Insecticide resistance in indoor and outdoor-resting Anopheles gambiae in Northern Ghana

Abstract Background Selection pressure from continued exposure to insecticides drives the development of insecticide resistance and changes in resting behavior of malaria vectors, which may support residual transmission in several endemic settings. There is a need to understand how resistance drives changes in resting behavior within vector species. Here, we examined the association between insecticide resistance and resting behavior of Anopheles gambiae s.l. in Northern Ghana. Methods Adult mosquitoes were collected both indoors and outdoors from two communities using mouth aspirators and pit shelters. F1 progenies from a subset of mosquitoes were exposed to dichloro diphenyl trichloroethane (DDT), deltamethrin, malathion and bendiocarb using WHO insecticide susceptibility tests. Insecticide resistance markers including voltage-gated sodium channel (Vgsc)- 1014F, Vgsc-1014S, Vgsc-1575Y, glutathione-S-transferase epsilon 2 (GSTe2)-114T and acetylcholinesterase (Ace1)-119S, as well as blood meal sources were investigated using PCR methods. Activities of metabolic enzymes, acetylcholine esterase (AChE), non-specific β-esterases, glutathione-S-transferase (GST) and monooxygenases (oxidases) were measured from unexposed F1 progenies using microplate assays. Results Susceptibility of An. coluzzii to deltamethrin 24hr post-exposure was significantly higher in indoor (mortality=5%) than the outdoor (mortality=2.5%) populations (P=0.02). The mosquitoes were fully susceptible to malathion (mortality: indoor=98%, outdoor=100%). Susceptibility to DDT was significantly higher in outdoor (mortality=9%) than indoor (mortality=0%) mosquitoes (P=0.006). Mosquitoes were also found with suspected resistance to bendiocarb but mortality was not statistically different (mortality: indoor=90%, outdoor=95%. P=0.30). The frequencies of all resistance alleles were higher in F1 outdoor (0.11-0.85) than indoor (0.04-0.65) mosquito populations, while Vgsc-1014F in F0 An. gambiae s.s significantly associated with outdoor-resting behavior (P=0.01). Activities of non-specific β-esterase enzymes were significantly higher in outdoor than indoor mosquitoes (Mean enzyme activity: Outdoor=: 1.70/mg protein; Indoor=1.35/mg protein. P<0.0001). AChE activity was also more elevated in outdoor (0.62/mg protein) than indoor (0.57/mg protein) mosquitoes but this was not significant (P=0.08). Human blood index (HBI) was predominantly detected in indoor (18%) than the outdoor mosquito population (3%).Conclusions These findings revealed higher phenotypic resistance in indoor than outdoor-resting mosquitoes, but genotypic and metabolic resistance levels were higher in outdoor than the indoor mosquito populations. However, the overall results did not establish that there was a significant preference of resistant malaria vectors to solely rest indoors or outdoors, but varied depending on the resistant alleles present. Indication that human and animal blood meal indices were more prevalent in indoor-resting mosquitoes was also shown. Continued monitoring of changes in resting behavior within An. gambiae s.l. populations is recommended.

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Insecticide resistance in indoor and outdoor-resting Anopheles gambiae in Northern Ghana

10.21203/rs.3.rs-17402/v3 ◽

2020 ◽

Author(s):

Majidah Hamid-Adiamoh ◽

Alfred Amambua-Ngwa ◽

Davis Nwakanma ◽

Umberto D’Alessandro ◽

Gordon A. Awandare ◽

...

Keyword(s):

