Evidence map›Paper›PMID 26888409›Full record

ArticleMalaria journal2016

Status of insecticide resistance in high-risk malaria provinces in Afghanistan.

Mushtaq Ahmad, Cyril Buhler, Patricia Pignatelli, Hilary Ranson, Sami Mohammad Nahzat, Mohammad Naseem, Muhammad Farooq Sabawoon, Abdul Majeed Siddiqi, Martijn Vink

Abstract read
In one paragraph

Article in Malaria journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Historical Overview of the Bionomics ofJournal of arthropod-borne diseases · 2026
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  4. The origin, invasion history and resistance architecture ofbioRxiv : the preprint server for biology · 2025
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  8. Detection and population genetic analysis of kdr L1014F variant in eastern Ethiopian Anopheles stephensi.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2022
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  10. Resistance Status ofJournal of arthropod-borne diseases · 2021
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  13. Dynamics of TransgenicJournal of arthropod-borne diseases · 2017
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  14. Composition ofJournal of arthropod-borne diseases · 2017
    Article
  15. Review
  16. Epidemiology and Control of Plasmodium vivax in Afghanistan.The American journal of tropical medicine and hygiene · 2016
    Article
  17. Article
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

9 authors.

Mushtaq AhmadHealthNet TPO, Kabul, Afghanistan. mushtaq.entomologist@gmail.com.
Cyril BuhlerORDiagnostics, 10 rue Irénée Blanc, 75020, Paris, France. cyril.buhler@ordiagnostics.com.
Patricia PignatelliLiverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK. Patricia.Pignatelli@lstmed.ac.uk.
Hilary RansonLiverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK. Hilary.Ranson@lstmed.ac.uk.
Sami Mohammad NahzatNational Malaria and Leishmaniasis Control Programme, Ministry of Public Health, Kabul, Afghanistan. drsami30@yahoo.com.
Mohammad NaseemHealthNet TPO, Kabul, Afghanistan. naseem@healthnettpoaf.org.
Muhammad Farooq SabawoonHealthNet TPO, Kabul, Afghanistan. m.farooq@healthnettpoaf.org.
Abdul Majeed SiddiqiHealthNet TPO, Kabul, Afghanistan. majeed@hntpo.org.af.
Martijn VinkHealthNet TPO, Lizzy Ansinghstraat 163, 1072 RG, Amsterdam, The Netherlands. martijn.vink@hntpo.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsecticide resistance seriously threatens the efficacy of vector control interventions in malaria endemic countries. In Afghanistan, the status of insecticide resistance is largely unknown while distribution of long-lasting insecticidal nets has intensified in recent years. The main objective of this study was thus to measure the level of resistance to four classes of insecticides in provinces with medium to high risk of malaria transmission.

methodsAdult female mosquitoes were reared from larvae successively collected in the provinces of Nangarhar, Kunar, Badakhshan, Ghazni and Laghman from August to October 2014. WHO insecticide susceptibility tests were performed with DDT (4 %), malathion (5 %), bendiocarb (0.1 %), permethrin (0.75 %) and deltamethrin (0.05 %). In addition, the presence of kdr mutations was investigated in deltamethrin resistant and susceptible Anopheles stephensi mosquitoes collected in the eastern provinces of Nangarhar and Kunar.

resultsAnalyses of mortality rates revealed emerging resistance against all four classes of insecticides in the provinces located east and south of the Hindu Kush mountain range. Resistance is observed in both An. stephensi and Anopheles culicifacies, the two dominant malaria vectors in these provinces. Anopheles superpictus in the northern province of Badakhshan shows a different pattern of susceptibility with suspected resistance observed only for deltamethrin and bendiocarb. Genotype analysis of knock down resistance (kdr) mutations at the voltage-gated channel gene from An. stephensi mosquitoes shows the presence of the known resistant alleles L1014S and L1014F. However, a significant fraction of deltamethrin-resistant mosquitoes were homozygous for the 1014L wild type allele indicating that other mechanisms must be considered to account for the observed pyrethroid resistance.

conclusionsThis study confirms the importance of monitoring insecticide resistance for the development of an integrated vector management in Afghanistan. The validation of the kdr genotyping PCR assay applied to An. stephensi collected in Afghanistan paves the way for further studies into the mechanisms of insecticide resistance of malaria vectors in this region.

Indexed as

AfghanistanAnimalsAnophelesFemaleInsecticide ResistanceInsecticidesMalariaMaleMosquito ControlInsecticides

Identifiers

PMID26888409
PMCPMC4758152

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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.