Resistance to commonly used insecticides and underlying mechanisms of resistance in Aedes aegypti (L.) from Sri Lanka

Evaluation of mycoparasitic Trichoderma atroviride and entomopathogenic Aspergillus niger as potential bioinsecticides against the dengue vector, Aedes aegypti

Introduction

Over the past three decades, dengue disease incidence has significantly increased worldwide, creating serious public health concerns. The principal mosquito vector, Aedes aegypti, exhibits resistance to commonly used insecticides, reducing the efficacy of vector control measures. Thus, the necessity for alternate strategies is critical. Using bioinsecticides such as entomopathogenic fungi (EPF) is one such strategy. This study details the evaluation of mycoparasitic Trichoderma atroviride and entomopathogenic Aspergillus niger against pyrethroid-resistant and pyrethroid-susceptible Ae. aegypti populations.

Materials and methods

Molecular identification of the isolated entomopathogenic fungal strains was done using ITS-rDNA sequence data. Larvicidal and adulticidal assays were performed using different spore concentrations of fungal species. Pupal emergence was assessed from the survived larvae of larvicidal assays.

Results

Larvicidal assays revealed the highest mortality of 60% for T. atroviride after 9 days of exposure when compared with the highest mortality of 52% for A. niger after 6 days of exposure. No significant difference was observed between the pyrethroid-resistant and pyrethroid-susceptible mosquito colonies, suggesting a lack of connection between prior resistance status and EPF pathogenicity. No pupal mortality was observed, although pupal duration was prolonged. Both EPF strains exhibited 100% mortality in adulticidal assays, signifying the potential use of the two fungal species as adulticides.

Conclusion

However, further studies are needed to understand the biology of EPF, its mechanism of action, the mosquito immune pathways activated, and the effect on non-target organisms. The findings have implications for the possible use of A. niger and T. atroviride as potential bioinsecticides against the control of Ae. aegypti.

Alanine to glycine substitution in the PyR2 confers sodium channel resistance to Type I pyrethroids

BACKGROUND

Aedes aegypti is a primary urban vector of dengue, yellow fever, Zika and chikungunya worldwide. Pyrethroid insecticides are the most effective insecticides for controlling Ae. aegypti. However, pyrethroid resistance has developed due to the long-term overuse of the insecticides, and many knockdown resistance (kdr) mutations have been identified in the resistant populations. A1007G, an alanine to glycine substitution, was found in resistant Ae. aegypti from Vietnam and Malaysia, which has always co-existed with F1534C and V1016G. However, the role of A1007G in pyrethroid resistance and the linkage of A1007G and F1534C or V1016G remain unknown.

RESULTS

In this study, we examined the effects of mutations on the sodium channel gating properties and pyrethroid sensitivity in Xenopus oocytes. We found mutations A1007G, A1007G + F1534C and A1007G + V1016G + F1534C shifted the voltage dependence of activation in the depolarizing direction. Mutations A1007G + F1534C and A1007G + V1016G + F1534C shifted the voltage dependence of inactivation in the depolarizing direction. Both mutations A1007G and F1534C reduced the channel sensitivity to two Type I pyrethroids, permethrin and bifenthrin, and synergistic effects were observed between mutations A1007G and F1534C. However, none of the mutations, A1007G, F1534C and A1007G + F1534C affected the channel sensitivity to two Type II pyrethroids, deltamethrin and cypermethrin. Furthermore, triple mutations A1007G + V1016G + F1534C significantly reduced the channel sensitivity to both Type I and Type II pyrethroids.

CONCLUSION

We identified A1007G had a distinct effect on sodium channel sensitivity to Type I, but not to Type II pyrethroids, also A1007G exhibited synergistic effects with F1534C to Type I pyrethroids, which will provide a fundamental insight into the distinct molecular interactions between insect sodium channel and Type I or Type II pyrethroids. © 2024 Society of Chemical Industry.

