Nigel Beebe, PhD School of Biological Sciences University of Queensland St Lucia QLD 4072 Australia P. xxxxxxxxxxxxxx Fax. xxxxxxxxxxxxxxxxx E. xxxxxxxxxx 31/07/14 RE: Submission to the Green Paper on developing northern Australia As a scientist working on mosquitoes and mosquito-borne disease in the Australasian region I am writing to highlight potential issues for consideration in terms of the green paper, public health and biosecurity. While I can foresee potential solutions to these issues through monitoring, management and community engagement, it is imperative that these risks are highlighted with respect to the future development of this region of Australia, public health and biosecurity and I have briefly detailed the most important of these below. 1) Further establishment of permanent water storage in northern Australia is likely to lead to the escalation of local and exotic mosquito-borne arbovirus activity. Previous experience from the Ord River irrigation area would suggest that year-round water storage may result in elevated freshwater endemic mosquito populations – especially Australia’s most important freshwater arbovirus mosquito Culex annulirostris. This mosquito is the major vector of several major local arboviruses including Ross River fever, Murray Valley encephalitis and Kunjin (a subtype of West Nile viruses (1), and capable of transmitting a North American strain of West Nile Virus (2). Mosquito-borne disease studies around the Ord River Irrigation System suggest storage of wet season waterflows can lead to the stabilisation of lake margins that facilitate the growth of aquatic plant species leading to potential yearround mosquito populations and endemic arboviral activity such as Ross River, Murray Valley encephalitis and Kunjin (3). The mosquito Culex annulirostris was also responsible for the emergence of the exotic Japanese encephalitis virus (JEV) in Papua New Guinea (PNG) and northern Australia (4). This virus first appeared in the Torres Strait Islands in 1995 (three human cases were reported on Badu Island, two of which were fatal (5). This exotic virus is cycled through animals (“hosts”) including wading birds and pigs and the expansion of permanent water storage in northern Australia is likely to increase the co-occurrence of the mosquito (Cx. annulirostris) and the virus’s amplifying hosts. This in turn is likely to increase the risk for exotic JEV activity establishing on Australia’s mainland with risks to both public health and our agricultural animal export industry – livestock and associated products would then require routine testing to guarantee their freedom from infection. One possible JEV incursion scenario could see the frequent movement of migratory wading birds (or bats) arriving from the Torres Straits (or PNG) to access water and subsequently introducing the virus (or perhaps other viruses) to these new wetlands where both the mosquito and JEV amplifying hosts are already established and can potentially cycle the virus. 2) The increase in population growth and urban development could drive the emergence of dengue and chikungunya into these urban landscapes. Dengue and chikungunya are two globally expanding arboviruses that can be transmitted from human to human by two different mosquitoes – both of which can exist and thrive in urban landscapes (i.e. small towns and cities). The first of these mosquitoes, Aedes aegypti, is a tropical climate mosquito that currently exists in Queensland and is already responsible for yearly dengue outbreaks in northern Queensland usually initiated by international travellers who introduce the virus. The dengue mosquito Aedes aegypti has twice invaded the Northern Territory town of Tennant Creek from Queensland with the first incursion in 2002 requiring $1.5m and two years’ control work to remove it from this town (population of only 3,100). The eradication of the second incursion is still underway. The Asian tiger mosquito, Aedes albopictus, can also transmit both dengue and chikungunya and arrived into the Torres Straits from Indonesia in 1995 (6). Unlike the tropical dengue mosquito Ae. aegypti, which can only