6).

Discussion
This study evaluated the effect of cattle treatment with ivermectin on mortality, survivorship and fecundity of An. arabiensis.Ivermectin induced mortality, reduced survivorship and fecundity of An. arabiensis for a minimum of 21 day after injection.The proportion of surviving and their median survivorship times of An. arabiensis were reduced in those feeding on ivermectin treated calves compared to control calves.However, the effects gradually declined after two weeks of ivermectin administration and may require repeated injections of animals during long transmission seasons.Similarly, Lyimo et al. [28] reported five-fold higher mortality of mosquitoes fed on ivermectin treated cattle relative to control in the first week.Other studies have reported higher mortality in An. arabiensis that were fed on cattle treated with ivermectin [26,28].This reveal that greater number of mosquito can die after feeding on ivermectin treated calves.Therefore, it may be important for fast reduction of vector population and hence, may reduce human-vector contact.
Feeding calves treated with ivermectin reduced the proportion of survivor An. arabiensis and their mean survival time compared to controls.The low survivorship of malaria vectors due to ivermectin implies the possibility of dying before the next blood meal and become infectious.Moreover, Pooda et al. [29] reported 75% of mosquito mortality before able to become infectious after feeding on treated cattle.Shorter life of those mosquitoes fed on ivermectin treated cattle has also been documented by Lyimo et al. [28].Strategies which target the longevity of mosquitoes are obviously important to interrupt malaria transmission because the development of parasites require extrinsic incubation period.As ivermectin targets the adult mosquitoes and reduce mosquito survivorship which leads to a shift in the population structure to younger mosquitoes and hence a lower proportion of infectious mosquitoes.This provides evidence that treating cattle with ivermectin could impact the longevity of malaria vectors and reduce the number of infectious mosquitoes.
The present study also revealed that ivermectin could reduce egg production rate of An. arabiensis at least for 21 days.Some studies also showed similar findings [14,17,29].Treatment of humans with ivermectin also induced the similar effect against malaria vectors [5,16].This suggests that feeding ivermectin-treated cattle can decrease the density of An. arabiensis in the successive generations that have a direct impact on the transmission of malaria.Today, integrating interventions to maximize benefit is strongly recommended.Ivermectin is widely used to control endo-and ectoparasites in animals and to treat filarial nematode parasites in humans [27].It has a different mode of action than the insecticides used to control malaria vectors, potentially making it even useful for insecticide-resistant vector populations [20,21].Hence, ivermectin based intervention could be deployed in conjunction with other WHO-recommended malaria control measures and defining the ideal context for ivermectin based tool could be practically voluble to control the zoophilic malaria vector in the region [25].
This study has strengths and limitations.This study provided further evidence of the effectiveness of ivermectin administration to cattle as an alternative malaria vector control agent in Ethiopia, where there are limited studies documenting results similar to the present study.The current study adds credence to the extrapolation of  the animal-based malaria vector strategy to the wider ivermectin-using community.Integrating the veterinary and public sectors can be beneficial for policymakers as it can help in maximizing resource utilization.In areas where malaria is prevalent, animal endo-and ectoparasites are also common, leading to health and economic problems in communities.Animal-based malaria control programs can have a dual effect by addressing both economic and health issues [29,30].It is important to note that using laboratory-reared mosquitoes may not provide accurate information about the wild population.Additionally, the study did not assess the impact of ivermectin on transmission-blocking or parasite development in mosquitoes.Finally, it would be beneficial to evaluate the effect of mass ivermectin administration to domestic animals at the community level to determine whether it can supplement existing indoor-based interventions.

Conclusion and recommendations
Ivermectin induced mortality, reduced survivorship and fecundity of An. arabiensis for a minimum of 21 day after therapy.Proportion of survivors and the average survival time of An. arabiensis that fed on ivermectin treated calves was low compared to controls.These results notify that ivermectin treated calves may suppress An. arabiensis population and malaria transmission, and it could be integrated with and ITNs to control the zoophilic malaria vectors.

Fig. 1
Fig. 1 Back side (left) and front (right) of the experimental tent

Fig. 3
Fig.3Kaplan-Meier estimates of survivorship time (in days) of Anopheles arabiensis feeding on calves after injection of 0.2 mg/kg of ivermectin.Blue lines mosquitoes fed on treated calves.Green lines mosquitoes fed on control calves.Censored An. arabiensis: those died during the following period

Table 1
Physical condition of experimental calves and ivermectin doses given to calvessusceptible to all public health insecticides.It is maintained under standard temperature (27 ± 2 °C), relative humidity (75 ± 5%) and 12 h day: 12 h night cycle.Larvae reared on plastic trays in distilled water were provided with ground Tetramin ® fish food (fish meal).Pupae were collected in cups, placed in 25 × 25 × 25 cm mosquito cages and emerged adults were allowed to feed on 10% sugar solution.

Table 2
Description of Anopheles arabiensis exposed to feed on calves, freshly fed and percent freshly fed

Table 3
Mortality and survivorship of An. arabiensis that fed on ivermectin treated calves within twelve days follow-up period

Table 4
Estimated median survivorship time (days) of An. arabiensis after feeding on ivermectin treated and control calves

Table 5
Effect of ivermectin on mean number of eggs per female An.arabiensis from filter paper count at different points of feeding after treatment

Table 6
Effect of ivermectin on mean number of eggs per female An.arabiensis by dissecting ovaries at different points of feeding after treatment