Efficacy of PermaNet^(■)3.0 and PermaNet^(■)2.0 nets against laboratory-reared and wild Anopheles gambiae sensu lato populations in northern Tanzania

摘要

Background:Mosquitoes have developed resistance against pyrethroids,the only class of insecticides approved for use on long-lasting insecticidal nets(LLINs).The present study sought to evaluate the efficacy of the pyrethroid synergist PermaNet^(■)3.0 LLIN versus the pyrethroid-only PermaNet^(■)2.0 LLIN,in an East African hut design in Lower Moshi,northern Tanzania.In this setting,resistance to pyrethroid insecticides has been identified in Anopheles gambiae mosquitoes.Methods:Standard World Health Organization bioefficacy evaluations were conducted in both laboratory and experimental huts.Experimental hut evaluations were conducted in an area where there was presence of a population of highly pyrethroid-resistant An.arabiensis mosquitoes.All nets used were subjected to cone bioassays and then to experimental hut trials.Mosquito mortality,blood-feeding inhibition and personal protection rate were compared between untreated nets,unwashed LLINs and LLINs that were washed 20 times.Results:Both washed and unwashed PermaNet^(■)2.0 and PermaNet^(■)3.0 LLINs had knockdown and mortality rates of 100%against a susceptible strain of An.gambiae sensu stricto.The adjusted mortality rate of the wild mosquito population after use of the unwashed PermaNet^(■)3.0 and PermaNet^(■)2.0 nets was found to be higher than after use of the washed PermaNet^(■)2.0 and PermaNet^(■)3.0 nets.Conclusions:Given the increasing incidence of pyrethroid resistance in An.gambiae mosquitoes in Tanzania,we recommend that consideration is given to its distribution in areas with pyrethroid-resistant malaria vectors within the framework of a national insecticide-resistance management plan.