Insecticide Resistance ◽

Anopheles Gambiae ◽

Northern Ghana ◽

Malaria Vectors ◽

Anopheles Coluzzii ◽

Glutathione S Transferase ◽

Metabolic Resistance ◽

Phenotypic Resistance ◽

Resting Behaviour ◽

Outdoor Resting

Abstract Background Selection pressure from continued exposure to insecticides drives development of insecticide resistance and changes in resting behaviour of malaria vectors. There is need to understand how resistance drives changes in resting behaviour within vector species. The association between insecticide resistance and resting behaviour of Anopheles gambiae sensu lato (s.l.) in Northern Ghana was examined. Methods F1 progenies from adult mosquitoes collected indoors and outdoors were exposed to DDT, deltamethrin, malathion and bendiocarb using WHO insecticide susceptibility tests. Insecticide resistance markers including voltage-gated sodium channel (Vgsc)- 1014F, Vgsc-1014S, Vgsc-1575Y, glutathione-S-transferase epsilon 2 (GSTe2)-114T and acetylcholinesterase (Ace1)-119S, as well as blood meal sources were investigated using PCR methods. Activities of metabolic enzymes, acetylcholine esterase (AChE), non-specific β-esterases, glutathione-S-transferase (GST) and monooxygenases were measured from unexposed F1 progenies using microplate assays. Results Susceptibility of Anopheles coluzzii to deltamethrin 24hr post-exposure was significantly higher in indoor (mortality=5%) than outdoor (mortality=2.5%) populations (P=0.02). Mosquitoes were fully susceptible to malathion (mortality: indoor=98%, outdoor=100%). Susceptibility to DDT was significantly higher in outdoor (mortality=9%) than indoor (mortality=0%) mosquitoes (P=0.006). Mosquitoes were also found with suspected resistance to bendiocarb but mortality was not statistically different (mortality: indoor=90%, outdoor=95%. P=0.30). Frequencies of all resistance alleles were higher in F1 outdoor (0.11-0.85) than indoor (0.04-0.65) mosquito populations, while Vgsc-1014F in F0 An. gambiae sensu stricto (s.s) was significantly associated with outdoor-resting behaviour (P=0.01). Activities of non-specific β-esterase enzymes were significantly higher in outdoor than indoor mosquitoes (Mean enzyme activity: Outdoor=: 1.70/mg protein; Indoor=1.35/mg protein. P<0.0001). AChE activity was also more elevated in outdoor (0.62/mg protein) than indoor (0.57/mg protein) mosquitoes but this was not significant (P=0.08). Human blood index (HBI) was predominantly detected in indoor (18%) than outdoor mosquito populations (3%). Conclusions The overall results did not establish that there was a significant preference of resistant malaria vectors to solely rest indoors or outdoors, but varied depending on the resistant alleles present. Phenotypic resistance was higher in indoor than outdoor-resting mosquitoes, but genotypic and metabolic resistance levels were higher in outdoor than the indoor populations. Continued monitoring of changes in resting behaviour within An. gambiae s.l. populations is recommended.

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Insecticide resistance in indoor and outdoor-resting Anopheles gambiae s.l. in Northern Ghana

10.21203/rs.3.rs-17402/v2 ◽

2020 ◽

Author(s):

Majidah Hamid-Adiamoh ◽

Alfred Amambua-Ngwa ◽

Davis Nwakanma ◽

Umberto D’Alessandro ◽

Gordon A. Awandare ◽

...

Keyword(s):

