Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Spatio-temporal analysis of malaria vector density from baseline through intervention in a high transmission setting
AU - Alegana, Victor A.
AU - Kigozi, Simon P.
AU - Nankabirwa, Joaniter
AU - Arinaitwe, Emmanuel
AU - Kigozi, Ruth
AU - Mawejje, Henry
AU - Kilama, Maxwell
AU - Ruktanonchai, Nick W.
AU - Ruktanonchai, Corrine W.
AU - Drakeley, Chris
AU - Lindsay, Steve W.
AU - Greenhouse, Bryan
AU - Kamya, Moses R.
AU - Smith, David L.
AU - Atkinson, Peter Michael
AU - Dorsey, Grant
AU - Tatem, Andrew J.
PY - 2016/12/12
Y1 - 2016/12/12
N2 - BackgroundAn increase in effective malaria control since 2000 has contributed to a decline in global malaria morbidity and mortality. Knowing when and how existing interventions could be combined to maximise their impact on malaria vectors can provide valuable information for national malaria control programs in different malaria endemic settings. Here, we assess the effect of indoor residual spraying on malaria vector densities in a high malaria endemic setting in eastern Uganda as part of a cohort study where the use of long-lasting insecticidal nets (LLINs) was high.MethodsAnopheles mosquitoes were sampled monthly using CDC light traps in 107 households selected randomly. Information on the use of malaria interventions in households was also gathered and recorded via a questionnaire. A Bayesian spatio-temporal model was then used to estimate mosquito densities adjusting for climatic and ecological variables and interventions.ResultsAnopheles gambiae (sensu lato) were most abundant (89.1%; n = 119,008) compared to An. funestus (sensu lato) (10.1%, n = 13,529). Modelling results suggest that the addition of indoor residual spraying (bendiocarb) in an area with high coverage of permethrin-impregnated LLINs (99%) was associated with a major decrease in mosquito vector densities. The impact on An. funestus (s.l.) (Rate Ratio 0.1508; 97.5% CI: 0.0144–0.8495) was twice as great as for An. gambiae (s.l.) (RR 0.5941; 97.5% CI: 0.1432–0.8577).ConclusionsHigh coverage of active ingredients on walls depressed vector populations in intense malaria transmission settings. Sustained use of combined interventions would have a long-term impact on mosquito densities, limiting infectious biting.
AB - BackgroundAn increase in effective malaria control since 2000 has contributed to a decline in global malaria morbidity and mortality. Knowing when and how existing interventions could be combined to maximise their impact on malaria vectors can provide valuable information for national malaria control programs in different malaria endemic settings. Here, we assess the effect of indoor residual spraying on malaria vector densities in a high malaria endemic setting in eastern Uganda as part of a cohort study where the use of long-lasting insecticidal nets (LLINs) was high.MethodsAnopheles mosquitoes were sampled monthly using CDC light traps in 107 households selected randomly. Information on the use of malaria interventions in households was also gathered and recorded via a questionnaire. A Bayesian spatio-temporal model was then used to estimate mosquito densities adjusting for climatic and ecological variables and interventions.ResultsAnopheles gambiae (sensu lato) were most abundant (89.1%; n = 119,008) compared to An. funestus (sensu lato) (10.1%, n = 13,529). Modelling results suggest that the addition of indoor residual spraying (bendiocarb) in an area with high coverage of permethrin-impregnated LLINs (99%) was associated with a major decrease in mosquito vector densities. The impact on An. funestus (s.l.) (Rate Ratio 0.1508; 97.5% CI: 0.0144–0.8495) was twice as great as for An. gambiae (s.l.) (RR 0.5941; 97.5% CI: 0.1432–0.8577).ConclusionsHigh coverage of active ingredients on walls depressed vector populations in intense malaria transmission settings. Sustained use of combined interventions would have a long-term impact on mosquito densities, limiting infectious biting.
KW - Anopheles
KW - Anopheles gambiae
KW - Indoor Residual Spraying
KW - Malaria
KW - Modelling
U2 - 10.1186/s13071-016-1917-3
DO - 10.1186/s13071-016-1917-3
M3 - Journal article
VL - 9
JO - Parasites and Vectors
JF - Parasites and Vectors
SN - 1756-3305
M1 - 637
ER -