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. 2019 Nov;34(6):514–520. doi: 10.5001/omj.2019.94

Ecological Niche Modeling of West Nile Virus Vector in Northwest of Iran

Davoud Adham 1, Eslam Moradi-Asl 1,2,*, Hassan Vatandoost 3,4, Abedin Saghafipour 5
PMCID: PMC6851061  PMID: 31745415

Abstract

Objectives

West Nile virus (WNV) is a microorganism and the leading cause of the spread of fatal diseases in horses, birds, and humans. The etiologic agent of West Nile fever belongs to the genus Flavivirus that is transmitted by Culex mosquitoes in Iran and throughout the world. We aimed to evaluate the distribution of WNV vectors in northwest of Iran ecological niche modeling.

Methods

This cross-sectional study was conducted in Ardabil province in one year, from January to December with the samples captured from May to November 2017. Forty-five locations from all 10 counties of the province were selected randomly to determine the seasonal activity of mosquitoes. Larval collection was carried out twice a month. MaxEnt version 3.3, ArcMap 10.3 software, jackknife, and crew methods were used to determine the impact of climatic change and environmental factors on the distribution of mosquito species.

Results

A total of 2000 larva were collected, 1789 (89.5%) of which were Culex larvae. Seven species of Culex genus were identified, including Culex pipiens, Cx. modestus, Cx. theileri, Cx. hortensis, Cx. perexiguus, Cx. tritaeniorhynchus, and Cx. mimeticus. Two important ecological niche areas were identified in the north and south of the province. The annual temperature and rainfall in the cold seasons were the most important factors affecting the distribution of Culex species larva. Cx. pipiens was identified as the main vector of WNV vectors with high frequency in Ardabil province.

Conclusions

Two large areas were found as the ecological niches of larvae of these species. It is recommended that additional investigations be carried out on infection in adult female Cx. pipiens and its hosts in these areas.

Keywords: Cross-Sectional Studies, West Nile virus, West Nile Fever, Culex, Disease Vectors, Iran

Introduction

Mosquito-borne diseases are one of the most important health problems in the world.1 At least 3531 species of mosquitoes (Culicidae, Diptera) including 112 genera have been reported in the world.2 Culex genus is classified into 26 subgenera and 769 species.3 Culex pipiens is distributed in tropical and subtropical regions such as Africa, Asia, Australia, and the tropical islands. In addition to human biting, they transmit numerous important diseases to humans. They include agents of parasitic diseases such as Wuchereria bancrofti, Brugia malayi, Brugia timori and the important viral disease agents such as West Nile virus (WNV), Sindbis virus, Japanese encephalitis, St. Louis, Western Horse Encephalitis, Rift Valley Fever (RVF), and Oropouche fever.4-6 WNV is the re-emerging pathogen which threatens human health.7 The agent of West Nile fever belongs to the genus Flavivirus transmitted by Culex mosquitoes.8 West Nile fever was reported for the first time in Uganda in 1937.9 In Iran, WNV has been reported in several regions, especially central, southwestern, and northern Iran,10 with the infection rate reported to be 1.3–5%.10-12 Many studies have been carried out on the distribution of mosquitoes, especially larvae and distribution of Culex genus adults or larvae in different parts of Iran.13-16 Various studies conducted on mosquitoes in the northwest of Iran, including Ardabil province have reported a high frequency of Culex species.17-19 Infection with WNV has not been reported in Ardabil province. However, Dirofilaria infection with Culex has been reported in this province.20 Determining the distribution of vectors based on the Ecological Niche Model (ENM) can serve as a guideline to understand the ecology and distribution of diseases. It also calls for accurate planning to control and prevent this disease, which has been implemented in high-risk areas.21 MaxEnt is one of the most important tools for determining the ENM of one or more species by using environmental data while predicting the probability of the presence of species in different places.22 Our study sought to predict the distribution of WNV vectors namely, Cx. pipiens larva, using ENM in Ardabil province in northwest of Iran.

