23In the absence of national control programmes against Rhodesian human African 24 trypanosomiasis, farmer-led treatment of cattle with pyrethroid-based insecticides may be an 25 effective strategy for foci at the edges of wildlife areas, but there is limited evidence to 26 support this. 27 We combined data on insecticide use by farmers, tsetse abundance and trypanosome 28 prevalence with mathematical models to quantify the likely impact of insecticide-treated 29 cattle. 30 Sixteen percent of farmers reported treating cattle with a pyrethroid, and chemical analysis 31 indicated 18% of individual cattle had been treated, in the previous week. Treatment of cattle 32 was estimated to increase daily mortality of tsetse by 5 -14%. Trypanosome prevalence in 33 tsetse, predominantly from wildlife areas, was 1.25% for T. brucei s.l. and 0.03% for T. b. 34 rhodesiense. For 750 cattle sampled from 48 herds, 2.3% were PCR positive for T. brucei s.l. 35 and none for T. b. rhodesiense. Using mathematical models, we estimated there was 8 -29% 36 increase in mortality of tsetse in farming areas and this increase can explain the relatively low 37 prevalence of T. brucei s.l. in cattle.
38Farmer-led treatment of cattle with pyrethroids is likely, in part, to be limiting the spill-over 39 of human-infective trypanosomes from wildlife areas. 40 41 Author summary 42 The acute form of sleeping sickness in Africa is caused by the parasite Trypanosoma brucei 43 rhodesiense. It is transmitted by tsetse flies and can be maintained in cycles involving both 44 livestock and wildlife as hosts. Humans are incidentally infected and are particularly at risk 3 45 of infection near protected areas where there are both wildlife and suitable habitat for tsetse.
46In these regions, the tsetse vector cannot be eradicated, nor can infection be prevented in 47 wildlife. Here we use field studies of tsetse and livestock in combination with mathematical 48 models of tsetse population change and trypanosome transmission to show that use of 49 pyrethroid-based insecticides on cattle by farmers at the edge of protected areas could be 50 contributing to lowering the risk of sleeping sickness in Serengeti District, Tanzania. To our 51 knowledge, our study is the first to report farmer-led tsetse control, co-incident with tsetse 52 decline and relatively low prevalence of T. brucei s.l. in cattle. 53 54 Introduction 55 In East and Southern Africa, tsetse flies (Glossina spp) transmit Trypanosoma brucei 56 rhodesiense, which causes Rhodesian human African trypanosomiasis (r-HAT). Tsetse also 57 transmit T. congolense, T. vivax and T. brucei, the causative agents of animal African 58 trypanosomiasis (AAT) in livestock. 59 Trypanosoma brucei s.l., T. congolense and T. vivax can circulate in transmission cycles 60 involving livestock or wild mammals [1]. The extensive conservation areas of East and 61 Southern Africa that support tsetse, as well as wildlife, can therefore be foci for r-HAT and 62 AAT. At the interface of wildlife-and livestock areas, ...