A systematic review of insecticide resistance in Aedes aegypti (Diptera: Culicidae) and implications for dengue control in Indonesia

Background and Aim

Dengue fever, primarily transmitted by Aedes aegypti, remains a critical public health challenge in Indonesia, with periodic outbreaks exacerbated by widespread insecticide resistance. Resistance to organophosphates and pyrethroids limits vector control efforts, necessitating updated insights into resistance patterns and their genetic underpinnings. This study aimed to evaluate and map insecticide resistance and associated genetic mutations in Ae. aegypti across Indonesia, providing actionable insights for vector management strategies.

Materials and Methods

This systematic review adheres to Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, encompassing studies from 2010 to 2023 identified through PubMed, Scopus, EBSCOhost, and Embase. Keywords targeted Ae. aegypti, insecticide classes, resistance, and Indonesian regions. Inclusion criteria focused on field-derived populations subjected to World Health Organization bioassays for organophosphates (malathion and temefos) and pyrethroids (cypermethrin, deltamethrin, etc.), alongside analyses of knockdown resistance (kdr) mutations in the voltage-gated sodium channel (Vgsc) and acetylcholinesterase-1 (Ace-1) genes. Data synthesis included resistance trends, spatial mapping, and allele frequency analyses.

Results

Resistance to malathion and temefos is extensive, with sporadic susceptibility in specific districts. Pyrethroid resistance is pervasive, particularly for cypermethrin and lambda-cyhalothrin, with deltamethrin exhibiting isolated susceptibility. Genetic analyses reveal Vgsc mutations (V1016G, F1534C) as key drivers of pyrethroid resistance, while Ace-1 mutations remain unreported. The evolution of resistance correlates with indiscriminate insecticide usage, urbanization, and climatic factors.

Conclusion

The growing prevalence of insecticide resistance in Ae. aegypti underscores the urgent need for integrated vector management strategies. These should incorporate insecticide rotation, resistance monitoring, and community engagement to mitigate resistance and support sustainable dengue control efforts in Indonesia.

Larvicidal and enzyme inhibition effects of Phoenix pusilla derived Methyl oleate and malathion on Aedes aegypti strains

This study explores the larvicidal potential of methanolic flower extracts from Phoenix pusilla (Pp-Fe), its major compound, and malathion (MLT), against laboratory strain (LS) and field strain (FS) of Aedes aegypti, the dengue mosquito vector. We identified thirty-one derivatives, with methyl oleate (MO) comprising 28.5% of Pp-Fe. Comparative efficacy evaluations were performed using peak dosages of Pp-Fe (500 ppm), MO (5 ppm), and MLT (5 ppm) on LS and FS larvae. Both LS and FS second instars showed higher susceptibility to Pp-Fe (95% and 93%, respectively) and MO (85% and 83%, respectively). MLT resulted in significant mortality rates among LS larvae (98%) and notable reductions among FS larvae (71%). The expression levels of key biomarker enzymes (carboxylesterase, GST, and CYP450) exhibited a consistent decrease and subsequent upregulation in LS and FS larvae following exposure to Pp-Fe and MO, contrasting with the significant expression variations observed in LS and FS larvae exposed to MLT. LS larvae demonstrated heightened susceptibility and evident midgut cell damage following all treatments, suggesting potential disparities in susceptibility and adaptive responses between LS and FS strains towards MLT. These observations underscore the promising larvicidal attributes of Pp-Fe and MO, emphasizing the need for further exploration of their mechanisms of action in the development of environmentally sustainable mosquito control strategies and resistance management.

