Insecticide treated nets (ITNs) play a pivotal role in the prevention and control of malaria. Conversely, inadequate levels of ownership, utilization and durability invariably compromise their efficacy. Operational pe...Insecticide treated nets (ITNs) play a pivotal role in the prevention and control of malaria. Conversely, inadequate levels of ownership, utilization and durability invariably compromise their efficacy. Operational performance of the KO-Tab 1-2-3 Long Lasting Insecticidal Nets (LLINs) was assessed using the World Health Organization (WHO) standard entomological and epidemiological procedures, and a pretested structured questionnaire. The median knock down time for Anopheles funestus s.l. was 30 minutes (95% CI 26.3 - 34.0). Post exposure mean mortality rates were 34% at one hour and 80.0% at 24 hours (OR = 0.13, P = 0.00002). Children between the ages of 1 - 4 years old exhibited higher false positives as compared to the 5 - 15 years age groups (OR = 0.10, P = 0.0006). Parasite prevalence varied between rapid diagnostic tests (RDTs) (40.4%) and microscopy (31.3%) (OR = 0.67, P = 0.2825) with 9.2% discordant RDT false positives. All malaria positive children were Plasmodium falciparum mono-infections. Hospital admissions reduced by 28% between 2005 and 2008, with case fatality rates reducing by 19% between 2006 and2007 inchildren under five years. No marked heterogeneity between LLINs ownership (66%) and utilization (48.3%) was observed (OR = 0.49, P = 0.0978). There was complete (100%) community level knowledge of KO-Tab 1-2-3 LLINs. The study provides evidence of potential of KO-Tab 1-2-3 LLINs for operational scale distribution, and substantiates the need for further longitudinal studies to monitor their insecticidal and physical durability.展开更多
Expansive chemical-based vector control has resulted in development of vector resistance to different insecticides harnessed for prevention of disease transmission in public health. The environmentally safe insect gro...Expansive chemical-based vector control has resulted in development of vector resistance to different insecticides harnessed for prevention of disease transmission in public health. The environmentally safe insect growth regulators and microbial larvicides provide potential tools for insecticide resistance management. The efficacy and persistence of Dimilin GR-2% and Mosquiron 10 EC insect growth regulators were evaluated against Anopheles gambiae s.l larvae under laboratory and simulated field conditions. In laboratory bio-efficacy trials, complete emergence inhibition was achieved at higher concentrations with 96 hours post exposure of mosquito aquatic stages to the two larvicides. In simulation field trials, persistence of both larvicides at higher concentrations increased gradually with complete inhibition attained at 7 days and maintained up to 21 days. In the quest of deploying non insecticide based interventions for a sustainable environment, insect growth regulators can be recommended for operational scale larviciding for mosquito larval control in the context of integrated vector management.展开更多
文摘Insecticide treated nets (ITNs) play a pivotal role in the prevention and control of malaria. Conversely, inadequate levels of ownership, utilization and durability invariably compromise their efficacy. Operational performance of the KO-Tab 1-2-3 Long Lasting Insecticidal Nets (LLINs) was assessed using the World Health Organization (WHO) standard entomological and epidemiological procedures, and a pretested structured questionnaire. The median knock down time for Anopheles funestus s.l. was 30 minutes (95% CI 26.3 - 34.0). Post exposure mean mortality rates were 34% at one hour and 80.0% at 24 hours (OR = 0.13, P = 0.00002). Children between the ages of 1 - 4 years old exhibited higher false positives as compared to the 5 - 15 years age groups (OR = 0.10, P = 0.0006). Parasite prevalence varied between rapid diagnostic tests (RDTs) (40.4%) and microscopy (31.3%) (OR = 0.67, P = 0.2825) with 9.2% discordant RDT false positives. All malaria positive children were Plasmodium falciparum mono-infections. Hospital admissions reduced by 28% between 2005 and 2008, with case fatality rates reducing by 19% between 2006 and2007 inchildren under five years. No marked heterogeneity between LLINs ownership (66%) and utilization (48.3%) was observed (OR = 0.49, P = 0.0978). There was complete (100%) community level knowledge of KO-Tab 1-2-3 LLINs. The study provides evidence of potential of KO-Tab 1-2-3 LLINs for operational scale distribution, and substantiates the need for further longitudinal studies to monitor their insecticidal and physical durability.
文摘Expansive chemical-based vector control has resulted in development of vector resistance to different insecticides harnessed for prevention of disease transmission in public health. The environmentally safe insect growth regulators and microbial larvicides provide potential tools for insecticide resistance management. The efficacy and persistence of Dimilin GR-2% and Mosquiron 10 EC insect growth regulators were evaluated against Anopheles gambiae s.l larvae under laboratory and simulated field conditions. In laboratory bio-efficacy trials, complete emergence inhibition was achieved at higher concentrations with 96 hours post exposure of mosquito aquatic stages to the two larvicides. In simulation field trials, persistence of both larvicides at higher concentrations increased gradually with complete inhibition attained at 7 days and maintained up to 21 days. In the quest of deploying non insecticide based interventions for a sustainable environment, insect growth regulators can be recommended for operational scale larviciding for mosquito larval control in the context of integrated vector management.
