scholarly journals Upsurge of malaria transmission after indoor residual spraying withdrawal in Atacora region in Benin, West Africa

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Rock Yves Aïkpon ◽  
Gil Padonou ◽  
Fortuné Dagnon ◽  
Razaki Ossè ◽  
Aurore Ogouyemi Hounto ◽  
...  
Keyword(s):  
Malaria Transmission ◽  
Indoor Residual Spraying ◽  
Bed Nets ◽  
Malaria Vector Control ◽  
Chain Reaction ◽  
Molecular Species Identification ◽  
Vector Abundance ◽  
Human Landing ◽  
Drastic Increase ◽  
Polymerase Chain

Abstract Background In Benin, malaria vector control mostly relies on long-lasting, insecticidal-treated bed nets (LLINs) and indoor residual spraying (IRS) operations. From 2011 to 2016, an IRS programme has been implemented in Atacora region. However, in 2017 the programme was withdrawn from two other regions in the northern part of the country, with hopes that gains would be relatively sustained because of the seasonality of malaria transmission. What would be the vulnerability of populations to malaria after the withdrawal of IRS? Methods Monthly mosquito collections were performed through human landing captures (HLCs) for 24 months (from January to December 2016 during the last IRS campaign, and from January to December 2018, 2 years after the withdrawal of IRS). Vector mosquitoes biting density was sampled by HLC and was tested for presence of Plasmodium falciparum sporozoites. The carcass of these mosquitoes (abdomens, wing, legs) were subjected to molecular species identification using polymerase chain reaction (PCR) assays. Results It is noticed a drastic increase (~ 3 times higher) of vector abundance after the withdrawal of IRS. Mosquito biting rates in the 3 survey districts increased significantly after IRS was withdrawn. In 2018, after IRS cessation a significant increase of entomological inoculation rate was recorded, where each inhabitant received an average of 94.9 infected bites/year to 129.21 infected bites/year against an average of 17.15 infected bites/year to 24.82 infected bites/year in 2016. Conclusion It is obvious that the withdrawal of IRS confers a vulnerability of the population with regard to the malaria transmission. Robust monitoring is needed to better understand when and where IRS should be most adequate, or can be safely withdrawn. In case of withdrawal, adapted accompanying measures should be proposed according to the context not only to maintain the gains capitalized with IRS, but also to avoid any rebound of transmission.

scholarly journals Heterogeneous exposure and hotspots for malaria vectors at three study sites in Uganda

2018 ◽  
Vol 2 ◽  
pp. 32 ◽  
Author(s):  
Su Yun Kang ◽  
Katherine E. Battle ◽  
Harry S. Gibson ◽  
Laura V. Cooper ◽  
Kilama Maxwell ◽  
...  
Keyword(s):  
Malaria Transmission ◽  
Malaria Vector ◽  
Malaria Control ◽  
Negative Binomial ◽  
Indoor Residual Spraying ◽  
Housing Quality ◽  
Environmental Covariates ◽  
Vector Density ◽  
Vector Abundance ◽  
Study Sites

Background: Heterogeneity in malaria transmission has household, temporal, and spatial components. These factors are relevant for improving the efficiency of malaria control by targeting heterogeneity. To quantify variation, we analyzed mosquito counts from entomological surveillance conducted at three study sites in Uganda that varied in malaria transmission intensity. Mosquito biting or exposure is a risk factor for malaria transmission. Methods: Using a Bayesian zero-inflated negative binomial model, validated via a comprehensive simulation study, we quantified household differences in malaria vector density and examined its spatial distribution. We introduced a novel approach for identifying changes in vector abundance hotspots over time by computing the Getis-Ord statistic on ratios of household biting propensities for different scenarios. We also explored the association of household biting propensities with housing and environmental covariates. Results: In each site, there was evidence for hot and cold spots of vector abundance, and spatial patterns associated with urbanicity, elevation, or other environmental covariates. We found some differences in the hotspots in rainy vs. dry seasons or before vs. after the application of control interventions. Housing quality explained a portion of the variation among households in mosquito counts. Conclusion: This work provided an improved understanding of heterogeneity in malaria vector density at the three study sites in Uganda and offered a valuable opportunity for assessing whether interventions could be spatially targeted to be aimed at abundance hotspots which may increase malaria risk. Indoor residual spraying was shown to be a successful measure of vector control interventions in Tororo, Uganda.  Cement walls, brick floors, closed eaves, screened airbricks, and tiled roofs were features of a house that had shown reduction of household biting propensity. Improvements in house quality should be recommended as a supplementary measure for malaria control reducing risk of infection.

