1
|
Kouamé RMA, Guglielmo F, Abo K, Ouattara AF, Chabi J, Sedda L, Donnelly MJ, Edi C. Education and Socio-economic status are key factors influencing use of insecticides and malaria knowledge in rural farmers in Southern Côte d'Ivoire. BMC Public Health 2022; 22:2443. [PMID: 36577975 PMCID: PMC9795670 DOI: 10.1186/s12889-022-14446-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Accepted: 10/25/2022] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND Insecticides play a key role in rural farming; however, their over- or misuse has been linked with a negative impact on malaria vector control policies. This study was conducted amongst agricultural communities in Southern Côte d'Ivoire to identify which insecticides are used by local farmers and how it relates to the perception of farmers on malaria. Understanding the use of insecticides may help in designing awareness programme on mosquito control and pesticides management. METHODS A questionnaire was administered to 1399 farming households across ten villages. Farmers were interviewed on their education, farming practices (e.g. crops cultivated, insecticides use), perception of malaria, and the different domestic strategies of mosquito control they use. Based on some pre-defined household assets, the socioeconomic status (SES) of each household was estimated. Statistical associations were calculated between different variables, showing significant risk factors. RESULTS The educational level of farmers was significantly associated with their SES (p < 0.0001). Most of the householders (88.82%) identified mosquitoes as the principal cause of malaria, with good knowledge of malaria resulting as positively related to high educational level (OR = 2.04; 95%CI: 1.35, 3.10). The use of indoor chemical compounds was strongly associated to the SES of the households, their education level, their use of ITNs and insecticide in agricultural (p < 0.0001). Indoor application of pyrethroid insecticides was found to be widespread among farmers as well as the use of such insecticide for crops protection. CONCLUSION Our study shows that the education level remains the key factor influencing the use of insecticides by farmers and their awareness of malaria control. We suggest that better communication tailored to education level and including SES, controlled availability and access to chemical products, should be considered when designing campaigns on use of pesticides and vector borne disease control for local communities.
Collapse
Affiliation(s)
- Ruth M A Kouamé
- Institut National Polytechnique Félix Houphouët Boigny, BP 1093, Yamoussoukro, Côte d'Ivoire.,Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, 01 BP 1303, Abidjan, Côte d'Ivoire
| | - Federica Guglielmo
- Liverpool School of Tropical Medicine, Vector Biology Department, Pembroke Place, Liverpool, L3 5QA, United Kingdom
| | - Kouabénan Abo
- Institut National Polytechnique Félix Houphouët Boigny, BP 1093, Yamoussoukro, Côte d'Ivoire
| | - Allassane F Ouattara
- Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, 01 BP 1303, Abidjan, Côte d'Ivoire.,Université Nangui Abrogoua, 02 BP 801, Abidjan, Côte d'Ivoire
| | - Joseph Chabi
- Noguchi Memorial Institute for Medical Research, Accra, Ghana
| | - Luigi Sedda
- Lancaster Ecology and Epidemiology Group, Lancaster Medical School, Lancaster University, Furness Building, Lancaster, LA1 4YG, United Kingdom
| | - Martin J Donnelly
- Liverpool School of Tropical Medicine, Vector Biology Department, Pembroke Place, Liverpool, L3 5QA, United Kingdom
| | - Constant Edi
- Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, 01 BP 1303, Abidjan, Côte d'Ivoire.
