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Recommendations for building out mosquito-transmitted diseases in sub-Saharan Africa: the DELIVER mnemonic

Lindsay, Steven W., Davies, Michael, Alabaster, Graham, Altamirano, Hector, Jatta, Ebrima, Jawara, Musa, Carrasco-Tenezaca, Majo, von Seidlein, Lorenz, Shenton, Fiona C., Tusting, Lucy S., Wilson, Anne ORCID: and Knudsen, Jakob (2021) 'Recommendations for building out mosquito-transmitted diseases in sub-Saharan Africa: the DELIVER mnemonic'. Philosophical Transactions of the Royal Society of London Series B-Biological Sciences, Vol 376, Issue 1818, p. 20190814.

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In sub-Saharan Africa, most transmission of mosquito-transmitted diseases,
such as malaria or dengue, occurs within or around houses. Preventing mosquito house entry and reducing mosquito production around the home
would help reduce the transmission of these diseases. Based on recent
research, we make key recommendations for reducing the threat of mosquito-transmitted diseases through changes to the built environment. The
mnemonic, DELIVER, recommends the following best practices: (i) Doors
should be screened, self-closing and without surrounding gaps; (ii) Eaves,
the space between the wall and roof, should be closed or screened; (iii)
houses should be Lifted above the ground; (iv) Insecticide-treated nets
should be used when sleeping in houses at night; (v) houses should be Ventilated, with at least two large-screened windows to facilitate airflow; (vi)
Environmental management should be conducted regularly inside and
around the home; and (vii) Roofs should be solid, rather than thatch. DELIVER is a package of interventions to be used in combination for maximum
impact. Simple changes to the built environment will reduce exposure to
mosquito-transmitted diseases and help keep regions free from these
diseases after elimination.
This article is part of the theme issue ‘Novel control strategies for
mosquito-borne diseases’.

Item Type: Article
Subjects: QX Parasitology > QX 4 General works
QX Parasitology > Insects. Other Parasites > QX 510 Mosquitoes
WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
Faculty: Department: Biological Sciences > Vector Biology Department
Digital Object Identifer (DOI):
Depositing User: Samantha Sheldrake
Date Deposited: 20 Jan 2021 14:22
Last Modified: 20 Jan 2021 14:22


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