Our partner and WP leader, Rachel Lowe, ICREA Research Professor and Global Health Resilience (GHR) Group Leader at the Barcelona Supercomputing Center (BSC), was recently interviewed by HERA (Health Emergency Preparedness and Response Authority) and featured on their website: https://ec.europa.eu/newsroom/hera/items/852413/en

HERA is an EU body established to strengthen Europe’s ability to anticipate and respond to health emergencies, particularly in the wake of the COVID-19 pandemic. It aims to ensure the provision of critical medical countermeasures and enhance Europe’s readiness for future health threats.

In the interview, Rachel Lowe discusses the intricate connections between climate change and the outbreaks of climate-sensitive infectious diseases, exploring why these outbreaks are increasing and spreading to new regions, particularly in Europe. She also explains how shifting climate patterns could influence emergency preparedness and response strategies, highlighting the need for proactive, integrated approaches. She shared insights into specific climate-sensitive diseases that pose a potential threat to the EU, including dengue, chikungunya, and West Nile virus, and discussed ongoing efforts like the development of the EpiOutlook platform within the IDAlert project, which is part of the European Climate-Health Cluster. This platform aims to provide early warnings of climatic suitability for various infectious diseases in Europe. They also track the impact of climate change on these diseases in the Lancet Countdown in Europe collaboration.

As part of E4Warning, Professor Lowe also elaborated on her work in developing decision support tools like the D-MOSS (Dengue forecasting Model Satellite-based System) for dengue in endemic regions in collaboration with HR-Wallingford, as well the efforts on integrating different data sources such as citizen science initiatives like Mosquito Alert, which could enhance the monitoring and management of disease vectors across Europe, providing critical support for future public health interventions.

For more details, read the full interview on the HERA website and gain valuable insights into how E4Warning and its partners are addressing the growing challenges posed by climate-sensitive diseases in Europe.

Some members of the E4Warning team attended the 23rd ESOVE Conference (European Society for Vector Ecology), held from October 14-17, 2024, in Montpellier, France. This edition was organized by the Vectopole Sud network, which includes research partners from the Occitanie region: Cirad, CNRS, INRAE, IRD, University of Montpellier, Toulouse Veterinary School, and EID Méditerranée, the main public vector control operator in France.

Catuxa Cerecedo (CEAB-CSIC) presented her talk titled “Integrating citizen and authoritative surveillance data in mosquito distribution models,” a study framed within the E4Warning project on the Session Surveillance systems, community-based surveillance and management of VBDs. Her research explores how to integrate mosquito observations collected by citizens using the Mosquito Alert tool with mosquito counts from traditional traps and assesses whether this integration improves habitat suitability models for mosquito species or provides additional insights into mosquito abundances. Exploring the integration of various data sources to model vector dynamics and abundance is one of the project’s key objectives.

The conference also featured presentations from other groups outside the consortium using data collected through Mosquito Alert, as well as studies testing the effectiveness of Vectrack smart traps developed by the partner IRIDEON.

In a recent study conducted in Brazil by researchers from the Instituto Oswaldo Cruz, the E4Warning project successfully deployed smart traps with the VECTRACK sensor developed by IRIDEON, to improve mosquito surveillance in urban settings. These smart traps, equipped with AI and IoT technologies, have been tested in two Brazilian cities—Rio de Janeiro and Brasilia—where they demonstrated high accuracy in identifying mosquito species such as Aedes aegypti and Culex quinquefasciatus, both key vectors for diseases like dengue, Zika, and chikungunya.

Over a year of field testing, the traps showed a remarkable 99.8% accuracy in distinguishing target mosquito species from other insects and a 93.7% accuracy in differentiating between the two genera of mosquitoes. The smart traps collected data on 9,151 insect flights, of which 1,383 were mosquito vectors.

These findings indicate the potential of the E4Warning tool to provide real-time monitoring and classification of mosquitoes in areas with high vector-borne disease risks: by the end of September 2024, over 9.5 million dengue cases had been reported in Brazil. In this context, the data gathered from the smart traps could be instrumental in aiding public health authorities to make timely interventions, such as targeted vector control measures, enhancing the preparedness and response to mosquito-borne disease outbreaks.  The successful implementation of the IRIDEON smart traps in Brazil showcases how cutting-edge technologies can revolutionize mosquito surveillance, making it faster, more accurate, and less reliant on manual labor.

