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JSM Environmental Science and Ecology

Productivity of Malaria Vectors from Drainage Ditches in Niamey, Republic of Niger

Mini Review | Open Access

  • 1. Centre de Recherche Médicale et Sanitaire (CERMES), Nigeria
  • 2. Fondation Mérieux, Bamako, Nigeria
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Corresponding Authors
Labbo Rabiou, Centre de Recherche Médicale et Sanitaire, Niamey, Niger, Tel: (227) 20 75 20 40/45; Fax: (227) 20 75 31 80
ABSTRACT

Malaria is a public health priority in Niger. We carried out an entomological study in 10 neighborhoods of the city of Niamey. We collected mosquitoes every three days, from each site, for 15 days at the end of the dry season and 15 days during the mid-rainy season in 2011, 2013, and 2014. A single collection of larvae was carried out at a drainage ditch and a pond during the rainy season of 2016. We sought pre-imaginal stages at 16 breeding sites, 38% of which were open-air ditches for the drainage of domestic waste water and rainwater. Anopheline larvae were raised until adult emergence. In addition to harvesting larvae, adult mosquitoes were captured using light traps and knock-down insecticide sprays. We harvested a total of 10,551 Culicidae larvae, composed of Anopheles sp., Culex sp. and Mansonia sp. Twelve percent (12%) of the larvae collected were Anopheles sp. Anopheline larvae were found at four of the six surveyed open ditches, accounting for 12.7% of collected larvae. The search for adults yielded 20,274 Culicidae females (35.2% Anopheles sp.). This survey reveals that the open ditches of Niamey, despite being severely polluted are productive breeding grounds for Anopheles gambiae sensu lato (s.l.).

CITATION

Labbo R, Fatouma AD, Amadou S, Ibrahim A, Izamné M, et al. (2017) Productivity of Malaria Vectors from Drainage Ditches in Niamey, Republic of Niger. JSM Environ Sci Ecol 5(3): 1052.

KEYWORDS

•     Open gutters
•     Anopheles
•     Malaria
•     Niamey
•     Niger

INTRODUCTION

Mosquitoes, like all Diptera, are insects that undergo complete metamorphosis, i.e. larvae and adults have a very different appearance and lifestyle. Immature stages live in an aquatic environment and adults in the open air. Mosquitoes have colonized diverse natural environments and adapt too many lifestyles due to their morphological variety and ecological plasticity. They exploit almost all types of aquatic habitats for breeding. Female mosquitoes lay eggs either on the surface of the water or on a wet substrate that may subsequently be flooded; the eggs hatch as soon as the embryo is fully developed.

Malaria is the deadliest of the parasitic diseases transmitted by mosquitoes. According to the WHO (2015), the number of malaria cases worldwide declined from 262 million in 2000 (range: 205-316 million) to 214 million in 2015 (range: 149- 303 million), a reduction of 18%. The number of deaths due to malaria has dropped from approximately 839,000 in 2000 (range: 653,000-1.1 million) to 438,000 in 2015 (range: 236,000- 635,000), a reduction of 48%. Most cases and deaths in 2015 were in Africa (88%).

The prevalence of malaria parasites in cities is generally lower than that observed in neighboring villages [1,2]. (Studies on the effects of urbanization on malaria transmission in subSaharan Africa showed different transmission rates in urban, peri-urban, and rural areas [3,4]. Urban malaria transmission rates vary and are affected by a number of factors, such as location (altitude, proximity to the sea, rivers, etc.), climate, land use, socio-economic factors, the local vector species, waste management, and more. Factors associated with urban landscapes and the behavior of urban dwellers strongly influence the fate of anopheline populations and affect the reservoir of the parasite. Overall, the process of urbanization tends to reduce anopheline breeding sites [2,5] and is therefore expected to reduce malaria transmission. The inventory of urban breeding sites by [6], indicated that most are artificial, including urban agriculture, tires, and ditches; note however, that urbanization is a process and the vectors continuously adapt.

