Abstract

Insecticide treated nets and indoor residual spraying are two vector control interventions recommended by WHO.1 However, insecticide resistance is a growing and complex challenge that threatens to derail gains in malaria control. In many parts of the world, Anopheles mosquitoes are developing resistance to the insecticides used in bed nets and in indoor residual spraying. Long‐lasting insecticidal nets (LLINs) treated with pyrethroids have been a cornerstone intervention for malaria prevention and new technology is attempting to address expanding resistance through pairing pyrethroids with a synergistic compound, piperonyl butoxide (PBO).

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