The paper has been published in the Parasite & Vector journal: Njaime, F.C.B.F.P., Máspero, R.C., Leandro, A.d., Maciel-de-Freitas, R. Automated classification of mixed populations of Aedes aegypti and Culex quinquefasciatus mosquitoes under field conditions. Parasites Vectors 17, 399 (2024).

It can be consulted at the following link: https://parasitesandvectors.biomedcentral.com/articles/10.1186/s13071-024-06417-z

It can also be founded in the E4Warning Zenodo community: https://zenodo.org/records/13868673

During the summer of 2024, project partners in Spain and Germany have been actively tagging birds with bio-loggers at key study sites to monitor their local and regional movements. Understanding bird movements and space usage during mosquito season is essential, as birds are the primary reservoirs for West Nile Virus (WNV). This project focuses on quantifying the mobility of key reservoir species, filling a crucial gap in current research by examining the local movement and dispersal patterns of resident bird species. Unlike the more extensively studied migratory birds, resident birds’ space usage near human settlements has been less explored. By gathering empirical data on these local movements, we aim to enhance our understanding of how resident bird populations contribute to virus transmission in areas close to human activity.

Fieldwork involves capturing and tagging various bird species with bio-loggers provided by the Max Planck Institute (MPI). For smaller bird species, such as blackbirds (Turdus merula) and starlings (Sturnus vulgaris), we are using bio-logging devices developed by MPI that operate with SigFox technology. Although the SigFox IoT network offers lower spatial accuracy compared to satellite navigation, it supports the creation of particularly small devices thanks to the network’s low power demands requiring fewer electronic components. This allows tracking of smaller species with minimal impact on their natural behaviour.  This innovative technology also allows for near real-time tracking and data transmission to the MovBank platform, making it ideal for monitoring the movements of these smaller species across different environments.

The data collected from these birds will be compared with similar data from other study sites within the project during the next years, allowing us to gain a deeper understanding of the potential WNV transmission dynamics across various landscapes. In addition to blackbirds and starlings, other species being tagged include mallards (Anas platyrhynchos), pigeons (Columba livia), and either western marsh harriers (Circus aeruginosus) or northern goshawks (Accipiter gentilis). The capture and tagging process began in June 2024 and will continue until September 2024, providing valuable insights into how these birds move through different landscapes and potentially contribute to the spread of WNV.

• Read more about the SigFox technology for animal tracking here: A multi-species evaluation of digital wildlife monitoring using the Sigfox IoT network.

In our ongoing efforts to enhance mosquito surveillance and early warning systems, the E4Warning consortium is leveraging innovative technologies, including the improvement of the IRIDEON SL smart-traps. These smart-traps are designed to automate and improve the efficiency of mosquito monitoring, addressing the challenges faced by traditional methods.

Overcoming Traditional Surveillance Challenges

Traditional mosquito surveillance methods are costly and time-consuming, requiring significant professional resources for trap placement, sample collection, and laboratory analysis. Additionally, there is an inevitable time lag between placing traps and collecting samples, which can lead to inaccurate and untimely monitoring of mosquito populations.

The IRIDEON smart traps are off-the-shelf commercial suction traps equipped with the VECTRACK optoelectronic sensor prototype developed by IRIDEON SL in Barcelona. These sensors are capable of distinguishing between mosquito species, sex, and age under both laboratory and field conditions. The VECTRACK sensor includes an emitter, an array of LEDs, and photo-transistors acting as photoreceptors, all working together to create a light field. When a mosquito is drawn into the trap, its wing flapping modulates the light field, generating a species-specific signature. This signature is processed using AI methods, including rule-based systems, genetic algorithms, artificial neural networks, and fuzzy models, to classify the mosquito by genus, species, sex, and age.

Each VECTRACK recording includes GPS coordinates, date and time of capture, ambient temperature, and relative humidity. Every 30 minutes, the field sensor transmits data batches to the server via the mobile phone network. The server then classifies each mosquito event, providing detailed and accurate data on mosquito populations in real-time. This automation reduces the need for manual intervention and enables continuous monitoring.

