Author
STEVENSON, JENNIFER - Johns Hopkins School Of Public Health | |
SIMUBALI, LIMONTY - Macha Research Trust | |
MUDENDA, TWIG - Macha Research Trust | |
CARDOL, ESTHER - Radboud University | |
Bernier, Ulrich | |
VAZQUEZ, AGUSTIN - Institute Technology Of Buenos Aires (ITBA) | |
THUMA, PHILIP - Johns Hopkins School Of Public Health | |
NORRIS, DOUGLAS - Johns Hopkins School Of Public Health | |
PERRY, MELYNDA - Natick Soldier Center | |
Kline, Daniel - Dan | |
Cohnstaedt, Lee | |
GURMAN, PABLO - Gearjump Technologies, Llc | |
D'HERS, SEBASTIAN - Institute Technology Of Buenos Aires (ITBA) | |
ELMAN, NOEL - Gearjump Technologies, Llc |
Submitted to: Malaria Journal
Publication Type: Peer Reviewed Journal Publication Acceptance Date: 10/30/2018 Publication Date: 11/26/2018 Citation: Stevenson, J.C., Simubali, L., Mudenda, T., Cardol, E., Bernier, U.R., Vazquez, A.A., Thuma, P., Norris, D.E., Perry, M., Kline, D.L., Cohnstaedt, L.W., Gurman, P., D'Hers, S., Elman, N. 2018. Controlled release spatial repellent devices (CRDs) as novel tools against malaria transmission: a semi-field study in Macha, Zambia. Malaria Journal. 17(1):437. https://doi.org/10.1186/s12936-018-2558-0. DOI: https://doi.org/10.1186/s12936-018-2558-0 Interpretive Summary: Mosquito-borne diseases represent a global public health threat. More than one million people die annually due to vector-borne diseases. Malaria alone is responsible for 400,000 deaths a year and mainly affecting children under 5 years old. Considerable gains have been made in the past 15 years in reducing malaria transmission globally, largely due to widely applied vector control measures, including insecticide-treated bed nets (ITNs) and indoor residual spraying (IRS). Despite intensive scale up of long-lasting insecticide-treated bed nets (LLINs) and annual IRS since the early 2000s, malaria remains one of the primary causes of morbidity and mortality in children under 5 years in Zambia. Unfortunately, these mainstays of vector control are threatened by mosquito resistance to insecticides and changes in mosquito behavior that may result in increased outdoor foraging. Therefore, new population managemnt tools are needed. Spatial repellents (SRs) have been suggested as a possible alternative control tool. SRs interfere with the host seeking process and biting of mosquitoes, and drive mosquitoes away from a treated space. This work describes the development of a novel device for controlled passive release of SRs. A semi-field evaluation of a novel CRD was conducted in Macha, Zambia. Presence of CRDs in huts was associated with significant reductions in indoor counts of mosquitoes. Technical Abstract: Insecticide resistance in mosquito vectors in Zambia threatens to undermine the efficacy of insecticide-based malaria control such as treated bed nets and indoor residual spraying, and the requirement for high coverage of these tools pose operational challenges. Spatial repellents are being assessed to supplement these vector control tools, but limitations exist in the residual effect of the repellent and the need for external power or heat for diffusion of the volatiles. |