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BRIEF RESEARCH REPORT article
Front. Malar.
Sec. Vectors
Volume 2 - 2024 |
doi: 10.3389/fmala.2024.1507392
This article is part of the Research Topic Combating Threats to Global Malaria Control View all 4 articles
Comparative efficacy of Vector Guard® to Olyset® Plus insecticide treated nets against strongly pyrethroid-resistant Anopheles arabiensis in experimental huts in Tanzania
Provisionally accepted- 1 Ifakara Health Institute, Ifakara, Tanzania
- 2 Nelson Mandela African Institution of Science and Technology, Arusha, Arusha, Tanzania
- 3 Swiss Tropical and Public Health Institute (Swiss TPH), Basel, Basel-Landschaft, Switzerland
- 4 Faculty of Science, University of Basel, Basel, Switzerland
- 5 World Health Organization (Switzerland), Geneva, Geneva, Switzerland
- 6 London School of Hygiene and Tropical Medicine, University of London, London, London, United Kingdom
ITNs with pyrethroids and piperonyl butoxide (PBO) synergists were developed to overcome metabolic pyrethroid resistance mechanisms. To demonstrate its potential efficacy for public health use, a comparative efficacy study was conducted to evaluate Vector Guard® relative to Olyset®Plus (a pyrethroid PBO ITN, proven to reduce malaria transmission more effectively than pyrethroid ITNs) and Royal®Sentry 2.0 in experimental huts in Tanzania. An experimental hut trial using two blocks of 7 x 7 Latin square design was conducted over seven rounds (49 nights). Treatments were rotated at the end of each round and volunteers rotated nightly within one block. Both unwashed and 20-times-washed nets of each type were evaluated, alongside an untreated net used as a negative control. The primary endpoint was the proportion of Anopheles arabiensis that died within 24 hours, and the secondary endpoint was the proportion of blood-feeding. Data were analysed using binomial logistic regression with fixed effects using a 7% non-inferiority margin. Pooled results showed that Vector Guard® was non-inferior and superior to Olyset®Plus, with higher mortality for Vector Guard®. Both pyrethroid-PBO nets were superior to Royal Sentry® 2.0 in terms of mosquito mortality. For the secondary blood feeding endpoint, Vector Guard® was also non-inferior to Olyset® Plus. Vector Guard® showed similar efficacy to Royal Sentry®2.0 in reducing the proportion of mosquito blood-feeding. Vector Guard® demonstrated superior mosquito mortality compared to both Olyset®Plus and Royal Sentry®2.0, indicating that Vector Guard® is another promising pyrethroid-PBO ITN for controlling resistant malaria vectors.
Keywords: Insecticide treated net, Vector Guard®, pyrethroids, Resistance, Piperonyl Butoxide, Experimental huts, Anopheles arabiensis, Tanzania
Received: 07 Oct 2024; Accepted: 28 Nov 2024.
Copyright: © 2024 Machange, Mbuba, Irish, Swai, Ntabaliba, Makungwa, Ngonyani, Mpelepele, Odufuwa, Kibondo and Moore. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Jane Johnson Machange, Ifakara Health Institute, Ifakara, Tanzania
Emmanuel Mbuba, Ifakara Health Institute, Ifakara, Tanzania
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