Skip to main content
Top
Published in: Malaria Journal 1/2015

Open Access 01-12-2015 | Research

Bio-efficacy of new long-lasting insecticide-treated bed nets against Anopheles funestus and Anopheles gambiae from central and northern Mozambique

Authors: Ana Paula Abílio, Pelágio Marrune, Nilsa de Deus, Francisco Mbofana, Pedro Muianga, Ayubo Kampango

Published in: Malaria Journal | Issue 1/2015

Login to get access

Abstract

Background

Long-lasting insecticide-treated nets (LLINs) are one of the main methods used for controlling malaria transmission in Mozambique. The proliferation of several types of LLINs and the re-emergence of insecticide resistance in the local vector populations poses challenges to the local malaria control programme on selecting suitable insecticide-based vector control products. Therefore, this study evaluated the insecticide susceptibility and bio-efficacy of selected new LLINs against wild populations of Anopheles funestus sensu lato and A. gambiae s.l. from Northern and Central Mozambique. The study also investigated whether the insecticide contents on the LINNs fabrics were within the WHOPES recommended target range.

Methods

The susceptibility of 2–5 day old wild female A. funestus and A. gambiae sensu stricto against the major classes of insecticides used for vector control, viz: deltamethrin (0.05 %), permethrin (0.75 %), propoxur (0.1 %), bendiocarb (0.1 %) and DDT (4 %), was determined using WHO cylinder susceptibility tests. WHO cone bioassays were conducted to determine the bio-efficacy of both pyrethroid–only LLINs (Olyset®, Permanet 2.0®, NetProtect® and Interceptor®) and, Permanet 3.0® a combination LLIN against A. funestus s.s, from Balama, Mocuba and Milange districts, respectively. The bio-efficacy of LLINs against the insectary-susceptible A. arabiensis (Durban strain) was assessed, as well. Untreated bed net swatches were used as negative controls. Chemical analyses, by high performance liquid chromatography, were undertaken to assess whether the insecticide contents on the LLINs fabrics fell within recommended target dose ranges. The frequency of kdr gene mutations was determined from a random sample of A. gambiae s.s. from both WHO susceptibility and cone bioassay experiments.

Results

Anopheles funestus from Balama district showed resistance to deltamethrin and possible resistance to permethrin, propoxur and bendiocarb, whilst A. gambiae from Mocuba district was susceptible to deltamethrin, bendiocarb and propoxur. There were no kdr mutants found in the sample of 256 A. gambiae tested. Overall, 186 LLIN swatches were tested. Mosquitoes exposed to Olyset® had the lowest knockdown (±standard error) and mortality rate (±standard error) in all studied sites regardless of vectors species tested. Permanet 3.0 showed the highest bio-efficacy independent of vector species tested and level of insecticide resistance detected. All types of LLINs effectively killed susceptible A. arabiensis Durban strain. The insecticide content of Olyset® and Permanet 2.0® was higher than the target dose but NetProtect® had a lower insecticide content than the target dose.