scholarly journals Assessing the Presence of Wuchereria bancrofti Infections in Vectors Using Xenomonitoring in Lymphatic Filariasis Endemic Districts in Ghana

2019 ◽  
Vol 4 (1) ◽  
pp. 49 ◽  
Author(s):  
Sellase Pi-Bansa ◽  
Joseph Osei ◽  
Worlasi Kartey-Attipoe ◽  
Elizabeth Elhassan ◽  
David Agyemang ◽  
...  
Keyword(s):  
Lymphatic Filariasis ◽  
Sampling Methods ◽  
Wuchereria Bancrofti ◽  
Filarial Infection ◽  
Chain Reaction ◽  
Mosquito Sampling ◽  
Human Landing ◽  
Monitoring And Surveillance ◽  
Polymerase Chain ◽  
New Research

Mass drug administration (MDA) is the current mainstay to interrupt the transmission of lymphatic filariasis. To monitor whether MDA is effective and transmission of lymphatic filariasis indeed has been interrupted, rigorous surveillance is required. Assessment of transmission by programme managers is usually done via serology. New research suggests that xenomonitoring holds promise for determining the success of lymphatic filariasis interventions. The objective of this study was to assess Wuchereria bancrofti infection in mosquitoes as a post-MDA surveillance tool using xenomonitoring. The study was carried out in four districts of Ghana; Ahanta West, Mpohor, Kassena Nankana West and Bongo. A suite of mosquito sampling methods was employed, including human landing collections, pyrethrum spray catches and window exit traps. Infection of W. bancrofti in mosquitoes was determined using dissection, conventional and real-time polymerase chain reaction and loop mediated isothermal amplification assays. Aedes, Anopheles coustani, An. gambiae, An. pharoensis, Culex and Mansonia mosquitoes were sampled in each of the four study districts. The dissected mosquitoes were positive for filarial infection using molecular assays. Dissected An. melas mosquitoes from Ahanta West district were the only species found positive for filarial parasites. We conclude that whilst samples extracted with Trizol reagent did not show any positives, molecular methods should still be considered for monitoring and surveillance of lymphatic filariasis transmission.

scholarly journals Vector composition, abundance, biting patterns and malaria transmission intensity in Madang, Papua New Guinea: assessment after 7 years of an LLIN-based malaria control programme

2022 ◽  
Vol 21 (1) ◽  
Author(s):  
John B. Keven ◽  
Michelle Katusele ◽  
Rebecca Vinit ◽  
Daniela Rodríguez-Rodríguez ◽  
Manuel W. Hetzel ◽  
...  
Keyword(s):  
Malaria Transmission ◽  
Papua New Guinea ◽  
Malaria Control ◽  
New Guinea ◽  
Control Programme ◽  
Transmission Intensity ◽  
Bed Nets ◽  
Malaria Control Programme ◽  
Malaria Transmission Intensity ◽  
Vector Abundance

Abstract Background A malaria control programme based on distribution of long-lasting insecticidal bed nets (LLINs) and artemisinin combination therapy began in Papua New Guinea in 2009. After implementation of the programme, substantial reductions in vector abundance and malaria transmission intensity occurred. The research reported here investigated whether these reductions remained after seven years of sustained effort. Methods All-night (18:00 to 06:00) mosquito collections were conducted using human landing catches and barrier screen methods in four villages of Madang Province between September 2016 and March 2017. Anopheles species identification and sporozoite infection with Plasmodium vivax and Plasmodium falciparum were determined with molecular methods. Vector composition was expressed as the relative proportion of different species in villages, and vector abundance was quantified as the number of mosquitoes per barrier screen-night and per person-night. Transmission intensity was quantified as the number of sporozoite-infective vector bites per person-night. Results Five Anopheles species were present, but vector composition varied greatly among villages. Anopheles koliensis, a strongly anthropophilic species was the most prevalent in Bulal, Matukar and Wasab villages, constituting 63.7–73.8% of all Anopheles, but in Megiar Anopheles farauti was the most prevalent species (97.6%). Vector abundance varied among villages (ranging from 2.8 to 72.3 Anopheles per screen-night and 2.2–31.1 Anopheles per person-night), and spatially within villages. Malaria transmission intensity varied among the villages, with values ranging from 0.03 to 0.5 infective Anopheles bites per person-night. Most (54.1–75.1%) of the Anopheles bites occurred outdoors, with a substantial proportion (25.5–50.8%) occurring before 22:00. Conclusion The estimates of vector abundance and transmission intensity in the current study were comparable to or higher than estimates in the same villages in 2010–2012, indicating impeded programme effectiveness. Outdoor and early biting behaviours of vectors are some of the likely explanatory factors. Heterogeneity in vector composition, abundance and distribution among and within villages challenge malaria control programmes and must be considered when planning them.