Methods

Ardabil province is located at 38.2514N and 48.2973E in the northwest of Iran, sharing a common border with the Republic of Azerbaijan to the north. The province has an area of 17 953 square kilometers with 10 cities and a population of 1.27 million. About two-thirds of the province consists of mountainous areas with high altitude while the rest are flat areas. The northern region of the province (Moghan plain) has a low altitude and a relatively warm climate, with the central and southern regions having cold climates [Figure 1].

Figure 1.

Figure 1

Sampling locations and detection sites for Culex pipiens in the study area, Ardabil province, northwest of Iran, 2017.

We randomly selected 46 locations to collect larvae, which occurred twice monthly during seasonal activity of mosquitoes. Larval sampling was carried out by the dipping method (350 mL dipper) from January to December 2017 with the samples captured from May to November. Sampling was carried out from different parts in each habitat, with 10 dipping loads in each habitat. The larvae were stored in a lactophenol solution, and after about a week they became transparent so that microscopic slides were made using a Faure’s medium. The third- and fourth-instar larvae were identified using the appropriate identification keys.23-27

For modeling and determining the ENM, WNV vectors were analyzed using MaxEnt 3.3 software. To predict the distribution of Cx. pipiens with a presence probability of more than 70%, the maps of 23 climatic and environmental factors were used, which were taken at a resolution of 30 m/s from the website (http://www.worldclim.org/bioclim.htm) and Modis satellite [Table 1]. In these maps, the areas with a high probability of this species were marked with red, and areas with low presence were identified with green. Jackknife and crew analysis were used in MaxEnt to investigate the effects of environmental and climatic variables on Culex species distribution and consideration of its ecological niche. This model can be used to evaluate the location of the samples’ breeding places and their frequency in one place. The best breeding place and habitat for the species can be determined by this model.28

Table 1. Variables used for MaxEnt modeling of Culex pipiens distribution in Ardabil province, northwest of Iran.

Variables Description Contribution, %
Bio1 Annual mean temperature (oC) 0.0
Bio2 Mean diurnal range: mean of monthly (max temp–min temp) (oC) 0.0
Bio3 Isothermality: (Bio2/Bio7 × 100) 6.8
Bio4 Temperature seasonality (SD × 100) 0.0
Bio5 Maximum temperature of the warmest month (oC) 21.2
Bio6 Minimum temperature of the coldest month (oC) 0.0
Bio7 Temperature annual range (Bio5–Bio6) (oC) 3.2
Bio8 Mean temperature of wettest quarter (oC) 2.1
Bio9 Mean temperature of driest quarter (oC) 0.0
Bio10 Mean temperature of warmest quarter (oC) 0.0
Bio11 Mean temperature of coldest quarter (oC) 0.0
Bio12 Annual precipitation (mm) 0.1
Bio13 Precipitation of wettest month (mm) 1.7
Bio14 Precipitation of driest month (mm) 0.0
Bio15 Precipitation seasonality (coefficient of variation) 6.2
Bio16 Precipitation of wettest quarter (mm) 7.0
Bio17 Precipitation of driest quarter (mm) 0.0
Bio18 Precipitation of warmest quarter (mm) 0.0
Bio19 Precipitation of coldest quarter (mm) 21.9
Altitude Elevation from the sea level (Beiranvand R, #1) 3.6
Slope Slope of the area (%) 17.7
Aspect Direction of slope (degree) 6.9
NDVI -1 to +1 2.1

NDVI: normalized difference vegetation index.

