Insecticide-treated nets provide protection against malaria to children in an area of insecticide resistance in Southern Benin

Bradley, John, Ogouyèmi-Hounto,, Aurore, Cornélie,, Sylvie, Fassinou, Jacob, Savi de Tove,, Yolande Sissinto, Adéothy,, Adicath Adéola, Tokponnon,, Filémon T., Makoutode,, Patrick, Adechoubou, Alioun, Legba,, Thibaut, Houansou,, Telesphore, Kinde-Gazard, Dorothée, Akogbeto, Martin C., Massougbodji, Achille, Knox,, Tessa Bellamy, Donnelly, Martin ORCID: https://orcid.org/0000-0001-5218-1497 and Kleinschmidt, Immo (2017) 'Insecticide-treated nets provide protection against malaria to children in an area of insecticide resistance in Southern Benin'. Malaria Journal, Vol 16, Issue 1, p. 225.

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Abstract

Background
Malaria control is heavily reliant on insecticides, especially pyrethroids. Resistance of mosquitoes to insecticides may threaten the effectiveness of insecticide-based vector control and lead to a resurgence of malaria in Africa.

Methods
In 21 villages in Southern Benin with high levels of insecticide resistance, the resistance status of local vectors was measured at the same time as the prevalence of malaria infection in resident children.

Results
Children who used LLINs had lower levels of malaria infection [odds ratio = 0.76 (95% CI 0.59, 0.98, p = 0.033)]. There was no evidence that the effectiveness of nets was different in high and low resistance locations (p = 0.513). There was no association between village level resistance and village level malaria prevalence (p = 0.999).

Conclusions
LLINs continue to offer individual protection against malaria infection in an area of high resistance. Insecticide resistance is not a reason to stop efforts to increase coverage of LLINs in Africa.

Item Type:	Article
Subjects:	QX Parasitology > Insects. Other Parasites > QX 510 Mosquitoes QX Parasitology > Insects. Other Parasites > QX 650 Insect vectors WA Public Health > Preventive Medicine > WA 240 Disinfection. Disinfestation. Pesticides (including diseases caused by) WA Public Health > Health Problems of Special Population Groups > WA 320 Child Welfare. Child Health Services. WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WC Communicable Diseases > Tropical and Parasitic Diseases > WC 750 Malaria
Faculty: Department:	Biological Sciences > Vector Biology Department
Digital Object Identifer (DOI):	https://doi.org/10.1186/s12936-017-1873-1
Depositing User:	Stacy Murtagh
Date Deposited:	12 Jun 2017 14:27
Last Modified:	16 Sep 2019 09:17
URI:	https://archive.lstmed.ac.uk/id/eprint/7200

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