Insecticide Resistance ◽

Anopheles Gambiae ◽

Blood Meal ◽

Northern Ghana ◽

Malaria Vectors ◽

Glutathione S Transferase ◽

Metabolic Resistance ◽

Anopheles Gambiae S.L ◽

Outdoor Resting ◽

Resting Behavior

Abstract Background: Selection pressure from continued exposure to insecticides drives the development of insecticide resistance and changes in resting behavior of malaria vectors, which may support residual transmission in several endemic settings. There is a need to understand how resistance drives changes in resting behavior within vector species. Here, we examined the association between insecticide resistance and resting behavior of Anopheles gambiae s.l. in Northern Ghana. Methods: Adult mosquitoes were collected both indoors and outdoors from two communities using mouth aspirators and pit shelters. F1 progenies from a subset of mosquitoes were exposed to dichloro diphenyl trichloroethane (DDT), deltamethrin, malathion and bendiocarb using WHO insecticide susceptibility tests. Insecticide resistance markers including voltage-gated sodium channel (Vgsc)- 1014F, Vgsc-1014S, Vgsc-1575Y, glutathione-S-transferase epsilon 2 (GSTe2)-114T and acetylcholinesterase (Ace1)-119S, as well as blood meal sources were investigated using PCR methods. Activities of metabolic enzymes, acetylcholine esterase (AChE), non-specific β-esterases, glutathione-S-transferase (GST) and monooxygenases (oxidases) were measured from unexposed F1 progenies using microplate assays. Results: Susceptibility of An. coluzzii to deltamethrin 24hr post-exposure was significantly higher in indoor (mortality=5%) than the outdoor (mortality=2.5%) populations (P=0.02). The mosquitoes were fully susceptible to malathion (mortality: indoor=98%, outdoor=100%). Susceptibility to DDT was significantly higher in outdoor (mortality=9%) than indoor (mortality=0%) mosquitoes (P=0.006). Mosquitoes were also found with suspected resistance to bendiocarb but mortality was not statistically different (mortality: indoor=90%, outdoor=95%. P=0.30). The frequencies of all resistance alleles were higher in F1 outdoor (0.11-0.85) than indoor (0.04-0.65) mosquito populations, while Vgsc-1014F in F0 An. gambiae s.s significantly associated with outdoor-resting behavior (P=0.01). Activities of non-specific β-esterase enzymes were significantly higher in outdoor than indoor mosquitoes (Mean enzyme activity: Outdoor=: 1.70/mg protein; Indoor=1.35/mg protein. P<0.0001). AChE activity was also more elevated in outdoor (0.62/mg protein) than indoor (0.57/mg protein) mosquitoes but this was not significant (P=0.08). Human blood index (HBI) was predominantly detected in indoor (18%) than the outdoor mosquito population (3%). Conclusions: These findings revealed higher phenotypic resistance in indoor than outdoor-resting mosquitoes, but genotypic and metabolic resistance levels were higher in outdoor than the indoor mosquito populations. However, the overall results did not establish that there was a significant preference of resistant malaria vectors to solely rest indoors or outdoors, but varied depending on the resistant alleles present. Indication that human and animal blood meal indices were more prevalent in indoor-resting mosquitoes was also shown. Continued monitoring of changes in resting behavior within An. gambiae s.l. populations is recommended.

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Insecticide resistance status of indoor and outdoor resting malaria vectors in a highland and lowland site in Western Kenya

10.1101/2020.10.05.326108 ◽

2020 ◽

Author(s):

Kevin O. Owuor ◽

Maxwell G. Machani ◽

Wolfgang R. Mukabana ◽

Stephen Munga ◽

Guiyun Yan ◽

...

Keyword(s):

Insecticide Resistance ◽

Anopheles Gambiae ◽

Sub Saharan Africa ◽

Malaria Vectors ◽

Moderate Intensity ◽

Monooxygenase Activity ◽

Western Kenya ◽

Malaria Mosquitoes ◽

Outdoor Resting ◽

Indoor And Outdoor

AbstractBackgroundLong Lasting Insecticidal Nets (LLINs) and indoor residual spraying (IRS) represent powerful tools for controlling malaria vectors in sub-Saharan Africa. The success of these interventions relies on their capability to inhibit indoor feeding and resting of malaria mosquitoes. This study sought to understand the interaction of insecticide resistance with indoor and outdoor resting behavioral responses of malaria vectors from Western Kenya.MethodsThe status of insecticide resistance among indoor and outdoor resting anopheline mosquitoes was compared in Anopheles mosquitoes collected from Kisumu and Bungoma counties in Western Kenya. The level and intensity of resistance were measured using WHO-tube and CDC-bottle bioassays, respectively. The synergist piperonyl butoxide (PBO) was used to determine if metabolic activity (monooxygenase enzymes) explained the resistance observed. The mutations at the voltage-gated sodium channel (Vgsc) gene and Ace 1 gene were characterized using PCR methods. Microplate assays were used to measure levels of detoxification enzymes if present.ResultsA total of 1094 samples were discriminated within Anopheles gambiae s.l. and 289 within An. funestus s.l. In Kisian (Kisumu county), the dominant species was Anopheles arabiensis 75.2% (391/520) while in Kimaeti (Bungoma county) collections the dominant sibling species was Anopheles gambiae s.s 96.5% (554/574). The An. funestus s.l samples analysed were all An. funestus s.s from both sites. Pyrethroid resistance of An.gambiae s.l F1 progeny was observed in all sites. Lower mortality was observed against deltamethrin for the progeny of indoor resting mosquitoes compared to outdoor resting mosquitoes (Mortality rate: 37% vs 51%, P=0.044). The intensity assays showed moderate-intensity resistance to deltamethrin in the progeny of mosquitoes collected from indoors and outdoors in both study sites. In Kisian, the frequency of vgsc-L1014S and vgsc-L1014F mutation was 0.14 and 0.19 respectively in indoor resting malaria mosquitoes while those of the outdoor resting mosquitoes were 0.12 and 0.12 respectively. The ace 1 mutation was present in higher frequency in the F1 of mosquitoes resting indoors (0.23) compared to those of mosquitoes resting outdoors (0.12). In Kimaeti, the frequencies of vgsc-L1014S and vgsc-L1014F were 0.75 and 0.05 respectively for the F1 of mosquitoes collected indoors whereas those of outdoor resting ones were 0.67 and 0.03 respectively. The ace 1 G119S mutation was present in progeny of mosquitoes from Kimaeti resting indoors (0.05) whereas it was absent in those resting outdoors. Monooxygenase activity was elevated by 1.83 folds in Kisian and by 1.33 folds in Kimaeti for mosquitoes resting indoors than those resting outdoors respectively.ConclusionThe study recorded high phenotypic, metabolic and genotypic insecticide resistance in indoor resting populations of malaria vectors compared to their outdoor resting counterparts. The indication of moderate resistance intensity for the indoor resting mosquitoes is alarming as it could have an operational impact on the efficacy of the existing pyrethroid based vector control tools. The use of synergist (PBO) in LLINs may be a better alternative for widespread use in these regions recording high insecticide resistance.

