Over many decades, malaria elimination has been considered to be one of the most ambitious goals of the international community. Vector control is a cornerstone in malaria control, owing to the lack of reliable vaccines, the emergence of drug resistance, and unaffordable potent antimalarials. In the recent past, a few countries have achieved malaria elimination by employing existing front-line vector control interventions and active case management. However, many challenges lie ahead on the long road to meaningful accomplishment, and the following issues must therefore be adequately addressed in malaria-prone settings in order to achieve our target of 100% worldwide malaria elimination and eventual eradication: (i) consistent administration of integrated vector management; (ii) identification of innovative user and environment-friendly alternative technologies and delivery systems; (iii) exploration and development of novel and powerful contextual community-based interventions; and (iv) improvement of the efficiency and efficacy of existing interventions and their combinations, such as vector control, diagnosis, treatment, vaccines, biological control of vectors, environmental management, and surveillance. I strongly believe that we are moving in the right direction, along with partnership-wide support, towards the enviable milestone of malaria elimination by employing vector control as a potential tool.

A study was conducted to assess the knowledge and practices of Ethiopian farmers about pesticide management: implications for human health. A pretested standardized questionnaire was administered. The results revealed that the great majority 174 (99.4%) farmers had ample awareness about pesticide impact on human health. However, various hazardous practices have also been documented. One hundred thirty-five (77.2%) farmers make use of the empty pesticide containers for various household purposes. The most frequent self-reported toxicity symptoms associated with pesticide use were headache (58.8%), salivation and vomiting (38.2%), nausea (36.5%), and sneezing (12.5%). Chi-square analysis revealed a strong association between the farmer's educational status and reported toxicity symptoms (p = .0001; χ(2) = 498.2; df = 30). Creating awareness about safe usage of pesticide is extremely vital by special orientation programs. Besides, promoting alternative pest control strategies such as use of biopesticides and integrated pest management (IPM) could be productive.

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BackgroundThe counterfeiting of anti-malarials represents a form of attack on global public health in which fake and substandard anti-malarials serve as de facto weapons of mass destruction, particularly in resource-constrained endemic settings, where malaria causes nearly 660,000 preventable deaths and threatens millions of lives annually. It has been estimated that fake anti-malarials contribute to nearly 450,000 preventable deaths every year. This crime against humanity is often underestimated or ignored. This study attempts to describe and characterize the direct and indirect effects of counterfeit anti-malarials on public health, clinical care and socio-economic conditions.MethodsA search was performed using key databases, WHO documents, and English language search engines. Of 262 potential articles that were identified using a fixed set of criteria, a convenience sample of 105 appropriate articles was selected for this review.ResultsArtemisinin-based combination therapy (ACT) is an important tool in the fight against malaria, but a sizable number of patients are unable to afford to this first-line treatment. Consequently, patients tend to procure cheaper anti-malarials, which may be fake or substandard. Forensic palynology reveals that counterfeits originate in Asia. Fragile drug regulations, ineffective law-enforcement agencies and corruption further burden ailing healthcare facilities. Substandard/fake anti-malarials can cause (a) economic sabotage; (b) therapeutic failure; (c) increased risk of the emergence and spread of resistant strains of Plasmodium falciparum and Plasmodium vivax; (d) an undermining of trust/confidence in healthcare stakeholders/systems; and, (e) serious side effects or death.ConclusionCombating counterfeit anti-malarials is a complex task due to limited resources and poor techniques for the detection and identification of fake anti-malarials. This situation calls for sustainable, global, scientific research and policy change. Further, responsible stakeholders in combination with the synthesis and supply of next generation malaria control tools, such as low-cost anti-malarials, must promote the development of a counterfeit-free and malaria-free future.

