Cargando…
EMIRA: Ecologic Malaria Reduction for Africa – innovative tools for integrated malaria control
BACKGROUND: Malaria control is based on early treatment of cases and on vector control. The current measures for malaria vector control in Africa are mainly based on long-lasting insecticide treated nets (LLINs) and to a much smaller extent on indoor residual spraying (IRS). A third pillar in the fi...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Co-Action Publishing
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4223283/ https://www.ncbi.nlm.nih.gov/pubmed/25377345 http://dx.doi.org/10.3402/gha.v7.25908 |
_version_ | 1782343180028477440 |
---|---|
author | Dambach, Peter Traoré, Issouf Becker, Norbert Kaiser, Achim Sié, Ali Sauerborn, Rainer |
author_facet | Dambach, Peter Traoré, Issouf Becker, Norbert Kaiser, Achim Sié, Ali Sauerborn, Rainer |
author_sort | Dambach, Peter |
collection | PubMed |
description | BACKGROUND: Malaria control is based on early treatment of cases and on vector control. The current measures for malaria vector control in Africa are mainly based on long-lasting insecticide treated nets (LLINs) and to a much smaller extent on indoor residual spraying (IRS). A third pillar in the fight against the malaria vector, larval source management (LSM), has virtually not been used in Africa since the ban of DDT in the 1960s. Within the light of recent WHO recommendations for Bacillus thuringiensis israelensis (Bti) use against malaria and other vector species, larval source management could see a revival in the upcoming years. In this project we analyze the ecologic and health impacts as well as the cost effectiveness of larval source management under different larviciding scenarios in a health district in Burkina Faso. METHODS: The project is designed as prospective intervention study with duration of three years (2013–2015). Its spatial scale includes three arms of interventions and control, comprising a total of 127 villages and the district capital Nouna in the extended HDSS (Health Demographic Surveillance System) of the Kossi province. Baseline data on mosquito abundance, parasitemia in U5 children, and malaria related morbidity and mortality are gathered over the project duration. Besides the outcome on ecologic and health parameters, the economic costs are seized and valued against the achieved health benefits. CONCLUSIONS: Risk map based, guided larvicide application might be a possibility to further decrease economic cost of LSM and facilitate its faster incorporation to integrated malaria control programs. Given the limited resources in many malaria endemic countries, it is of utmost importance to relate the costs of novel strategies for malaria prevention to their effect on the burden of the disease. Occurring costs and the impact on the health situation will be made comparable to other, existing intervention strategies, allowing stakeholders and policymakers decision making. |
format | Online Article Text |
id | pubmed-4223283 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Co-Action Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-42232832014-12-02 EMIRA: Ecologic Malaria Reduction for Africa – innovative tools for integrated malaria control Dambach, Peter Traoré, Issouf Becker, Norbert Kaiser, Achim Sié, Ali Sauerborn, Rainer Glob Health Action Study Design Article BACKGROUND: Malaria control is based on early treatment of cases and on vector control. The current measures for malaria vector control in Africa are mainly based on long-lasting insecticide treated nets (LLINs) and to a much smaller extent on indoor residual spraying (IRS). A third pillar in the fight against the malaria vector, larval source management (LSM), has virtually not been used in Africa since the ban of DDT in the 1960s. Within the light of recent WHO recommendations for Bacillus thuringiensis israelensis (Bti) use against malaria and other vector species, larval source management could see a revival in the upcoming years. In this project we analyze the ecologic and health impacts as well as the cost effectiveness of larval source management under different larviciding scenarios in a health district in Burkina Faso. METHODS: The project is designed as prospective intervention study with duration of three years (2013–2015). Its spatial scale includes three arms of interventions and control, comprising a total of 127 villages and the district capital Nouna in the extended HDSS (Health Demographic Surveillance System) of the Kossi province. Baseline data on mosquito abundance, parasitemia in U5 children, and malaria related morbidity and mortality are gathered over the project duration. Besides the outcome on ecologic and health parameters, the economic costs are seized and valued against the achieved health benefits. CONCLUSIONS: Risk map based, guided larvicide application might be a possibility to further decrease economic cost of LSM and facilitate its faster incorporation to integrated malaria control programs. Given the limited resources in many malaria endemic countries, it is of utmost importance to relate the costs of novel strategies for malaria prevention to their effect on the burden of the disease. Occurring costs and the impact on the health situation will be made comparable to other, existing intervention strategies, allowing stakeholders and policymakers decision making. Co-Action Publishing 2014-11-05 /pmc/articles/PMC4223283/ /pubmed/25377345 http://dx.doi.org/10.3402/gha.v7.25908 Text en © 2014 Peter Dambach et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Study Design Article Dambach, Peter Traoré, Issouf Becker, Norbert Kaiser, Achim Sié, Ali Sauerborn, Rainer EMIRA: Ecologic Malaria Reduction for Africa – innovative tools for integrated malaria control |
title | EMIRA: Ecologic Malaria Reduction for Africa – innovative tools for integrated malaria control |
title_full | EMIRA: Ecologic Malaria Reduction for Africa – innovative tools for integrated malaria control |
title_fullStr | EMIRA: Ecologic Malaria Reduction for Africa – innovative tools for integrated malaria control |
title_full_unstemmed | EMIRA: Ecologic Malaria Reduction for Africa – innovative tools for integrated malaria control |
title_short | EMIRA: Ecologic Malaria Reduction for Africa – innovative tools for integrated malaria control |
title_sort | emira: ecologic malaria reduction for africa – innovative tools for integrated malaria control |
topic | Study Design Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4223283/ https://www.ncbi.nlm.nih.gov/pubmed/25377345 http://dx.doi.org/10.3402/gha.v7.25908 |
work_keys_str_mv | AT dambachpeter emiraecologicmalariareductionforafricainnovativetoolsforintegratedmalariacontrol AT traoreissouf emiraecologicmalariareductionforafricainnovativetoolsforintegratedmalariacontrol AT beckernorbert emiraecologicmalariareductionforafricainnovativetoolsforintegratedmalariacontrol AT kaiserachim emiraecologicmalariareductionforafricainnovativetoolsforintegratedmalariacontrol AT sieali emiraecologicmalariareductionforafricainnovativetoolsforintegratedmalariacontrol AT sauerbornrainer emiraecologicmalariareductionforafricainnovativetoolsforintegratedmalariacontrol |