Evidence map›Paper›PMID 30894185›Full record

ArticleMalaria journal2019

Evaluation of a push-pull system consisting of transfluthrin-treated eave ribbons and odour-baited traps for control of indoor- and outdoor-biting malaria vectors.

Arnold S Mmbando, Elis P A Batista, Masoud Kilalangongono, Marceline F Finda, Emmanuel P Mwanga, Emmanuel W Kaindoa, Khamis Kifungo, Rukiyah M Njalambaha, Halfan S Ngowo, Alvaro E Eiras and 1 more

Abstract readComparative Study
In one paragraph

Article in Malaria journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Effect of IvermectinMalaria journal · 2023
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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

11 authors.

Arnold S MmbandoEnvironmental Health and Ecological Sciences Department, Ifakara Health Institute, Ifakara, Tanzania. ammbando@ihi.or.tz.ORCID http://orcid.org/0000-0002-5290-0970
Elis P A BatistaLaboratory of Technological Innovation of Vector Control, Department of Parasitology, Biological Science Institue, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Masoud KilalangongonoEnvironmental Health and Ecological Sciences Department, Ifakara Health Institute, Ifakara, Tanzania.
Marceline F FindaEnvironmental Health and Ecological Sciences Department, Ifakara Health Institute, Ifakara, Tanzania.
Emmanuel P MwangaEnvironmental Health and Ecological Sciences Department, Ifakara Health Institute, Ifakara, Tanzania.
Emmanuel W KaindoaEnvironmental Health and Ecological Sciences Department, Ifakara Health Institute, Ifakara, Tanzania.
Khamis KifungoEnvironmental Health and Ecological Sciences Department, Ifakara Health Institute, Ifakara, Tanzania.
Rukiyah M NjalambahaEnvironmental Health and Ecological Sciences Department, Ifakara Health Institute, Ifakara, Tanzania.
Halfan S NgowoEnvironmental Health and Ecological Sciences Department, Ifakara Health Institute, Ifakara, Tanzania.
Alvaro E EirasLaboratory of Technological Innovation of Vector Control, Department of Parasitology, Biological Science Institue, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Fredros O OkumuEnvironmental Health and Ecological Sciences Department, Ifakara Health Institute, Ifakara, Tanzania.

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 310205/2014-0Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 88881.133584/2016-01Wellcome TrustWellcome Trust 106356/Z/14/Z).Wellcome Trust WT102350/Z/13/Z
6 · The paper itself

Abstract

backgroundPush-pull strategies have been proposed as options to complement primary malaria prevention tools, indoor residual spraying (IRS) and long-lasting insecticide-treated nets (LLINs), by targeting particularly early-night biting and outdoor-biting mosquitoes. This study evaluated different configurations of a push-pull system consisting of spatial repellents [transfluthrin-treated eave ribbons (0.25 g/m

methodsTwo experimental huts were used to evaluate protective efficacy of the spatial repellents (push-only), traps (pull-only) or their combinations (push-pull), relative to controls. Adult volunteers sat outdoors (1830 h-2200 h) catching mosquitoes attempting to bite them (outdoor-biting risk), and then went indoors (2200 h-0630 h) to sleep under bed nets beside which CDC-light traps caught host-seeking mosquitoes (indoor-biting risk). Number of traps and their distance from huts were varied to optimize protection, and 500 laboratory-reared Anopheles arabiensis released nightly inside the semi-field chambers over 122 experimentation nights.

resultsPush-pull offered higher protection than traps alone against indoor-biting (83.4% vs. 35.0%) and outdoor-biting (79% vs. 31%), but its advantage over repellents alone was non-existent against indoor-biting (83.4% vs. 81%) and modest for outdoor-biting (79% vs. 63%). Using two traps (1 per hut) offered higher protection than either one trap (0.5 per hut) or four traps (2 per hut). Compared to original distance (5 m from huts), efficacy of push-pull against indoor-biting peaked when traps were 15 m away, while efficacy against outdoor-biting peaked when traps were 30 m away.

conclusionThe best configuration of push-pull comprised transfluthrin-treated eave ribbons plus two traps, each at least 15 m from huts. Efficacy of push-pull was mainly due to the spatial repellent component. Adding odour-baited traps slightly improved personal protection indoors, but excessive trap densities increased exposure near users outdoors. Given the marginal efficacy gains over spatial repellents alone and complexity of push-pull, it may be prudent to promote just spatial repellents alongside existing interventions, e.g. LLINs or non-pyrethroid IRS. However, since both transfluthrin and traps also kill mosquitoes, and because transfluthrin can inhibit blood-feeding, field studies should be done to assess potential community-level benefits that push-pull or its components may offer to users and non-users.

Indexed as

AnophelesCarbon DioxideCyclopropanesFluorobenzenesInsect RepellentsMosquito VectorsAnimalsFemaleHumansMalariaMosquito ControlTanzaniaCarbon DioxideCyclopropanesFluorobenzenesInsect RepellentstransfluthrinCO2-baited BG-malaria trapsEarly-night bitingOutdoor-bitingPush–pullSemi-field chamberTransfluthrin treated eave-ribbons

Identifiers

PMID30894185
PMCPMC6427877

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.