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Diseases transmitted by insects continue to have a major impact on human populations. Malaria, dengue, onchocerciasis, sleeping sickness and leishmaniasis all adversely affect man. Malaria is one of the most important causes of child mortality and reduces economic development in many countries, with agricultural productivity often greatly reduced, as many vectors are active in the wet season favourable for crop production. Vector control is crucial to reduce the extent to which drugs are needed to treat the diseases, as the parasite can become resistant, or the drugs are often too expensive for those living in rural areas and urban slums most affected by these diseases. Chemical control of vectors is often the only method that can reduce vector populations in a disease epidemic, but with vectors developing resistance to insecticides, there is increasing awareness that a single control method is often insufficient and also that chemical control must be integrated where possible with other control measures. In Integrated Vector Management, Graham Matthews covers the main chemical methods of vector control, including the use of indoor residual spraying, space treatments, the use of treated bed nets and larviciding, but also stresses the importance of drainage schemes and improvement of houses to prevent access of indoor vectors, techniques that have largely been responsible for reducing the risk of vector borne diseases in Europe and the USA. This book combines practical information from successful vector control programmes, including early use of DDT, and recent research into a vital resource for all those now involved in combating insect vector borne diseases. Integrated Vector Management is an essential tool, not only for medical entomologists and those directly involved in government health departments, but also for all those who provide the skills and management needed to operate successful area-wide vector management programmes. Libraries in all universities and research establishments world-wide, where biological sciences, medicine and agriculture are studied and taught should have multiple copies of this important book.
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Seitenzahl: 353
Veröffentlichungsjahr: 2011
Contents
Preface
Acknowledgements
Chapter 1 Introduction
Insect vectors
Chemical control
Conclusion
Chapter 2 Indoor Residual Spraying
Equipment for indoor residual spraying
Spray volume
Insecticides
Operator exposure
Resident exposure
Implementation of indoor residual spraying
Village intervention teams
Planning programmes
Insecticides
Equipment required
Storage
Training
Monitoring
Environmental assessment
Evaluation
Economics
Conclusion
Chapter 3 Space Treatment
Requirements for space treatments
Equipment for space treatments
Portable equipment
Mist treatments
Vehicle mounted equipment
Aerial application
Insecticides
Planning
Assessment of space sprays
Monitoring
Conclusion
Chapter 4 Bed Nets and Treated Clothing
Material
Mesh size
Shape
Insecticide
Insecticide impregnation
Impact of washing nets
Distribution of nets
Trial data
Operational use
Treated clothing
Impregnated sheeting
Conclusion
Chapter 5 Larviciding
Larvicide application
Mosquito control
Monitoring
Black flies
Insecticides
Conclusion
Chapter 6 Integrated Vector Management
Barrier treatments
Implementation of IVM
An example of IVM at Copper mines in Zambia (data from Peter Mukuka)
Costs
Development of new technology
Conclusion
Chapter 7 Other Insects – Flies, Cockroaches and Bed Bugs
Flies
Cockroaches
Bed bugs
Conclusion
Chapter 8 Looking Ahead
New insecticides?
Can insecticides with new modes of action be developed?
Insecticide resistance
Bio-pesticides
Spray technology
Using a paint
Innovative application technique
Genetically modified mosquitoes
Attractants
Urbanisation
Economics
Conclusion
References
Appendix A Calibration
Appendix B Conversion Tables
Index
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Library of Congress Cataloging-in-Publication Data
Matthews, G. A.Integrated vector management : controlling vectors of malaria and other insect vector borne diseases / Graham Matthews.p. cm.Includes bibliographical references and index.ISBN-13: 978-0-470-65966-3 (hardcover : alk. paper)ISBN-10: 0-470-65966-11. Insects as carriers of disease–Integrated control. 2. Vector control. 3. Insect pests–Integrated control. I. Title. II. Title: Controlling vectors of malaria and other insect vector borne diseases.RA639.5.M38 2011614.4’32–dc23
2011018906
A catalogue record for this book is available from the British Library.
This book is published in the following electronic formats: ePDF [9781119950325]; ePub [9781119950332]; Mobi [9781119950349]
Preface
Insects are responsible for the transmission of several extremely important diseases of man, including malaria, dengue hemorrhagic fever and onchocerciasis. While considering all major vectors, much of this book concentrates on the control of Anopheline mosquitoes, as the vectors of malaria. Globally, the number of cases of malaria is estimated at about 250 million with the greatest burden of this disease in sub-Saharan Africa, accounting for over 80% of the cases. Absenteeism from work causes an estimated reduction of economic growth of 1.3%. In 2006, WHO estimated that there were over 800,000 deaths, with 90% in the African region, where malaria is the cause of 17% of the mortality of children under 5 years of age.
One of the United Nations Millennium goals is to halt and begin to reverse the incidence of malaria and other major diseases by 2015. Much progress has been made and the Global Fund had approved funding for programmes that had distributed 104 million bed nets and treated 108 million cases of malaria by the end of 2009. However in Africa, where there is the greatest need to control malaria, work is hampered by poverty, weak health systems due to limited numbers of skilled health workers and problems of accessibility to those most in need.