Regulating Enzyme Catalysis by Tailored Silver Nanocrystals Fabricated with Holigarna arnottiana-Synthesis, Characterization, and Performance Optimization

Modification of catalytic expression of enzymes and regulating their in vivo activity are the goals of novel treatment strategies. A green synthetic nanostructured silver with potent trypsin inhibitory properties has not yet been developed, despite the fact that silver nanoparticles possess unique properties that allow them to efficiently block enzymes. The present study demonstrates for the first time a facile, safe, economic, and eco-friendly synthetic route for silver nanoparticles using an aqueous extract of Holigarna arnottiana bark engineered to interact with trypsin and hinder its activity effectively. The studies carried out to examine the interaction between these biofabricated AgNPs (HaAgNPs) and trypsin by UV-visible spectrophotometry and FTIR spectroscopy suggest that the formation of trypsin-HaAgNP complex is responsible for diminishing the catalytic efficiency of trypsin. In vivo studies on Aedes aegypti larval serum support these instrumental results of HaAgNP-induced trypsin inhibition and proves its application as a biopesticide. It is noteworthy that the bioengineered HaAgNPs were also found to have good inhibition potential against pepsin and urease as well. A variety of methods have been employed to characterize the synthesized biocompatible HaAgNPs and it possesses a characteristic absorption maximum of 420 nm. Their shelf life of above 7 years is noticeable, since none of the reported green synthesized AgNPs possess a shelf life of more than 1 year. Altogether, this work demonstrates that biofabricated HaAgNPs are multifunctional and cost-resilient biological tools that can be used as enzyme regulators possessing antioxidant, antimicrobial, and insecticidal features.

Characteristics of Trypsin genes and their roles in insecticide resistance based on omics and functional analyses in the malaria vector Anopheles sinensis

Trypsin is one of the most diverse and widely studied protease hydrolases. However, the diversity and characteristics of the Trypsin superfamily of genes have not been well understood, and their role in insecticide resistance is yet to be investigated. In this study, a total of 342 Trypsin genes were identified and classified into seven families based on homology, characteristic domains and phylogenetics in Anopheles sinensis, and the LY-Domain and CLECT-Domain families are specific to the species. Four Trypsin genes, (Astry2b, Astry43a, Astry90, Astry113c) were identified to be associated with pyrethroid resistance based on transcriptome analyses of three field resistant populations and qRT-PCR validation, and the knock-down of these genes significantly decrease the pyrethroid resistance of Anopheles sinensis based on RNAi. The activity of Astry43a can be reduced by five selected insecticides (indoxacarb, DDT, temephos, imidacloprid and deltamethrin); and however, the Astry43a could not directly metabolize these five insecticides, like the trypsin NYD-Tr did in earlier reports. This study provides the overall information frame of Trypsin genes, and proposes the role of Trypsin genes to insecticide resistance. Further researches are necessary to investigate the metabolism function of these trypsins to insecticides.

Efficacy of the insect growth regulator novaluron in the control of dengue vector mosquitoes Aedes aegypti and Ae. albopictus

Insect Growth Regulator (IGR) novaluron is an alternative to synthetic neuro-inhibitory insecticides. Present study was designed to assess appropriate dosages of novaluron for dengue vector control. Larvae of Aedes aegypti and Ae. albopictus were exposed to a concentration series of novaluron (Rimon EC10) for two fixed exposure periods of 7-days and 14-days to determined LC50 and LC99 values. Inhibition of adult emergence (IE50 and IE99) was determined by a 14-day exposure. Semi-field experiments were conducted by exposing cohorts of Ae. aegypti larvae to IE99, 2 × IE99 and 10 × IE99 novaluron concentrations in water storage buckets (10 L) and plastic barrels (200 L). For the 7-day exposure, LC50 values were 0.047-0.049 ppm and LC99 were 0.144-0.151 ppm. For 14-day exposure, these values were 0.002-0.005 ppm and 0.006-0.01 ppm respectively. For both species, IE99 was 0.001 ppb under semi-field conditions, and was effective for nearly 2 months. Novaluron concentration 0.01 ppb was effective up to 3 months, with an IE of 89-95%. Authorities should critically review a reduction of the presently recommended field dosage of 200 ppm novaluron by × 100 or more. This would provide the same efficacy but mitigate environmental pollution, development of vector resistance, and financial losses.

