Implications of insecticide resistance for malaria vector control with long-lasting insecticidal nets: trends in pyrethroid resistance during a WHO-coordinated multicountry prospective study

Jackie Cook, Sean Tomlinson, Immo Kleinschmidt, Martin Donnelly, Martin Akogbeto, Alioun Adechoubou, Achile Massougbodji, Mariam Okê-Sopoh, Vincent Corbel, Sylvie Cornelie, Aurore Hounto, Josiane Etang, Herman Parfait Awono-Ambene, Jude Bigoga, Stanislas Elysée Mandeng, Boris Njeambosay, Raymond Tabue, Celestin Kouambeng, Etienne Fondjo, Kamaraju RaghavendraRajendra M. Bhatt, Mehul Kumar Chourasia, Dipak K. Swain, Sreehari Uragayala, Neena Valecha, Charles Mbogo, Nabie Bayoh, Teresa Kinyari, Kiambo Njagi, Lawrence Muthami, Luna Kamau, Evan Mathenge, Eric Ochomo, Hmooda Toto Kafy, Adam Ismail Bashir, Elfatih M. Malik, Khalid Elmardi, Jihad Eltaher Sulieman, Mujahid Abdin, Krishanthi Subramaniam, Brent Thomas, Philippa West, John Bradley, Tessa Bellamy Knox, Abraham Peter Mnzava, Jonathan Lines, Michael Macdonald, Zinga José Nkuni

Research output: Contribution to journalArticlepeer-review

34 Citations (Scopus)

Abstract

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 only

recently 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.

Original languageEnglish
Article number550
JournalParasites and Vectors
Volume11
Issue number1
Early online date22 Oct 2018
DOIs
Publication statusE-pub ahead of print - 22 Oct 2018

Keywords

  • Bednets
  • Bioassay
  • Insecticide resistance
  • Malaria
  • Trends
  • Vector control

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