Conclusion

The study shows evidence of considerable heterogeneity in both insecticide susceptibility and the level of bio-efficacy of commonly available types of LLINs against wild A. funestus and A. gambiae from Balama, Mocuba and Milange districts, located in north and centre of Mozambique. The findings suggest that vector control approaches combining different types of insecticides might help to tackle the apparent problem of pyrethroid resistance in the vector populations from these three sites. Results from bioassays on laboratory-susceptible A. arabiensis strongly suggest that LLINs can offer some protection against susceptible malaria vectors.
Appendix
Available only for authorised users
Literature
1.
go back to reference Snow RW, Lindsay SW, Hayes RJ, Greenwood BM. Permethrin-treated bed nets (mosquito nets) prevent malaria in Gambian children. Trans R Soc Trop Med Hyg. 1988;82:838–42.CrossRefPubMed Snow RW, Lindsay SW, Hayes RJ, Greenwood BM. Permethrin-treated bed nets (mosquito nets) prevent malaria in Gambian children. Trans R Soc Trop Med Hyg. 1988;82:838–42.CrossRefPubMed
2.
go back to reference Strode C, Donegan S, Garner P, Enayati AA, Hemingway J. The impact of pyrethroid resistance on the efficacy of insecticide-treated bed nets against African anopheline mosquitoes: systematic review and meta-analysis. PLoS Med. 2014;11:e1001619.PubMedCentralCrossRefPubMed Strode C, Donegan S, Garner P, Enayati AA, Hemingway J. The impact of pyrethroid resistance on the efficacy of insecticide-treated bed nets against African anopheline mosquitoes: systematic review and meta-analysis. PLoS Med. 2014;11:e1001619.PubMedCentralCrossRefPubMed
4.
go back to reference Programa Nacional de Controlo da Malária. Plano Estratégico da Malária. Maputo: Ministério da Saúde, República de Moçambique; 2012. Programa Nacional de Controlo da Malária. Plano Estratégico da Malária. Maputo: Ministério da Saúde, República de Moçambique; 2012.
5.
go back to reference Norris LC, Norris DE. Efficacy of long-lasting insecticidal nets in use in Macha, Zambia, against the local Anopheles arabiensis population. Malar J. 2011;10:254.PubMedCentralCrossRefPubMed Norris LC, Norris DE. Efficacy of long-lasting insecticidal nets in use in Macha, Zambia, against the local Anopheles arabiensis population. Malar J. 2011;10:254.PubMedCentralCrossRefPubMed
6.
go back to reference Mouchet J. Mini review: agriculture and vector resistance. Insect Sci Appl. 1988;9:297–302. Mouchet J. Mini review: agriculture and vector resistance. Insect Sci Appl. 1988;9:297–302.
7.
go back to reference Diabaté A, Baldet T, Chandre F, Akogbeto M, Guiguemde TR, Darriet F, et al. The role of agricultural use of insecticides in resistance to pyrethroids in Anopheles gambiae s.l. in Burkina Faso. Am J Trop Med Hyg. 2002;67:617–22.PubMed Diabaté A, Baldet T, Chandre F, Akogbeto M, Guiguemde TR, Darriet F, et al. The role of agricultural use of insecticides in resistance to pyrethroids in Anopheles gambiae s.l. in Burkina Faso. Am J Trop Med Hyg. 2002;67:617–22.PubMed
8.
go back to reference Thompson R, Begtrup K, Cuamba N, Dgedge M, Mendis C, Gamage-Mendis A, et al. The Matola malaria project: a temporal and spatial study of malaria transmission and disease in a suburban area of Maputo, Mozambique. Am J Trop Med Hyg. 1997;57:550–9.PubMed Thompson R, Begtrup K, Cuamba N, Dgedge M, Mendis C, Gamage-Mendis A, et al. The Matola malaria project: a temporal and spatial study of malaria transmission and disease in a suburban area of Maputo, Mozambique. Am J Trop Med Hyg. 1997;57:550–9.PubMed
9.
go back to reference Mendis C, Jacobsen JL, Gamage-Mendis A, Bule E, Dgedge M, Thompson R, et al. Anopheles arabiensis and An. funestus are equally important vectors of malaria in Matola coastal suburb of Maputo, southern Mozambique. Med Vet Entomol. 2000;14:171–80.CrossRefPubMed Mendis C, Jacobsen JL, Gamage-Mendis A, Bule E, Dgedge M, Thompson R, et al. Anopheles arabiensis and An. funestus are equally important vectors of malaria in Matola coastal suburb of Maputo, southern Mozambique. Med Vet Entomol. 2000;14:171–80.CrossRefPubMed
10.
