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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
A tool box for operational mosquito larval control: Preliminary results and early lessons from the Urban Malaria Control Programme in Dar es Salaam, Tanzania
Malaria Journal, Volume 7, Article 20, Year 2008
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Description
Background. As the population of Africa rapidly urbanizes, large populations could be protected from malaria by controlling aquatic stages of mosquitoes if cost-effective and scalable implementation systems can be designed. Methods. A recently initiated Urban Malaria Control Programme in Dar es Salaam delegates responsibility for routine mosquito control and surveillance to modestly-paid community members, known as Community-Owned Resource Persons (CORPs). New vector surveillance, larviciding and management systems were designed and evaluated in 15 city wards to allow timely collection, interpretation and reaction to entomologic monitoring data using practical procedures that rely on minimal technology. After one year of baseline data collection, operational larviciding with Bacillus thuringiensis var. israelensis commenced in March 2006 in three selected wards. Results. The procedures and staff management systems described greatly improved standards of larval surveillance relative to that reported at the outset of this programme. In the first year of the programme, over 65,000 potential Anopheles habitats were surveyed by 90 CORPs on a weekly basis. Reaction times to vector surveillance at observations were one day, week and month at ward, municipal and city levels, respectively. One year of community-based larviciding reduced transmission by the primary malaria vector, Anopheles gambiae s.l., by 31% (95% C.I. = 21.6-37.6%; p = 0.04). Conclusion. This novel management, monitoring and evaluation system for implementing routine larviciding of malaria vectors in African cities has shown considerable potential for sustained, rapidly responsive, data-driven and affordable application. Nevertheless, the true programmatic value of larviciding in urban Africa can only be established through longer-term programmes which are stably financed and allow the operational teams and management infrastructures to mature by learning from experience. © 2008 Fillinger et al; licensee BioMed Central Ltd.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC2259364/bin/1475-2875-7-20-S1.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2259364/bin/1475-2875-7-20-S2.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2259364/bin/1475-2875-7-20-S3.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2259364/bin/1475-2875-7-20-S4.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2259364/bin/1475-2875-7-20-S5.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2259364/bin/1475-2875-7-20-S6.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2259364/bin/1475-2875-7-20-S7.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2259364/bin/1475-2875-7-20-S8.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2259364/bin/1475-2875-7-20-S9.pdf
Authors & Co-Authors
Fillinger, Ulrike
United Kingdom, Durham
Durham University
Kannady, Khadija
Tanzania, Dar es Salaam
Ministry of Regional Administration and Local Government
William, George
Tanzania, Dar es Salaam
Ministry of Regional Administration and Local Government
Vanek, Michael J.
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Dongus, Stefan
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Germany, Freiburg Im Breisgau
Universität Freiburg
Nyika, Dickson
Tanzania, Ifakara
Ifakara Health Institute
Tanzania, Dar es Salaam
Ministry of Agriculture and Food Security
Geissbühler, Yvonne
Tanzania, Dar es Salaam
Ministry of Regional Administration and Local Government
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Tanzania, Ifakara
Ifakara Health Institute
Chaki, Prosper Pius
United Kingdom, Durham
Durham University
Tanzania, Dar es Salaam
Ministry of Regional Administration and Local Government
Tanzania, Ifakara
Ifakara Health Institute
Govella, Nicodemus James
United Kingdom, Durham
Durham University
Tanzania, Dar es Salaam
Ministry of Regional Administration and Local Government
Tanzania, Ifakara
Ifakara Health Institute
Mathenge, Evan Murimi
Kenya, Nairobi
Kenya Medical Research Institute
Singer, Burton Herbert
United States, Princeton
Princeton University
Mshinda, Hassan M.
Tanzania, Ifakara
Ifakara Health Institute
Lindsay, Steve W.
United Kingdom, Durham
Durham University
Tanner, Marcel
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Mtasiwa, Deo M.
Tanzania, Dar es Salaam
Ministry of Regional Administration and Local Government
de Castro, Marcia Caldas
United States, Boston
Harvard T.h. Chan School of Public Health
Killeen, Gerry Francis
United Kingdom, Durham
Durham University
Switzerland, Allschwil
Swiss Tropical and Public Health Institute Swiss Tph
Tanzania, Ifakara
Ifakara Health Institute
Statistics
Citations: 196
Authors: 17
Affiliations: 9
Identifiers
Doi:
10.1186/1475-2875-7-20
e-ISSN:
14752875
Research Areas
Infectious Diseases
Study Design
Cross Sectional Study
Grounded Theory
Study Locations
Tanzania