Evidence map›Paper›PMID 33228693›Full record

ArticleMalaria journal2020

Identification of main malaria vectors and their insecticide resistance profile in internally displaced and indigenous communities in Eastern Democratic Republic of the Congo (DRC).

Jeanine A C M Loonen, Dominic B Dery, Bertin Z Musaka, Janvier B Bandibabone, Teun Bousema, Marit van Lenthe, Biserka Pop-Stefanija, Jean-François Fesselet, Constantianus J M Koenraadt

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In one paragraph

Article in Malaria journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
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

5 citing papers in PubMed, 12 citations in OpenAlex.

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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

9 authors at 3 institutions in 2 countries.

Jeanine A C M LoonenMédecins Sans Frontières (MSF), Amsterdam, The Netherlands. jeanine.loonen@amsterdam.msf.org.ORCID http://orcid.org/0000-0002-2141-1242
Dominic B DeryMédecins Sans Frontières (MSF), Amsterdam, The Netherlands.
Bertin Z MusakaDépartement de Biologie, Centre de Recherche en Sciences Naturelles (CRSN/Lwiro), Bukavu, South Kivu, Democratic Republic of the Congo.
Janvier B BandibaboneDépartement de Biologie, Centre de Recherche en Sciences Naturelles (CRSN/Lwiro), Bukavu, South Kivu, Democratic Republic of the Congo.
Teun BousemaDepartment of Medical Microbiology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Marit van LentheMédecins Sans Frontières (MSF), Amsterdam, The Netherlands.
Biserka Pop-StefanijaMédecins Sans Frontières (MSF), Amsterdam, The Netherlands.
Jean-François FesseletMédecins Sans Frontières (MSF), Amsterdam, The Netherlands.
Constantianus J M KoenraadtLaboratory of Entomology, Wageningen University and Research, Wageningen, The Netherlands.
Médecins Sans Frontières · NLRadboud University Nijmegen · NLWageningen University & Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalaria remains a major public health concern in the Democratic Republic of the Congo (DRC) and its control is affected by recurrent conflicts. Médecins Sans Frontières (MSF) initiated several studies to better understand the unprecedented incidence of malaria to effectively target and implement interventions in emergency settings. The current study evaluated the main vector species involved in malaria transmission and their resistance to insecticides, with the aim to propose the most effective tools and strategies for control of local malaria vectors.

methodsThis study was performed in 52 households in Shamwana (Katanga, 2014), 168 households in Baraka (South Kivu, 2015) and 269 households in Kashuga (North Kivu, 2017). Anopheles vectors were collected and subjected to standardized Word Health Organization (WHO) and Center for Disease Control (CDC) insecticide susceptibility bioassays. Mosquito species determination was done using PCR and Plasmodium falciparum infection in mosquitoes was assessed by ELISA targeting circumsporozoite protein.

resultsOf 3517 Anopheles spp. mosquitoes collected, Anopheles gambiae sensu lato (s.l.) (29.6%) and Anopheles funestus (69.1%) were the main malaria vectors. Plasmodium falciparum infection rates for An. gambiae s.l. were 1.0, 2.1 and 13.9% for Shamwana, Baraka and Kashuga, respectively. Anopheles funestus showed positivity rates of 1.6% in Shamwana and 4.4% in Baraka. No An. funestus were collected in Kashuga. Insecticide susceptibility tests showed resistance development towards pyrethroids in all locations. Exposure to bendiocarb, malathion and pirimiphos-methyl still resulted in high mosquito mortality.

conclusionsThis is one of only few studies from these conflict areas in DRC to report insecticide resistance in local malaria vectors. The data suggest that current malaria prevention methods in these populations are only partially effective, and require additional tools and strategies. Importantly, the results triggered MSF to consider the selection of a new insecticide for indoor residual spraying (IRS) and a new long-lasting insecticide-treated net (LLIN). The reinforcement of correct usage of LLINs and the introduction of targeted larviciding were also included as additional vector control tools as a result of the studies.

Indexed as

AnophelesInsecticide ResistanceMalariaMalaria, FalciparumMosquito VectorsPlasmodium falciparumAnimalsDemocratic Republic of the CongoFemaleHumansIndigenous PeoplesRefugeesAnopheles funestusAnopheles gambiaeDemocratic Republic of the Congo (DRC)Insecticide resistanceInternally displaced peopleMalariaPlasmodium falciparumPyrethroids

Identifiers

PMID33228693
PMCPMC7684733
OpenAlexW3109270997

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.