Evidence map›Paper›PMID 19784445›Full record

Trial reportBulletin of the World Health Organization2009

Integrated malaria vector control with microbial larvicides and insecticide-treated nets in western Kenya: a controlled trial.

Ulrike Fillinger, Bryson Ndenga, Andrew Githeko, Steven W Lindsay

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Bulletin of the World Health Organization, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 143 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
143citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

143 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Larviciding to prevent malaria transmission.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Mosquito larval source management for controlling malaria.The Cochrane database of systematic reviews · 2013
    Pooled it
  5. Trial
  6. Trial
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  8. Trial
  9. Article
  10. Review
  11. Article
  12. Article
  13. Integrated vector management for malaria control: a review of approaches and effectiveness.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Observational

83 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ulrike FillingerDisease Control and Vector Biology Unit, London School of Hygiene and Tropical Medicine, London, England.
Bryson Ndenga
Andrew Githeko
Steven W Lindsay

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the contributions of both microbial larvicides and insecticide-treated nets (ITNs) in terms of reducing malaria incidence in an integrated vector management programme in an area moderately endemic for malaria in the western Kenyan highlands.

methodsA pre-post, control group design was used. Larval and adult vector populations were surveyed weekly in six separate valley communities. The incidence of Plasmodium infections in children 6 months to 13 years of age was measured during the long and short rainy seasons each year. Baseline data were collected for 17 months, after which Bacillus-based larvicides were applied weekly to aquatic habitats in three of the valleys for another 19 months. At around the same time the larviciding was initiated, ITNs were introduced gradually into all study communities by the National Malaria Control Programme. The effect of larviciding, ITNs and other determinants of malaria risk was assessed by means of generalized estimating equations.

findingsThe risk of acquiring new parasite infections in children was substantially and independently reduced by ITN use (odds ratio, OR: 0.69; 95% confidence interval, CI: 0.48-0.99) and larvicide application (OR: 0.44; 95% CI: 0.23-0.82), after adjusting for confounders.

conclusionVector control with microbial larvicides enhanced the malaria control achieved with ITNs alone. Anti-larval measures are a promising complement to ITN distribution in the economically important highland areas and similar transmission settings in Africa.

Indexed as

AnimalsAnophelesChildChild, PreschoolEndemic DiseasesFemaleHumansIncidenceInfantInsect VectorsKenyaLarvaMalariaMalePest Control, BiologicalPrevalence

Identifiers

PMID19784445
PMCPMC2739910

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.