go back to reference Charlwood JD, Cuamba N, Tomas EV, Briet OJ. Living on the edge: a longitudinal study of Anopheles funestus in an isolated area of Mozambique. Malar J. 2013;12:208.PubMedCentralCrossRefPubMed Charlwood JD, Cuamba N, Tomas EV, Briet OJ. Living on the edge: a longitudinal study of Anopheles funestus in an isolated area of Mozambique. Malar J. 2013;12:208.PubMedCentralCrossRefPubMed
11.
go back to reference Charlwood JD, Macia GA, Manhaca M, Sousa B, Cuamba N, Braganca M. Population dynamics and spatial structure of human-biting mosquitoes, inside and outside of houses, in the Chockwe irrigation scheme, southern Mozambique. Geospat Health. 2013;7:309–20.CrossRefPubMed Charlwood JD, Macia GA, Manhaca M, Sousa B, Cuamba N, Braganca M. Population dynamics and spatial structure of human-biting mosquitoes, inside and outside of houses, in the Chockwe irrigation scheme, southern Mozambique. Geospat Health. 2013;7:309–20.CrossRefPubMed
12.
go back to reference Cuamba N, Mendis C. The role of Anopheles merus in malaria transmission in an area of southern Mozambique. J Vector Borne Dis. 2009;46:157–9.PubMed Cuamba N, Mendis C. The role of Anopheles merus in malaria transmission in an area of southern Mozambique. J Vector Borne Dis. 2009;46:157–9.PubMed
13.
go back to reference Brooke BD, Kloke G, Hunt RH, Koekemoer LL, Temu EA, Taylor ME, et al. Bioassay and biochemical analyses of insecticide resistance in southern African Anopheles funestus (Diptera: culicidae). Bull Entomol Res. 2001;91:265–72.CrossRefPubMed Brooke BD, Kloke G, Hunt RH, Koekemoer LL, Temu EA, Taylor ME, et al. Bioassay and biochemical analyses of insecticide resistance in southern African Anopheles funestus (Diptera: culicidae). Bull Entomol Res. 2001;91:265–72.CrossRefPubMed
14.
go back to reference Casimiro S, Coleman M, Mohloai P, Hemingway J, Sharp B. Insecticide resistance in Anopheles funestus (Diptera: culicidae) from Mozambique. J Med Entomol. 2006;43:267–75.CrossRefPubMed Casimiro S, Coleman M, Mohloai P, Hemingway J, Sharp B. Insecticide resistance in Anopheles funestus (Diptera: culicidae) from Mozambique. J Med Entomol. 2006;43:267–75.CrossRefPubMed
15.
go back to reference Abilio AP, Kleinschmidt I, Rehman AM, Cuamba N, Ramdeen V, Mthembu DS, et al. The emergence of insecticide resistance in central Mozambique and potential threat to the successful indoor residual spraying malaria control programme. Malar J. 2011;10:110.PubMedCentralCrossRefPubMed Abilio AP, Kleinschmidt I, Rehman AM, Cuamba N, Ramdeen V, Mthembu DS, et al. The emergence of insecticide resistance in central Mozambique and potential threat to the successful indoor residual spraying malaria control programme. Malar J. 2011;10:110.PubMedCentralCrossRefPubMed
16.
go back to reference Casimiro S, Coleman M, Hemingway J, Sharp B. Insecticide resistance in Anopheles arabiensis and Anopheles gambiae from Mozambique. J Med Entomol. 2006;43:276–82.CrossRefPubMed Casimiro S, Coleman M, Hemingway J, Sharp B. Insecticide resistance in Anopheles arabiensis and Anopheles gambiae from Mozambique. J Med Entomol. 2006;43:276–82.CrossRefPubMed
17.
go back to reference WHO. Global plan for insecticide resistance management in malaria vectors. World Health Organization, Geneva, WHO Press; 2012. WHO. Global plan for insecticide resistance management in malaria vectors. World Health Organization, Geneva, WHO Press; 2012.
19.
go back to reference Giardina F, Kasasa S, Sie A, Utzinger J, Tanner M, Vounatsou P. Effects of vector-control interventions on changes in risk of malaria parasitaemia in sub-Saharan Africa: a spatial and temporal analysis. Lancet Glob Health. 2014;2:e601–15.CrossRefPubMed Giardina F, Kasasa S, Sie A, Utzinger J, Tanner M, Vounatsou P. Effects of vector-control interventions on changes in risk of malaria parasitaemia in sub-Saharan Africa: a spatial and temporal analysis. Lancet Glob Health. 2014;2:e601–15.CrossRefPubMed
20.
go back to reference WHO. Manual on pratical entomology in malaria. Part II: Methods and Techniques. Geneva: World Health Organization; 1975. WHO. Manual on pratical entomology in malaria. Part II: Methods and Techniques. Geneva: World Health Organization; 1975.