Malaria is transmitted by An. gambiae sensu stricto (s.s.) and/or An. arabiensis in most large modern African cities [5,7]. The breeding sites for these two species of the An. gambiae s.l. complex are small pools of fresh, shallow, calm, clear, sunny water. However, studies in both rural and urban areas in Africa have revealed the presence of Anopheles larvae, vectors of malaria, in waste water [8,9].

Malaria is a public health priority in Niger. It accounted for 28.3% of all morbidity recorded in 2014. Specific mortality due to malaria was 52.1%, and is higher in children under 5 years of age with a rate of 62.3% (Directory of Health Statistics of Niger, 2015) [10]. The urban community of Niamey alone accounts for 10% of all malaria cases reported in Niger and the incidence has increased steadily in recent years. In the 1970s, there were few mosquito breeding sites in Niamey [11,12], and the transmission of malaria was higher in the neighborhoods near the river [13], than in other neighborhoods [14], except for unsanitary areas with standing water in pools and ponds. There are few entomological data for Niamey, and they are outdated, and from single surveys. This lack of knowledge is further exacerbated by the climatic changes of recent years, in particular the substantial decline in rainfall (20-30%) over the last 40 years and successive droughts [15]. Although attenuated by interventions of the National Program for the Fight against Malaria (PNLP), invasions of Anopheles throughout Niamey have not diminished. The speed and scale of population growth of Niamey has prevented the public authorities from providing adequate infrastructure, including an effective system of sanitation and rainwater drainage.

We report work to update knowledge about the inventory and geographical distribution of mosquitoes, and to evaluate the contribution of poorly maintained open ditches that surround the city of Niamey in the development of Anopheles larvae.

MATERIALS AND METHODS

Study site

Niger is a landlocked Sahelian country with an area of 1,267,000 km2 . It has environmental problems due to an imbalance between the human population, available resources, and economic development. In 1956, at the end of the colonial era, Niger was little urbanized: the urban population was 100,000 (3.6% of the total population), and Niamey had only 23,000 inhabitants [16]. Niamey, has been the capital of Niger from its independence to the present day, and was chosen because it was a healthy site, as well as for political reasons. It has witnessed spectacular population growth and expansion, leading to problems of urban development in the growing agglomerations because of insufficient technical and financial resources. The city is located in the south-west of the country between 13° 28’and 13°35’ north latitude and meridians 02° 03’ and 02° 12’ longitude and covers an area of approximately 239 km2 [17]. The Niger River flows through the city in a north-west-south-east direction and has a bed width of 300-750 m [18]. Niamey is also crossed by temporary tributaries (koris) of the river, which flow only during the rainy season (from June to September). The largest of these is the Gounti Yéna, which cuts across and drains the plateau of the left bank.

The climate is Sahelo-Sudanian with a rainy season of four months (June to September). Total rainfall averages 550 mm per season, with 76% of the precipitation between July and August. The average annual temperature is 29° C and maximum daytime temperatures 45° C in the shade, at the end of the dry season in April. Parallel to the increase in population, roughly organized agricultural activities have developed in urban and peri-urban areas (market gardening, rice cultivation). These activities ensure the supply of fresh produce to the capital, but also create favorable conditions for the formation of persistent pools and puddles, in which mosquitoes can breed, in addition to the banks of the Niger River [19]. The amount of both solid and liquid waste in the city has grown, and there are only 150 km of sewers for an urbanized area of more than 11,000 ha with more than one million inhabitants. This network is poorly distributed and mostly serves the city center and neighboring districts; some districts only have large, East–West oriented open drainage ditches. This network is ineffective because of poor design and maintenance. The urban community of Niamey is divided into 99 administrative districts (Law n° 2002-012 of 11 June 2002) and five public health districts with 234 health facilities [20].

