Do topical repellents divert mosquitoes within a community? Health equity implications of topical repellents as a mosquito bite prevention tool. 2013

Marta Ferreira Maia, and Sangoro Peter Onyango, and Max Thele, and Emmanuel Titus Simfukwe, and Elizabeth Louise Turner, and Sarah Jane Moore
Swiss Tropical & Public Health Institute, Department of Epidemiology & Public Health, Basel, Switzerland ; University of Basel, Basel, Switzerland ; Ifakara Health Institute, Environmental Health and Ecological Sciences Thematic Group, Bagamoyo, Pwani Region, United Republic of Tanzania.

OBJECTIVE Repellents do not kill mosquitoes--they simply reduce human-vector contact. Thus it is possible that individuals who do not use repellents but dwell close to repellent users experience more bites than otherwise. The objective of this study was to measure if diversion occurs from households that use repellents to those that do not use repellents. METHODS The study was performed in three Tanzanian villages using 15%-DEET and placebo lotions. All households were given LLINs. Three coverage scenarios were investigated: complete coverage (all households were given 15%-DEET), incomplete coverage (80% of households were given 15%-DEET and 20% placebo) and no coverage (all households were given placebo). A crossover study design was used and coverage scenarios were rotated weekly over a period of ten weeks. The placebo lotion was randomly allocated to households in the incomplete coverage scenario. The level of compliance was reported to be close to 100%. Mosquito densities were measured through aspiration of resting mosquitoes. Data were analysed using negative binomial regression models. RESULTS Repellent-users had consistently fewer mosquitoes in their dwellings. In villages where everybody had been given 15%-DEET, resting mosquito densities were fewer than half that of households in the no coverage scenario (Incidence Rate Ratio [IRR]=0.39 (95% confidence interval [CI]: 0.25-0.60); p<0.001). Placebo-users living in a village where 80% of the households used 15%-DEET were likely to have over four-times more mosquitoes (IRR=4.17; 95% CI: 3.08-5.65; p<0.001) resting in their dwellings in comparison to households in a village where nobody uses repellent. CONCLUSIONS There is evidence that high coverage of repellent use could significantly reduce man-vector contact but with incomplete coverage evidence suggests that mosquitoes are diverted from households that use repellent to those that do not. Therefore, if repellents are to be considered for vector control, strategies to maximise coverage are required.

UI MeSH Term Description Entries
D007299 Insect Bites and Stings Bites and stings inflicted by insects. Insect Bites,Insect Stings,Bite, Insect,Bites, Insect,Insect Bite,Insect Sting,Sting, Insect,Stings, Insect
D007302 Insect Repellents Substances causing insects to turn away from them or reject them as food. Insect Repellent,Repellent, Insect,Repellents, Insect
D009033 Culicidae A family of the order DIPTERA that comprises the mosquitoes. The larval stages are aquatic, and the adults can be recognized by the characteristic WINGS, ANIMAL venation, the scales along the wing veins, and the long proboscis. Many species are of particular medical importance. Mosquitoes,Mosquitos,Mosquito
D011156 Population Density Number of individuals in a population relative to space. Overpopulation,Population Size,Underpopulation,Densities, Population,Density, Population,Population Densities,Population Sizes
D012044 Regression Analysis Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable. Regression Diagnostics,Statistical Regression,Analysis, Regression,Analyses, Regression,Diagnostics, Regression,Regression Analyses,Regression, Statistical,Regressions, Statistical,Statistical Regressions
D003671 DEET A compound used as a topical insect repellent that may cause irritation to eyes and mucous membranes, but not to the skin. DEET, 2,5-di-Me-Analog,DET,DETA,N,N-Diethyl-2,5-dimethylbenzamide,N,N-Diethyl-3-methylbenzamide,N,N-Diethyl-m-toluamide,N,N-Diethyltoluamide,R-209,N,N Diethyl 3 methylbenzamide,N,N Diethyl m toluamide,N,N Diethyltoluamide,R 209,R209
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013636 Tanzania A republic in eastern Africa, south of UGANDA and north of MOZAMBIQUE. Its capital is Dar es Salaam. It was formed in 1964 by a merger of the countries of TANGANYIKA and ZANZIBAR. Tanganyika,Zanzibar,United Republic of Tanzania

Related Publications

Marta Ferreira Maia, and Sangoro Peter Onyango, and Max Thele, and Emmanuel Titus Simfukwe, and Elizabeth Louise Turner, and Sarah Jane Moore
June 1998, Annals of internal medicine,
Marta Ferreira Maia, and Sangoro Peter Onyango, and Max Thele, and Emmanuel Titus Simfukwe, and Elizabeth Louise Turner, and Sarah Jane Moore
December 2008, Parasitology research,
Marta Ferreira Maia, and Sangoro Peter Onyango, and Max Thele, and Emmanuel Titus Simfukwe, and Elizabeth Louise Turner, and Sarah Jane Moore
February 1980, Journal of pharmaceutical sciences,
Marta Ferreira Maia, and Sangoro Peter Onyango, and Max Thele, and Emmanuel Titus Simfukwe, and Elizabeth Louise Turner, and Sarah Jane Moore
October 2011, The Journal of nursing education,
Marta Ferreira Maia, and Sangoro Peter Onyango, and Max Thele, and Emmanuel Titus Simfukwe, and Elizabeth Louise Turner, and Sarah Jane Moore
January 2003, Journal of vector borne diseases,
Marta Ferreira Maia, and Sangoro Peter Onyango, and Max Thele, and Emmanuel Titus Simfukwe, and Elizabeth Louise Turner, and Sarah Jane Moore
November 2015, Malaria journal,
Marta Ferreira Maia, and Sangoro Peter Onyango, and Max Thele, and Emmanuel Titus Simfukwe, and Elizabeth Louise Turner, and Sarah Jane Moore
December 1994, Journal of the American Mosquito Control Association,
Marta Ferreira Maia, and Sangoro Peter Onyango, and Max Thele, and Emmanuel Titus Simfukwe, and Elizabeth Louise Turner, and Sarah Jane Moore
March 1989, Journal of the American Mosquito Control Association,
Marta Ferreira Maia, and Sangoro Peter Onyango, and Max Thele, and Emmanuel Titus Simfukwe, and Elizabeth Louise Turner, and Sarah Jane Moore
March 1996, Journal of the American Mosquito Control Association,
Marta Ferreira Maia, and Sangoro Peter Onyango, and Max Thele, and Emmanuel Titus Simfukwe, and Elizabeth Louise Turner, and Sarah Jane Moore
October 2006, East African medical journal,
Copied contents to your clipboard!