2019
DOI: 10.1371/journal.pntd.0007193
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Insecticide–impregnated dog collars reduce infantile clinical visceral leishmaniasis under operational conditions in NW Iran: A community–wide cluster randomised trial

Abstract: ObjectiveTo assess the effectiveness of community-wide deployment of insecticide–impregnated collars for dogs- the reservoir of Leishmania infantum–to reduce infantile clinical visceral leishmaniasis (VL).MethodsA pair matched–cluster randomised controlled trial involving 40 collared and 40 uncollared control villages (161 [95% C.L.s: 136, 187] children per cluster), was designed to detect a 55% reduction in 48 month confirmed VL case incidence. The intervention study was designed by the authors, but implement… Show more

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Cited by 24 publications
(23 citation statements)
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“…For instance, the effectiveness of the community-wide application of collars impregnated with pyrethroids on dogs in reducing the risk of infection in these animals has been demonstrated in several laboratory and field studies [4042]. In fact, even if there may be obvious operational difficulties in the relation to the large-scale use of dog collars (e.g., collar losses), this strategy is acknowledged to be most effective in reducing the infection risk in dogs and may eventually reduce the risk of infection in humans and human VL incidence [43,44]. Other strategies such as vaccination, preventive use of immune modulator drugs (e.g., domperidone), and treatment of sick dogs with leishmanicidal and leishmaniostatic drugs are nowadays available, but should be recommended by veterinarians on a case-by-case basis [45].…”
Section: Discussionmentioning
confidence: 99%
“…For instance, the effectiveness of the community-wide application of collars impregnated with pyrethroids on dogs in reducing the risk of infection in these animals has been demonstrated in several laboratory and field studies [4042]. In fact, even if there may be obvious operational difficulties in the relation to the large-scale use of dog collars (e.g., collar losses), this strategy is acknowledged to be most effective in reducing the infection risk in dogs and may eventually reduce the risk of infection in humans and human VL incidence [43,44]. Other strategies such as vaccination, preventive use of immune modulator drugs (e.g., domperidone), and treatment of sick dogs with leishmanicidal and leishmaniostatic drugs are nowadays available, but should be recommended by veterinarians on a case-by-case basis [45].…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, successful deployment of bed nets reduced anthroponotic CL incidence in a variety of Old World foci [110]. Against zoonotic VL, an alternative insecticide application is deltamethrin-impregnated dog collars, which provide high levels of individual protection against canine infection [168]. Community-level dog collar implementation in Iran reduced human infection incidence by 43% [169] and infantile clinical VL by 50% [168].…”
Section: Ntds-lagging Behind In Vector Controlmentioning
confidence: 99%
“…Canine vaccination, topical insecticides and therapeutic treatments are also promoted, but variably adopted or effective in reducing transmission (MOH 2014; Dantas-Torres 2020; Miro 2017; Nogueira 2019). That transmission persists (Shimozako 2017;PAHO 2019;da Rocha et al, 2018), and its range is expanding from rural into urban settings, and across national and international borders (PAHO 2019; Harhay 2011A; Seva 2017), is a strong motivation to develop sustainable preventative vector control methods.…”
Section: Discussionmentioning
confidence: 99%
“…Leishmania (Kinetoplastida: Trypanosomatidae) are intracellular protozoan parasites that primarily infect macrophages in the mammalian host causing human visceral leishmaniasis (VL), characterized by prolonged fever, wasting, splenomegaly, and hepatomegaly, with 90% case fatality in the absence of treatment (Martins-Melo 2014). Between 50,000 to 90,000 new human VL cases are reported per year (Alvar 2012; WHO 2017) (Mazloumi et al, 2002) and clinical VL incidence when implemented under MoH operational conditions (Courtenay 2019b).…”
Section: Introductionmentioning
confidence: 99%