scholarly journals Anopheline and human drivers of malaria risk in northern coastal, Ecuador: a pilot study

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
James A. Martin ◽  
Allison L. Hendershot ◽  
Iván Alejandro Saá Portilla ◽  
Daniel J. English ◽  
Madeline Woodruff ◽  
...  
Keyword(s):  
Indoor Residual Spraying ◽  
Human Behaviour ◽  
Bed Nets ◽  
Bed Net ◽  
San Jose ◽  
Cross Sectional ◽  
Net Use ◽  
Biting Rate ◽  
Human Landing ◽  
Asymptomatic Infections

Abstract Background Understanding local anopheline vector species and their bionomic traits, as well as related human factors, can help combat gaps in protection. Methods In San José de Chamanga, Esmeraldas, at the Ecuadorian Pacific coast, anopheline mosquitoes were sampled by both human landing collections (HLCs) and indoor-resting aspirations (IAs) and identified using both morphological and molecular methods. Human behaviour observations (HBOs) (including temporal location and bed net use) were documented during HLCs as well as through community surveys to determine exposure to mosquito bites. A cross-sectional evaluation of Plasmodium falciparum and Plasmodium vivax infections was conducted alongside a malaria questionnaire. Results Among 222 anopheline specimens captured, based on molecular analysis, 218 were Nyssorhynchus albimanus, 3 Anopheles calderoni (n = 3), and one remains unidentified. Anopheline mean human-biting rate (HBR) outdoors was (13.69), and indoors (3.38) (p = 0.006). No anophelines were documented resting on walls during IAs. HBO-adjusted human landing rates suggested that the highest risk of being bitten was outdoors between 18.00 and 20.00 h. Human behaviour-adjusted biting rates suggest that overall, long-lasting insecticidal bed nets (LLINs) only protected against 13.2% of exposure to bites, with 86.8% of exposure during the night spent outside of bed net protection. The malaria survey found 2/398 individuals positive for asymptomatic P. falciparum infections. The questionnaire reported high (73.4%) bed net use, with low knowledge of malaria. Conclusion The exophagic feeding of anopheline vectors in San Jose de Chamanga, when analysed in conjunction with human behaviour, indicates a clear gap in protection even with high LLIN coverage. The lack of indoor-resting anophelines suggests that indoor residual spraying (IRS) may have limited effect. The presence of asymptomatic infections implies the presence of a human reservoir that may maintain transmission.

scholarly journals Indoor and outdoor malaria transmission in two ecological settings in rural Mali: implications for vector control

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Moussa Keïta ◽  
Sidy Doumbia ◽  
Ibrahim Sissoko ◽  
Mahamoudou Touré ◽  
Sory Ibrahim Diawara ◽  
...  
Keyword(s):  
Vector Control ◽  
Malaria Transmission ◽  
Control Strategies ◽  
Indoor Residual Spraying ◽  
Credible Interval ◽  
Human Landing Catch ◽  
Malaria Vector Control ◽  
Anopheles Coluzzii ◽  
Sporozoite Rate ◽  
Indoor And Outdoor