Results

Out of 2000 collected larvae from 46 collection sites in Ardabil province [Figure 1a], 1789 (89.5%) were identified as Culex larvae. Seven species of Culex genus were collected from 22 location sites 
[Figure 1b] and identified as follows: Cx. pipiens (71.5%), Cx. modestus (2.8%), Cx. theileri (16.8%), Cx. hortensis (6.6%), Cx. perexiguus (1.0%), Cx. tritaeniorhynchus (0.8%), and Cx. mimeticus (0.4%). Cx. pipiens was collected with a high frequency in all the counties, especially in northern (21.3%) and southern parts (12.9%) of the province while Cx. mimeticus was collected with a low frequency in Ardabil and Parsabad counties [Table 2]. The maximum number of larvae of Culex mosquitoes was collected from Parsabad (27.2%), and the minimum was collected from Namin (2.0%) counties. More than 80% of the collected samples were from permanent habitats. The other physical characteristics of its breeding places, such as habitats with vegetation, stone or cement bed type, transparent water status, semi-shade, and natural habitat are listed in Table 3.

Table 2. Composition and localities of the larvae of Culex mosquitoes collected in Ardabil province, northwest of Iran, 2017.

Species Kowsar Bilehsavar Sareyn Khalkhal Pars- abad Ardabil Namin Nir Meshkin-shahr Germi Total
Cx. modestus 8 0 0 12 14 6 0 2 8 0 50
Cx. hortensis 19 7 4 14 26 12 0 16 12 8 118
Cx. pipiens 79 72 0 231 381 236 36 9 217 18 1279
Cx.theileri 49 5 41 37 57 16 0 18 68 10 301
Cx. perexiguus 2 10 0 0 6 0 0 0 0 0 18
Cx. tritaeniorhynchus 1 6 0 0 6 0 0 0 0 2 15
Cx. mimeticus 0 0 0 0 6 2 0 0 0 0 8
Total 158 100 45 294 496 272 36 45 305 38 1789

Table 3. The larval habitat characteristics and occurrence percentages of different Culex mosquitoes larvae in Ardabil province, northwest of Iran, 2017.

Larval breeding site Cx. hortensis Cx.
modestus
Cx.
pipiens
Cx. theileri Cx.
perexiguus
Cx.
ritaeniorhynchus
Cx.
mimeticus
Habitat status, %
Permanent 95.0 90.0 75.0 71.5 68.0 71.0 95.0
Temporary 5.0 10.0 25.0 28.5 32.0 29.0 5.0
Water, %
Stagnant 18.0 27.0 33.0 30.0 14.0 15.5 15.0
Slow running 82.0 73.0 67.0 70.0 86.0 84.5 85.0
Vegetation, %
Without vegetation 3.0 15.0 23.0 22.5 20.0 19.0 21.5
With vegetation 97.0 85.0 77.0 76.5 80.0 81.0 78.5
Type of bed, %
Clay 15.0 30.0 45.0 47.0 43.0 44.0 70.0
Sand 25.0 15.0 35.0 30.0 20.0 25.0 20.0
Water status
Stone or cement, % 60.0 55.0 15.0 23.0 37.0 31.0 10.0
Opaque 12.0 2.0 10.0 5.0 25.0 30.0 80.0
Transparent 88.0 98.0 90.0 95.0 75.0 70.0 20.0
Ligh status,%
Sunny 0.0 4.0 12.0 26.0 15.0 38.0 40.0
Shaded 5.0 36.0 17.0 20.0 19.0 17.0 20.0
Semi-shade 95.0 60.0 61.0 54.0 66.0 45.0 40.0
Habitat type, %
Natural 92.0 85.0 78.0 86.0 95.5 87.5 75.0
Artificial 8.0 15.0 22.0 14.0 4.5 12.5 25.0

