Abstract

BackgroundInsecticide treated bed nets have been recommended and proven efficient as a measure to protect African populations from malaria mosquito vector Anopheles spp. This study evaluates the consequences of bed nets use on vectors resistance to insecticides, their feeding behavior and malaria transmission in Dielmo village, Senegal, were LLINs were offered to all villagers in July 2008.MethodsAdult mosquitoes were collected monthly from January 2006 to December 2011 by human landing catches (HLC) and by pyrethroid spray catches (PCS). A randomly selected sub-sample of 15–20% of An. gambiae s.l. collected each month was used to investigate the molecular forms of the An. gambiae complex, kdr mutations, and Plasmodium falciparum circumsporozoite (CSP) rate. Malaria prevalence and gametocytaemia in Dielmo villagers were measured quarterly.ResultsInsecticide susceptible mosquitoes (wild kdr genotype) presented a reduced lifespan after LLINs implementation but they rapidly adapted their feeding behavior, becoming more exophageous and zoophilic, and biting earlier during the night. In the meantime, insecticide-resistant specimens (kdr L1014F genotype) increased in frequency in the population, with an unchanged lifespan and feeding behaviour. P. falciparum prevalence and gametocyte rate in villagers decreased dramatically after LLINs deployment. Malaria infection rate tended to zero in susceptible mosquitoes whereas the infection rate increased markedly in the kdr homozygote mosquitoes.ConclusionDramatic changes in vector populations and their behavior occurred after the deployment of LLINs due to the extraordinary adaptative skills of An. gambiae s. l. mosquitoes. However, despite the increasing proportion of insecticide resistant mosquitoes and their almost exclusive responsibility in malaria transmission, the P. falciparum gametocyte reservoir continued to decrease three years after the deployment of LLINs.

Highlights

  • The preventive measures against malaria recommended by WHO include anti-vectorial procedures such as indoor residual spraying (IRS), use of long-lasting insecticide-treated bed nets (LLINs) and destruction of larvae breeding sites [1]

  • LLINs remain an effective tool to reduce the burden of malaria, but the long term effects of insecticide on vector populations and malaria transmission remain to be evaluated

  • We examined the changes in the principal malaria mosquito vectors following implementation of a universal coverage with LLINs (Permanet 2) in July 2008

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Summary

Introduction

The preventive measures against malaria recommended by WHO include anti-vectorial procedures such as indoor residual spraying (IRS), use of long-lasting insecticide-treated bed nets (LLINs) and destruction of larvae breeding sites [1]. The presence of insecticide treated materials inside the habitation has consequences on the vector populations, reducing density, survival, contact with humans and feeding frequency [2,3,4]. Insecticide treated bed nets have been recommended and proven efficient as a measure to protect African populations from malaria mosquito vector Anopheles spp. This study evaluates the consequences of bed nets use on vectors resistance to insecticides, their feeding behavior and malaria transmission in Dielmo village, Senegal, were LLINs were offered to all villagers in July 2008

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Conclusion

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