Choice of sites

Entomological surveys were carried out in 10 districts of Niamey, selected to represent or conform to the following criteria (Figure 1)

Homogeneous distribution to cover the entire urban area, and the five public health districts of Niamey;

Central or peripheral location of the neighborhood;

Development of organized or informal agricultural activities in the neighborhood;

Presence of breeding sites for vectors (ponds, river, drainage channels, etc.);

Various distances of the neighborhood from the river;

Health status of the neighborhood around the Integrated Health Centers (ISC);

Population density of the neighborhood

Capture of mosquitoes

We collected mosquito at each site, every three days for 15 days, at the end of the dry season (June) and for 15 days in the middle of the rainy season (September) of 2011, 2013, and 2014. We followed a total of 16 breeding sites in the 10 surveyed districts, including six open ditches, six ponds, one garden pit, and three sites at the river. A single collection of larvae was carried out at one of the open ditches for two consecutive days during the rainy season of 2016. Adult mosquitoes were identified with determination keys [21]. After morphological identification, the specimens were stored between -20° and -30° C until further analysis.

Aquatic stages collection and specimen processing: A semi-standardized protocol was used to search for larvae and pupae. The technique consisted of manually collecting aquatic stages of the mosquitoes by dipping a ladle into the water during the daytime [22]. The volume of the ladle was 350 mL (Bioquip, Gardena, CA, USA) as described by « Clarke Mosquito Control Products, Roselle, IL ». Ten (10) “scoops” were made per site and per pass and fifteen (15) “scoops” to the last passage of the rainy seasons. Mosquito larvae and pupae were immediately stored in a suitable jar containing water from the site and transported to the laboratory within three hours of collection. The larvae were morphologically identified and cultured, and the pupae identified up to the imaginal stage for confirmation.

Biological parameters of the early generations of Anopheles: We carried out a comparative study of pupal development, larval production, and adult production on larvae and pupae collected at an open ditch and those collected at a permanent pond during the 2016 rainy season (August). These pre-imaginal stages were followed under near-natural conditions at the insectarium of the CERMES (in a room without air conditioning, resulting in a temperature of the insectarium essentially identical to that outside). We evaluated three parameters:

Pupal development: the pupation rate was calculated as the ratio of the number of pupae obtained relative to the number of stage-IV larvae collected;

Larval production: the larval survival rate was calculated, relative to the number of larvae reaching stage IV, for each stage of larval development;

Attaining adulthood: The rate of emergence was calculated as the ratio of the number of adults to the number of pupae collected.

Adult mosquito collection: Two sampling methods for adult mosquitoes were used for each neighborhood and at each pass:

Capture of mosquitoes at rest after spraying with a knockdown insecticide (Spray Catch technique). Two rooms used as bedrooms were sampled in the early morning. Closed rooms were sprayed using commercial (Mobil®) aerosols containing pyrethroids to harvest residual fauna (endophilic fauna).

Mosquito capture using light traps. Two light traps (CDC mini trap light, Model 512, John W. Hock Co., Gainesville, FL, USA) were used from 7:00 pm to 7:00 am outside bedrooms.

Geographic information system All mosquito capture sites were geo-referenced using a Hand-held Global Positioning System (GPS). Characteristics, including the type of neighborhood and breeding site, the presence of vegetation, the presence of landfill, the nature of the water, the distance of the breeding site from the river, and the type of nearby crop were recorded. The number of people who spent the night in the room, the presence of insecticide-treated mosquito nets in the huts, and the presence of animals in the yard were recorded for adult mosquito sample collections.

Physicochemical quality analysis of surface water

Physicochemical measures and the presence or absence of aquatic organisms and micro-organisms were determined as approximate indicators of surface water quality.

Larval breeding sites were characterized using the following criteria for each site: the presence of predators, water acidity (pH), salinity, electrical conductivity (EC) and turbidity, and whether the location was anthropogenic or natural. A portable pH meter (HI 98130 HANNA instruments; USA) was used to measure pH, salinity, and EC.