Abstract Background Implementation and upscale of effective malaria vector control strategies necessitates understanding the multi-factorial aspects of transmission patterns. The primary aims of this study are to determine the vector composition, biting rates, trophic preference, and the overall importance of distinguishing outdoor versus indoor malaria transmission through a study at two communities in rural Mali. Methods Mosquito collection was carried out between July 2012 and June 2016 at two rural Mali communities (Dangassa and Koïla Bamanan) using pyrethrum spray-catch and human landing catch approaches at both indoor and outdoor locations. Species of Anopheles gambiae complex were identified by polymerase chain reaction (PCR). Enzyme-Linked -Immuno-Sorbent Assay (ELISA) were used to determine the origin of mosquito blood meals and presence of Plasmodium falciparum sporozoite infections. Results A total of 11,237 An. gambiae sensu lato (s.l.) were collected during the study period (5239 and 5998 from the Dangassa and Koïla Bamanan sites, respectively). Of the 679 identified by PCR in Dangassa, Anopheles coluzzii was the predominant species with 91.4% of the catch followed by An. gambiae (8.0%) and Anopheles arabiensis (0.6%). At the same time in Koïla Bamanan, of the 623 An. gambiae s.l., An. coluzzii accounted for 99% of the catch, An. arabiensis 0.8% and An. gambiae 0.2%. Human Blood Index (HBI) measures were significantly higher in Dangassa (79.4%; 95% Bayesian credible interval (BCI) [77.4, 81.4]) than in Koïla Bamanan (15.9%; 95% BCI [14.7, 17.1]). The human biting rates were higher during the second half of the night at both sites. In Dangassa, the sporozoite rate was comparable between outdoor and indoor mosquito collections. For outdoor collections, the sporozoite positive rate was 3.6% (95% BCI [2.1–4.3]) and indoor collections were 3.1% (95% BCI [2.4–5.0]). In Koïla Bamanan, the sporozoite rate was higher indoors at 4.3% (95% BCI [2.7–6.3]) compared with outdoors at 2.4% (95% BCI [1.1–4.2]). In Dangassa, corrected entomological inoculation rates (cEIRs) using HBI were 13.74 [95% BCI 9.21–19.14] infective bites/person/month (ib/p/m) at indoor, and 18.66 [95% BCI 12.55–25.81] ib/p/m at outdoor. For Koïla Bamanan, cEIRs were 1.57 [95% BCI 2.34–2.72] ib/p/m and 0.94 [95% BCI 0.43–1.64] ib/p/m for indoor and outdoor, respectively. EIRs were significantly higher at the Dangassa site than the Koïla Bamanan site. Conclusion The findings in this work may indicate the occurrence of active, outdoor residual malaria transmission is comparable to indoor transmission in some geographic settings. The high outdoor transmission patterns observed here highlight the need for additional strategies to combat outdoor malaria transmission to complement traditional indoor preventive approaches such as long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS) which typically focus on resting mosquitoes.

scholarly journals Analysis of Control Interventions against Malaria in communities with Limited Resources

2021 ◽  
Vol 29 (2) ◽  
pp. 71-91
Author(s):  
E.A. Bakare ◽  
B.O. Onasanya ◽  
S. Hoskova-Mayerova ◽  
O. Olubosede
Keyword(s):  
Optimal Control ◽  
Malaria Transmission ◽  
Control Strategies ◽  
Indoor Residual Spraying ◽  
Control Measures ◽  
Limited Resources ◽  
Effective Control ◽  
Bed Nets ◽  
Multiple Control ◽  
Potential Impact

Abstract The aim of this paper is to analyse the potential impact of multiple current interventions in communities with limited resources in order to obtain optimal control strategies and provide a basis for future predictions of the most effective control measures against the spread of malaria. We developed a population-based model of malaria transmission dynamics to investigate the effectiveness of five different interventions. The model captured both the human and the mosquito compartments. The control interventions considered were: educational campaigns to mobilise people for diagnostic test and treatment and to sleep under bed nets; treatment through mass drug administration; indoor residual spraying(IRS) with insecticide to reduce malaria transmission; insecticide treated net (ITN) to reduce morbidity; and regular destruction of mosquito breeding sites to reduce the number of new mosquito and bites/contact at dusks and dawn. Analysis of the potential impact of the multiple control interventions were carried out and the optimal control strategies that minimized the number of infected human and mosquito and the cost of applying the various control interventions were determined.

scholarly journals Anopheles drivers of persisting malaria transmission in Guna Yala, Panamá: an operational investigation