| |
Collapse
|
2
|
Marathe A, Shi R, Mendez-Lopez A, Hu Z, Lewis B, Rabinovich R, Chaccour CJ, Rist C. Potential impact of 5 years of ivermectin mass drug administration on malaria outcomes in high burden countries. BMJ Glob Health 2021; 6:bmjgh-2021-006424. [PMID: 34764146 PMCID: PMC8587489 DOI: 10.1136/bmjgh-2021-006424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 10/18/2021] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION The global progress against malaria has slowed significantly since 2017. As the current malaria control tools seem insufficient to get the trend back on track, several clinical trials are investigating ivermectin mass drug administration (iMDA) as a potential additional vector control tool; however, the health impacts and cost-effectiveness of this new strategy remain unclear. METHODS We developed an analytical tool based on a full factorial experimental design to assess the potential impact of iMDA in nine high burden sub-Saharan African countries. The simulated iMDA regimen was assumed to be delivered monthly to the targeted population for 3 months each year from 2023 to 2027. A broad set of parameters of ivermectin efficacy, uptake levels and global intervention scenarios were used to predict averted malaria cases and deaths. We then explored the potential averted treatment costs, expected implementation costs and cost-effectiveness ratios under different scenarios. RESULTS In the scenario where coverage of malaria interventions was maintained at 2018 levels, we found that iMDA in these nine countries has the potential to reverse the predicted growth of malaria burden by averting 20-50 million cases and 36 000-90 000 deaths with an assumed efficacy of 20%. If iMDA has an efficacy of 40%, we predict between 40-99 million cases and 73 000-179 000 deaths will be averted with an estimated net cost per case averted between US$2 and US$7, and net cost per death averted between US$1460 and US$4374. CONCLUSION This study measures the potential of iMDA to reverse the increasing number of malaria cases for several sub-Saharan African countries. With additional efficacy information from ongoing clinical trials and country-level modifications, our analytical tool can help determine the appropriate uptake strategies of iMDA by calculating potential marginal gains and costs under different scenarios.
Collapse
Affiliation(s)
- Achla Marathe
- Network Systems Science and Advanced Computing Division, Biocomplexity Institute, University of Virginia, Charlottesville, Virginia, USA.,Department of Public Health Sciences, University of Virginia, Charlottesville, Virginia, USA
| | - Ruoding Shi
- Department of Public Health Sciences, University of Virginia, Charlottesville, Virginia, USA
| | - Ana Mendez-Lopez
- Department of Preventive Medicine, Public Health and Microbiology, Autonomous University of Madrid, Madrid, Spain.,Barcelona Institute for Global Health, ISGlobal, Barcelona, Spain
| | - Zhihao Hu
- Department of Statistics, Virginia Tech, Blacksburg, Virginia, USA
| | - Bryan Lewis
- Network Systems Science and Advanced Computing Division, Biocomplexity Institute, University of Virginia, Charlottesville, Virginia, USA
| | | | - Carlos J Chaccour
- Barcelona Institute for Global Health, ISGlobal, Barcelona, Spain.,Universitat de Navarra, Pamplona, Spain
| | - Cassidy Rist
- Department of Population Health Sciences, Virginia Tech, Blacksburg, Virginia, USA
| |
Collapse
|
3
|
Ruiz-Castillo P, Rist C, Rabinovich R, Chaccour C. Insecticide-treated livestock: a potential One Health approach to malaria control in Africa. Trends Parasitol 2021; 38:112-123. [PMID: 34756820 DOI: 10.1016/j.pt.2021.09.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 09/16/2021] [Accepted: 09/16/2021] [Indexed: 12/20/2022]
Abstract
New vector-control tools are urgently needed to reduce malaria in areas where there is significant transmission after deployment of indoor residual spraying (IRS) and insecticide treated nets. Insecticide-treated livestock (ITL) is a potential novel strategy by which zoophagic mosquitos are killed after feeding upon animals treated with an insecticide. Although there are several insecticide candidates in the pipeline with a wide efficacy range against mosquitos, additional field studies with epidemiological outcomes are required to test the impact of this intervention on malaria transmission. Insecticides under consideration have long been used in livestock to improve animal health and productivity, but each has food and environmental safety considerations. Therefore, moving ITL from a concept to implementation will require a One Health framework.
