Insecticide-Treated Nets Can Reduce Malaria Transmission by Mosquitoes Which Feed Outdoors
Open accessAbstract
Insecticide treated nets (ITNs) represent a powerful means for controlling malaria in Africa because the mosquito vectors feed primarily indoors at night. The proportion of human exposure that occurs indoors, when people are asleep and can conveniently use ITNs, is therefore very high. Recent evidence suggests behavioral changes by malaria mosquito populations to avoid contact with ITNs by feeding outdoors in the early evening. We adapt an established mathematical model of mosquito behavior and malaria transmission to illustrate how ITNs can achieve communal suppression of malaria transmission exposure, even where mosquito evade them and personal protection is modest. We also review recent reports from Tanzania to show that conventional mosquito behavior measures can underestimate the potential of ITNs because they ignore the importance of human movements.
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When one considers the human population at risk of transmission outdoors, the niche for spatial repellents becomes increasingly evident due to the lack of current control products for those humans becoming infected in these areas.
“When one considers the human population at risk of transmission outdoors, the niche for spatial repellents becomes increasingly evident due to the lack of current control products for those humans becoming infected in these areas [34,35] (Figure 3).”
From Spatial repellents: from discovery and development to evidence-based validation (2012) · cites this paper as [34]
The indexed passage labeled Abstract says spatial repellents may be needed for outdoor bites in the morning or early evening, supporting a potential role for them. It does not support the claimed lack of current control products: the same passage says repellents should supplement ITNs, which can provide community-level protection even when mosquitoes feed outdoors. No page number is provided in our copy. (LLM, conf=0.88)
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Cites
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Cited by
Sorted by citations
Russell, T. L., Govella, N. J., Azizi, S., Drakeley, C. J., Kachur, S. P., & Killeen, G. F. (2011) · Malaria Journal · doi:10.1186/1475-2875-10-80 · Cited by 698 · see citing works
Self-citationCharacterizing, controlling and eliminating residual malaria transmission
Killeen, G. F. (2014) · Malaria Journal · doi:10.1186/1475-2875-13-330 · Cited by 506 · see citing works
Self-citationSpatial repellents: from discovery and development to evidence-based validation
Achee, N. L., Bangs, M. J., Farlow, R., Killeen, G. F., Lindsay, S., Logan, J. G., Moore, S. J., Rowland, M., Sweeney, K., Torr, S. J., et al. (2012) · Malaria Journal · doi:10.1186/1475-2875-11-164 · Cited by 303 · see citing works
“When one considers the human population at risk of transmission outdoors, the niche for spatial repellents becomes increasingly evident due to the lack of current control products for those humans becoming infected in these areas [34,35] (Figure 3).”
Self-citationOgoma, S. B., Lweitoijera, D. W., Ngonyani, H., Furer, B., Russell, T. L., Mukabana, W. R., Killeen, G. F., & Moore, S. J. (2010) · PLoS Neglected Tropical Diseases · doi:10.1371/journal.pntd.0000773 · Cited by 153 · see citing works
Self-citationWilson, N. O., Ceesay, F. K., Obed, S. A., Adjei, A. A., Gyasi, R. K., Rodney, P., Ndjakani, Y., Anderson, W. A., Lucchi, N. W., & Stiles, J. K. (2011) · The American Society of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.2011.10-0512 · Cited by 58 · see citing works
- Authors
- Govella, N. J., Okumu, F. O., & Killeen, G. F.
- Affiliations
- Ifakara Health Institute (TZ)
- Corresponding author
- Govella, Nicodem J.
- ORCID
- Govella, Nicodem J.
- Venue
- The American Society of Tropical Medicine and Hygiene
- Published
- 2010-03
- Volume
- 82
- Issue
- 3
- Pages
- 415-419
- ISSN
- 0002-9637 (ISSN-L)
- 1476-1645
- PMC
- PMC2829902
- OpenAlex
- W2082185416
- Cited by
- 158
- References
- 2
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 11 · 2023: 11 · 2022: 6 · 2021: 11 · 2020: 6 · 2019: 7 · 2018: 9 · 2017: 8 · 2016: 14 · 2015: 12 · 2014: 9 · 2013: 13 · 2012: 16
- FWCI
- 15.27
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- cc-by
- Locations
- American Journal of Tropical Medicine and Hygiene (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Funders
- Bill and Melinda Gates Foundation (45114)
- Wellcome Trust
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mathematical and Theoretical Epidemiology and Ecology Models
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mosquito-borne diseases and control
- Keywords
- insecticide-treated nets, malaria transmission, mosquito feeding behavior, human movement, Tanzania
- MeSH terms
- Animals, Feeding Behavior, Humans, Malaria, Mosquito Control, Tanzania, Biomarkers, Insecticide-Treated Bednets
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