survive in relatively warm climate urban landscapes, the Asian tiger mosquito can exist in both urban and sylvan (or forested) landscapes in both warm and cool climates (7). Increased urban development and human movement via the proposed increased transport networks into and around northern Australia urban centres is likely to result in these mosquitoes entering new urban landscapes and thus increasing the risk of dengue and chikungunya transmission during summer. One possible scenario would see a fly-in-fly-out worker arriving from a city where these viruses are active (i.e. Cairns, domestically, or anywhere across the Asia-Pacific region, internationally) and delivering the virus to an urban landscape where the mosquitoes are already present. This could trigger an outbreak with local transmission. While 133 people were diagnosed with chikungunya in Australia in 2013, these infections were all initially acquired overseas (8). The expenditure associated with prevention of these two urban mosquitoes – clean up of small incursions of these mosquitoes into urban landscapes detected through active surveillance – far outweigh the huge cost of a disease outbreak and subsequent removal of established urban populations of either of these two mosquitoes. I would be pleased to provide a fully annotated and referenced report on these risks, and any other information as required. Yours sincerely, Nigel Beebe References (1) Marshall, I. D. (ed.) 1988. Murray Valley and Kunjin encephalitis. CRC Press, Boca Raton, Florida. (2) Jansen, C. C., C. E. Webb, J. A. Northill, S. A. Ritchie, R. C. Russell, and A. F. Van den Hurk. (3) Liehne, C. G., N. F. Stanley, M. P. Alpers, S. Paul, P. F. Liehne, and K. H. Chan. 1976a. Ord River arboviruses--serological epidemiology. Aust J Exp Biol Med Sci 54: 505-512. Liehne, C. G., S. Leivers, N. F. Stanley, M. P. Alpers, S. Paul, P. F. Liehne, and K. H. Chan. 1976b. Ord River arboviruses--isolations from mosquitoes. Aust J Exp Biol Med Sci 54: 499-504. Liehne, P. F., N. F. Stanley, M. P. Alpers, and C. G. Liehne. 1976c. Ord River arboviruses--the study site and mosquitoes. Aust J Exp Biol Med Sci 54: 487-497. Liehne, P. F., S. Anderson, N. F. Stanley, C. G. Liehne, A. E. Wright, K. H. Chan, S. Leivers, D. K. Britten, and N. P. Hamilton. 1981. Isolation of Murray Valley encephalitis virus and other arboviruses in the Ord River Valley 1972-1976. Aust J Exp Biol Med Sci 59: 347-356. (4) Hanna, J. N., S. A. Ritchie, D. A. Phillips, J. Shield, M. C. Bailey, J. S. Mackenzie, M. Poidinger, B. J. McCall, and P. J. Mills. 1996. An outbreak of Japanese encephalitis in the Torres Strait, Australia, 1995. Medical Journal of Australia 165: 256-260. Ritchie, S. A., D. Phillips, A. Broom, J. Mackenzie, M. Poidinger, and A. van den Hurk. 1997. Isolation of Japanese encephalitis virus from Culex annulirostris in Australia. American Journal of Tropical Medicine and Hygiene 56: 80-84. van den Hurk, A. F., D. J. Nisbet, R. A. Hall, B. H. Kay, J. S. Mackenzie, and S. A. Ritchie. 2003. Vector competence of Australian mosquitoes (Diptera: Culicidae) for Japanese encephalitis virus. Journal of Medical Entomology 40: 82-90. (5) Mackenzie, J. S., C. A. Johansen, S. A. Ritchie, A. F. van den Hurk, and R. A. Hall. 2002. The emergence and spread of Japanese encephalitis virus in Australasia. Current Topics In Microbiology and Immunology 267: 49-73. (6) Beebe, N. W., L. Ambrose, L. A. Hill, J. B. Davis, G. Hapgood, R. D. Cooper, R. C. Russell, S. A. Ritchie, L. J. Reimer, N. F. Lobo, D. Syafruddin, and A. F. van den Hurk. 2013. Tracing the Tiger: Population Genetics Provides Valuable Insights into the Aedes (Stegomyia) albopictus Invasion of the Australasian Region. PLoS neglected tropical diseases 7: e2361. (7) Hill, M. P., J. k. Axford, and A. A. Hoffmann. 2013. Predicting the spread of Aedes albopictus in Australia under current and future climates: Multiple approaches and datasets to incorporate potential evolutionary divergence. Austral Ecology DOI: 10.1111/aec.12105. (8) Australian Government Department of Health. Disease notifications from 1991 to 2013 http://www9.health.gov.au/cda/source/rpt_2.cfm .