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mario I. Ávila ◽  
Élodie A. Vajda ◽  
Eileen Jeffrey Gutiérrez ◽  
Daragh A. Gibson ◽  
Mariela Mosquera Renteria ◽  
...  
Keyword(s):  
Malaria Transmission ◽  
Indoor Residual Spraying ◽  
Entomological Surveillance ◽  
Early Evening ◽  
Diagnostic Time ◽  
Anopheles Aquasalis ◽  
Human Landing ◽  
Local Vector ◽  
Control Decision ◽  
Dry Seasons

Abstract Background Though most of Panamá is free from malaria, localized foci of transmission persist, including in the Guna Yala region. Government-led entomological surveillance using an entomological surveillance planning tool (ESPT) sought to answer programmatically-relevant questions that would enhance the understanding of both local entomological drivers of transmission and gaps in protection that result in persisting malaria transmission to guide local vector control decision-making. Methods The ESPT was used to design a sampling plan centered around the collection of minimum essential indicators to investigate the relevance of LLINs and IRS in the communities of Permé and Puerto Obaldía, Guna Yala, as well as to pinpoint any remaining spaces and times where humans are exposed to Anopheles bites (gaps in protection). Adult Anopheles were collected at three time points via human landing catches (HLCs), CDC Light Traps (LT), and pyrethrum spray catches (PSCs) during the rainy and dry seasons. Mosquitoes were identified to species via molecular methods. Insecticide susceptibility testing of the main vector species to fenitrothion was conducted. Results In total, 7537 adult Anopheles were collected from both sites. Of the 493 specimens molecularly confirmed to species, two thirds (n = 340) were identified as Nyssorhynchus albimanus, followed by Anopheles aquasalis. Overall Anopheles human biting rates (HBRs) were higher outdoors than indoors, and were higher in Permé than in Puerto Obaldía: nightly outdoor HBR ranged from 2.71 bites per person per night (bpn) (Puerto Obaldía), to 221.00 bpn (Permé), whereas indoor nightly HBR ranged from 0.70 bpn (Puerto Obaldía) to 81.90 bpn (Permé). Generally, peak biting occurred during the early evening. The CDC LT trap yields were significantly lower than that of HLCs and this collection method was dropped after the first collection. Pyrethrum spray catches resulted in only three indoor resting Anopheles collected. Insecticide resistance (IR) of Ny. albimanus to fenitrothion was confirmed, with only 65.5% mortality at the diagnostic time. Conclusion The early evening exophagic behaviour of Anopheles vectors, the absence of indoor resting behaviours, and the presence of resistance to the primary intervention insecticide demonstrate limitations of the current malaria strategy, including indoor residual spraying (IRS) and long-lasting insecticidal nets (LLINs), and point to both gaps in protection and to the drivers of persisting malaria transmission in Guna Yala. These findings highlight the need for continued and directed entomological surveillance, based on programmatic questions, that generates entomological evidence to inform an adaptive malaria elimination strategy.

scholarly journals Chlorophyll derivative activated with sunlight for malaria vector control: a small-scale field study

2021 ◽  
Author(s):  
Mahmoud Abdelkader ◽  
Tarek El-Tayeb
Keyword(s):  
Vector Control ◽  
Indoor Residual Spraying ◽  
Residual Effect ◽  
Breeding Site ◽  
Bed Nets ◽  
Malaria Vector Control ◽  
Small Scale ◽  
Pheophorbide A ◽  
Chlorophyll Derivative ◽  
Scale Field

Abstract Background Malaria is a life-threatening infectious disease transmitted through the bite of the Anopheles mosquito; hence, it could be prevented by a proper vector control. To date, this could be achieved by controlling adult mosquitoes using synthetic chemicals such as DDT for indoor residual spraying (IRS) and pyrethroid-treated bed nets. These approaches possess potential toxicities; therefore, a new ecologically safe technology for vector control was developed in this study. Methods Small-scale field studies were performed in the swamp with anopheline larvae from different sub-saharan countries, such as Sudan, Uganda and Ethiopia. Photodynamic control of anopheles larvae was employed using a chlorophyll derivative, pheophorbide-a (Ph-a) as a photosensitizer and sunlight as a light source. This could interrupt the life cycle of the Anopheles mosquitoes from the larval stage, which induces the interruption of the malaria disease cycle. Results Ph-a accumulates in the larval body and upon sunlight exposure, it induces oxidative stress, which causes 85 to 100% larval death 24 hours after treatment with Ph-a. This photosensitizer’s effect persisted up to 21 days in the new generations in the same breeding site (residual effect). It is a target selective formula that has shown no effect on the other beneficial organisms in the breeding site. Conclusions This technique was found to be both effective and highly selective. It achieved a high mortality rate of mosquito larvae, while maintaining the highest levels of human safety and environmental friendliness.