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Insecticide resistance status of indoor and outdoor resting malaria vectors in a highland and lowland site in Western Kenya

PLoS ONE ◽

10.1371/journal.pone.0240771 ◽

2021 ◽

Vol 16 (3) ◽

pp. e0240771

Author(s):

Kevin O. Owuor ◽

Maxwell G. Machani ◽

Wolfgang R. Mukabana ◽

Stephen O. Munga ◽

Guiyun Yan ◽

...

Keyword(s):

Insecticide Resistance ◽

Anopheles Gambiae ◽

Sub Saharan Africa ◽

Malaria Vectors ◽

Moderate Intensity ◽

Monooxygenase Activity ◽

Western Kenya ◽

Malaria Mosquitoes ◽

Outdoor Resting ◽

Indoor And Outdoor

Background Long Lasting Insecticidal Nets (LLINs) and indoor residual spraying (IRS) represent powerful tools for controlling malaria vectors in sub-Saharan Africa. The success of these interventions relies on their capability to inhibit indoor feeding and resting of malaria mosquitoes. This study sought to understand the interaction of insecticide resistance with indoor and outdoor resting behavioral responses of malaria vectors from Western Kenya. Methods The status of insecticide resistance among indoor and outdoor resting anopheline mosquitoes was compared in Anopheles mosquitoes collected from Kisumu and Bungoma counties in Western Kenya. The level and intensity of resistance were measured using WHO-tube and CDC-bottle bioassays, respectively. The synergist piperonyl butoxide (PBO) was used to determine if metabolic activity (monooxygenase enzymes) explained the resistance observed. The mutations at the voltage-gated sodium channel (Vgsc) gene and Ace 1 gene were characterized using PCR methods. Microplate assays were used to measure levels of detoxification enzymes if present. Results A total of 1094 samples were discriminated within Anopheles gambiae s.l. and 289 within An. funestus s.l. In Kisian (Kisumu county), the dominant species was Anopheles arabiensis 75.2% (391/520) while in Kimaeti (Bungoma county) collections the dominant sibling species was Anopheles gambiae s.s 96.5% (554/574). The An. funestus s.l samples analysed were all An. funestus s.s from both sites. Pyrethroid resistance of An.gambiae s.l F1 progeny was observed in all sites. Lower mortality was observed against deltamethrin for the progeny of indoor resting mosquitoes compared to outdoor resting mosquitoes (Mortality rate: 37% vs 51%, P = 0.044). The intensity assays showed moderate-intensity resistance to deltamethrin in the progeny of mosquitoes collected from indoors and outdoors in both study sites. In Kisian, the frequency of vgsc-L1014S and vgsc-L1014F mutation was 0.14 and 0.19 respectively in indoor resting malaria mosquitoes while those of the outdoor resting mosquitoes were 0.12 and 0.12 respectively. The ace 1 mutation was present in higher frequency in the F1 of mosquitoes resting indoors (0.23) compared to those of mosquitoes resting outdoors (0.12). In Kimaeti, the frequencies of vgsc-L1014S and vgsc-L1014F were 0.75 and 0.05 respectively for the F1 of mosquitoes collected indoors whereas those of outdoor resting ones were 0.67 and 0.03 respectively. The ace 1 G119S mutation was present in progeny of mosquitoes from Kimaeti resting indoors (0.05) whereas it was absent in those resting outdoors. Monooxygenase activity was elevated by 1.83 folds in Kisian and by 1.33 folds in Kimaeti for mosquitoes resting indoors than those resting outdoors respectively. Conclusion The study recorded high phenotypic, metabolic and genotypic insecticide resistance in indoor resting populations of malaria vectors compared to their outdoor resting counterparts. The indication of moderate resistance intensity for the indoor resting mosquitoes is alarming as it could have an operational impact on the efficacy of the existing pyrethroid based vector control tools. The use of synergist (PBO) in LLINs may be a better alternative for widespread use in these regions recording high insecticide resistance.

