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1 Tadlock Cowan, Genetically Engineered Mosquitoes: A Vector Control Technology for Reducing Zika Virus Transmission 1 (2016)

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,.., 'Congressional Research Service


August 22, 2016


Genetically Engineered Mosquitoes: A Vector Control

Technology for Reducing Zika Virus Transmission


Background
In February 2016, the World Health Organization (WHO)
declared Zika virus a public health emergency of
international concern. WHO defines such a public health
emergency (1) to constitute a public health risk to other
states through the international spread of disease, and (2) to
potentially require a coordinated international response.
This definition implies a situation that is serious, unusual,
or unexpected; carries implications for public health beyond
the affected state's national border; and may require
immediate international action. (See CRS Insight IN10433,
Zika Virus: Global Health Considerations.)

While only about one out of five persons infected with Zika
virus exhibit even the common symptoms of mild fever,
rash, and joint pain, the U.S. Centers for Disease Control
and Prevention (CDC) have confirmed that Zika-infected
pregnant women are at risk for delivering babies with
microcephaly, a birth defect of the cerebral cortex where a
baby's head is smaller than expected when compared to
babies of the same sex and age. While research is limited,
pregnant women are considered at risk for delivering babies
with microcephaly no matter the stage of their pregnancy
when they become infected with Zika virus. (See CRS
Report R44368, Zika Virus: Basics About the Disease.)

Zika virus has now triggered outbreaks in 33 countries and
territories, although confirmed cases linking Zika virus to
babies with birth defects have thus far been seen in only
Brazil and French Polynesia. Several countries have also
reported a spike in cases of Guillain-Barr6 syndrome, a
neurological syndrome, also believed to be an effect of the
virus in some victims.

A Mosquito-Borne Virus
Zika virus (so named for the Zika forest in Uganda, where it
was first identified in monkeys in 1947) is a mosquito-
borne flavivirus that has rapidly infected human populations
in Latin America and the Caribbean, including outbreaks in
the U.S. territories of Puerto Rico, the U.S. Virgin Islands,
and American Samoa. As of April 2016, over 400 cases in
the United States have been confirmed, each acquired
through either travel to areas where the mosquito vectors
for Zika virus circulate or sexual contact with people who
had traveled to such areas. No confirmed cases of local
transmission have been confirmed in the contiguous United
States as yet.

The first outbreak of Zika virus outside Africa, Asia, and
the Pacific Islands occurred in Brazil in May 2015. The
virus is spread predominantly by the female Aedes aegypti
mosquito (and to a less effective extent by Aedes
albopictus), an aggressive day-biter that is also a vector for


yellow fever, dengue, and chikungunya. Aedes aegypti
mosquitoes are non-native to the United States. A model
created by Toronto researchers found that approximately
63% of the U.S. population lives in areas where Zika virus
might spread during seasonally warm months if mosquitoes
in the United States were to become vectors of Zika virus.
As much as 7% of Americans live in areas where the cold
might not kill off the mosquito in the winter, leaving them
vulnerable year round. (See CRS InFocus 10353,
Mosquitoes, Zika Virus, and Transmission Ecology.)

No vaccine exists for Zika, and scientists have estimated
that it could take two years or more to develop such a
remedy. Mosquito control and bite prevention are the first
lines of defense. Controlling Aedes aegypti by conventional
methods such as truck and aerial spraying is only
moderately effective in reducing mosquito populations-
approximately 30%-50%-in part owing to the resistance
the mosquitoes have developed to the more commonly used
insecticides and to the limited area in which Aedes aegypti
mosquitoes circulate (100-200 yards from where the larvae
emerge). Aedes aegypti mosquitoes also tend to favor house
interiors where spraying/fogging is not practical. Strategic
placement of several low-cost autocidal gravid ovitraps
(which mimic breeding sites) in house interiors can reduce
the Aedes aegypti population by about 50%.

Further contributing to the urgency of the pandemic, the El
Niio weather phenomenon in 2015-2016 brought warmer
temperatures and moisture to the regions most affected by
Zika virus, and with that weather pattern, a potential
increase in the population of Aedes aegypti mosquitoes.

0X5 I 3A Genetically Engineered losquitoes
In this environment, the creation of a genetically engineered
(GE) Aedes aegypti mosquito by the British firm Oxitec in
2002, known as OX513A, is generating significant interest
among public health officials. Developed originally to
suppress the incidence of dengue fever, OX513A is now
regarded as a promising technology to reduce the incidence
of Zika virus transmission by reducing the population of
mosquitoes. Oxitec is owned by Maryland-based Intrexon
Corporation.

Oxitec's OX513A are mosquitoes that have been
genetically engineered with a dominant transgene that
produces a lethal protein that ties up the transcriptional
machinery in the cells. The gene is passed on to the
mosquito's offspring so that they die before reaching
adulthood. Each OX513A mosquito is also engineered with
a fluorescent marker that permits effective monitoring of
larvae to assess the effectiveness of control. The fluorescent
marker is visible using a specialist microscope in all


www.crs.gov i 7-5700


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