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
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
Digital Object Identifer (DOI):	https://doi.org/10.4269/ajtmh.2009.81.519
Depositing User:	Users 183 not found.
Date Deposited:	15 Jun 2010 17:51
Last Modified:	20 Nov 2024 15:12
URI:	https://archive.lstmed.ac.uk/id/eprint/302

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