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Resting behaviour of malaria vectors in a highland and a lowland site of western Kenya: Implication on malaria vector control measures

10.1101/815175 ◽

2019 ◽

Author(s):

Maxwell G. Machani ◽

Eric Ochomo ◽

Fred Amimo ◽

Jackline Kosgei ◽

Stephen Munga ◽

...

Keyword(s):

Insecticide Resistance ◽

Vector Control ◽

Malaria Vector ◽

Control Measures ◽

Malaria Vectors ◽

Western Kenya ◽

Sporozoite Rate ◽

Resting Behaviour ◽

Outdoor Resting ◽

Indoor And Outdoor

AbstractBackgroundUnderstanding the interactions between increased insecticide resistance in field malaria vector populations and the subsequent resting behaviour patterns is important for planning adequate vector control measures in a specific context and sustaining the current vector interventions. The aim of this study was to investigate the resting behavior, host preference and infection with Plasmodium falciparum sporozoites by malaria vectors in different ecological settings of western Kenya with different levels of insecticide resistance.MethodsIndoor and outdoor resting Anopheline mosquitoes were sampled during the dry and rainy seasons in Kisian (lowland site) and Bungoma (highland site), both in western Kenya. WHO tube bioassay was used to determine levels of phenotypic resistance of first generation offspring (F1 progeny) of malaria vectors resting indoors and outdoors to deltamethrin. PCR-based molecular diagnostics were used for mosquito speciation, genotype for resistance mutations and to determine specific host blood meal origins. Enzyme-linked Immunosorbent Assay (ELISA) was used to determine mosquito sporozoite infections.ResultsOverall, 3,566 female Anopheles mosquitoes were collected with Anopheles gambiae s.l [In Bungoma, An. gambiae s.s (90.9%), An arabiensis (7.6%) and in Kisian, An. gambiae s.s (38.9%), An. arabiensis (60.2%)] being the most abundant species (74.7%) followed by An. funestus s.l (25.3%). The majority of An. gambiae s.l (85.4 and 58%) and An. funestus (96.6 and 91.1%) were caught resting indoors in Bungoma and Kisian respectively.Vgsc-1014S was observed at a slightly higher frequency in An. gambiae s.s hereafter(An. gambiae) resting indoor than outdoor (89.7 vs 84.6% and 71.5 vs 61.1%) in Bungoma and Kisian respectively. For An. arabiensis, Vgsc-1014S was 18.2% indoor and outdoor (17.9%) in Kisian. In Bungoma, the Vgsc-1014S was only detected in An. arabiensis resting indoors with a frequency of 10%. The Vgsc-1014F mutation was only present in An. gambiae resting indoors from both sites, but at very low frequencies in Kisian compared to Bungoma (0.8 and 9.2% respectively. In Bungoma, the sporozoite rates for An. funestus, An. gambiae, and An. arabiensis resting indoors were 10.9, 7.6 and 3.4 % respectively. For outdoor resting, An. gambiae and An. arabiensis in Bungoma, the sporozoite rates were 4.7 and 2.9 % respectively.Overall, in Bungoma, the sporozoite rate for indoor resting mosquitoes was 8.6% and 4.2% for outdoors. In Kisian the sporozoite rate was 0.9% for indoor resting An. gambiae. None of the outdoor collected mosquitoes in Kisian tested positive for sporozoite infections.ConclusionThe study reports high densities of insecticide-resistant An. gambiae and An. funestus resting indoors and the persistence of malaria transmission indoors with high entomological inoculation rates (EIR) regardless of the use of Long-lasting insecticidal nets (LLINs). These findings underline the difficulties of controlling malaria vectors resting and biting indoors using the current interventions. Supplemental vector control tools and implementation of sustainable insecticide resistance management strategies are needed in western Kenya.

