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Combining Indoor Residual Spraying and Insecticide-Treated Net Interventions

Kleinschmidt, I., Schwabe, C., Shiva, M., Segura, J. L., Sima, V., Mabunda, S. J. A. and Coleman, Michael ORCID: https://orcid.org/0000-0003-4186-3526 (2009) 'Combining Indoor Residual Spraying and Insecticide-Treated Net Interventions'. American Journal of Tropical Medicine and Hygiene, Vol 81, Issue 3, pp. 519-524.

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Abstract

Does scaling up of malaria: control by combining indoor residual spraying (IRS) and long-lasting insecticidal nets (LLIN) enhance protection to populations? Results from a literature search and from recent household surveys in Bioko, Equatorial Guinea, and Zambezia, Mozambique are presented. Five out of eight previous studies reported a reduced risk of infection in those protected by both interventions compared with one intervention alone. Surveys in Bioko and Zambezia showed strong evidence of a protective effect of IRS combined with nets relative to IRS alone (odds ratio [OR] = 0.71, 95% confidence interval [CI] = 0.59-0.86 for Bioko, and OR = 0.63,95% CI 0.50-0.79, for Zambezia). The effect of both interventions combined, compared with those who had neither, was OR 0.46, (95% CI = 0.76-0.81) in Bioko and 0.34 (95% CI = 0.21-0.56) in Zambezia. Although the effects of confounding cannot be excluded, these results provide encouragement that the additional resources for combining IRS and LLIN are justified.

Item Type: Article
Uncontrolled Keywords: malaria control interventions targeted vector control equatorial-guinea impregnated bednets highland kenya bioko island burundi india sustainability transmission insecticide adolescent adult article bed net chemical pest control child controlled study Equatorial Guinea human infection risk insecticidal activity major clinical study malaria malaria control Mozambique pesticide spraying Plasmodium falciparum Plasmodium vivax preschool child risk reduction school child Bedding and Linens Culicidae Humans Insecticides Mosquito Control
Subjects: WA Public Health > Preventive Medicine > WA 108 Preventive health services. Preventive medicine. Travel Medicine.
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 750 Malaria
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
QX Parasitology > Insects. Other Parasites > QX 650 Insect vectors
WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases
WA Public Health > Preventive Medicine > WA 240 Disinfection. Disinfestation. Pesticides (including diseases caused by)
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 765 Prevention and control
QX Parasitology > Insects. Other Parasites > QX 600 Insect control. Tick control
QX Parasitology > Insects. Other Parasites > QX 510 Mosquitoes
Faculty: Department: Groups (2002 - 2012) > Vector Group
Depositing User: Users 183 not found.
Date Deposited: 15 Jun 2010 17:51
Last Modified: 06 Feb 2018 12:59
URI: https://archive.lstmed.ac.uk/id/eprint/302

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