 

RESULTS AND DISCUSSION

Abundance of Culicidae and Anopheles sp. in the neighborhoods of Niamey

We collected 10,551 Culicidae larvae during the monitoring of the breeding sites. Of these, 12% (1,255) were Anopheles sp. The Culicidae larvae were collected in 842 positive ladles cops of the 4,577 carried out. Anopheles sp. larvae accounted for 53% of Culicidae harvested in the central districts, but only 12 and 7% in peripheral and intermediate neighborhoods, respectively. During the same period, we captured 20,274 Culicidae adults, of which 35.2% (7,141) were Anopheles sp. Unlike the larvae, the proportion Culicidae adults that were Anopheles sp. was very low (5%) in the most urbanized central neighborhoods but high in peripheral (46%) and intermediate (28%) neighborhoods (Table 1). The Anopheles species found were An. gambiae sl. (94.8%), An. pharoensis (2.8%), An. rufipes (1.5%), An. funestus (0.5%), An. ziemanni (0.3%) and An. nili (0.1%). The other Culicidae included Culex sp. (59.8%), Mansonia sp.(2.5%) and Aedes sp. (2.5%).

Physicochemical characteristics of the water

We tested water at four types of breeding sites: permanent, semi-permanent, or temporary pools (or ponds); the river; a garden pit; and open ditches.

The maximum pH (8.2) was recorded in the river; the other water collection sites were less alkaline. The open ditches were well oxygenated (5.86 mg/L), whereas oxygen content was very low in the river (1.81 mg/L) and garden pit (1.57 mg/L). The EC of the water was high in the open ditches (1179.1μs/cm) and low in the garden pit (320.3μs/cm). The mean water temperature of the study sites ranged from 25.9°C (temporary pools) to 28.5°C (open ditches) (Table 2).

Abundance of Anopheles sp. at the larval breeding sites

During the survey, a total of 4,607 ladle scoops were made, resulting in the collection of 1,255 malaria vector larvae. The surveys of the breeding sites showed that the diverse environments tested were all exploited by both Culex sp. and Anopheles sp. The mean number of Anopheles sp. larvae per ladle scoop was 0.27, (range 0.01 in the temporary pools to 0.72 in the permanent pools). Larval abundance varied widely in time and space. During the dry season, the abundance of Anopheles sp. Larvae was very low at all surveyed sites, except permanent ponds; indeed, more than half (52%) of the larvae collected during the study were from such ponds. Only three Anopheles sp. larvae were collected from temporary pools during the survey and thus these pools appear to play a negligible role in the transmission of malaria (Table 3).

Abundance of Anopheles sp. in ditches

Culicidae larvae were present in 387 of the 1,724 ladle scoops from ditches (Table 4). We found Anopheles sp. larvae in four of the six open ditches surveyed, and they made up 2.3% of the Culicidae larvae collected. There were, on average, 0.41 Anopheles sp. larvae per positive ladle scoop. Anopheles sp. larvae were most abundant in the ditches of the Foulan Kouara district and were not observed in the ditches in the districts Boukoki and Gamkalé.

Biological characteristics of the early generations of Anophèles sp.

Anopheles sp. larvae collected from an open ditch and a permanent pond were reared and the first generation studied. We collected 2,311 larvae from a pond and 79 from a ditch during two collections during the rainy season of 2016. We followed the pre-imaginal development cycle in the laboratory for 10 days. Pupation and larval survival rates were higher for larvae collected from the ditches (31.4 and 44.3%, respectively) than for those collected from the pond (27.3% and 37.9%, respectively). In contrast, the emergence rate was higher for pupae from the ponds (40.6%) than those from the ditches (36.4%) (Table 5).

Table 1: Density of Culicidae and Anopheles sp. in neighborhoods of Niamey.

    Immature Adult
Neighborhood 
location
Neighborhoods Culicidae sp. Anophèles sp. Culicidae sp. Anopheles sp
Total Total % Total Total %
Periphery Bangabana 4078 375 9% 3507 485 14%
Banigoungou 1763 152 9% 5248 3669 70%
Tondibia 62 53 85% 2581 1363 53%
Foulan kouara 302 186 62% 953 91 10%
Total 1 6205 766 12% 12289 5608 46%
Intermediate Gamkalé 60 52 87% 1308 160 12%
Karadjé 1192 219 18% 1308 160 12%
Lamordé 1 1 100% 1923 818 43%
Madina 2717 17 1% 505 50 10%
Total 2 3970 289 7% 4930 1387 28%
Center Boukoki 367 197 54% 1136 31 3%
Wadata 9 3 33% 1919 115 6%
Total 3 376 200 53% 3055 146 5%
  TOTAL 10551 1255 12% 20274 7141 35%

Table 2: Principal physicochemical measures of the water of the breeding sites.

