High efficacy of microbial larvicides for malaria vectors control in the city of Yaounde Cameroon following a cluster randomized trial

Abstract The rapid expansion of insecticide resistance and outdoor malaria transmission are affecting the efficacy of current malaria control measures. In urban settings, where malaria transmission is focal and breeding habitats are few, fixed and findable, the addition of anti-larval control measur...

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Autores principales: Christophe Antonio-Nkondjio, P. Doumbe-Belisse, L. Djamouko-Djonkam, C. S. Ngadjeu, A. Talipouo, E. Kopya, R. Bamou, M. P. Audrey Mayi, N. Sonhafouo-Chiana, D. L. Nkahe, R. Tabue, D. Achu Fosah, Jude D. Bigoga, P. Awono-Ambene, Charles S. Wondji
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spelling oai:doaj.org-article:d3409779e5174404a96bea7c5003a6052021-12-02T19:02:32ZHigh efficacy of microbial larvicides for malaria vectors control in the city of Yaounde Cameroon following a cluster randomized trial10.1038/s41598-021-96362-z2045-2322https://doaj.org/article/d3409779e5174404a96bea7c5003a6052021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96362-zhttps://doaj.org/toc/2045-2322Abstract The rapid expansion of insecticide resistance and outdoor malaria transmission are affecting the efficacy of current malaria control measures. In urban settings, where malaria transmission is focal and breeding habitats are few, fixed and findable, the addition of anti-larval control measures could be efficient for malaria vector control. But field evidences for this approach remains scarce. Here we provide findings of a randomized-control larviciding trial conducted in the city of Yaoundé that support the efficacy of this approach. A two arms random control trial design including 26 clusters of 2 to 4 km2 each (13 clusters in the intervention area and 13 in the non-intervention area) was used to assess larviciding efficacy. The microbial larvicide VectoMax combining Bacillus thuringiensis var israelensis (Bti) and Bacillus sphaericus in a single granule was applied every 2 weeks in all standing water collection points. The anopheline density collected using CDC light traps was used as the primary outcome, secondary outcomes included the entomological inoculation rate, breeding habitats with anopheline larvae, and larval density. Baseline entomological data collection was conducted for 17 months from March 2017 to July 2018 and the intervention lasted 26 months from September 2018 to November 2020. The intervention was associated with a reduction of 68% of adult anopheline biting density and of 79% of the entomological inoculation rate (OR 0.21; 95% CI 0.14–0.30, P < 0.0001). A reduction of 68.27% was recorded for indoor biting anophelines and 57.74% for outdoor biting anophelines. No impact on the composition of anopheline species was recorded. A reduction of over 35% of adult Culex biting densities was recorded. The study indicated high efficacy of larviciding for reducing malaria transmission intensity in the city of Yaoundé. Larviciding could be part of an integrated control approach for controlling malaria vectors and other mosquito species in the urban environment.Christophe Antonio-NkondjioP. Doumbe-BelisseL. Djamouko-DjonkamC. S. NgadjeuA. TalipouoE. KopyaR. BamouM. P. Audrey MayiN. Sonhafouo-ChianaD. L. NkaheR. TabueD. Achu FosahJude D. BigogaP. Awono-AmbeneCharles S. WondjiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-15 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Christophe Antonio-Nkondjio
P. Doumbe-Belisse
L. Djamouko-Djonkam
C. S. Ngadjeu
A. Talipouo
E. Kopya
R. Bamou
M. P. Audrey Mayi
N. Sonhafouo-Chiana
D. L. Nkahe
R. Tabue
D. Achu Fosah
Jude D. Bigoga
P. Awono-Ambene
Charles S. Wondji
High efficacy of microbial larvicides for malaria vectors control in the city of Yaounde Cameroon following a cluster randomized trial
description Abstract The rapid expansion of insecticide resistance and outdoor malaria transmission are affecting the efficacy of current malaria control measures. In urban settings, where malaria transmission is focal and breeding habitats are few, fixed and findable, the addition of anti-larval control measures could be efficient for malaria vector control. But field evidences for this approach remains scarce. Here we provide findings of a randomized-control larviciding trial conducted in the city of Yaoundé that support the efficacy of this approach. A two arms random control trial design including 26 clusters of 2 to 4 km2 each (13 clusters in the intervention area and 13 in the non-intervention area) was used to assess larviciding efficacy. The microbial larvicide VectoMax combining Bacillus thuringiensis var israelensis (Bti) and Bacillus sphaericus in a single granule was applied every 2 weeks in all standing water collection points. The anopheline density collected using CDC light traps was used as the primary outcome, secondary outcomes included the entomological inoculation rate, breeding habitats with anopheline larvae, and larval density. Baseline entomological data collection was conducted for 17 months from March 2017 to July 2018 and the intervention lasted 26 months from September 2018 to November 2020. The intervention was associated with a reduction of 68% of adult anopheline biting density and of 79% of the entomological inoculation rate (OR 0.21; 95% CI 0.14–0.30, P < 0.0001). A reduction of 68.27% was recorded for indoor biting anophelines and 57.74% for outdoor biting anophelines. No impact on the composition of anopheline species was recorded. A reduction of over 35% of adult Culex biting densities was recorded. The study indicated high efficacy of larviciding for reducing malaria transmission intensity in the city of Yaoundé. Larviciding could be part of an integrated control approach for controlling malaria vectors and other mosquito species in the urban environment.
format article
author Christophe Antonio-Nkondjio
P. Doumbe-Belisse
L. Djamouko-Djonkam
C. S. Ngadjeu
A. Talipouo
E. Kopya
R. Bamou
M. P. Audrey Mayi
N. Sonhafouo-Chiana
D. L. Nkahe
R. Tabue
D. Achu Fosah
Jude D. Bigoga
P. Awono-Ambene
Charles S. Wondji
author_facet Christophe Antonio-Nkondjio
P. Doumbe-Belisse
L. Djamouko-Djonkam
C. S. Ngadjeu
A. Talipouo
E. Kopya
R. Bamou
M. P. Audrey Mayi
N. Sonhafouo-Chiana
D. L. Nkahe
R. Tabue
D. Achu Fosah
Jude D. Bigoga
P. Awono-Ambene
Charles S. Wondji
author_sort Christophe Antonio-Nkondjio
title High efficacy of microbial larvicides for malaria vectors control in the city of Yaounde Cameroon following a cluster randomized trial
title_short High efficacy of microbial larvicides for malaria vectors control in the city of Yaounde Cameroon following a cluster randomized trial
title_full High efficacy of microbial larvicides for malaria vectors control in the city of Yaounde Cameroon following a cluster randomized trial
title_fullStr High efficacy of microbial larvicides for malaria vectors control in the city of Yaounde Cameroon following a cluster randomized trial
title_full_unstemmed High efficacy of microbial larvicides for malaria vectors control in the city of Yaounde Cameroon following a cluster randomized trial
title_sort high efficacy of microbial larvicides for malaria vectors control in the city of yaounde cameroon following a cluster randomized trial
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/d3409779e5174404a96bea7c5003a605
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