Fine-scale monitoring of insecticide resistance in Aedes aegypti (Diptera: Culicidae) from Sri Lanka and modeling the phenotypic resistance using rational approximation

BACKGROUND

The unplanned and intensified use of insecticides to control mosquito-borne diseases has led to an upsurge of resistance to commonly used insecticides. Aedes aegypti, the main vector of dengue, chikungunya, and Zika virus, is primarily controlled through the application of adulticides (pyrethroid insecticides) and larvicides (temephos). Fine spatial-scale analysis of resistance may reveal important resistance-related patterns, and the application of mathematical models to determine the phenotypic resistance status lessens the cost and usage of resources, thus resulting in an enhanced and successful control program.

METHODS

The phenotypic resistance for permethrin, deltamethrin, and malathion was monitored in the Ae. aegypti populations using the World Health Organization (WHO) adult bioassay method. Mosquitoes' resistance to permethrin and deltamethrin was evaluated for the commonly occurring base substitutions in the voltage-gated sodium channel (vgsc) gene. Rational functions were used to determine the relationship between the kdr alleles and the phenotypic resistant percentage of Ae. aegypti in Sri Lanka.

RESULTS

The results of the bioassays revealed highly resistant Ae. aegypti populations for the two pyrethroid insecticides (permethrin and deltamethrin) tested. All populations were susceptible to 5% malathion insecticide. The study also revealed high frequencies of C1534 and G1016 in all the populations studied. The highest haplotype frequency was detected for the haplotype CC/VV, followed by FC/VV and CC/VG. Of the seven models obtained, this study suggests the prediction models using rational approximation considering the C allele frequencies and the total of C, G, and P allele frequencies and phenotypic resistance as the best fits for the area concerned.

CONCLUSIONS

This is the first study to our knowledge to provide a model to predict phenotypic resistance using rational functions considering kdr alleles. The flexible nature of the rational functions has revealed the most suitable association among them. Thus, a general evaluation of kdr alleles prior to insecticide applications would unveil the phenotypic resistance percentage of the wild mosquito population. A site-specific strategy is recommended for monitoring resistance with a mathematical approach and management of insecticide applications for the vector population.

Diols and sugar substitutes in attractive toxic sugar baits targeting Aedes aegypti and Aedes albopictus (Diptera: Culicidae) mosquitoes

Around the world, mosquitoes continue to transmit disease-causing pathogens and develop resistance to insecticides. We previously discovered that a generally regarded as safe (GRAS) compound, 1,2-propanediol, reduces adult mosquito survivorship when ingested. In this study, we assess and compare 5 more chemically related compounds for mosquito lethality and 8 GRAS sugar substitutes to determine toxicity. We conducted a series of feeding assays to determine if ingesting the compounds influenced mosquito mean survivorship in locally collected lab-reared populations of Aedes aegypti (Diptera, Culicidae, Linnaeus, 1762) and Aedes albopictus (Diptera, Culicidae, Skuse, 1894) mosquitoes. Our results indicate that 1,2-propanediol, 1,3-propanediol, 1,5-pentanediol, 1,6-hexanediol, 2-methyl-1,3-propanediol, DL-dithiothreitol, acesulfame potassium, allulose, erythritol, sodium saccharin, stevia, and sucralose significantly reduced the mean survivorship of one or both species. Short-term trials with the most toxic compounds revealed that they could substantially affect survivorship after 24 h. We also found that there were different responses in the 2 species and that in several experimental conditions, male mosquitoes expired to a greater extent than female mosquitoes. These findings indicate that several of the compounds are toxic to mosquitoes. Further study is required to determine their effectiveness in attractive toxic sugar baits (ATSBs) as a potential component of population control strategies.

Insecticide resistance compromises the control of Aedes aegypti in Bangladesh

BACKGROUND

With no effective drugs or widely available vaccines, dengue control in Bangladesh is dependent on targeting the primary vector Aedes aegypti with insecticides and larval source management. Despite these interventions, the dengue burden is increasing in Bangladesh, and the country experienced its worst outbreak in 2019 with 101 354 hospitalized cases. This may be partially facilitated by the presence of intense insecticide resistance in vector populations. Here, we describe the intensity and mechanisms of resistance to insecticides commonly deployed against Ae. aegypti in Dhaka, Bangladesh.