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Mixing of indoor- and outdoor-resting adults of Anopheles gambiae Giles s.l. and A. funestus Giles (Diptera: Culicidae) in coastal Tanzania

Bulletin of Entomological Research ◽

10.1017/s0007485300015388 ◽

1986 ◽

Vol 76 (1) ◽

pp. 171-178 ◽

Cited By ~ 25

Author(s):

J. D. Lines ◽

E. O. Lyimo ◽

C. F. Curtis

Keyword(s):

Anopheles Gambiae ◽

Malaria Transmission ◽

Malaria Control ◽

Direct Test ◽

Insecticide Residues ◽

Parity Rate ◽

Anopheles Gambiae Giles ◽

The Village ◽

Outdoor Resting ◽

Indoor And Outdoor

AbstractFrom previous studies in Garki, Nigeria, it was deduced that the population of Anopheles gambiae Giles s.l. there includes a proportion of individuals which consistently rest out of doors and are therefore not vulnerable to insecticide residues inside houses, but may still be able to maintain malaria transmission. A direct test for the existence of such individuals in A. gambiae s.l. and A. funestus Giles in a village in Tanzania was made by catching resting mosquitoes indoors and in outdoor pits, differentially marking them according to their site of capture and releasing them from a single site. Recaptures indoors and in the pits showed no significant association between the sites of capture and recapture among the females of either species, i.e. no evidence for an invariably outdoor-resting type of female. It is concluded that behavioural polymorphism is unlikely to interfere with the successful use of house spraying for malaria control in this area. From data on the proportion of the captures found to be marked and on the parity rate, estimates were calculated of the total mosquito population available for sampling in the village.

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Insecticide resistance status of malaria vectors Anopheles gambiae (s.l.) of southwest Burkina Faso and residual efficacy of indoor residual spraying with microencapsulated pirimiphos-methyl insecticide

Parasites & Vectors ◽

10.1186/s13071-020-04563-8 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Dieudonné Diloma Soma ◽

Barnabas Zogo ◽

Domonbabele François de Sales Hien ◽

Aristide Sawdetuo Hien ◽

Didier Alexandre Kaboré ◽

...

Keyword(s):

Insecticide Resistance ◽

Burkina Faso ◽

Anopheles Gambiae ◽

Local Population ◽

Residual Activity ◽

Indoor Residual Spraying ◽

Susceptible Strain ◽

Malaria Vectors ◽

Pirimiphos Methyl ◽

Residual Efficacy

Abstract Background The rapid spread of insecticide resistance in malaria vectors and the rebound in malaria cases observed recently in some endemic areas underscore the urgent need to evaluate and deploy new effective control interventions. A randomized control trial (RCT) was conducted with the aim to investigate the benefit of deploying complementary strategies, including indoor residual spraying (IRS) with pirimiphos-methyl in addition to long-lasting insecticidal nets (LLINs) in Diébougou, southwest Burkina Faso. Methods We measured the susceptibility of the Anopheles gambiae (s.l.) population from Diébougou to conventional insecticides. We further monitored the efficacy and residual activity of pirimiphos-methyl on both cement and mud walls using a laboratory susceptible strain (Kisumu) and the local An. gambiae (s.l.) population. Results An. gambiae (s.l.) from Diébougou was resistant to DDT, pyrethroids (deltamethrin, permethrin and alphacypermethrin) and bendiocarb but showed susceptibility to organophosphates (pirimiphos-methyl and chlorpyrimiphos-methyl). A mixed-effect generalized linear model predicted that pirimiphos-methyl applied on cement or mud walls was effective for 210 days against the laboratory susceptible strain and 247 days against the local population. The residual efficacy of pirimiphos-methyl against the local population on walls made of mud was similar to that of cement (OR = 0.792, [0.55–1.12], Tukey’s test p-value = 0.19). Conclusions If data on malaria transmission and malaria cases (as measured trough the RCT) are consistent with data on residual activity of pirimiphos-methyl regardless of the type of wall, one round of IRS with pirimiphos-methyl would have the potential to control malaria in a context of multi-resistant An. gambiae (s.l.) for at least 7 months.

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