Collapse
Affiliation(s)
| | - Cassidy Rist
- Virginia Maryland College of Veterinary Medicine at Virginia Tech, Blacksburg, VA, USA
| | - Regina Rabinovich
- ISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain; Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Carlos Chaccour
- ISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain; Facultad de Medicina, Universidad de Navarra, Pamplona, Spain
| |
Collapse
|
4
|
Makhanthisa TI, Braack L, Lutermann H. The effect of cattle-administered ivermectin and fipronil on the mortality and fecundity of Anopheles arabiensis Patton. Parasit Vectors 2021; 14:349. [PMID: 34215295 PMCID: PMC8254271 DOI: 10.1186/s13071-021-04846-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Accepted: 06/11/2021] [Indexed: 11/10/2022] Open
Abstract
Background Malaria control primarily depends on two vector control strategies: indoor residual spraying (IRS) and long-lasting insecticide-treated nets (LLINs). Both IRS and LLIN target indoor-biting mosquitoes. However, some of the most important malaria vectors have developed resistance against the chemical compounds used in IRS and LLINs. Insecticide-induced behavioural changes in vectors, such as increased outdoor feeding on cattle and other animals, also limit the effectiveness of these strategies. Novel vector control strategies must therefore be found to complement IRS and LLINs. A promising tool is the use of cattle-applied endectocides. Endectocides are broad-spectrum systemic drugs that are effective against a range of internal nematodes parasites and blood-feeding arthropods. The aim of this study was to investigate the effect of two endectocide drugs, injectable ivermectin and topical fipronil, on the survival and fecundity of zoophilic Anopheles arabiensis. Methods Laboratory-reared mosquitoes were allowed to feed on cattle treated with either injectable ivermectin (0.2 mg/kg), topical fipronil (1.0 mg/kg) or saline (control) on days 0, 1, 4, 7, 13, 21 and 25 post-treatment, and mortality and egg production were recorded daily. Results Compared to controls, the mortality of An. arabiensis increased by 3.52- and 2.43-fold with injectable ivermectin and topical fipronil, respectively. The overall fecundity of mosquitoes that fed on both ivermectin- and fipronil-treated cattle was significantly reduced by up to 90 and 60%, respectively, compared to the control group. The effects of both drugs attenuated over a period of 3 weeks. Injectable ivermectin was more effective than topical fipronil and increased mosquito mortality by a risk factor of 1.51 higher than fipronil. Similarly, both drugs significantly reduced the fecundity of An. arabiensis. Conclusions This study demonstrates that injectable ivermectin and topical fipronil are able to suppress An. arabiensis density and could help to reduce outdoor malaria transmission. Data from the present study as well as from other similar studies suggest that current-generation endectocides have a limited duration of action and are expensive. However, new-generation, sustained-release formulations of ivermectin have a multi-week, high mortality impact on vector populations, thus holding promise of an effective reduction of outdoor malaria transmission. Graphical abstract ![]()
Collapse
Affiliation(s)
- Takalani I Makhanthisa
- Mammal Research Institute, Department of Zoology & Entomology, University of Pretoria, Pretoria, South Africa.,UP Institute for Sustainable Malaria Control, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Leo Braack
- UP Institute for Sustainable Malaria Control, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.,Faculty of Tropical Medicine, Malaria Consortium, Mahidol University, Bangkok, Thailand
| | - Heike Lutermann
- Mammal Research Institute, Department of Zoology & Entomology, University of Pretoria, Pretoria, South Africa.
