Bioefficacy and durability of Olyset® Plus, a permethrin and piperonyl butoxide-treated insecticidal net in a 3-year long trial in Kenya

Background Long-lasting insecticide nets (LLINs) are a core malaria intervention. LLINs should retain efficacy against mosquito vectors for a minimum of three years. Efficacy and durability of Olyset® Plus, a permethrin and piperonyl butoxide (PBO) treated LLIN, was evaluated versus permethrin treated Olyset® Net. In the absence of WHO guidelines of how to evaluate PBO nets, and considering the manufacturer’s product claim, Olyset® Plus was evaluated as a pyrethroid LLIN. Methods This was a household randomized controlled trial in a malaria endemic rice cultivation zone of Kirinyaga County, Kenya between 2014 and 2017. Cone bioassays and tunnel tests were done against Anopheles gambiae Kisumu. The chemical content, fabric integrity and LLIN survivorship were monitored. Comparisons between nets were tested for significance using the Chi-square test. Exact binomial distribution with 95% confidence intervals (95% CI) was used for percentages. The WHO efficacy criteria used were ≥ 95% knockdown and/or ≥ 80% mortality rate in cone bioassays and ≥ 80% mortality and/or ≥ 90% blood-feeding inhibition in tunnel tests. Results At 36 months, Olyset® Plus lost 52% permethrin and 87% PBO content; Olyset® Net lost 24% permethrin. Over 80% of Olyset® Plus and Olyset® Net passed the WHO efficacy criteria for LLINs up to 18 and 12 months, respectively. At month 36, 91.2% Olyset® Plus and 86.4% Olyset® Net survived, while 72% and 63% developed at least one hole. The proportionate Hole Index (pHI) values representing nets in good, serviceable and torn condition were 49.6%, 27.1% and 23.2%, respectively for Olyset® Plus, and 44.9%, 32.8% and 22.2%, respectively for Olyset® Net but were not significantly different. Conclusions Olyset® Plus retained efficacy above or close to the WHO efficacy criteria for about 2 years than Olyset® Net (1–1.5 years). Both nets did not meet the 3-year WHO efficacy criteria, and showed little attrition, comparable physical durability and survivorship, with 50% of Olyset® Plus having good and serviceable condition after 3 years. Better community education on appropriate use and upkeep of LLINs is essential to ensure effectiveness of LLIN based malaria interventions. Graphical Abstract

Coverage, Usage, Physical Integrity, and Bio-efficacy of Olyset Nets in the Plateau Region, South Benin Following the 2011 Nationwide Distribution

The present study investigated in 8 villages of the Plateau region the coverage, usage, physical integrity, and bio-efficacy of the Olyset nets distributed nationwide by the Benin's National Malaria Control Programme in July 2011. The questionnaire administered as well as the observations made in the households allowed estimating the coverage and usage rates of the 2011 Olyset nets. While their physical integrity was assessed through standard WHO methodology, their bio-efficacy was evaluated through gas chromatography, and WHO cone testing performed with the Kisumu susceptible strain. Mosquito collections through human landing catches (HLCs) were also performed in torn nets to assess if a loss of protection of sleepers occurred as the nets fabric integrity got more damaged. Nine months postdistribution, the coverage and usage rates of the 2011 Olyset nets were 67.4% (95% CI: 65.8–68.9) and 73.3% (95% CI: 70.7–75.8) respectively. About 28% of the 2011 Olyset nets were torn. A drastic drop of the insecticide quantity on the fibers of the nets [from 7.08 µg (95% CI: 5.74–8.42) to 0.2 µg (95% CI: 0.01–0.38)] as well as mortality rates <80% were observed with most nets evaluated. Moreover, the biting rates of An. gambiae s.l. (Diptera: Culicidae) inside torn nets increased in line with their fabric integrity loss. These data support the conclusion that future deployment of nets in the field must be strengthened by community sensitization on their correct use in order to postpone as much as possible appearance of holes and loss of insecticidal activity and encourage repairing of torn nets.

A new approach to flood vulnerability assessment for historic buildings in England

The recent increase in frequency and severity of flooding in the UK has led to a shift in the perception of risk associated with flood hazards. This has extended to the conservation community, and the risks posed to historic structures that suffer from flooding are particularly concerning for those charged with preserving and maintaining such buildings. In order to fully appraise the risks in a manner appropriate to the complex issue of preservation, a new methodology is presented here that studies the nature of the vulnerability of such structures, and places it in the context of risk assessment, accounting for the vulnerable object and the subsequent exposure of that object to flood hazards. The testing of the methodology is carried out using three urban case studies and the results of the survey analysis provide guidance on the development of fragility curves for historic structures exposed to flooding. This occurs through appraisal of vulnerability indicators related to building form, structural and fabric integrity, and preservation of architectural and archaeological values. Key findings of the work include determining the applicability of these indicators to fragility analysis, and the determination of the relative vulnerability of the three case study sites.

A new approach to flood loss estimation and vulnerability assessment for historic buildings in England

The recent increase in frequency and severity of flooding in the UK has led to a shift in the perception of risk associated with flood hazards. This has extended to the conservation community, and the risks posed to historic structures that suffer from flooding are particularly concerning for those charged with preserving and maintaining such buildings. In order to fully appraise the risks in a manner appropriate to the complex issue of preservation, a new methodology is proposed that studies the nature of vulnerability of such structures, and places it in the context of risk assessment, accounting for the vulnerable object and the subsequent exposure of that object to flood hazards. The testing of the methodology is carried out using three urban case studies and the results of the survey analysis provide key findings and guidance on the development of fragility curves for historic structures exposed to flooding. This occurs through appraisal of key vulnerability indicators related to building form, structural and fabric integrity, and preservation of architectural and archaeological values. This in turn facilitates the production of strategies for mitigating and managing the losses threatened by such extreme climate events.