Evidence map›Paper›PMID 40700449›Full record

ArticlePLoS neglected tropical diseases2025

A community-based vector control intervention "Slash and Clear" implemented in two onchocerciasis-endemic foci in South Sudan.

Thomson Luroni Lakwo, Joseph Siewe Fodjo, Stephen Raimon Jada, Peter Alinda, Moses Tionga, Constantino Doggale Remijo Marcello, Deng Gai Dual War, Marina Saleeb, Robert Colebunders

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Thomson Luroni LakwoMinistry of Health, Vector Control Division, Kampala, Uganda.
Joseph Siewe FodjoGlobal Health Institute, University of Antwerp, Antwerp, Belgium.
Stephen Raimon JadaAmref Health Africa, Juba, South Sudan.
Peter AlindaMinistry of Health, Vector Control Division, Kampala, Uganda.
Moses TiongaGlobal Health Institute, University of Antwerp, Antwerp, Belgium.
Constantino Doggale Remijo MarcelloMinistry of Health, National Malaria Control Program, Juba, South Sudan.
Deng Gai Dual WarMinistry of Health, National Malaria Control Program, Juba, South Sudan.
Marina SaleebGlobal Health Institute, University of Antwerp, Antwerp, Belgium.
Robert ColebundersGlobal Health Institute, University of Antwerp, Antwerp, Belgium.ORCID 0000-0002-1919-1340

Funding

Amref Health Africa, South SudanResearch Foundation Flandres (FWO)
6 · The paper itself

Abstract

backgroundDespite several rounds of ivermectin treatment, onchocerciasis transmission persists in Mvolo and Mundri West Counties (Western Equatoria State, South Sudan). A community-based "Slash and clear" (S&C) vector control method was recently introduced, but its effectiveness remains unclear.

methodsBetween October 2023 and November 2024, entomological studies were conducted to map blackfly breeding sites along River Naam (Mvolo County) and River Yei (Mundri West County). Following baseline assessment of daily biting rates at multiple catching sites, one round of S&C was implemented at selected intervention sites. Monthly biting rates (MBR) were monitored over a follow-up period of 8-14 months and compared between intervention and control sites.

resultsThirteen breeding sites of Simulium damnosum, sensu lato. were found on the Naam and Yei Rivers. Biting rates were consistently higher during the rainy season than the dry season across both Counties. On the Naam River (14 months of follow-up), Mann-Kendall trend tests showed non-significant reductions in MBRs at both intervention (tau = -0.038, p-value = 0.881) and control sites (tau = -0.135, p-value = 0.313). Similar non-significant changes were observed on the Yei River (8 months follow-up), with tau = 0.046 (p-value = 0.820) and tau = 0.163 (p-value = 0.363) for intervention and control sites, respectively. Generalized additive models (GAM) regression analysis indicated that seasonality was the only significant predictor of MBR, with increased biting rates during the rainy season (p < 0.001). A single round of S&C at baseline did not result in significant reductions in MBRs (p-value = 0.651 in Mvolo and p-value = 0.531 in Mundri West).

conclusionBlackfly biting rates in Mvolo and Mundri West Counties are strongly influenced by seasonal variations, peaking during the rainy season. Our findings indicate that a single round of S&C is insufficient to reduce blackfly biting in the medium term. Repeated and strategically timed annual implementation of S&C is likely required to achieve significant and lasting vector control impacts.

Indexed as

Insect ControlInsect VectorsOnchocerciasisSimuliidaeAnimalsEndemic DiseasesFemaleHumansIvermectinRiversSeasonsSouth SudanIvermectin

Identifiers

PMID40700449
PMCPMC12306731

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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.