Evidence map›Paper›PMID 35241083›Full record

ArticleMalaria journal2022

Blood-feeding patterns of Anopheles vectors of human malaria in Malawi: implications for malaria transmission and effectiveness of LLIN interventions.

Rex B Mbewe, John B Keven, Themba Mzilahowa, Don Mathanga, Mark Wilson, Lauren Cohee, Miriam K Laufer, Edward D Walker

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. ElevatedInsects · 2025
    Article
  4. Host Preferences and Impact of Climate on Blood Feeding inTropical medicine and infectious disease · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Understanding the Intransigence of Malaria in Malawi.The American journal of tropical medicine and hygiene · 2022
    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

8 authors at 5 institutions in 2 countries.

Rex B MbeweDepartment of Physics and Biochemical Sciences, Polytechnic, University of Malawi, Blantyre, Malawi. mbewerex@msu.edu.ORCID http://orcid.org/0000-0002-1050-1533
John B KevenDepartment of Entomology, Michigan State University, East Lansing, MI, 48824, USA.
Themba MzilahowaMalaria Alert Center, College of Medicine, University of Malawi, Blantyre, Malawi.
Don MathangaMalaria Alert Center, College of Medicine, University of Malawi, Blantyre, Malawi.
Mark WilsonDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Lauren CoheeCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, USA.
Miriam K LauferCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, USA.
Edward D WalkerDepartment of Entomology, Michigan State University, East Lansing, MI, 48824, USA.
University of Malawi · MWUniversity of Maryland, Baltimore · USMichigan State University · USUniversity of California, Irvine · USUniversity of Michigan · US

Funding

The role of monocytes in the pathology of severe malaria.U19AI089683 · NIAID · MICHIGAN STATE UNIVERSITY · PI MATHANGA, DON P, TAYLOR, TERRIE ELLEN · 2010 to 2023
$21.4M
Interdisciplinary malaria research training in MalawiD43TW010075 · FIC · UNIVERSITY OF MARYLAND BALTIMORE · PI LAUFER, MIRIAM K., MATHANGA, DON P · 2016 to 2021
$1.1M
FIC NIH HHS D43 TW010075Fogarty International Center-NIH 1D43TW010075Foundation for the National Institutes of Health NIH - U19AI089683NIAID NIH HHS U19 AI089683
6 · The paper itself

Abstract

backgroundAccess to human hosts by Anopheles mosquitoes is a key determinant of vectorial capacity for malaria, but it can be limited by use of long-lasting insecticidal nets (LLINs). In Malawi, pyrethroid-treated LLINs with and without the synergist piperonyl butoxide (PBO) were distributed to control malaria. This study investigated the blood-feeding patterns of malaria vectors and whether LLINs containing pyrethroid and PBO led to a reduction of human blood feeding than those containing only pyrethroids.

methodsMosquitoes were sampled inside houses from May 2019 through April 2020 by aspiration, pyrethrum spray catch, and light trap methods in two sites. One site (Namanolo, Balaka district) had LLINs containing only pyrethroids whereas the other (Ntaja, Machinga district) had LLINs with both pyrethroids and PBO. Anopheles species, their blood-meal host, and infection with Plasmodium falciparum were determined using PCR methods.

resultsA total of 6585 female Anopheles were sampled in 203 houses. Of these, 633 (9.6%) were blood-fed mosquitoes comprising of 279 (44.1%) Anopheles arabiensis, 103 (16.3%) Anopheles gambiae 212 (33.5), Anopheles funestus, 2 (0.3%), Anopheles parensis and 37 (5.8%) were unidentified Anopheles spp. Blood meal hosts were successfully identified for 85.5% (n = 541) of the blood-fed mosquitoes, of which 436 (81.0%) were human blood meals, 28 (5.2%) were goats, 11 (2.0%) were dogs, 60 (11.1%) were mixed goat-human blood meals, 5 (0.9%) were dog-human, and 1 was a mixed dog-goat. Human blood index (fraction of blood meals that were humans) was significantly higher in Namanolo (0.96) than Ntaja (0.89). Even though human blood index was high, goats were over-selected than humans after accounting for relative abundance of both hosts. The number of infectious Anopheles bites per person-year was 44 in Namanolo and 22 in Ntaja.

conclusionAlthough LLINs with PBO PBO may have reduced human blood feeding, access to humans was extremely high despite high LLIN ownership and usage rates in both sites. This finding could explain persistently high rates of malaria infections in Malawi. However, this study had one village for each net type, thus the observed differences may have been a result of other factors present in each village.

Indexed as

AnophelesFeeding BehaviorInsecticidesInsecticide-Treated BednetsMalariaPyrethrinsAnimalsDogsFemaleGoatsHumansInsecticide ResistanceMalawiMosquito ControlMosquito VectorsInsecticidesPyrethrinsAnophelesBloodHostMalariaMosquitoesNets

Identifiers

PMID35241083
PMCPMC8892392
OpenAlexW4214902130

What OpenQuestion holds

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LicenceCC BY
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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.