Impact of four years of annually repeated indoor residual spraying (IRS) with Actellic 300CS on routinely reported malaria cases in an agricultural setting in Malawi

Spaans, Remy Hoek; Mkumbwa, Albert; Nasoni, Peter; Jones, Christopher M.; Stanton, Michelle C.

doi:10.1101/2023.07.18.23292843

Cited by 1 publication

(1 citation statement)

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“…The general interplay between irrigation and malaria in Africa is well-understood but the relationship is complex and depends on the agroecosystem, socio-economic factors, local vector behaviour and ecology, and the seasonality of disease 12,13 . Efforts to characterise this relationship in Malawi have been performed in a commercial sugar growing estate and within an irrigated rice valley 14,15 , and research is underway to do the same within a World Bank funded large-scale transformation programme 16 . These systems are, however, much larger and concentrated on a single geographic area.…”

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confidence: 99%

Small dams driveAnophelesabundance during the dry season in a high malaria burden area of Malawi

Zembere,

Jones,

Mthawanji

et al. 2023

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This study explores the influence of small dams on the exposure to malaria vectors during the dry season in Kasungu district, Malawi, an area recently identified as high priority for malaria interventions by the National Malaria Control Programme. Small dam impoundments provide communities with a continuous supply of water for domestic and agricultural activities across sub-Saharan Africa and are considered vital to food security and climate change resilience. However, these permanent water bodies also create ideal breeding sites for mosquitoes in typically arid landscapes. The study focuses on a specific dam impoundment and its vicinity, aiming to assess its spatial and temporal influence on indoor vector densities.Throughout May to August 2021, CDC light traps were used to measure indoor mosquito densities for two consecutive nights per month in three communities located at increasing distances from the dam (0km, ∼1km, ∼2km). Simultaneously, drone imagery was captured for each community, enabling the identification of additional standing water within approximately 400 meters of selected households. Larval sampling was carried out within the impoundment periphery and in additional water bodies identified in the drone imagery. Generalised linear mixed models (GLMMs) were employed to analyse the indoorAnophelesabundance data, estimating the effects of household structure (open/closed eaves), month, temperature, and water proximity on malaria vector exposure.Throughout 685 trapping nights, a total of 1,256 mosquitoes were captured, with 33% (412) being femaleAnopheles. Among these, 91% were morphologically identified asAn. funestuss.l., and 5% asAn. gambiaes.l. Catches progressively declines in each consecutive trapping month as the environment became drier. This decline was much slower in Malangano, the community next to the dam, with abundance being notably higher in June and July. Further, the majority ofAn. gambiaes.l. were caught in May, with none identified in July and August.Anopheleslarvae were found both in the impoundment and other smaller water bodies such as irrigation wells in each survey month, however the presence of these smaller water bodies did not have a significant impact on adult female mosquito catches in the GLMM. The study concludes that proximity to the dam impoundment was the primary driver of differences between survey communities with the abundance in Chikhombwe (∼1km away) and Chiponde (∼2km away) being 0.35 (95% CI 0.19-0.66) and 0.28 (95% CI 0.16-0.47) lower than Malangano respectively after adjusting for other factors.These findings underscore the importance of targeted interventions, such as larval source management or housing improvements, near small dams to mitigate malaria transmission risks during the dry season. Further research is needed to develop cost-effective strategies for vector control within and around these impoundments.

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