  Larval breeding sites
Measure River Pools/Ponds    
Permanen Semi-permanent Temporary Open Ditches Garden pit
pH 8.2 7.9 7.8 7.9 7.6 7.8
Dissolved oxygen (mg/L) 1.81 3.98 3.23 2.58 5.86 1.57
Conductivity (μs/cm) 378.2 743.8 667.8 645.5 1179.1 320.3
Water temperature (°C) 27.5 28.1 28.4 25.9 28.5 26.6

 

CONCLUSION

We report an inventory of the mosquitoes in the capital of Niger (Niamey): we describe their geographical distribution, abundance, seasonal variation and relationship with the environment and in particular the involvement of open ditches in the life cycle of Anopheles gambiae sl, the principal malaria vector. The two genera of Culicidae collected in the largest numbers in Niamey were Culex sp. and Anopheles sp. The biological ecology of malaria vectors in urban areas in Niamey is characterized by low Anophelian density in the most highly urbanized areas and high heterogeneity. These features are consequences of the diversity of local ecology in each neighborhood in Niamey, as we had already observed in 2002 and 2008 [19]. In 1997, Julvez et al.[14], observed that malaria transmission in Niamey was higher in neighborhoods near the river than in other neighborhoods. Labbo et al., 2016 [19], observed that the hydrological situation in Niamey has not changed much over the last decade. But the author noted the change in malaria transmission. The main reason is that the data of julvez et al., are old (1992-1995). In addition, climate change in recent years has seen a dramatic decline in precipitation (20-30%) and subsequent drought. [23]

During the survey, we monitored 16 breeding sites. Although very different, these environments are exploited by both Culex sp. and Anopheles sp. We found most Anopheles sp. larvae in permanent pools, consistent with our observations in 2002 [19]. Fluctuations in mosquito densities were very marked during the periods of heavy rain, whereas their numbers were relatively constant before this period. The emergence of adult vectors is abrupt and relatively asynchronous between sites, probably due to the pressure of human and environmental factors specific to each site. The consequence is heterogeneous malaria transmission in Niamey, each neighborhood probably constituting a particular case. This notion of heterogeneous transmission within a relatively small-urbanized area (250 km2 ) is consistent with the clinical data, showing high heterogeneity in the number of cases reported annually in the 60 ICS of Niamey (MSP, PAA2017).

The open ditches in Niamey are productive breeding sites for Anopheles: larvae from these breeding sites were productive and pre imaginal development was observed in the laboratory. We found no species of Anopheles, other than Anopheles gambiae sl. (the principal vector of malaria), in these ditches. The physicochemical measures of the water in which we found Anopheles were similar to those found by [24], in the polluted waters of Lagos. Anopheline larvae were present in two thirds (2/3) of the open channels surveyed. Entomological studies of the ditches in Niamey have not been performed for 40 years [11,12]. Anopheline larvae generally develop in relatively clean water, unlike the larvae of Culex quinquefasciatus, which can grow in water, contaminated with organic matter and are readily found in urban areas where hygiene is poor [25]. However, larvae of An. gambiae sl. Are found in various sources of polluted water in urban environments in sub-Saharan Africa [9,26,27], although rarely. Nevertheless, some studies [4,28,29] have concluded that water pollution in cities is the main factor limiting the development of anophelines.

Our study updates knowledge about mosquitoes in general and, in particular, the ecology of the principal vectors of malaria in Niamey. The presence of An. gambiae sl. larvae in open ditches has serious implications for the epidemiology of urban malaria. Changes in the behavior of anopheles and their opportunism in the face of environmental changes must be considered before planning, executing, and evaluating vector control measures in general, and in particular those implemented by the Malaria Control Program in Niger [30].