Field Performance and Global Testing

The VECTRACK sensor has demonstrated its effectiveness in real-world scenarios, achieving high accuracy in field trials conducted in Spain. In El Prat de Llobregat (2021) and Rubí (2022), the sensor achieved 95.5% accuracy in species detection and 88.8% accuracy in classifying the genus and sex of mosquitoes. Check the work performed by Gozález-Pérez et al.: Field evaluation of an automated mosquito surveillance system which classifies Aedes and Culex mosquitoes by genus and sex. Parasites Vectors 17, 97 (2024). https://doi.org/10.1186/s13071-024-06177-w

Ongoing Field Tests Under E4Warning

The E4Warning project is testing the efficacy of the IRIDEON smart-traps under various conditions:

• Spain (Barcelona): VECTRACK sensors are deployed at five strategic monitoring sites across the city, focusing on Culex pipiens and Aedes albopictus. Agència de Salut Pública de Barcelona – ASPB
• Brazil (Rio de Janeiro and Brasilia): Field trials with local populations of Aedes aegypti and Culex quinquefasciatus in collaboration with Instituto Oswaldo Cruz, Fiocruz. Fundação Oswaldo Cruz (Fiocruz)
• Spain (Girona): Testing in non-urban environments like the Botanical Garden of Blanes and Aiguamolls de l’Empordà Natural Park, where diverse mosquito species are present. CSIC
• Greece (Athens): Planned deployment in the Attica region, focusing on critical points of entry for Aedes aegypti and areas of significant vector importance. Benaki Phytopathological Institute

To learn more about IRIDEON smart-traps refer to:

• González-Pérez, M.I., Faulhaber, B., Aranda, C. et al. Field evaluation of an automated mosquito surveillance system which classifies Aedes and Culex mosquitoes by genus and sex. Parasites Vectors 17, 97 (2024). https://doi.org/10.1186/s13071-024-06177-w
• González-Pérez MI, Faulhaber B, Williams M, Brosa J, Aranda C, Pujol N, et al. A novel optical sensor system for the automatic classification of mosquitoes by genus and sex with high levels of accuracy. Parasit Vectors. 2022;15:190. https://doi.org/10.1186/s13071-022-05324-5.

During the E4Warning project, we are employing various methods to collect blood-engorged female mosquitoes to study their feeding patterns. The techniques include carbon-dioxide-baited BG-traps, mechanical aspiration with a powered vacuum aspirator, and artificial resting sites. Sampling began in April 2024 and will continue monthly until November 2024 for this year.

From June 10-15, we hosted Dr. Nathan Burkett-Cadena and Tanise Steen from the Florida Medical Entomology Laboratory, University of Florida, at our study area in Aiguamolls de l’Empordà (Girona, Spain). Their visit aimed to test these collection techniques and share their expertise. They brought vacuum aspirators and resting traps developed by their lab to evaluate their combined efficacy in capturing blood-fed female mosquitoes across different habitats.

The Florida researchers developed human-powered resting traps designed for cavity-resting mosquitoes like Culex. These traps, set among vegetation in dark areas, attract mosquitoes seeking refuge during the day. Traps are placed horizontally to attract Culex and vertically to attract Anopheles mosquitoes and are collected the following day.

To maximize mosquito collection, we combined resting shelter traps and BG-traps with a large-diameter aspirator. These aspirators, designed by Dr. Burkett-Cadena’s team, use an automotive radiator fan to create directional airflow, capturing mosquitoes in a mesh-bottom plastic collection cup.

The insights gained during this visit and throughout the 2024 mosquito season will help finalize protocols for capturing blood-fed females, aiding in our study of mosquito feeding patterns.