The ENM showed that the following factors had the greatest impact on the ecological niche of Cx. pipiens larvae: precipitation of coldest quarter (Bio19; 21.9%), maximum temperature of warmest month (Bio5; 21.2%), slope of the area (17.7%), precipitation of wettest quarter (7.0%), direction of slope (Aspect; 6.9%), and isothermality (Bio3; 6.8%) [Table 1 and Figure 2]. Whereas the jackknife test showed that the annual temperature range (Bio7) was the highest predictor of Cx. pipiens larvae in the north and south of Ardabil province. With the increase of rainfall (from 80 to 110 mm) and annual temperature ranges (increasing from 1.5 to 3.5 oC), the density of larvae in their habitats had also increased [Figure 3]. The results of the MaxEnt model indicated that the most ecologically suitable areas of Cx. pipiens larvae occurrence were identified in two hotspots in northern and southern Ardabil. The northern hotspot is the largest area comprising three counties of Parsabad, Garmi, and Bilehsavar. This area is located on the borderline of Iran and the Republic of Azerbaijan [Figure 4]. Moreover, the receiver operating characteristic/area under the curve (ROC/AUC) index for Cx. pipiens larvae in the ENM was 0.88.

Figure 2.

Figure 2

Result of important variables impact on ecological niche of Culex pipiens larvae in Ardabil province, northwest of Iran, 2017.

Figure 3.

Figure 3

Result of jackknife test on variables importance for Cluex. pipiens larvae in Ardabil province, northwest of Iran, 2017.

Figure 4.

Figure 4

Ecologically suitable areas for Cx. pipiens larvae occurrence in Ardabil province, northwest of Iran, 2017.

Discussion

Two large areas in the northwest Iran constitute a suitable habitat for Cx. pipiens larvae. Therefore, studies can be carried out to delve into the possible infection of WNV in mosquitoes and humans in this region. For the first time in the northwest of Iran, this study determined ENM for seven mosquitoes’ larvae, which can be extended to other vectors. Previous studies have determined the ENM for leishmania infantum in humans (the agent of visceral leishmaniasis in Iran) and its vectors.29,30 However, there is a dearth of studies on ENM for mosquito larvae. In one research in Chile, Cx. pipiens modeling predicted that shallow and transparent water comprised suitable habitats for larvae and temperature was reported to be among the most effective factors.31 Likewise, most of the larvae were collected from transparent water in this study. Studies of modeling niche ecology have been carried out mostly on adult mosquitoes. Annual temperature range, precipitation of coldest quarter, maximum temperature of warmest month, slope and precipitation of driest quarter were the most important factors influencing the distribution and density of Cx. pipiens larvae. In modeling for Cx. pipiens for adults in America, it was found that non-forest regions with low vegetation coverage are appropriate for this species.32 In Kenya, the results of modeling RVF vectors (Cx. quinquefasciatus, Cx. univitattus, Mansonia africana, and M. uniformis) using MaxEnt indicated that soil type, rainfall in dry seasons, seasonal rainfall, and isothermal process had the greatest impact on the vectors.33 There is a plethora of studies and modeling carried out on West Nile vectors in the world. In one study about the effect of climate change on WNV vectors in USA in 2013, it was found that the increase in seasonal temperature and rainfall affected the frequency of Cx. pipiens and Cx. Quinquefasciatus34 or in Florida, rain in warm and cold months of the year was reported to be the most important factor impacting Cx. nigripalpus and Cx. Quinquefasciatus.35 Of the numerous studies on fauna and ecological characteristics of the larvae habitat done in Iran, some have been carried out in western Iran and West Azarbaijan province. In these studies,14,36-38 the number of collected Cx. pipiens larvae was higher than other that of mosquito larvae like our findings, with the higher prevalence of Cx. pipiens larvae. However, in another study in the southeast of Iran,39 Cx. perexiguus was found in the greatest abundance. The results of this research and their comparison with other studies show that Culex mosquitoes are also distributed in different parts of Ardabil province, which are like other regions of Iran. These vectors can transmit diseases to humans if there is a WNV cycle in this area.

Conclusion

Culex mosquitoes as the WNV vectors have a diversity of species in the Southwest of Iran. In addition, two large areas were found as ecological niches of larvae of Cx. pipiens, which call for more studies on infection in adult Cx. pipiens and their hosts in these regions.

