TY - JOUR
T1 - Implications of insecticide resistance for malaria vector control with long-lasting insecticidal nets: trends in pyrethroid resistance during a WHO-coordinated multicountry prospective study
AU - Cook, Jackie
AU - Tomlinson, Sean
AU - Kleinschmidt, Immo
AU - Donnelly, Martin
AU - Akogbeto, Martin
AU - Adechoubou, Alioun
AU - Massougbodji, Achile
AU - Okê-Sopoh, Mariam
AU - Corbel, Vincent
AU - Cornelie, Sylvie
AU - Hounto, Aurore
AU - Etang, Josiane
AU - Awono-Ambene, Herman Parfait
AU - Bigoga, Jude
AU - Mandeng, Stanislas Elysée
AU - Njeambosay, Boris
AU - Tabue, Raymond
AU - Kouambeng, Celestin
AU - Fondjo, Etienne
AU - Raghavendra, Kamaraju
AU - Bhatt, Rajendra M.
AU - Chourasia, Mehul Kumar
AU - Swain, Dipak K.
AU - Uragayala, Sreehari
AU - Valecha, Neena
AU - Mbogo, Charles
AU - Bayoh, Nabie
AU - Kinyari, Teresa
AU - Njagi, Kiambo
AU - Muthami, Lawrence
AU - Kamau, Luna
AU - Mathenge, Evan
AU - Ochomo, Eric
AU - Kafy, Hmooda Toto
AU - Bashir, Adam Ismail
AU - Malik, Elfatih M.
AU - Elmardi, Khalid
AU - Sulieman, Jihad Eltaher
AU - Abdin, Mujahid
AU - Subramaniam, Krishanthi
AU - Thomas, Brent
AU - West, Philippa
AU - Bradley, John
AU - Knox, Tessa Bellamy
AU - Mnzava, Abraham Peter
AU - Lines, Jonathan
AU - Macdonald, Michael
AU - Nkuni, Zinga José
PY - 2018/10/22
Y1 - 2018/10/22
N2 - Background: Increasing pyrethroid resistance has been an undesirable correlate of the rapid increase in coverage of insecticide-treated nets (ITNs) since 2000. Whilst monitoring of resistance levels has increased markedly over this period, longitudinal monitoring is still lacking, meaning the temporal and spatial dynamics of phenotypic resistance in the context of increasing ITN coverage are unclear.Methods: As part of a large WHO-co-ordinated epidemiological study investigating the impact of resistance on malaria infection, longitudinal monitoring of phenotypic resistance to pyrethroids was undertaken in 290 clusters across Benin, Cameroon, India, Kenya and Sudan.Mortality in response to pyrethroids in the major anopheline vectors in each location was recorded during consecutive years using standard WHO test procedures. Trends in mosquito mortality were examined using generalised linear mixed-effect models.Results: Insecticide resistance (using the WHO definition of mortality < 90%) was detected in clusters in all countries across the study period. The highest mosquito mortality (lowest resistance frequency) was consistently reported from India, in an area where ITNs had onlyrecently been introduced. Substantial temporal and spatial variation was evident in mortality measures in all countries. Overall, a trend of decreasing mosquito mortality (increasing resistance frequency) was recorded (Odds Ratio per year: 0.79 per year (95% CI: 0.79–0.81,P < 0.001). There was also evidence that higher net usage was associated with lower mosquito mortality in some countries.Discussion: Pyrethroid resistance increased over the study duration in four out of five countries. Insecticide-based vector control may be compromised as a result of ever higher resistance frequencies.
AB - Background: Increasing pyrethroid resistance has been an undesirable correlate of the rapid increase in coverage of insecticide-treated nets (ITNs) since 2000. Whilst monitoring of resistance levels has increased markedly over this period, longitudinal monitoring is still lacking, meaning the temporal and spatial dynamics of phenotypic resistance in the context of increasing ITN coverage are unclear.Methods: As part of a large WHO-co-ordinated epidemiological study investigating the impact of resistance on malaria infection, longitudinal monitoring of phenotypic resistance to pyrethroids was undertaken in 290 clusters across Benin, Cameroon, India, Kenya and Sudan.Mortality in response to pyrethroids in the major anopheline vectors in each location was recorded during consecutive years using standard WHO test procedures. Trends in mosquito mortality were examined using generalised linear mixed-effect models.Results: Insecticide resistance (using the WHO definition of mortality < 90%) was detected in clusters in all countries across the study period. The highest mosquito mortality (lowest resistance frequency) was consistently reported from India, in an area where ITNs had onlyrecently been introduced. Substantial temporal and spatial variation was evident in mortality measures in all countries. Overall, a trend of decreasing mosquito mortality (increasing resistance frequency) was recorded (Odds Ratio per year: 0.79 per year (95% CI: 0.79–0.81,P < 0.001). There was also evidence that higher net usage was associated with lower mosquito mortality in some countries.Discussion: Pyrethroid resistance increased over the study duration in four out of five countries. Insecticide-based vector control may be compromised as a result of ever higher resistance frequencies.
KW - Bednets
KW - Bioassay
KW - Insecticide resistance
KW - Malaria
KW - Trends
KW - Vector control
U2 - 10.1186/s13071-018-3101-4
DO - 10.1186/s13071-018-3101-4
M3 - Article
SN - 1756-3305
VL - 11
JO - Parasites and Vectors
JF - Parasites and Vectors
IS - 1
M1 - 550
ER -