Evidence map›Paper›PMID 38486288›Full record

ArticleMalaria journal2024

Insecticide susceptibility status of Anopheles gambiae mosquitoes and the effect of pre-exposure to a piperonyl butoxide (PBO) synergist on resistance to deltamethrin in northern Namibia.

Rosalia N Joseph, Tabeth Mwema, Seth J Eiseb, Deodatus V Maliti, Munyaradzi Tambo, Iitula Iitula, Lydia Eloff, Ophilia Lukubwe, Cara Smith-Gueye, Élodie A Vajda and 7 more

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2024. 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
2.2field-weighted citation impact, top 14% 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, 4 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

17 authors at 5 institutions in 2 countries.

Rosalia N JosephUniversity of Namibia (UNAM), Windhoek, Namibia. rosaliannnjoseph@gmail.com.
Tabeth MwemaUniversity of Namibia (UNAM), Windhoek, Namibia.
Seth J EisebUniversity of Namibia (UNAM), Windhoek, Namibia.
Deodatus V MalitiClinton Health Access Initiative (CHAI), Boston, MA, USA.
Munyaradzi TamboUniversity of Namibia (UNAM), Windhoek, Namibia.
Iitula IitulaMinistry of Health and Social Services (MoHSS), Windhoek, Namibia.
Lydia EloffUniversity of Namibia (UNAM), Windhoek, Namibia.
Ophilia LukubweClinton Health Access Initiative (CHAI), Boston, MA, USA.
Cara Smith-GueyeMalaria Elimination Initiative, University of California, san francisco, San Francisco, USA.
Élodie A VajdaMalaria Elimination Initiative, University of California, san francisco, San Francisco, USA.
Allison TatarskyMalaria Elimination Initiative, University of California, san francisco, San Francisco, USA.
Stark T KatokeleMinistry of Health and Social Services (MoHSS), Windhoek, Namibia.
Petrina N UusikuMinistry of Health and Social Services (MoHSS), Windhoek, Namibia.
Dennis WalusimbiClinton Health Access Initiative (CHAI), Boston, MA, USA.
Sheila B OgomaClinton Health Access Initiative (CHAI), Boston, MA, USA.
Davis R MumbengegwiUniversity of Namibia (UNAM), Windhoek, Namibia.
Neil F LoboMalaria Elimination Initiative, University of California, san francisco, San Francisco, USA.
University of Namibia · NAClinton Health Access Initiative · USMinistry of Health and Social Services · NAUniversity of Notre Dame · USWashington University in St. Louis · US

Funding

Bill & Melinda Gates Foundation Inv-009652
6 · The paper itself

Abstract

backgroundPyrethroid-based indoor residual spraying (IRS) and long-lasting insecticidal nets (LLINs) have been employed as key vector control measures against malaria in Namibia. However, pyrethroid resistance in Anopheles mosquitoes may compromise the efficacy of these interventions. To address this challenge, the World Health Organization (WHO) recommends the use of piperonyl butoxide (PBO) LLINs in areas where pyrethroid resistance is confirmed to be mediated by mixed function oxidase (MFO).

methodsThis study assessed the susceptibility of Anopheles gambiae sensu lato (s.l.) mosquitoes to WHO tube bioassays with 4% DDT and 0.05% deltamethrin insecticides. Additionally, the study explored the effect of piperonyl butoxide (PBO) synergist by sequentially exposing mosquitoes to deltamethrin (0.05%) alone, PBO (4%) + deltamethrin (0.05%), and PBO alone. The Anopheles mosquitoes were further identified morphologically and molecularly.

resultsThe findings revealed that An. gambiae sensu stricto (s.s.) (62%) was more prevalent than Anopheles arabiensis (38%). The WHO tube bioassays confirmed resistance to deltamethrin 0.05% in the Oshikoto, Kunene, and Kavango West regions, with mortality rates of 79, 86, and 67%, respectively. In contrast, An. arabiensis displayed resistance to deltamethrin 0.05% in Oshikoto (82% mortality) and reduced susceptibility in Kavango West (96% mortality). Notably, there was reduced susceptibility to DDT 4% in both An. gambiae s.s. and An. arabiensis from the Kavango West region. Subsequently, a subsample from PBO synergist assays in 2020 demonstrated a high proportion of An. arabiensis in Oshana (84.4%) and Oshikoto (73.6%), and 0.42% of Anopheles quadriannulatus in Oshana. Non-amplifiers were also present (15.2% in Oshana; 26.4% in Oshikoto). Deltamethrin resistance with less than 95% mortality, was consistently observed in An. gambiae s.l. populations across all sites in both 2020 and 2021. Following pre-exposure to the PBO synergist, susceptibility to deltamethrin was fully restored with 100.0% mortality at all sites in 2020 and 2021.

conclusionsPyrethroid resistance has been identified in An. gambiae s.s. and An. arabiensis in the Kavango West, Kunene, and Oshikoto regions, indicating potential challenges for pyrethroid-based IRS and LLINs. Consequently, the data highlights the promise of pyrethroid-PBO LLINs in addressing resistance issues in the region.

Indexed as

AnophelesInsecticidesInsecticide-Treated BednetsNitrilesPyrethrinsAnimalsDDTInsecticide ResistanceMosquito ControlMosquito VectorsNamibiaPiperonyl ButoxideDDTdecamethrinInsecticidesNitrilesPiperonyl ButoxidePyrethrinsAnopheles gambiae sensu latoInsecticide resistancePBO synergistPyrethroid

Identifiers

PMID38486288
PMCPMC10941414
OpenAlexW4392818238

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.