Malaria is a major public health problem in Ethiopia. Over the past years, the disease has been consistently reported as the first leading cause of outpatient visits, hospitalization and death in health facilities across the country. Thus, a retrospective study was conducted to determine the prevalence of malaria from peripheral blood smear examination from the Serbo Health Center of Ethiopia. The case notes of all malaria cases treated between July 2007 and June 2008 were carefully reviewed and analyzed. Of the total 6863 smears, 3009 were found to be positive and contribute 43.8% of diagnostic yield. Plasmodium falciparum constituted the most predominant [64.6% (1946/3009 cases)], while Plasmodium vivax confirmed with 34.9% (1052/3009) cases. Among patients who underwent diagnostic testing and treatment for malaria, males [63.8% (1918/3009 cases)] were more prone to have a positive malaria smear than females [36.2% (1091/3009 cases)]. Chi-square statistical analysis shown that there was a statistically significant association found between male cases and number of positive blood smear (chi(2)=28.1; df=7; p-value=0.001). The present study results clearly suggest that the catchment area of Serbo Health Center is prone for epidemic malaria and the situation is quite deteriorating. At the moment, although we are not equipped with magic bullet for malaria effective low-cost strategies are available for its treatment, prevention, and control. Therefore, creating awareness by active health education campaigns and applying integrated malaria control strategy could bring the constructive outcome in the near future.

Petroleum ether (60-80 degrees C) extracts of the leaves of Vitex negundo (Verbenaceae) were evaluated for larvicidal activity against larval stages of Culex tritaeniorhynchus in the laboratory. Larvae of C. tritaeniorhynchus were found more susceptible, with LC(50) and LC(90) values of 2.4883 and 5.1883 mg/l, respectively. Human volunteers wearing special terricot (68:32) fabrics, in the form of armbands, anklets, headbands, collar, and shoulder and pocket strips impregnated with V. negundo leaf extract were used, to test their repellent efficacy at two concentrations viz., 1.5 and 2.0 mg/cm(2) under the field conditions. At 1.5-mg/cm(2) concentration, more efficacies were found and 6-h complete protection against mosquito bites was provided. Complete protections for 8 h were found at 2.0 mg/cm(2) against mosquitoes bites. These results clearly reveal that the V. negundo leaf extract served as a potential larvicidal agent against Japanese encephalitis vector C. tritaeniorhynchus and additionally acted as a promising repellent against various adult vector mosquitoes.

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Context: Arthropod-borne diseases are remaining as a major public health issue in the resource-constrained settings. Mosquitoes are closely associated with mankind since time immemorial and play an important role in the transmission of many dreadful diseases like malaria, filariasis, Japanese encephalitis, dengue and yellow fever. Over the decades, vector control is an important element to minimize the vector-borne disease burden worldwide and in fact, it heavily relies upon synthetic insecticides as a mainstay. However the overuse and misuse of insecticides have led to the emergence of resistance, which undermines the potentiality of vector control. Evidence Acquisition: In order to pursue effective research pertained to this issue, a detailed search on Scopus, Medline, Google Scholar and academic premier databases has been conducted between the time periods of 1955 and 2012. Results: Over the past six decades, insecticides are serving as one of the important arsenals in the fight against vector-borne diseases to save hundreds of millions of lives. Consequently, in the last decade we have attained a remarkable success to combat with many diseases particularly malaria due to the combined effect of indoor residual spraying (IRS) and long-lasting insecticidal nets (LLINs). Currently, malaria mortality rates have drastically fallen by more than 25% globally, 33% in sub-Saharan Africa and over a million lives have been saved attributable to massive scale-up of LLINs and IRS. Since, both LLINs and IRS are cost-effective and robust form of interventions; they are serving as a central pillar in the National Malaria Control Programmes (NMCPs) of malaria endemic countries. Nevertheless, LLINs are easy-to-deliver, most economical and practical even in the resource-poor settings, where implementation of IRS is not feasible. The heavy reliance, recurrent and inappropriate insecticide applications are key sources for resistance which is a potential threat to the global public health. Therefore, it has to be addressed immediately to sustain the recent success of vector control, unless otherwise it would become uncertain. Conclusions: Though, development of resistance is an evolutionary phenomenon, it can be tackled judiciously by implementing appropriate and comprehensive resistance monitoring and management strategies within the framework of integrated vector management. This scrutiny recommends the following measures; (i) identification of effective novel tools for monitoring and evaluation, (ii) searching for alternative interventions to minimize the further resistance evolution as well as to preserve the efficiency of existing insecticides, (iii) exploration of next generation vector control tools in terms of nets and new classes of non-pyrethroid insecticide formulation with new mode of action, (iv) building partnership by bringing together the people actively engaged in the vector control, like public health experts, policy-makers, researchers, medical entomologists and insecticide manufacturers, could ideally pave the ...