21.
go back to reference Gillies MT, De Meillon B. The Anophelinae of the Africa south of the sahara (Ethiopian zoographical region). South Africa: South African Institute for Medical Research; 1968. Gillies MT, De Meillon B. The Anophelinae of the Africa south of the sahara (Ethiopian zoographical region). South Africa: South African Institute for Medical Research; 1968.
22.
go back to reference Koekemoer LL, Kamau L, Hunt RH, Coetzee M. A cocktail polymerase chain reaction assay to identify members of the Anopheles funestus (Diptera: Culicidae) group. Am J Trop Med Hyg. 2002;66:804–11.PubMed Koekemoer LL, Kamau L, Hunt RH, Coetzee M. A cocktail polymerase chain reaction assay to identify members of the Anopheles funestus (Diptera: Culicidae) group. Am J Trop Med Hyg. 2002;66:804–11.PubMed
23.
go back to reference Scott JA, Brogdon WG, Collins FH. Identification of single specimens of the Anopheles gambiae complex by the polymerase chain reaction. Am J Trop Med Hyg. 1993;49:520–9.PubMed Scott JA, Brogdon WG, Collins FH. Identification of single specimens of the Anopheles gambiae complex by the polymerase chain reaction. Am J Trop Med Hyg. 1993;49:520–9.PubMed
24.
go back to reference WHO. Test procedures for insecticide resistance monitoring in malaria vectors, bio-efficacy and persistence of insecticide on treated surfaces. Geneva: World Health Organization; 1998. WHO. Test procedures for insecticide resistance monitoring in malaria vectors, bio-efficacy and persistence of insecticide on treated surfaces. Geneva: World Health Organization; 1998.
25.
go back to reference Martinez-Torres D, Chandre F, Williamson MS, Darriet F, Berge JB, Devonshire AL, et al. Molecular characterization of pyrethroid knockdown resistance (kdr) in the major malaria vector Anopheles gambiae s.s. Insect Mol Biol. 1998;7:179–84.CrossRefPubMed Martinez-Torres D, Chandre F, Williamson MS, Darriet F, Berge JB, Devonshire AL, et al. Molecular characterization of pyrethroid knockdown resistance (kdr) in the major malaria vector Anopheles gambiae s.s. Insect Mol Biol. 1998;7:179–84.CrossRefPubMed
26.
go back to reference Ranson H, Jensen B, Vulule JM, Wang X, Hemingway J, Collins FH. Identification of a point mutation in the voltage-gated sodium channel gene of Kenyan Anopheles gambiae associated with resistance to DDT and pyrethroids. Insect Mol Biol. 2000;9:491–7.CrossRefPubMed Ranson H, Jensen B, Vulule JM, Wang X, Hemingway J, Collins FH. Identification of a point mutation in the voltage-gated sodium channel gene of Kenyan Anopheles gambiae associated with resistance to DDT and pyrethroids. Insect Mol Biol. 2000;9:491–7.CrossRefPubMed
27.
go back to reference Hemingway J, Ranson H. Insecticide resistance in insect vectors of human disease. Annu Rev Entomol. 2000;45:371–91.CrossRefPubMed Hemingway J, Ranson H. Insecticide resistance in insect vectors of human disease. Annu Rev Entomol. 2000;45:371–91.CrossRefPubMed
28.
go back to reference Bass C, Nikou D, Donnelly MJ, Williamson MS, Ranson H, Ball A, et al. Detection of knockdown resistance (kdr) mutations in Anopheles gambiae: a comparison of two new high-throughput assays with existing methods. Malar J. 2007;6:111.PubMedCentralCrossRefPubMed Bass C, Nikou D, Donnelly MJ, Williamson MS, Ranson H, Ball A, et al. Detection of knockdown resistance (kdr) mutations in Anopheles gambiae: a comparison of two new high-throughput assays with existing methods. Malar J. 2007;6:111.PubMedCentralCrossRefPubMed
31.
go back to reference Moores GD, Bingham G. Use of “temporal synergism” to overcome insecticide resistance. Outlook Pest Manag. 2005;16:7–9.CrossRef Moores GD, Bingham G. Use of “temporal synergism” to overcome insecticide resistance. Outlook Pest Manag. 2005;16:7–9.CrossRef
32.
go back to reference WHO. Guidelines for laboratory and field testing of long-lasting insecticidal mosquito nets. Geneva: World Health Organization; 2005. WHO. Guidelines for laboratory and field testing of long-lasting insecticidal mosquito nets. Geneva: World Health Organization; 2005.
33.