Disclosure

The authors declare no conflict of interest. This research was financially supported by the Ardabil University of Medical Sciences, Iran (project number: 9502).

Acknowledgements

The authors are grateful to the health staff of Ardabil Health Centers for helping in the field activities.

References

  • 1.Hongoh V, Berrang-Ford L, Ogden NH, Lindsay R, Scott ME, Artsob H. A review of environmental determinants and risk factors for avian-associated mosquito arboviruses in Canada. Biodiversity (Nepean) 2009;10(2-3):83-91 . 10.1080/14888386.2009.9712849 [DOI] [Google Scholar]
  • 2.Harbach RE. Mosquito taxonomic inventory. [cited 2013 May 25]. Available from: http://mosquitotaxonomic-inventory.info.
  • 3.Reinert JE. Revised list of abbreviations for genera and subgenera of Culicidae (Diptera) and notes on generic and subgeneric changes. J Am Mosq Control Assoc 2001. Mar;17(1):51-55. [PubMed] [Google Scholar]
  • 4.Azari-Hamidian S. Larval habitat characteristics of mosquitoes of the genus Culex (Diptera: Culicidae) in Guilan Province. Iran J Arthropod-Borne Dis 2007;1(1):9-20. [PMC free article] [PubMed] [Google Scholar]
  • 5.Vinogradova EB. Culex pipiens pipiens mosquitoes: taxonomy, distribution, ecology, physiology, genetics, applied importance and control. 2nd ed. Pensoft Publishers; 2000. p. 236-240. [Google Scholar]
  • 6.Vinogradova EB. Ecophysiological and morphological variations in mosquitoes of the Culex pipiens complex (Diptera: Culicidae). Acta Soc Zool Bohem 2003;67:41-50. [Google Scholar]
  • 7.Tapper ML. Emerging viral diseases and infectious disease risks. Haemophilia 2006. Mar;12(Suppl 1):3-7, discussion 26-28. 10.1111/j.1365-2516.2006.01194.x [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8.Murphy FA, Fauquet CM, Bishop DH, Ghabrial SA, Jarvis AW, Martelli GP, et al. D. Virus taxonomy: classification and nomenclature of viruses. Springer Science & Business Media; 2012. p. 125-132. [Google Scholar]
  • 9.Smithburn K, Hughes T, Burke A, Paul J. A neurotropic virus isolated from the blood of a native of Uganda. American J Trop Med Hygiene 1940;s1-20(4):471-492. [Google Scholar]
  • 10.Chinikar S, Javadi A, Ataei B, Shakeri H, Moradi M, Mostafavi E, et al. Detection of West Nile virus genome and specific antibodies in Iranian encephalitis patients. Epidemiol Infect 2012. Aug;140(8):1525-1529. 10.1017/S0950268811002056 [DOI] [PubMed] [Google Scholar]
  • 11.Chinikar S, Shah-Hosseini N, Mostafavi E, Moradi M, Khakifirouz S, Jalali T, et al. Seroprevalence of West Nile virus in Iran. Vector Borne Zoonotic Dis 2013. Aug;13(8):586-589. 10.1089/vbz.2012.1207 [DOI] [PubMed] [Google Scholar]
  • 12.Sharifi Z, Mahmoodian Shooshtari M, Talebian A. A study of West Nile virus infection in Iranian blood donors. Arch Iran Med 2010. Jan;13(1):1-4. [PubMed] [Google Scholar]
  • 13.Azari Hamidian Sh Jouafshani M, Moslem M, Rasaei A. Mosquito fauna and distribution of the genus Culex (Diptera: Culicidae) in Guilan province. J Pajouhesh-va-Sazandegi 2005;18(3):39-45. [Google Scholar]
