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Interdependence of domestic malaria prevention measures and mosquito-human interactions in urban Dar es Salaam, Tanzania

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Geissbühler, Yvonne, Chaki, Prosper, Emidi, Basiliana, Govella, Nicodemus J, Shirima, Rudolf, Mayagaya, Valeliana, Mtasiwa, Deo, Mshinda, Hassan, Fillinger, Ulrike, Lindsay, Steven W, Kannady, Khadija, de Castro, Marcia Caldas, Tanner, Marcel, Killeen, Gerry F·2007·Malaria Journal

DOI 10.1186/1475-2875-6-126PMC PMC2039744

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Abstract

BACKGROUND: Successful malaria vector control depends on understanding behavioural interactions between mosquitoes and humans, which are highly setting-specific and may have characteristic features in urban environments. Here mosquito biting patterns in Dar es Salaam, Tanzania are examined and the protection against exposure to malaria transmission that is afforded to residents by using an insecticide-treated net (ITN) is estimated. METHODS: Mosquito biting activity over the course of the night was estimated by human landing catch in 216 houses and 1,064 residents were interviewed to determine usage of protection measures and the proportion of each hour of the night spent sleeping indoors, awake indoors, and outdoors. RESULTS: Hourly variations in biting activity by members of the Anopheles gambiae complex were consistent with classical reports but the proportion of these vectors caught outdoors in Dar es Salaam was almost double that of rural Tanzania. Overall, ITNs confer less protection against exophagic vectors in Dar es Salaam than in rural southern Tanzania (59% versus 70%). More alarmingly, a biting activity maximum that precedes 10 pm and much lower levels of ITN protection against exposure (38%) were observed for Anopheles arabiensis, a vector of modest importance locally, but which predominates transmission in large parts of Africa. CONCLUSION: In a situation of changing mosquito and human behaviour, ITNs may confer lower, but still useful, levels of personal protection which can be complemented by communal transmission suppression at high coverage. Mosquito-proofing houses appeared to be the intervention of choice amongst residents and further options for preventing outdoor transmission include larviciding and environmental management.

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Figure 1 Wards included in the study area of the Urban Malaria Control Program in Dar es Salaam, showing the ten cell units (TCU) of the adult mosquito monitoring system as well as of the detailed survey.CC BY · PubMed Central

Figure 2 Hourly biting profile of An. gambiae s.l. based on averaged results of routine outdoor human landing catches from across the entire study area covered by the Urban Malaria Control Programme.CC BY · PubMed Central

Figure 3 Human and mosquito behavioural patterns in Dar es Salaam, Tanzania. A. Number or proportion of time residents spend outdoors, comparing what they reported themselves with direct observations in the field. B. Mean numbers of An. gambiae s.s caught indoors and outdoors. C. Mean number of An. arabiensis caught indoors and outdoors. D. Mean number of An. gambiae s.l. caught indoors and outdoors.CC BY · PubMed Central

Figure 4 Comparison of exophagic and endophagic behaviour of different mosquito species in urban and rural Tanzania. Degree of exophagy or endophagy is presented as the proportion of mosquitoes caught outdoors so that all mosquitoes with a proportion of outdoor biting significantly greater than 0.5 are considered to be exophagic and all below 0.5 are considered endophagic.CC BY · PubMed Central

Figure 5 Exposure to biting of An. gambiae s.s. for ITN users and non-users. The shadings represent the proportion of time spend in each compartment (outdoor; 1-πi ; equation 8, indoor awake; πa ; equation 7, indoor asleep; πs ; equation 6). Exposure to biting is shown overall as well as for different house qualities: Screened (Glass windows, screening with no or small holes), unscreened (no screening or badly torn/incomplete screens), ceiling (complete ceiling or partly ceiling), no ceiling (no ceiling board).CC BY · PubMed Central

Figure 6 Proportion of people present in each compartment and their estimated exposure if not using a bednet (outdoor; 1-πi ; equation 8, indoor awake; πa ; equation 7, indoor asleep; πs ; equation 6), presented as an overall mean and for categories of different house qualities: Screened (Glass windows, screening with no or small holes), unscreened (no screening or badly torn), ceiling (complete ceiling or partly ceiling), no ceiling (no ceiling board).CC BY · PubMed Central

Figure 7 Mean number of bites received by a person in each of the three domestic and peri-domestic compartments (outdoor; 1-πi ; equation 8, indoor awake; πa ; equation 7, indoor asleep; πs ; equation 6).CC BY · PubMed Central

Figure 8 Three factors derived through principal component analysis and their association with different protective measures as well as mosquito densities.CC BY · PubMed Central

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Authors: Geissbühler, Y., Chaki, P., Emidi, B., Govella, N. J., Shirima, R., Mayagaya, V., Mtasiwa, D., Mshinda, H., Fillinger, U., Lindsay, S. W., Kannady, K., de Castro, M. C., Tanner, M., & Killeen, G. F.
Affiliations: Swiss Tropical and Public Health Institute (CH)
Ifakara Health Institute (TZ)
University of Dar es Salaam (TZ)
Durham University (GB)
Corresponding author: Geissbühler, Yvonne
ORCID: Geissbühler, Yvonne
Chaki, Prosper
Emidi, Basiliana
Fillinger, Ulrike
Tanner, Marcel
Venue: Malaria Journal
Publisher: Springer Science and Business Media LLC
Published: 2007-09-19
Volume: 6
Issue: 1
Pages: 126-126
ISSN: 1475-2875 (ISSN-L)
DOI: 10.1186/1475-2875-6-126
PMC: PMC2039744
OpenAlex: W2131072539
Cited by: 165
References: 114
Citations by year: 2026: 2 · 2025: 4 · 2024: 10 · 2023: 4 · 2022: 10 · 2021: 6 · 2020: 12 · 2019: 8 · 2018: 2 · 2017: 5 · 2016: 13 · 2015: 16 · 2014: 12 · 2013: 14 · 2012: 8
FWCI: 7.58
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/2.0 (tdm)
Locations: Malaria Journal (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
IHI Repository (acceptedVersion)
Durham Research Online (Durham University) (acceptedVersion, other-oa)
Durham Research Online (Durham University) (submittedVersion, cc-by)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders: United States Agency for International Development
Bill and Melinda Gates Foundation
Wellcome Trust (076806)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mosquito-borne diseases and control
Health Sciences › Medicine › Infectious Diseases › Parasitic Diseases Research and Treatment
Keywords: malaria vector control, Anopheles gambiae s.l., Anopheles arabiensis, insecticide-treated nets, human landing catches, exophagy, outdoor biting, larviciding, environmental management, urban malaria, Dar es Salaam
MeSH terms: Animals, Humans, Insect Bites and Stings, Malaria, Mosquito Control, Population Density, Tanzania

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Interdependence of domestic malaria prevention measures and mosquito-human interactions in urban Dar es Salaam, Tanzania

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