go back to reference Ouattara JP, Pigeon O, Spanoghe P. Validation of a multi-residue method to determine deltamethrin and alpha-cypermethrin in mosquito nets by gas chromatography with electron capture detection (GC-muECD). Parasit Vectors. 2013;6:77.PubMedCentralCrossRefPubMed Ouattara JP, Pigeon O, Spanoghe P. Validation of a multi-residue method to determine deltamethrin and alpha-cypermethrin in mosquito nets by gas chromatography with electron capture detection (GC-muECD). Parasit Vectors. 2013;6:77.PubMedCentralCrossRefPubMed
35.
go back to reference Jenkins DW, Hensens A, Lloyd J, Payne M, Cizmarik P, Hamel S. Development and validation of a ‘universal’ HPLC method for pyrethroid quantification in long-lasting insecticidal mosquito nets for malaria control and prevention. Trop Med Int Health. 2013;18:2–11.CrossRefPubMed Jenkins DW, Hensens A, Lloyd J, Payne M, Cizmarik P, Hamel S. Development and validation of a ‘universal’ HPLC method for pyrethroid quantification in long-lasting insecticidal mosquito nets for malaria control and prevention. Trop Med Int Health. 2013;18:2–11.CrossRefPubMed
36.
go back to reference Bolker BM, Brooks ME, Clark CJ, Geange SW, Poulsen JR, Stevens MH, et al. Generalized linear mixed models: a practical guide for ecology and evolution. Trends Ecol Evol. 2009;24:127–35.CrossRefPubMed Bolker BM, Brooks ME, Clark CJ, Geange SW, Poulsen JR, Stevens MH, et al. Generalized linear mixed models: a practical guide for ecology and evolution. Trends Ecol Evol. 2009;24:127–35.CrossRefPubMed
37.
go back to reference Bates D, Maechler M, Bolder B, Walker S. lme4: Linear mixed-effects models using Eigen and S4 (arXiv 2014, 1406:5823v1). Bates D, Maechler M, Bolder B, Walker S. lme4: Linear mixed-effects models using Eigen and S4 (arXiv 2014, 1406:5823v1).
38.
go back to reference Hothorn T, Bretz F, Westfall P. Simultaneous inference in general parametric models. Biometrical J. 2008;50:346–63.CrossRef Hothorn T, Bretz F, Westfall P. Simultaneous inference in general parametric models. Biometrical J. 2008;50:346–63.CrossRef
39.
go back to reference Bretz F, Hothorn T, Westfall P: Multiple Comparison Using R. Chapman & Hall/CRC; 2010. Bretz F, Hothorn T, Westfall P: Multiple Comparison Using R. Chapman & Hall/CRC; 2010.
40.
go back to reference R Core Team. A language and environment for statistical computing. Vienna: R Foundation for Statistical, Computing; 2015. R Core Team. A language and environment for statistical computing. Vienna: R Foundation for Statistical, Computing; 2015.
42.
go back to reference Riveron JM, Yunta C, Ibrahim SS, Djouaka R, Irving H, Menze BD, et al. A single mutation in the GSTe2 gene allows tracking of metabolically based insecticide resistance in a major malaria vector. Genome Biol. 2014;15:R27.PubMedCentralCrossRefPubMed Riveron JM, Yunta C, Ibrahim SS, Djouaka R, Irving H, Menze BD, et al. A single mutation in the GSTe2 gene allows tracking of metabolically based insecticide resistance in a major malaria vector. Genome Biol. 2014;15:R27.PubMedCentralCrossRefPubMed
43.
go back to reference Amenya DA, Naguran R, Lo TC, Ranson H, Spillings BL, Wood OR, Brooke BD, et al. Over expression of a cytochrome P450 (CYP6P9) in a major African malaria vector, Anopheles funestus, resistant to pyrethroids. Insect Mol Biol. 2008;17:19–25.CrossRefPubMed Amenya DA, Naguran R, Lo TC, Ranson H, Spillings BL, Wood OR, Brooke BD, et al. Over expression of a cytochrome P450 (CYP6P9) in a major African malaria vector, Anopheles funestus, resistant to pyrethroids. Insect Mol Biol. 2008;17:19–25.CrossRefPubMed
44.
go back to reference Cuamba N, Morgan JC, Irving H, Steven A, Wondji CS. High level of pyrethroid resistance in an Anopheles funestus population of the Chokwe District in Mozambique. PLoS One. 2010;5:e11010.PubMedCentralCrossRefPubMed Cuamba N, Morgan JC, Irving H, Steven A, Wondji CS. High level of pyrethroid resistance in an Anopheles funestus population of the Chokwe District in Mozambique. PLoS One. 2010;5:e11010.PubMedCentralCrossRefPubMed
45.
go back to reference Hemingway J. The molecular basis of two contrasting metabolic mechanisms of insecticide resistance. Insect Biochem Mol Biol. 2000;30:1009–15.CrossRefPubMed Hemingway J. The molecular basis of two contrasting metabolic mechanisms of insecticide resistance. Insect Biochem Mol Biol. 2000;30:1009–15.CrossRefPubMed