| |
Collapse
|
5
|
Khaligh FG, Jafari A, Silivanova E, Levchenko M, Rahimi B, Gholizadeh S. Endectocides as a complementary intervention in the malaria control program: a systematic review. Syst Rev 2021; 10:30. [PMID: 33455581 PMCID: PMC7812718 DOI: 10.1186/s13643-021-01578-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Accepted: 01/02/2021] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Malaria is the most common vector-borne disease transmitted to humans by Anopheles mosquitoes. Endectocides and especially ivermectin will be available as a vector control tool soon. The current review could be valuable for trial design and clinical studies to control malaria transmission. METHODS PubMed/MEDLINE, Scopus, Web of Science, and Science Direct were searched for original English published papers on ("Malaria chemical control" OR "Malaria elimination" OR "Anopheles vector control" OR "Malaria zooprophylaxis") AND ("Systemic insecticides" OR "Endectocides" OR "Ivermectin"). The last search was from 19 June 2019 to 31 December 2019. It was updated on 17 November 2020. Two reviewers (SG and FGK) independently reviewed abstracts and full-text articles. Data were extracted by one person and checked by another. As meta-analyses were not possible, a qualitative summary of results was performed. RESULTS Thirty-six published papers have used systemic insecticides/endectocides for mosquito control. Most of the studies (56.75%) were done on Anopheles gambiae complex species on doses from 150 μg/kg to 400 μg/kg in several studies. Target hosts for employing systemic insecticides/drugs were animals (44.2%, including rabbit, cattle, pig, and livestock) and humans (32.35%). CONCLUSIONS Laboratory and field studies have highlighted the potential of endectocides in malaria control. Ivermectin and other endectocides could soon serve as novel malaria transmission control tools by reducing the longevity of Anopheles mosquitoes that feed on treated hosts, potentially decreasing Plasmodium parasite transmission when used as mass drug administration (MDA).
Collapse
Affiliation(s)
- Fereshteh Ghahvechi Khaligh
- Social Determinants of Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran.,Medical Entomology Department, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Abbas Jafari
- Department of Clinical Toxicology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.,Cellular and Molecular Research Center, Research Institute on Cellular and Molecular Medicine, Urmia University of Medical Sciences, Urmia, Iran
| | - Elena Silivanova
- All-Russian Scientific Research Institute of Veterinary Entomology and Arachnology, Branch of Federal State Institution Federal Research Centre Tyumen Scientific Centre, Siberian Branch of the Russian Academy of Sciences (ASRIVEA - Branch of Tyumen Scientific Centre SB RAS), Institutskaya st. 2, Tyumen, Russian Federation, 625041
| | - Mikhail Levchenko
- All-Russian Scientific Research Institute of Veterinary Entomology and Arachnology, Branch of Federal State Institution Federal Research Centre Tyumen Scientific Centre, Siberian Branch of the Russian Academy of Sciences (ASRIVEA - Branch of Tyumen Scientific Centre SB RAS), Institutskaya st. 2, Tyumen, Russian Federation, 625041
| | - Bahlol Rahimi
- Department of Health Information Technology, School of Applied Medical Sciences, Urmia University of Medical Sciences, Urmia, Iran
| | - Saber Gholizadeh
- Social Determinants of Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran. .,Medical Entomology Department, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran.
| |
Collapse
|
6
|
Chaccour C. Veterinary endectocides for malaria control and elimination: prospects and challenges. Philos Trans R Soc Lond B Biol Sci 2020; 376:20190810. [PMID: 33357062 DOI: 10.1098/rstb.2019.0810] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Residual transmission is the persistence of malaria transmission after scale-up of appropriate vector control tools and is one of the key challenges for malaria elimination today. Although long associated with outdoor biting, other mosquito behaviours such as partly feeding upon animals contribute greatly to sustaining transmission. Peri-domestic livestock can be used as decoy to protect humans from blood-seeking vectors but this approach often leads to an increased malaria risk in a phenomenon known as zoopotentiation. Treating the said livestock with drugs capable of killing intestinal parasites as well as mosquitoes that feed upon them has the potential to tackle malaria through a previously unexplored mechanism. The advantages and challenges associated with this approach are briefly discussed here. Numerous references are purposely provided. This article is part of the theme issue 'Novel control strategies for mosquito-borne diseases'.
Collapse
Affiliation(s)
- Carlos Chaccour
- ISGlobal, Hospital Clínic - Universitat de Barcelona, Rosello 132, 5ª 2ª, 08036 Barcelona, Spain.,Ifakara Health Institute, Off Mlabani Passage, PO Box 53, Ifakara, United Republic of Tanzania.,Faculty of Medicine, Universidad de Navarra, Calle de Irunlarrea 1, 31008 Pamplona, Spain
| |
Collapse
|