Table 3: Larval breeding sites and seasonal variation of malaria vectors.

Year Season Number of ladle scoops Number of Anopheles sp. larvae
Larval breeding sites Total Per ladledip
River Pools/ponds    
Permanent Semi-permanent Temporary Open 
ditches
Garden 
pit
2011 Rainy 1387 74 174 94 0 98 8 448 0.32
  Dry 515 0 26 0 0 0 0 260.05  
2013 Rainy 770 27 243 2 3 60 95 430 0.56
  Dry 640 0 131 0 0 0 0 131 0.20
2014 Rainy 825 5 81 83 0 2 49 220 0.27
  Dry 470 0 0 0 0 0 0 0 0
  Total 4607 106 655 179 3 160 152 1255 0.27
  Percentage   8 52 14 0 13 12    
ntage 8% 52% 14% 0% 13% 12% T 807 1052 247 527 1724 250 4607  
Larvae per ladle scoop 0.13 0.62 0.72 0.01 0.09 0.61 0.27  

Table 4: Density of Culicidae and Anopheles sp. in the ditches.

Neighborhood Number of ladle 
scoops
Number of ladle 
scoops positive
Number of Culicidae Anopheles sp
Total Per positive ladle 
scoop
Bangabana 315 158 3183 2 0.01
Boukoki 336 0 0 0 0
Foulan Kouara 167 49 195 101 2.06
Gamkalé 276 0 0 0 0
Karadjé 350 74 836 40 0.54
Madina 280 106 2691 17 0.16
total 1724 387 6905 160 0.41

Table 5: Pre-imaginal development of Anopheles sp. in the laboratory.

Origin of 
larvae
Larval survival 
rate (%)
Rate of 
pupation (%)
Rate of 
emergence 
(%)
Channel 44.3 (35/79) 31.4 (11/35) 36.4 (4/11)
Pool 37.9
(876/2311)
27.3 (239/876) 40.6 (97/239)

 

ACKNOWLEDGEMENTS

We would like to thank the International Development Research Center (IDRC) of Canada that funded the study through the project “Facing Change Together (FACE): Adapting to climate change in Canada and West Africa through better use of water resources.” We would also like to thank Dr. Jean Testa and Sani Haladou for critical reading of the manuscript, as well as students of the Faculty of Sciences and Techniques of the Abdoul Moumouni University of Niamey who, during internships at CERMES, actively participated in the field and laboratory.

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Labbo R, Fatouma AD, Amadou S, Ibrahim A, Izamné M, et al. (2017) Productivity of Malaria Vectors from Drainage Ditches in Niamey, Republic of Niger. JSM Environ Sci Ecol 5(3): 1052.

