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Effect of untreated bed nets on blood-fed Phlebotomus argentipes in kala-azar endemic foci in Nepal and India. 2009
Albert Picado, and
Vijay Kumar, and
Murari Das, and
Ian Burniston, and
Lalita Roy, and
Rijal Suman, and
Diwakar Dinesh, and
Marc Coosemans, and
Shyam Sundar, and
Kesari Shreekant, and
Marleen Boelaert, and
Clive Davies, and
Mary Cameron
London School of Hygiene and Tropical Medicine, London, UK. albert.picado@lshtm.ac.uk
Observational studies in the Indian subcontinent have shown that untreated nets may be protective against visceral leishmaniasis (VL). In this study, we evaluated the effect of untreated nets on the blood feeding rates of Phlebotomus argentipes as well as the human blood index (HBI) in VL endemic villages in India and Nepal. The study had a 'before and after intervention' design in 58 households in six clusters. The use of untreated nets reduced the blood feeding rate by 85% (95% CI 76.5-91.1%) and the HBI by 42.2% (95% CI 11.1-62.5%). These results provide circumstantial evidence that untreated nets may provide some degree of personal protection against sand fly bites.
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