scholarly journals Indoor and outdoor malaria transmission in two ecological settings in rural Mali: Implications for vector control

2021 ◽  
Author(s):  
Moussa KEITA ◽  
Sidy Doumbia ◽  
Ibrahim Sissoko ◽  
Mahamoudou Touré ◽  
Sory Ibrahim Diawara ◽  
...  
Keyword(s):  
Vector Control ◽  
Malaria Transmission ◽  
Control Strategies ◽  
Indoor Residual Spraying ◽  
Credible Interval ◽  
Human Landing Catch ◽  
Malaria Vector Control ◽  
Sporozoite Rate ◽  
Mosquito Collection ◽  
Indoor And Outdoor

Abstract Background: Implementation and upscale of effective malaria vector control strategies necessitates understanding the multi-factorial aspects of transmission patterns. The primary aims of this study are to determine the vector composition, biting rates, trophic preference, and the overall importance of distinguishing outdoor versus indoor malaria transmission through a study at two communities in rural Mali. Methods: Mosquito collection was carried out between July 2012 and June 2016 at two rural Mali communities (Dangassa and Koïla Bamanan) using pyrethrum spray-catch and human landing catch approaches at both indoor and outdoor locations. Species of Anopheles (An.) gambiae complex were identified by polymerase chain reaction (PCR). Enzyme-Linked -Immuno-Sorbent Assay (ELISA) were used to determine the origin of mosquito blood meals and presence of Plasmodium (P.) falciparum sporozoite infections.Results: A total of 11,237 An. gambiae (s.l.) were collected during the study period (5,239 and 5,998 from the Dangassa and Koïla Bamanan sites, respectively). Of the 679 identified by PCR in Dangassa, An. coluzzii was the predominant species with 91.4% of the catch followed by An. gambiae (8.0%) and An. arabiensis (0.6%). At the same time in Koïla Bamanan, of 623 An. gambiae s.l., An. coluzzii accounted for 99% of the catch, An. arabiensis 0.8% and An. gambiae 0.2%. Human Blood Index (HBI) measures were significantly higher in Dangassa (79.4%; 95% Bayesian credible interval (BCI) [77.4, 81.4]) than in Koïla Bamanan (15.9%; 95% BCI [14.7, 17.1]). The human biting rates were higher during the second half of the night at both sites. In Dangassa, the sporozoite rate was comparable between outdoor and indoor mosquito collections. For outdoor collections, the sporozoite positive rate was 3.6% (95% BCI [2.1-4.3]) and indoor collections were 3.1% (95% BCI [2.4-5.0]). In Koïla Bamanan, the sporozoite rate was higher indoors at 4.3% (95% BCI [2.7-6.3]) compared with outdoors at 2.4% (95% BCI [1.1- 4.2]). In Dangassa, corrected entomological inoculation rates (cEIRs) using HBI were 13.74 [95% BCI: 9.21—19.14] infective bites/person/month (ib/p/m) at indoor, and 18.66 [95% BCI 12.55—25.81] ib/p/m at outdoor. For Koïla Bamanan, cEIRs were 1.57 [95% BCI 2.34 —2.72] ib/p/m and 0.94 [95% BCI 0.43—1.64] ib/p/m for indoor and outdoor, respectively. EIRs were significantly higher at the Dangassa site than the Koïla Bamanan site.Conclusion: The findings in this work may indicate the occurrence of active, outdoor residual malaria transmission is comparable to indoor transmission in some geographic settings. The high outdoor transmission patterns observed here highlight the need for additional strategies to combat outdoor malaria transmission to complement traditional indoor preventive approaches such as long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS) which typically focus on resting mosquitoes.

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