• Burkett-Cadena. 2011. A wire-frame shelter for collecting resting mosquitoes. Journal of the American Mosquito Control Association 27: 153–155
• Burkett-Cadena et al. 2019. Human-powered pop-up resting shelter for sampling cavity-resting mosquitoes. Acta Tropica 190: 288-292
• Sloyer et al. 2022. Evaluating sampling strategies for enzootic Venezuelan equine encephalitis virus vectors in Florida and Panama. PLoS Negl Trop Dis.16:e0010329
•  Jaworski et al. 2022. Artificial resting sites: An alternative sampling method for adult mosquitoes. Medical and Veterinary Entomology 36: 139–148

Eva Veronesi (SUPSI) attended the 6th International Workshop on Aedes albopictus in Phnom Penh, Cambodia, from March 28-29, 2024. Organized by the Institute Pasteur of Cambodia, the workshop was led by Dr. Sébastien Boyer (head of the Medical and Veterinary Entomology Unit at the Institute). The opening session was presided over by Prof. André Spiegel, Director of the Institute Pasteur of Cambodia, with the presence of Professor Chheang Ra, Minister of Health of Cambodia, Mr. Jacques Pellet, Ambassador of France to Cambodia, and Dr. Boyer, who delivered the introductory talk.

The Aedes albopictus, commonly known as the tiger mosquito, is a principal carrier of Dengue fever, Chikungunya, Zika, and at least 20 other significant pathogens impacting public health. Originating from the tropical and subtropical zones of Southeast Asia, the tiger mosquito has expanded its reach globally over the last century, facilitated by international trade and travel. Distinguished by distinctive white stripes on its legs and body, the species has adapted well to human environments. As a considerable nuisance, the tiger mosquito typically resides close to human habitats and is known for its daytime biting behavior, especially during early morning and late afternoon periods.

The event was focused on enhancing scientific collaboration and showing innovative vector control strategies. Key research topics covered included vector models of invasion and dispersal, and the role of the species as a bridge vector, including the influence of climate change on vector behavior. For that, the workshop unfolded five sessions:

• Aedes albopictus in Asia.
• Biology and Ecology of Aedes albopictus.
• Vector control: challenges and innovations.
• Vector control: insecticide resistance.
• New surveillance strategies.

It was during the session on innovative surveillance strategies that E4Warning was spotlighted. The presentation titled “The Role of E4Warning in Combating the Spread of Dengue in Asia and its Potential Incursion into Europe” by Eva Veronesi showcased to the audience the surveillance tools involved in the project, such as Mosquito Alert (CSIC, UPF), VECMAP (AVIA-GIS)  and the smart traps designed by IRIDEON. Additionally, it highlighted the dengue models developed by the Barcelona Supercomputing Center (BSC) and HR Wallingford.

Link to the agenda of the event: Agenda 6th International Workshop on Aedes albopictus

E4Warning participated in the high-level conference “Research Perspectives on the Health Impacts of Climate Change,” organized by the Directorate-General for Research and Innovation (DG RTD) of the European Commission. This event, held in Brussels on February 19th and 20th, 2024, aimed to highlight the crucial nexus between climate change and global health issues.

Chloe Fletcher, a PhD candidate from the Global Health Resilience group at the Barcelona Supercomputing Center (BSC), attended the conference. Her research focuses on developing statistical models for predicting outbreaks of climate-sensitive infectious diseases, such as dengue and leptospirosis. Fletcher presented a poster titled “A Generalized Modelling Framework for Dengue Early Warning Systems in South and Southeast Asia,” a collaborative effort involving Ramy Hoek Spaans (BSC), Sophie Belman (BSC), Chloe Fletcher (BSC), Quillon Harpham (HRW), Gina Tsarouchi (HRW), and Rachel Lowe (BSC), all contributing to the E4Warning project.

This study aims to broaden the successful application of the Dengue Forecasting Model Satellite-based System (D-MOSS), originally implemented in Vietnam, to include Sri Lanka and Malaysia. By employing a Bayesian modeling approach and contrasting it with the conventional practices of dengue outbreak monitoring in each nation, the research seeks to identify which dengue predictors remain consistent or vary across these diverse regions.

The goal is to establish a universally applicable template for developing dengue early warning systems. The D-MOSS platform, which underpins this forecasting system, is managed by HR Wallingford. A key ambition of E4Warning is to collaborate intimately with local partners to deliver actionable data visualizations, thereby enabling an informed, data-driven approach to dengue management.

You can view the summaries of other posters presented during the conference at this link.