Received : 16 Jun 2017
Accepted : 28 Jul 2017
Published : 30 Jul 2017
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ISSN : 2573-1548
Launched : 2016
Annals of Emergency Surgery
ISSN : 2573-1017
Launched : 2016
Annals of Mens Health and Wellness
ISSN : 2641-7707
Launched : 2017
Journal of Preventive Medicine and Health Care
ISSN : 2576-0084
Launched : 2018
Journal of Chronic Diseases and Management
ISSN : 2573-1300
Launched : 2016
Annals of Vaccines and Immunization
ISSN : 2378-9379
Launched : 2014
JSM Heart Surgery Cases and Images
ISSN : 2578-3157
Launched : 2016
Annals of Reproductive Medicine and Treatment
ISSN : 2573-1092
Launched : 2016
JSM Brain Science
ISSN : 2573-1289
Launched : 2016
JSM Biomarkers
ISSN : 2578-3815
Launched : 2014
JSM Biology
ISSN : 2475-9392
Launched : 2016
Archives of Stem Cell and Research
ISSN : 2578-3580
Launched : 2014
Annals of Clinical and Medical Microbiology
ISSN : 2578-3629
Launched : 2014
JSM Pediatric Surgery
ISSN : 2578-3149
Launched : 2017
Journal of Memory Disorder and Rehabilitation
ISSN : 2578-319X
Launched : 2016
JSM Tropical Medicine and Research
ISSN : 2578-3165
Launched : 2016
JSM Head and Face Medicine
ISSN : 2578-3793
Launched : 2016
JSM Cardiothoracic Surgery
ISSN : 2573-1297
Launched : 2016
JSM Bone and Joint Diseases
ISSN : 2578-3351
Launched : 2017
JSM Bioavailability and Bioequivalence
ISSN : 2641-7812
Launched : 2017
JSM Atherosclerosis
ISSN : 2573-1270
Launched : 2016
Journal of Genitourinary Disorders
ISSN : 2641-7790
Launched : 2017
Journal of Fractures and Sprains
ISSN : 2578-3831
Launched : 2016
Journal of Autism and Epilepsy
ISSN : 2641-7774
Launched : 2016
Annals of Marine Biology and Research
ISSN : 2573-105X
Launched : 2014
JSM Health Education & Primary Health Care
ISSN : 2578-3777
Launched : 2016
JSM Communication Disorders
ISSN : 2578-3807
Launched : 2016
Annals of Musculoskeletal Disorders
ISSN : 2578-3599
Launched : 2016
Annals of Virology and Research
ISSN : 2573-1122
Launched : 2014
JSM Renal Medicine
ISSN : 2573-1637
Launched : 2016
Journal of Muscle Health
ISSN : 2578-3823
Launched : 2016
JSM Genetics and Genomics
ISSN : 2334-1823
Launched : 2013
JSM Anxiety and Depression
ISSN : 2475-9139
Launched : 2016
Clinical Journal of Heart Diseases
ISSN : 2641-7766
Launched : 2016
Annals of Medicinal Chemistry and Research
ISSN : 2378-9336
Launched : 2014
JSM Pain and Management
ISSN : 2578-3378
Launched : 2016
JSM Women's Health
ISSN : 2578-3696
Launched : 2016
Clinical Research in HIV or AIDS
ISSN : 2374-0094
Launched : 2013
Journal of Endocrinology, Diabetes and Obesity
ISSN : 2333-6692
Launched : 2013
Journal of Substance Abuse and Alcoholism
ISSN : 2373-9363
Launched : 2013
JSM Neurosurgery and Spine
ISSN : 2373-9479
Launched : 2013
Journal of Liver and Clinical Research
ISSN : 2379-0830
Launched : 2014
Journal of Drug Design and Research
ISSN : 2379-089X
Launched : 2014
JSM Clinical Oncology and Research
ISSN : 2373-938X
Launched : 2013
JSM Bioinformatics, Genomics and Proteomics
ISSN : 2576-1102
Launched : 2014
JSM Chemistry
ISSN : 2334-1831
Launched : 2013
Journal of Trauma and Care
ISSN : 2573-1246
Launched : 2014
JSM Surgical Oncology and Research
ISSN : 2578-3688
Launched : 2016
Annals of Food Processing and Preservation
ISSN : 2573-1033
Launched : 2016
Journal of Radiology and Radiation Therapy
ISSN : 2333-7095
Launched : 2013
JSM Physical Medicine and Rehabilitation
ISSN : 2578-3572
Launched : 2016
Annals of Clinical Pathology
ISSN : 2373-9282
Launched : 2013
Annals of Cardiovascular Diseases
ISSN : 2641-7731
Launched : 2016
Journal of Behavior