RESULTS

Dhaka Ae. aegypti colonies exhibited high-intensity resistance to pyrethroids. Using CDC bottle assays, we recorded 2-24% mortality (recorded at 24 h) to permethrin and 48-94% mortality to deltamethrin, at 10× the diagnostic dose. Bioassays conducted using insecticide-synergist combinations suggested that metabolic mechanisms were contributing to pyrethroid resistance, specifically multi-function oxidases, esterases, and glutathione S-transferases. In addition, kdr alleles were detected, with a high frequency (78-98%) of homozygotes for the V1016G mutation. A large proportion (≤ 74%) of free-flying and resting mosquitoes from Dhaka colonies survived exposure to standard applications of pyrethroid aerosols in an experimental free-flight room. Although that exposure affected the immediate host-seeking behavior of Ae. aegypti, the effect was transient in surviving mosquitoes.

CONCLUSION

The intense resistance characterized in this study is likely compromising the operational effectiveness of pyrethroids against Ae. aegypti in Dhaka. Switching to alternative chemical classes may offer a medium-term solution, but ultimately a more sustainable and effective approach to controlling dengue vectors is required. © 2023 The Authors. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.

INSECTICIDE SUSCEPTIBILITY AND DETECTION OF kdr-GENE MUTATIONS IN AEDES AEGYPTI OF PESHAWAR, PAKISTAN

Dengue is a common disease in Peshawar, Pakistan whose primary vector is Aedes aegypti mosquito. Due to absence of vaccines and proper drugs for dengue, vector control is a necessary tool. Insecticide resistance in vectors is a threat to the control of dengue vector. This study presents the susceptibility status of Ae. aegypti to eight insecticides in district Peshawar and screen the mutations in knock down resistant gene (kdr). Ae. aegypti were found highly resistant to DDT and Deltamethrin while highly susceptible to Cyfluthrin and Bendiocarb. DNA sequencing of two domains (II and III) of kdr-gene have detected four SNPs in domain IIS6 at positions S989P and V1016G and two mutations at position T1520I and F1534C in domain IIIS6. Results showed a low frequency i.e. 0.19 and 0.12 for S989P and V1016G, moderate for T1520I (0.42) and high frequency for F1534C (0.86). Mutational combinations showed that the predominant combination was SSVVTICC (43%) in which T1520I was heterozygous and F1534C was homozygous mutant. This study will be helpful in designing vector control strategies for the control of dengue in the studied area and will provide first knowledge about Kdr gene mutations that confer resistance in this species.

Worldwide Status of Insecticide Resistance of Aedes aegypti and Ae. albopictus, Vectors of Arboviruses of Chikungunya, Dengue, Zika and Yellow Fever

BACKGROUND

Controlling of Aedes aegypti and Ae. albopictus, vectors of five important mosquito-borne diseases, is known as the most effective method to prevent the transmission of arboviruses to humans, but the emergence of insecticide resistance is threat for control and prevention of vector borne diseases. A better understanding of mosquito resistance to insecticides will help to develop more effective methods to control insecticide resistance in mosquito vectors.

METHODS

Worldwide geographical distribution of insecticide resistance in Ae. aegypti and Ae. albopictus by the available papers and map of the data for carbamates, organochlorines, organophosphates, pyrethroids, microbial and insect growth regulator insecticides were reviewed. Article data published up to December 2022 were investigated by searching the following databases: "Google Scholar", "PubMed", "Scopus", "SID" and "Web of Knowledge".

RESULTS

The results showed that the susceptibility and resistance status of Ae. aegypti and Ae. albopictus to insecticides in the world is very diverse.