A key method of reducing the deaths of children has been the advocacy of deploying insecticide treated bed nets to protect young children. Funding from key philanthropic, bilateral and multilateral sources and increased manufacture of these nets, from 30 million in 2004 to 95 million in 2007, has enabled net distribution in many countries, but there is still much progress still to be made to achieve the distribution of an estimated 250 million treated nets to reach 80% coverage in sub-Saharan Africa. As well as the deaths of young children, illness due to malaria affects vast numbers of people including farmers and others, thus affecting food security and economic productivity. If the control of vectors can be extended to become area-wide control programmes and encompass not just the control of mosquitoes, but also include vectors of other diseases, there is hope that productivity can be increased in sub-Saharan Africa and other less developed areas of the world so that poverty can be alleviated.
Controlling the vector by different techniques is increasingly important as the malarial parasite, Plasmodium spp. continues to develop resistance to drugs, thus effective reduction of the vector will reduce the number of people that will require treatment. Operational research to enable implementation or improvement of the tools already developed to control the insect vectors remains poorly funded. There is a need to develop practical combinations of vector control as part of integrated vector management programmes, yet already there is talk of eradicating malaria when much more research is needed to develop any new controls and as yet unproven methods for such a strategy to work.
Few trained in medicine will have any training in vector control, while specialist medical entomologists get little training in the use of insecticides. This book aims to provide an update on the methods of vector control that can be utilised today in the context of development since DDT was used against vectors. Future developments look beyond our present knowledge to assess whether any new approach, such as the deployment of genetically modified mosquitoes, can be added to our toolbox of control methods.
Acknowledgements
I wish to thank the following who have read and commented on one or more chapters and for supplying information: Andy Adams, Andy Bywater, Pierre Baleguel, Jane Bonds, John Clayton, Nigel Frazer-Evans, John Invest, Helen Pates Jamet, John Lucas, Bob Mickle, Peter Mukuka, Don Roberts, Graham White and especially Mark Latham, who has contributed significantly with his experience of mosquito control in the USA. Their contribution in their areas of specialist knowledge in vector control has greatly improved this book.
I am also indebted to the following for the supply of photographs and diagrams: Didier Baleguel, Roy Bateman, Clive Boase, Jane Bonds, John Clayton, Hans Dobson, Nigel Frazer-Evans, Chung Gait Fee, Ulrike Fillinger, Jörg Heckel, Eliningaya John Kweka, Mark Latham, Steve Lindsay, John Lucas, Bob Mickle, Peter Mukuka, Michael Reihle, Don Roberts, Werner Stahl, John Thomas. Figures 2.2 and 2.3 are reproduced from The Excellent Powder – DDT’s Political and Scientific History by Donald Roberts, Richard Tren with Roger Bate and Jennifer Zambone, published by Dog Ear Publishing, Indianapolis, USA. Figure 4.1 is with permission of the Freer Gallery of Art, Smithsonian Institute, Washington DC: Purchase – Harold P. Stern Memorial Fund, F1995.17. I thank Robert Hudson for alerting me to the illustration shown in Figure 4.1
The work has been based on experience with vector control equipment at the International Pesticide Application Research Centre, Imperial College since 1972, participating with the World Health Organisation Pesticide Evaluation Scheme in relation to equipment for vector control and more recently with field work by the Yaounde Initiative Foundation, Cameroon. I thank Moira for her understanding and encouragement during my visits to Cameroon and the writing of this book.
Chapter 1
Introduction
Vector borne diseases, such as malaria, are responsible for 17% of the global burden of parasitic and infectious diseases. They result in avoidable ill-health and death, economic hardship for affected communities and are a serious impediment to economic development. Malaria causes over 800,000 deaths a year, 85% of which occur in children under 5 years of age. Many people, in 100 countries still affected by malaria transmission, are unable to work due to recurring attacks of malaria.
Malaria was endemic in parts of the USA only 75 years ago, but vector control alongside development programmes has eliminated the disease. However, mosquito control remains essential in the USA, not only because the biting insects are considered to be an unacceptable nuisance, but they can also transmit a number of arboviral encephalitides, including St. Louis, Eastern Equine, Western Equine, Lacrosse and West Nile viruses.
Malaria was also endemic in parts of Europe, where drainage schemes and application of Dichlorodiphenyltrichloroethane (DDT) during the 1940s led to its eradication, although still liable to return when travellers infected in the tropics return with the disease to areas where the vector species still occur. Sporadic occurrences of so-called ‘airport malaria’ happen every year in Europe or the USA, with a few locally transmitted cases reported, but with a suitable vector present such occurrences could become permanently established or re-established.
In addition to malaria, a number of other very important diseases are transmitted by insect vectors (Table 1.1). Some of the vector borne diseases are no longer a problem in many parts of the world with improved housing and living standards, but they have remained in remote rural areas and urban slums, and some have started to spread into other countries. The World Health Organisation (WHO) has grouped these as the Neglected Tropical Diseases (WHO, 2010a), as governments have not paid so much attention to these problems.
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