In November, Kamran Safi from the Max Planck Institute of Animal Behavior visited the CEAB-CSIC team leaded by Frederic Bartumeus and the Girona study area: the Aiguamolls de l’Empordà Natural Park. This visit was instrumental in familiarizing with the study area and engaging with local stakeholders: the park staff, regional mosquito control officials, and local ornithologists.

The meeting facilitated the selection of five common and abundant bird species present across various study zones for tracking their mobility patterns using GPS or Sigfox biologging. While bird migration and mobility have been studied on large scales, there’s limited data on the daily mobility of resident species and the impact of the landscape on their movements. Understanding these aspects is vital to determine the role different species play in transmitting pathogens like the West Nile virus across areas, such as from marshes or rice fields to peri-urban or urban zones.

Wild birds, being primary hosts of the virus, play a crucial role in its spread, thereby shaping the epidemiology of the disease. Assessing how they connect habitats and transfer pathogens is particularly crucial in human-altered landscapes where pathogen spillover between birds and humans can be facilitated. The lack of detailed information in the dissemination process of zoonotic pathogens undermines risk assessments and management plans. A key goal of WP5 is to quantify the mobility of various host species to develop a spatially-explicit approach to wildlife epidemiology.

The early warning system for dengue fever in Vietnam, developed by D-MOSS as part of the E4Warning initiative, has been highlighted as a significant success story during the launch of the World Meteorological Organization’s (WMO) “Climate Services for Health” report launched the past 2th November 2023. Rachel Lowe from the Barcelona Supercomputing Center (BSC) represented the project, elaborating on the vital work performed by E4Warning.

The presentation underscored how this advanced system is making strides in public health by providing early warnings of dengue fever outbreaks. By harnessing climate data and predictive modeling, the system is aiding Vietnam in taking preemptive measures to mitigate the impact of this vector-borne disease, thereby safeguarding communities and strengthening the resilience of health systems.

The latest World Meteorological Organization’s (WMO) State of Climate Services report delivers a compelling message about the intricate connection between our changing climate and public health. The report acts as a clarion call, highlighting the dire need for precise climate information and services to bolster the health sector amid escalating threats from extreme weather events, evolving disease patterns, and the looming specter of food and water scarcity.

Prof. Petteri Taalas, WMO Secretary-General, brings to the forefront the widespread occurrence of heatwaves across the globe, further intensified by the imminent onset of El Niño. This scenario sets a backdrop for heightened temperature records, amplifying the urgency for increased investment and collaborative efforts to elevate the role of climate science. By doing so, health partners can gain critical support in times when our climate’s unpredictability takes a tangible toll on human health.

In alignment with Prof. Taalas’s observations, WHO Director-General Dr. Tedros Adhanom Ghebreyesus defines the climate crisis as an escalating health crisis. He underlines the vital need for access to high-quality climate services within the health sector to counteract the perilous effects of climate change on human well-being.

Despite this clear need, the report reveals a gap: climate data often does not permeate health decision-making processes as it should. This disconnect points to an essential requirement for improved early warning systems, especially since disaster events are anticipated to surge, with less-prepared countries facing significantly higher mortality rates.

The focus then shifts to the underestimation of extreme heat’s health impacts. Highlighting the efforts of the Early Warnings for All initiative, the report underscores the necessity to expand heat warning services, which are currently absent in many vulnerable regions.

Ultimately, the WMO report connects the dots between the adverse effects of climate change on various aspects of health — from the quality of the air we breathe to the nutritional security of our food and the control of infectious diseases. It’s a comprehensive wake-up call for cross-sectoral action, aiming to fortify the health community against the multifaceted challenges posed by a warming world. This post serves to emphasize that climate action is not just an environmental imperative but a crucial facet of global health strategy.

Tangible solutions

The World Meteorological Organization’s (WMO) State of Climate Services report doesn’t just outline the challenges; it showcases tangible solutions through success stories where climate services have made significant inroads in health outcomes. One such example is the early warning system for dengue in Vietnam, which was presented as a beacon of the potential benefits of climate services for health. This system, alongside other initiatives from Africa, Europe, the Pacific, and the Pan-American region, represents the strides being made in marrying meteorological insights with health sector needs.

The State of Climate Services report can be downloaded here.