CONCLUSION

Due to the importance of Ae. aegypti and Ae. albopictus in the transmission of mosquito-borne arboviruses, resistance management should be given more attention worldwide to prevent insecticide resistance in the arbovirus vector and replace the new approach for vector control.

Chemical Composition, Larvicidal and Repellent Activities of Wild Plant Essential Oils against Aedes aegypti

Bio-degradable and eco-friendly essential oils (EOs) extracted from Mentha longifolia, Salsola imbricata, Erigeron bonariensis, E. canadensis, Ailanthus altissima, and Zanthoxylum armatum were investigated for their repellent and larvicidal potential against Aedes aegypti mosquitoes. The EOs of M. longifolia, S. imbricata, E. bonariensis, E. canadensis, A. altissima, and Z. armatum exhibited 99.0%, 96.8%, 40.2%, 41.7%, 29.1%, and 13.2% repellency against mosquitoes at a tested dose of 33.3 μg/cm², respectively. In time span bioassays, the EOs of M. longifolia, S. imbricata, E. bonariensis, and E. canadensis showed more than 40% repellency for 60 min at a tested dose of 330 μg/cm². Larvicidal bioassays revealed that larvae of Ae. aegypti were the most susceptible to M. longifolia (LC₅₀, 39.3 mg/L), E. bonariensis (LC₅₀, 26.0 mg/L), E. canadensis (LC₅₀, 35.7 mg/L), and Z. armatum (LC₅₀, 35.9 mg/L) EOs upon 48 h exposure. The most abundant constituents in the EOs of M. longifolia, S. imbricata, E. bonariensis, E. canadensis and A. altissima were piperitone oxide (45.5%), carvone (39.9%), matricaria ester (43.1%), (31.7%) and eugenol (24.4%), respectively. Our study demonstrates that EOs of M. longifolia, S. imbricata, E. bonariensis, and E. canadensis might be used to control Ae. aegypti mosquitoes without harming humans or the environment.

Assessment of susceptible Culex quinquefasciatus larvae in Indonesia to different insecticides through metabolic enzymes and the histopathological midgut

Filariasis and virus diseases that are transmitted by Culex quinquefasciatus are still a global health problem. Control of mosquito vectors with synthetic insecticides causes resistance to these mosquitoes to insecticides so that detection of susceptibility of the mosquito larval stage to insecticides is important for evaluating mosquito control programs. The aim of this study was to evaluate the susceptibility of wild-caught Cx. quinquefasciatus larvae in Jakarta, Indonesia, following exposure to temephos, malathion, cypermethrin, and deltamethrin; this was done by examining the detoxifying enzyme activities and histological damage to the larval midgut. Cx. quinquefasciatus larvae were collected from five fields in Jakarta and exposed for 24 h to temephos (1.25, 6.25, 31.25, and 156.25 ppm), malathion (0.5 ppm), cypermethrin (0.25 ppm), and deltamethrin (0.35 ppm). The larvae were then examined for acetylcholinesterase (AChE), glutathione S-transferase (GST), and oxidase activities using biochemical methods. Histological damage to the larval midgut was examined using routine histopathological methods and transmission electron microscopy (TEM). After 24 h, temephos and deltamethrin led to 100% mortality in the Cx. quinquefasciatus larvae. Temephos and malathion significantly inhibited the activity of AChE, while cypermethrin and deltamethrin significantly inhibited oxidase activity. Histologically, all insecticides damaged the larval midgut, as indicated by irregularities in the epithelial cell (ECs), microvilli (Mv), food boluses (FBs), peritrophic membranes (PMs), and cracked epithelial layers (Ep). The TEM findings confirmed that temephos and cypermethrin damage to the midgut ECs included damage to the cell membrane, nucleus, nucleoli, mitochondria, and other cell organelles. Overall, Cx. quinquefasciatus larvae in Jakarta were completely susceptible to temephos and deltamethrin. Synthetic insecticides may kill Cx. quinquefasciatus larvae through their actions on the metabolic enzyme activities and histopathological midgut.