  • 14.Khoshdel-Nezamiha F, Vatandoost H, Azari-Hamidian S, Bavani MM, Dabiri F, Entezar-Mahdi R, et al. Fauna and larval habitats of mosquitoes (Diptera: Culicidae) of West Azerbaijan Province, northwestern. J Arthropod Borne Dis 2014. Apr;8(2):163-173. [PMC free article] [PubMed] [Google Scholar]
  • 15.Nikookar Sh, Moosa-Kazemi Sh, Oshaghi M, Yaghoobi-Ershadi M, Vatandoost H, Kianinasab A. Species composition and diversity of mosquitoes in neka county, mazandaran province, northern iran. Iran J Arthropod Borne Dis 2010;4(2):26-34. [PMC free article] [PubMed] [Google Scholar]
  • 16.Omrani S, Azari-Hamidian S, Pour-Shahbazi G, Taghipour S. Fauna and the distribution of mosquitoes (Diptera: Culicidae) in Chahar Mahal and Bakhtiari province, 2011-2012. Shahrekord Univ Med Sci J 2015;16(6):127-138. [Google Scholar]
  • 17.Abai M, Azari-Hamidian S, Ladonni H, Hakimi M, Mashhadi-Esmail K, Sheikhzadeh K, et al. Fauna and checklist of mosquitoes (Diptera: Culicidae) of East Azerbaijan Province, northwestern. Iran J Arthropod-Borne Dis 2007;1(2):27-33. [Google Scholar]
  • 18.Moradi-Asl E, Hazrati S, Vatandoost H, Emdadi D, Ghorbani E, Ghasemian A, et al. Fauna and larval habitat characteristics of mosquitoes (Diptera: Culicidae) in Ardabil province, Northwestern Iran. J Health 2018;9(3):259-266 . 10.29252/j.health.9.3.259 [DOI] [Google Scholar]
  • 19.Moradi-Asl E, Vatandoost H, Emdadi D, Moosa-Kazemi SH. Investigation on the occurrence of Aedes species in borderline of Iran and Azerbaijan for control of arboviral diseases. J Arthropod Borne Dis 2019;13(2):191-197 . 10.18502/jad.v13i2.1245 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20.Azari-Hamidian S, Yaghoobi-Ershadi MR, Javadian E, Abai MR, Mobedi I, Linton YM, et al. Distribution and ecology of mosquitoes in a focus of dirofilariasis in northwestern Iran, with the first finding of filarial larvae in naturally infected local mosquitoes. Med Vet Entomol 2009. Jun;23(2):111-121. 10.1111/j.1365-2915.2009.00802.x [DOI] [PubMed] [Google Scholar]
  • 21.Warren DL, Seifert SN. Ecological niche modeling in Maxent: the importance of model complexity and the performance of model selection criteria. Ecol Appl 2011. Mar;21(2):335-342. 10.1890/10-1171.1 [DOI] [PubMed] [Google Scholar]
  • 22.Phillips SJ, Dudík M, Schapire RE. Maxent is now open source! Maxent software for modeling species niches and distributions (Version 3.4.1). [cited 2018 Dec 30]. Available from: http://biodiversityinformatics.amnh.org/open_source/maxent/.
  • 23.Azari-Hamidian S, Harbach RE. Keys to the adult females and fourth-instar larvae of the mosquitoes of Iran (Diptera: Culicidae). Zootaxa 2009;2078(1):1-33 . 10.11646/zootaxa.2078.1.1 [DOI] [Google Scholar]
  • 24.Harbach RE. The mosquitoes of the subgenus Culex in southwestern Asia and Egypt (Diptera: Culicidae). Contrib Am Entomol Inst 1988;24(1):240-246. [Google Scholar]
  • 25.Harbach RE, Dahl C, White GB. Culex (Culex) pipiens Linnaeus (Diptera: Culicidae): concepts, type designations, and description. Proc Entomol Soc Wash 1985;87(1):24. [Google Scholar]
  • 26.Shahgudian ER. A key to the anophelines of Iran. Acta Med Iran 1960. Apr;3(3):38-48. [PubMed] [Google Scholar]
