Abstract

BackgroundInsecticide-treated nets (ITNs) are losing efficacy against pyrethroid-resistant malaria vector populations throughout Africa. Safeguarding bed net efficacy, vital for effective malaria control, requires greater knowledge of mosquito–ITN interactions and how this impacts on the mosquito.MethodsA purpose-built benchtop apparatus with a closed 10 cm cubic chamber (the ‘Baited-box’) was used to video record behaviour of individual free-flying female Anopheles gambiae during approach and blood-feeding on a human hand through untreated nets and ITNs at close range. Time and duration of defined behavioural events, and knockdown and mortality at 1- and 24-h post-exposure respectively, were recorded for pyrethroid susceptible and resistant mosquitoes.ResultsUsing three human volunteers differing in relative attractiveness to mosquitoes, 328 mosquitoes were individually tested. There were no significant differences between response rates to ITNs and untreated nets (P > 0.1) or between resistant (Tiassalé) and susceptible (Kisumu) mosquito strains, at untreated nets (P = 0.39) or PermaNet 2.0 (P = 1). The sequence of behavioural events from host-seeking to completion of blood-feeding was consistent in all tests but duration and start time of events involving net contact were reduced or delayed respectively with ITNs. Blood-feeding durations at untreated nets (means from 4.25 to 8.47 min (95% confidence interval (CI) = 3.39–9.89) at 3 human volunteers) were reduced by 37–50% at PermaNet 2.0, in susceptible (mean 2.59–4.72 min, 95% CI = 1.54–5.5, P = < 0.05) and resistant (mean 4.20 min, 95% CI = 3.42–4.97, P = 0.01) strains. Total accumulated net contact was approximately 50% lower at PermaNet and Olyset ITNs (P < 0.0001) in susceptible (two of the three volunteers) and resistant mosquitoes. Times prior to first net contact were similar at untreated nets and ITNs (P > 0.2), and neither ITN type showed detectable spatial repellency. After initial contact, blood-feeding commenced later at Olyset (mean 2.76 min, 95% CI = 1.74–3.76, P = 0.0009) and PermaNet (mean 2.4 min, 95% CI = 1.52–3.33, P = 0.0058) than untreated netting (mean 0.68 min, 95% CI = 0.42–0.94).ConclusionsThe baited box offers a simple method for detailed characterization of mosquito behavioural responses to insecticidal nets, for comparing entomological modes of action between nets and for defining the behavioural responses of particular mosquito strains or populations. The device has potential as a screening assay in the search for novel net treatments and for investigations into behavioural resistance mechanisms.

Highlights

  • Insecticide-treated nets (ITNs) are losing efficacy against pyrethroid-resistant malaria vector populations throughout Africa

  • Widespread insecticide resistance in Anopheles gambiae sensu lato (s.l.) and Anopheles funestus s.l., the two African malaria vector groups most effectively targeted by ITNs, is diminishing the effects of the insecticide dosage delivered such that standard ITNs have lost efficacy against resistant populations [3,4,5,6,7,8]

  • Describing the effects of mosquito-ITN contact still relies on a set of World Health Organization (WHO) recommended standard bioassays with protocols that record immediate knock down or mortality after 24–48 h, using non-blood fed adult female mosquitoes, exposed to the active ingredient under highly artificial and simplified conditions

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Summary

Introduction

Insecticide-treated nets (ITNs) are losing efficacy against pyrethroid-resistant malaria vector populations throughout Africa. Insecticide-treated nets (ITNs) are a highly effective method for preventing malaria in Africa [1]. ITNs deliver doses of pyrethroid insecticide (standard ITNs) or pyrethroid plus a second active ingredient ( generation bed nets) when the mosquito makes contact with the net surface. Details of how mosquitoes interact with the active ingredients at a net’s surface have never been satisfactorily described and much remains unknown, e.g. what is the minimum duration of ITN contact necessary to deliver an effective dosage; do [some] nets have repellent properties that can prevent that threshold being reached; are there consequences of sub-threshold exposure that can affect vectorial capacity; how do all of these properties change as the net ages? With the rising threat of pyrethroid resistance in Africa, recognition of the central role mosquito behaviour plays in determining the success or failure of ITN use has increased [9, 15]

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