ISSN : 2576-0076
Launched : 2016
Annals of Clinical and Experimental Metabolism
ISSN : 2572-2492
Launched : 2016
Clinical Research in Infectious Diseases
ISSN : 2379-0636
Launched : 2013
JSM Microbiology
ISSN : 2333-6455
Launched : 2013
Journal of Urology and Research
ISSN : 2379-951X
Launched : 2014
Journal of Family Medicine and Community Health
ISSN : 2379-0547
Launched : 2013
Annals of Pregnancy and Care
ISSN : 2578-336X
Launched : 2017
JSM Cell and Developmental Biology
ISSN : 2379-061X
Launched : 2013
Annals of Aquaculture and Research
ISSN : 2379-0881
Launched : 2014
Clinical Research in Pulmonology
ISSN : 2333-6625
Launched : 2013
Journal of Immunology and Clinical Research
ISSN : 2333-6714
Launched : 2013
Annals of Forensic Research and Analysis
ISSN : 2378-9476
Launched : 2014
JSM Biochemistry and Molecular Biology
ISSN : 2333-7109
Launched : 2013
Annals of Breast Cancer Research
ISSN : 2641-7685
Launched : 2016
Annals of Gerontology and Geriatric Research
ISSN : 2378-9409
Launched : 2014
Journal of Sleep Medicine and Disorders
ISSN : 2379-0822
Launched : 2014
JSM Burns and Trauma
ISSN : 2475-9406
Launched : 2016
Chemical Engineering and Process Techniques
ISSN : 2333-6633
Launched : 2013
Annals of Clinical Cytology and Pathology
ISSN : 2475-9430
Launched : 2014
JSM Allergy and Asthma
ISSN : 2573-1254
Launched : 2016
Journal of Neurological Disorders and Stroke
ISSN : 2334-2307
Launched : 2013
Annals of Sports Medicine and Research
ISSN : 2379-0571
Launched : 2014
JSM Sexual Medicine
ISSN : 2578-3718
Launched : 2016
Annals of Vascular Medicine and Research
ISSN : 2378-9344
Launched : 2014
JSM Biotechnology and Biomedical Engineering
ISSN : 2333-7117
Launched : 2013
Journal of Hematology and Transfusion
ISSN : 2333-6684
Launched : 2013
Journal of Cardiology and Clinical Research
ISSN : 2333-6676
Launched : 2013
JSM Nanotechnology and Nanomedicine
ISSN : 2334-1815
Launched : 2013
Journal of Ear, Nose and Throat Disorders
ISSN : 2475-9473
Launched : 2016
JSM Ophthalmology
ISSN : 2333-6447
Launched : 2013
Journal of Pharmacology and Clinical Toxicology
ISSN : 2333-7079
Launched : 2013
Annals of Psychiatry and Mental Health
ISSN : 2374-0124
Launched : 2013
Medical Journal of Obstetrics and Gynecology
ISSN : 2333-6439
Launched : 2013
Annals of Pediatrics and Child Health
ISSN : 2373-9312
Launched : 2013
JSM Clinical Pharmaceutics
ISSN : 2379-9498
Launched : 2014
JSM Foot and Ankle
ISSN : 2475-9112
Launched : 2016
JSM Alzheimer's Disease and Related Dementia
ISSN : 2378-9565
Launched : 2014
Journal of Addiction Medicine and Therapy
ISSN : 2333-665X
Launched : 2013
Journal of Veterinary Medicine and Research
ISSN : 2378-931X
Launched : 2013
Annals of Public Health and Research
ISSN : 2378-9328
Launched : 2014
Annals of Orthopedics and Rheumatology
ISSN : 2373-9290
Launched : 2013
Journal of Clinical Nephrology and Research
ISSN : 2379-0652
Launched : 2014
Annals of Community Medicine and Practice
ISSN : 2475-9465
Launched : 2014
Annals of Biometrics and Biostatistics
ISSN : 2374-0116
Launched : 2013
JSM Clinical Case Reports
ISSN : 2373-9819
Launched : 2013
Journal of Cancer Biology and Research
ISSN : 2373-9436
Launched : 2013
Journal of Surgery and Transplantation Science
ISSN : 2379-0911
Launched : 2013
Journal of Dermatology and Clinical Research
ISSN : 2373-9371
Launched : 2013
JSM Gastroenterology and Hepatology
ISSN : 2373-9487
Launched : 2013
Annals of Nursing and Practice
ISSN : 2379-9501
Launched : 2014
JSM Dentistry
ISSN : 2333-7133
Launched : 2013
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