  • 27.Zaim M, Cranston P. Checklist and keys to the Culicinae of Iran (Diptera: Culicidae). Mosquito systematics 1986;18:233-245.
  • 28.Phillips SJ. AT&T Research. A brief tutorial on Maxent. 2005 [cited 2018 Oct 9]. Available from: https://biodiversityinformatics.amnh.org/open_source/maxent/Maxent_tutorial2017.pdf.
  • 29.Hanafi-Bojd AA, Rassi Y, Yaghoobi-Ershadi MR, Haghdoost AA, Akhavan AA, Charrahy Z, et al. Predicted distribution of visceral leishmaniasis vectors (Diptera: Psychodidae; Phlebotominae) in Iran: a niche model study. Zoonoses Public Health 2015. Dec;62(8):644-654. 10.1111/zph.12202 [DOI] [PubMed] [Google Scholar]
  • 30.Moradi-Asl E, Hanafi-Bojd AA, Rassi Y, Vatandoost H, Mohebali M, Yaghoobi-Ershadi MR, Habibzadeh S, Hazrati S, Rafizadeh S. Situational analysis of visceral leishmaniasis in the most important endemic area of the disease in Iran. J Arthropod Borne Dis 2017 30;11(4):482-496. [PMC free article] [PubMed]
  • 31.Figueroa DP, Scott S, Gonzalez CR, Veloso C, Canals M. Assessing the larval niche of Culex pipiens in Chile. Int J Mosq Res 2016;3(4):11-16. [Google Scholar]
  • 32.Diuk-Wasser MA, Brown HE, Andreadis TG, Fish D. Modeling the spatial distribution of mosquito vectors for West Nile virus in Connecticut, USA. Vector Borne Zoonotic Dis 2006;6(3):283-295. 10.1089/vbz.2006.6.283 [DOI] [PubMed] [Google Scholar]
  • 33.Ochieng AO, Nanyingi M, Kipruto E, Ondiba IM, Amimo FA, Oludhe C, et al. Ecological niche modelling of Rift Valley fever virus vectors in Baringo, Kenya. Infect Ecol Epidemiol 2016. Nov;6(1):32322. 10.3402/iee.v6.32322 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Morin CW, Comrie AC. Regional and seasonal response of a West Nile virus vector to climate change. Proc Natl Acad Sci U S A 2013. Sep;110(39):15620-15625. 10.1073/pnas.1307135110 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 35.Sallam MF, Xue RD, Pereira RM, Koehler PG. Ecological niche modeling of mosquito vectors of West Nile virus in St. John’s County, Florida, USA. Parasit Vectors 2016. Jun;9(1):371. 10.1186/s13071-016-1646-7 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 36.Banafshi O, Abai MR, Ladonni H, Bakhshi H, Karami H, Hamidian SA. The fauna and ecology of mosquito larvae (Diptera: Culicidae) in western Iran. Turk J Zool 2013;37(3):298-307. [Google Scholar]
  • 37.Al Amin M, Ibrahim S, Balkhair A, Al Busaidi I, Gaifer Z, Taher HB. Chikungunya masquerading as acute rheumatism in an Omani traveler. Oman Med J 2019. Jan;34(1):63-65. 10.5001/omj.2019.10 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 38.Balkhair A, Al-Maamari K, Alawi FB, Al-Adawi B. Zika virus: a roar after years of whispering. Oman Med J 2016. Mar;31(2):87-88. 10.5001/omj.2016.18 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 39.Moosa-Kazemi Sh, Vatandoost H, Nikookar H, Fathian M. Culicinae (Diptera: culicidae) mosquitoes in chabahar county, sistan and baluchistan province, southeastern iran. Iran J Arthropod Borne Dis 2009;3(1):29-35. [PMC free article] [PubMed] [Google Scholar]

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