Professor Steve Lindsay s.w.lindsay@durham.ac.uk
Professor
Threats to the effectiveness of insecticide-treated bednets for malaria control: thinking beyond insecticide resistance
Lindsay, Steve W; Thomas, Matthew B; Kleinschmidt, Immo
Authors
Matthew B Thomas
Immo Kleinschmidt
Abstract
From 2004 to 2019, insecticide-treated bednets (ITNs) have been the most effective tool for reducing malaria morbidity and mortality in sub-Saharan Africa. Recently, however, the decline in malaria cases and deaths has stalled. Some suggest that this inertia is due to increasing resistance in malaria vectors to the pyrethroid insecticides used for treating ITNs. However, there is presently little evidence to reach this conclusion and we therefore recommend that a broader perspective to evaluate ITN effectiveness in terms of access to nets, use of nets, bioefficacy, and durability should be taken. We argue that a single focus on insecticide resistance misses the bigger picture. To improve the effects of ITNs, net coverage should increase by increasing funding for programmes, adopting improved strategies for increasing ITN uptake, and enhancing the longevity of the active ingredients and the physical integrity of nets, while simultaneously accelerating the development and evaluation of novel vector control tools.
Citation
Lindsay, S. W., Thomas, M. B., & Kleinschmidt, I. (2021). Threats to the effectiveness of insecticide-treated bednets for malaria control: thinking beyond insecticide resistance. The Lancet Global Health, 9(9), e1325-e1331. https://doi.org/10.1016/s2214-109x%2821%2900216-3
| Journal Article Type | Article |
|---|---|
| Online Publication Date | Jun 30, 2021 |
| Publication Date | Sep 1, 2021 |
| Deposit Date | Jul 8, 2021 |
| Publicly Available Date | Jul 12, 2021 |
| Journal | The Lancet Global Health |
| Publisher | Elsevier |
| Peer Reviewed | Peer Reviewed |
| Volume | 9 |
| Issue | 9 |
| Pages | e1325-e1331 |
| DOI | https://doi.org/10.1016/s2214-109x%2821%2900216-3 |
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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/
Copyright Statement
Online First Copyright © 2021 The Author(s). Published by Elsevier Ltd. This is an
Open Access article under the CC BY 4.0 license.
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