Evidence map›Paper›PMID 40087723›Full record

ArticleMalaria journal2025

Multiple insecticide resistance in Anopheles funestus from Mopeia, Central Mozambique.

Caroline Kiuru, Luis Constantino, Gildo Cole, Jonathan Karisa, Caroline Wanjiku, Miguel Okoko, Baltazar Candrinho, Francisco Saute, N Regina Rabinovich, Carlos Chaccour and 1 more

Abstract read
In one paragraph

Article in Malaria journal, 2025. 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
–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

5 citing papers in PubMed.

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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.

Caroline KiuruCentro de Investigação Em Saúde de Manhiça (CISM), Maputo, Mozambique. carolinekiuru@gmail.com.
Luis ConstantinoCentro de Investigação Em Saúde de Manhiça (CISM), Maputo, Mozambique.
Gildo ColeCentro de Investigação Em Saúde de Manhiça (CISM), Maputo, Mozambique.
Jonathan KarisaKEMRI Wellcome Trust Research Programme (KWTRP), Kilifi, Kenya.
Caroline WanjikuKEMRI Wellcome Trust Research Programme (KWTRP), Kilifi, Kenya.
Miguel OkokoKEMRI Centre for Vector-Borne Disease Control, Kwale, Kenya.
Baltazar CandrinhoNational Malaria Control Program, Ministry of Health, Maputo, Mozambique.
Francisco SauteCentro de Investigação Em Saúde de Manhiça (CISM), Maputo, Mozambique.
N Regina RabinovichBarcelona Institute for Global Health (Isglobal), Barcelona, Spain.
Carlos ChaccourBarcelona Institute for Global Health (Isglobal), Barcelona, Spain.
Marta Ferreira MaiaKEMRI Wellcome Trust Research Programme (KWTRP), Kilifi, Kenya. MMaia@kemri-wellcome.org.

Funding

UNITAID BOHEMIA
6 · The paper itself

Abstract

backgroundThe main malaria vector control methods implemented in Mozambique are insecticide-treated nets (ITN's) and indoor residual spraying (IRS). These insecticide-based interventions are currently threatened by the rapidly spreading insecticide resistance in several major malaria vectors. Monitoring of insecticide resistance is necessary to inform the selection of insecticides by control programmes. This study describes the insecticide resistance profiles of the main malaria vector, Anopheles funestus sensu lato. in Mopeia district, a malaria holoendemic area of the Zambezia province of Mozambique.

methodsAnopheles adults and larvae were collected from 15 sentinel sites across the district between October 2021 and September 2022. Wild-caught, unfed female adults were collected using CDC-light traps and pooled over three days before exposure to the test insecticide. For mosquitoes collected as larvae, F0 adults aged 3-5 days post-emergence were used for insecticide susceptibility testing. Resistance to bendiocarb, DDT, deltamethrin and pirimiphos-methyl was evaluated using the standard WHO tube bioassay. The mechanism of resistance was probed using the PBO (piperonyl butoxide) synergistic bioassay. The presence and frequency of different genetic mutations associated with insecticide resistance was assessed using polymerase chain reaction, including A296S-Rdl, L119F-GSTe2 and 6.5 kb SV (structural variation) insertion.

resultsA total of 1349 female Anopheles mosquitoes (controls included) were used for susceptibility tests with discriminating insecticide concentrations. Phenotypic resistance to bendiocarb, DDT, deltamethrin and pirimiphos-methyl was observed, with 37%, 79%, 14% and 67% mortality rate respectively. Pre-exposure to PBO partially restored susceptibility to deltamethrin to a mortality rate of 80%. The frequency of the insecticide resistance mutations was 0.49, 0.05 and 0.92, for A296S-Rdl, L119F-GSTe2 and 6.5 kb SV insertion, respectively.

conclusionMalaria vectors in Mopeia exhibit resistance to all four major public health insecticide classes: pyrethroids, organophosphates, organochlorides and carbamates. This highlights the urgent need to adopt new insecticide classes for vector control interventions. The partial restoration of susceptibility by PBO suggests resistance is being driven by various mechanisms including the involvement of metabolic resistance through cytochrome P450 monooxygenase enzymes and glutathione S-transferases.

Indexed as

AnophelesInsecticide ResistanceInsecticidesMosquito VectorsAnimalsFemaleLarvaMosquito ControlMozambiquePyrethrinsInsecticidesPyrethrinsAnopheles funestus.DieldrinInsecticide resistanceMozambique

Identifiers

PMID40087723
PMCPMC11907927

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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.