Abstract
Background: Long-lasting insecticidal nets are an effective tool in reducing malaria transmission. However, with increasing insecticide resistance little is known about how physiologically resistant malaria vectors behave around a human-occupied bed net, despite their importance in malaria transmission. We assessed the host-seeking behavior of the major malaria vector Anopheles gambiae s.s, when an intact human-occupied treated bed net is in place, with respect to their insecticide resistance status under semi-field conditions. Methods: Pyrethroid resistant and susceptible colonies of female Anopheles gambiae s.s aged 3-5 days that have been bred in our insectary, were color-marked with fluorescent powder and released inside a semi-field environment housing a hut which was occupied by a human host. Inside the hut, the occupant slept under an insecticide-treated bed net trap or untreated bed net trap. The window exit trap was installed to catch mosquitoes exiting the hut. A prokopack aspirator was used to collect indoor and outdoor resting mosquitoes in the morning. Clay pots were placed outside the hut to collect mosquitoes resting outdoors. Results: The proportion of resistant mosquitoes caught in the treated bed net trap was higher 43% (95% CI= [40.6-45.3]) compared to the susceptible mosquitoes 28.3% (OR=1.445; P<0.00019). The proportion of susceptible mosquitoes caught in the untreated bed net trap was higher 51.3% (95% CI= [48.8-53.6]) compared to the treated bed net trap 28.3% (95% CI= [26.3-30.5]) (OR=2.65; P<0.0001). Resistant mosquitoes were less likely to exit the house when a treated bed net was present (5.2%; 95% CI= [4.2-6.4]) compared to the susceptible mosquitoes (11.5%; 95% CI= [9.6-12.6]). The proportion of susceptible mosquitoes avoiding contact with the treated bed net and caught resting indoors in the hut (53.8%) and outdoors (64.5%) was higher compared to the resistant mosquitoes (indoors: 46.2%, outdoor: 35.4%). The susceptible females were 2.3 times more likely to stay outdoors away from the treated bed net (OR=2.25; 95% CI= [1.7-2.9]; P<0.0001).Conclusion: The results show that in the presence of a treated net, the host-seeking performance was not altered for the resistant mosquitoes, unlike the susceptible females that were observed to exit the house and remained outdoors when a treated net was used. However, further investigations of the behavior of resistant mosquitoes under natural conditions should be undertaken to confirm these observations and improve the current intervention which are threatened by insecticide resistance and altered vector behavior.
Modeling the Dynamics of Malaria Transmission with Bed Net Protection Perspective