Wolbachia-infected mosquito to suppress the transmission chain of mosquito- borne virus: A systematic review and meta—analysis of community-based health intervention trials

Objective: To identify the efficacy of Wolbachia-based intervention by reviewing community-based trials through meta-analysis and systematic review methods. Methods: Studies about Wolbachia-infected mosquito intervention were collected through a screening process. Records underwent data extraction a...

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Main Authors: Muhammad Afif Naufal, Hafsa Hapsari, Talitha Dinda Gunawan, Robert Sinto
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Asian Pacific Journal of Tropical Medicine
Subjects:
Online Access:https://journals.lww.com/10.4103/apjtm.apjtm_644_24
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author Muhammad Afif Naufal
Hafsa Hapsari
Talitha Dinda Gunawan
Robert Sinto
author_facet Muhammad Afif Naufal
Hafsa Hapsari
Talitha Dinda Gunawan
Robert Sinto
author_sort Muhammad Afif Naufal
collection DOAJ
description Objective: To identify the efficacy of Wolbachia-based intervention by reviewing community-based trials through meta-analysis and systematic review methods. Methods: Studies about Wolbachia-infected mosquito intervention were collected through a screening process. Records underwent data extraction and quality assessment independently by the authors. The primary outcome of the study was protective efficacy. Quantitative analysis was conducted through meta-analysis and multivariate meta-regression using Rstudio Ver.2024.09.0-375. Qualitative analysis was done by summarizing records’ findings. Results: 10 out of the 10 660 records met the criteria. The evidence was moderate in quality and highly heterogeneous. Intervention consisted of releasing Wolbachia-infected Aedes aegypti in densely populated settlements. The combined protective efficacy of Wolbachia intervention against dengue is highly heterogeneous (79%; 95% CI 70-88; I2=98%). wMel strain is significantly more efficacious compared to wAlbB (protective efficacy 84%; 95% CI 76-93; I2=95%) vs. 64% (95% CI 46-82; I2=85%); P<0.01) in preventing dengue cases. Wolbachia-infected mosquito populations were found to be unstable upon release cessation, which necessitated periodic release and monitoring to maintain desired concentration and protective efficacy. Conclusions: Wolbachia-based intervention is effective in suppressing the transmission of mosquito-borne diseases, especially dengue, with an excellent safety profile. However, community acceptance and policy remain as significant barriers to implementation.
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spelling doaj-art-567fc47844cc4d98a6cbad2e089ed79a2025-08-20T02:05:25ZengWolters Kluwer Medknow PublicationsAsian Pacific Journal of Tropical Medicine2352-41462025-05-0118519720910.4103/apjtm.apjtm_644_24Wolbachia-infected mosquito to suppress the transmission chain of mosquito- borne virus: A systematic review and meta—analysis of community-based health intervention trialsMuhammad Afif NaufalHafsa HapsariTalitha Dinda GunawanRobert SintoObjective: To identify the efficacy of Wolbachia-based intervention by reviewing community-based trials through meta-analysis and systematic review methods. Methods: Studies about Wolbachia-infected mosquito intervention were collected through a screening process. Records underwent data extraction and quality assessment independently by the authors. The primary outcome of the study was protective efficacy. Quantitative analysis was conducted through meta-analysis and multivariate meta-regression using Rstudio Ver.2024.09.0-375. Qualitative analysis was done by summarizing records’ findings. Results: 10 out of the 10 660 records met the criteria. The evidence was moderate in quality and highly heterogeneous. Intervention consisted of releasing Wolbachia-infected Aedes aegypti in densely populated settlements. The combined protective efficacy of Wolbachia intervention against dengue is highly heterogeneous (79%; 95% CI 70-88; I2=98%). wMel strain is significantly more efficacious compared to wAlbB (protective efficacy 84%; 95% CI 76-93; I2=95%) vs. 64% (95% CI 46-82; I2=85%); P<0.01) in preventing dengue cases. Wolbachia-infected mosquito populations were found to be unstable upon release cessation, which necessitated periodic release and monitoring to maintain desired concentration and protective efficacy. Conclusions: Wolbachia-based intervention is effective in suppressing the transmission of mosquito-borne diseases, especially dengue, with an excellent safety profile. However, community acceptance and policy remain as significant barriers to implementation.https://journals.lww.com/10.4103/apjtm.apjtm_644_24denguemosquito-borne diseasesmosquitoprimary preventionwolbachia
spellingShingle Muhammad Afif Naufal
Hafsa Hapsari
Talitha Dinda Gunawan
Robert Sinto
Wolbachia-infected mosquito to suppress the transmission chain of mosquito- borne virus: A systematic review and meta—analysis of community-based health intervention trials
Asian Pacific Journal of Tropical Medicine
dengue
mosquito-borne diseases
mosquito
primary prevention
wolbachia
title Wolbachia-infected mosquito to suppress the transmission chain of mosquito- borne virus: A systematic review and meta—analysis of community-based health intervention trials
title_full Wolbachia-infected mosquito to suppress the transmission chain of mosquito- borne virus: A systematic review and meta—analysis of community-based health intervention trials
title_fullStr Wolbachia-infected mosquito to suppress the transmission chain of mosquito- borne virus: A systematic review and meta—analysis of community-based health intervention trials
title_full_unstemmed Wolbachia-infected mosquito to suppress the transmission chain of mosquito- borne virus: A systematic review and meta—analysis of community-based health intervention trials
title_short Wolbachia-infected mosquito to suppress the transmission chain of mosquito- borne virus: A systematic review and meta—analysis of community-based health intervention trials
title_sort wolbachia infected mosquito to suppress the transmission chain of mosquito borne virus a systematic review and meta analysis of community based health intervention trials
topic dengue
mosquito-borne diseases
mosquito
primary prevention
wolbachia
url https://journals.lww.com/10.4103/apjtm.apjtm_644_24
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AT talithadindagunawan wolbachiainfectedmosquitotosuppressthetransmissionchainofmosquitobornevirusasystematicreviewandmetaanalysisofcommunitybasedhealthinterventiontrials
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