Evaluations of two glutathione S-transferase epsilon genes for their contributions to metabolism of three selected insecticides in Locusta migratoria

The insect-specific epsilon class of glutathione S-transferases (GSTEs) plays important roles in insecticide detoxification in insects. In our previous work, five GSTEs were identified in Locusta migratoria, and two recombinant GSTEs, rLmGSTE1 and rLmGSTE4, showed high catalytic activity when 1-chloro-2,4-dinitrobenzene (CDNB) was used as a substrate. In this work, we further investigated whether these two GSTEs could metabolize three insecticides including malathion, deltamethrin and DDT. Using ultra-high-performance liquid chromatography tandem mass spectrometry (UHPLC/MS) method, we found that rLmGSTE4, but not rLmGSTE1, can metabolize malathion and DDT. Malathion bioassays of L.migratoria after the expression of LmGSTE4 was suppressed by RNA interference (RNAi) showed increased insect mortality from 33.8% to 68.9%. However, no changes in mortality were observed in deltamethrin- or DDT-treated L.migratoria after the expression of LmGSTE4 was suppressed by RNAi. Our results provided direct evidences that LmGSTE4 participates in malathion detoxification in L.migratoria. These findings are important for understanding the mechanisms of insecticide resistance in L.migratoria and developing new strategies for managing the insect populations in the field.

Management of insecticides for use in disease vector control: Lessons from six countries in Asia and the Middle East

Interventions to control the vectors of human diseases, notably malaria, leishmaniasis and dengue, have relied mainly on the action of chemical insecticides. However, concerns have been raised regarding the management of insecticides in vector-borne disease-endemic countries. Our study aimed to analyze how vector control insecticides are managed in selected countries to extract lessons learned.

A qualitative analysis of the situation of vector control insecticides management was conducted in six countries. Multi-stakeholder meetings and key informer interviews were conducted on aspects covering the pesticide lifecycle. Findings were compared and synthesized to extract lessons learned. Centrally executed guidelines and standards on the management of insecticides offered direction and control in most malaria programs, but were largely lacking from decentralized dengue programs, where practices of procurement, application, safety, storage, and disposal were variable between districts. Decentralized programs were better at facilitating participation of stakeholders and local communities and securing financing from local budgets. However, little coordination existed between malaria, visceral leishmaniasis and dengue programs within countries. Entomological capacity was concentrated in malaria programs at central level, while dengue and visceral leishmaniasis programs were missing out on expertise. Monitoring systems for insecticide resistance in malaria vectors were rarely used for dengue or visceral leishmaniasis vectors. Strategies for insecticide resistance management, where present, did not extend across programs or sectors in most countries. Dengue programs in most countries continued to rely on space spraying which, considering the realities on the ground, call for revision of international guidelines.

Vector control programs in the selected countries were confronted with critical shortcomings in the procurement, application, safety measures, storage, and disposal of vector control insecticides, with implications for the efficiency, effectiveness, and safety of vector control. Further international support is needed to assist countries in situation analysis, action planning and development of national guidelines on vector control insecticide management.

Vector-borne diseases such as dengue, malaria and leishmaniasis are transmitted by insect vectors. Transmission can be interrupted through vector control. Chemical insecticides are the mainstay for controlling these insect vectors. However, the use of chemicals also introduces risks to health and the environment and may lead to insecticide resistance. Hence, proper management of those insecticides is critical. To find out how the insecticides used for vector control are being managed, the authors conducted investigations in six countries in Asia and the Middle East. They found that the practices of insecticide procurement, application, storage, and disposal depended on how a program is organized. Dengue programs were operated in a decentralized manner and, consequently, lacked coordination through guidelines and standards on best practices. Also, coordination between malaria, visceral leishmaniasis and dengue programs within countries was minimal, and expertise needed to guide decisions on vector control and to monitor insecticide resistance was in short supply. The identified shortcomings in how vector control insecticides are managed likely affected the efficiency, effectiveness, and safety of vector control operations.