46.
go back to reference N’Guessan R, Darriet F, Doannio JM, Chandre F, Carnevale P. Olyset net efficacy against pyrethroid-resistant Anopheles gambiae and Culex quinquefasciatus after 3 years field use in Cote d’Ivoire. Med Vet Entomol. 2001;15:97–104.CrossRefPubMed N’Guessan R, Darriet F, Doannio JM, Chandre F, Carnevale P. Olyset net efficacy against pyrethroid-resistant Anopheles gambiae and Culex quinquefasciatus after 3 years field use in Cote d’Ivoire. Med Vet Entomol. 2001;15:97–104.CrossRefPubMed
47.
go back to reference D’Alessandro U, Olaleye BO, McGuire W, Thomson MC, Langerock P, Bennett S, et al. A comparison of the efficacy of insecticide-treated and untreated bed nets in preventing malaria in Gambian children. Trans R Soc Trop Med Hyg. 1995;89:596–8.CrossRefPubMed D’Alessandro U, Olaleye BO, McGuire W, Thomson MC, Langerock P, Bennett S, et al. A comparison of the efficacy of insecticide-treated and untreated bed nets in preventing malaria in Gambian children. Trans R Soc Trop Med Hyg. 1995;89:596–8.CrossRefPubMed
49.
go back to reference Guillet P, N’Guessan R, Darriet F, Traore-Lamizana M, Chandre F, Carnevale P. Combined pyrethroid and carbamate ‘two-in-one’ treated mosquito nets: field efficacy against pyrethroid-resistant Anopheles gambiae and Culex quinquefasciatus. Med Vet Entomol. 2001;15:105–12.CrossRefPubMed Guillet P, N’Guessan R, Darriet F, Traore-Lamizana M, Chandre F, Carnevale P. Combined pyrethroid and carbamate ‘two-in-one’ treated mosquito nets: field efficacy against pyrethroid-resistant Anopheles gambiae and Culex quinquefasciatus. Med Vet Entomol. 2001;15:105–12.CrossRefPubMed
50.
go back to reference Koudou BG, Koffi AA, Malone D, Hemingway J. Efficacy of PermaNet(R) 2.0 and PermaNet(R) 3.0 against insecticide-resistant Anopheles gambiae in experimental huts in Cote d’Ivoire. Malar J. 2011;10:172.PubMedCentralCrossRefPubMed Koudou BG, Koffi AA, Malone D, Hemingway J. Efficacy of PermaNet(R) 2.0 and PermaNet(R) 3.0 against insecticide-resistant Anopheles gambiae in experimental huts in Cote d’Ivoire. Malar J. 2011;10:172.PubMedCentralCrossRefPubMed
51.
go back to reference Awolola ST, Adeogun AO, Olojede JB, Oduola AO, Oyewole IO, Amajoh CN. Impact of PermaNet 3.0 on entomological indices in an area of pyrethroid resistant Anopheles gambiae in south-western Nigeria. Parasit Vectors. 2014;7:236.PubMedCentralCrossRefPubMed Awolola ST, Adeogun AO, Olojede JB, Oduola AO, Oyewole IO, Amajoh CN. Impact of PermaNet 3.0 on entomological indices in an area of pyrethroid resistant Anopheles gambiae in south-western Nigeria. Parasit Vectors. 2014;7:236.PubMedCentralCrossRefPubMed
52.
go back to reference WHO. Report of the Twelfth WHOPES Working Group Meeting. Geneva: World Health Organization; 2009. WHO. Report of the Twelfth WHOPES Working Group Meeting. Geneva: World Health Organization; 2009.
53.
go back to reference Okia M, Ndyomugyenyi R, Kirunda J, Byaruhanga A, Adibaku S, et al. Bioefficacy of long-lasting insecticidal nets against pyrethroid-resistant populations of Anopheles gambiae s.s. from different malaria transmission zones in Uganda. Parasit Vectors. 2013;6:130.PubMedCentralCrossRefPubMed Okia M, Ndyomugyenyi R, Kirunda J, Byaruhanga A, Adibaku S, et al. Bioefficacy of long-lasting insecticidal nets against pyrethroid-resistant populations of Anopheles gambiae s.s. from different malaria transmission zones in Uganda. Parasit Vectors. 2013;6:130.PubMedCentralCrossRefPubMed
Metadata
Title
Bio-efficacy of new long-lasting insecticide-treated bed nets against Anopheles funestus and Anopheles gambiae from central and northern Mozambique
Authors
Ana Paula Abílio
Pelágio Marrune
Nilsa de Deus
Francisco Mbofana
Pedro Muianga
Ayubo Kampango
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Malaria Journal / Issue 1/2015
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/s12936-015-0885-y

Other articles of this Issue 1/2015

Malaria Journal 1/2015 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.