Insecticidal Bed Nets and Filariasis Transmission in Papua New Guinea

The n e w e ng l a n d j o u r na l of m e dic i n e original article Insecticidal Bed Nets and Filariasis Transmission in Papua New Guinea Lisa ...
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Insecticidal Bed Nets and Filariasis Transmission in Papua New Guinea Lisa J. Reimer, Ph.D., Edward K. Thomsen, M.Sc., Daniel J. Tisch, Ph.D., Cara N. Henry-Halldin, Ph.D., Peter A. Zimmerman, Ph.D., Manasseh E. Baea, Henry Dagoro,* Melinda Susapu, B.A., Manuel W. Hetzel, Ph.D., Moses J. Bockarie, Ph.D., Edwin Michael, Ph.D., Peter M. Siba, Ph.D., and James W. Kazura, M.D.

A bs t r ac t Background

Global efforts to eliminate lymphatic filariasis are based on the annual mass administration of antifilarial drugs to reduce the microfilaria reservoir available to the mosquito vector. Insecticide-treated bed nets are being widely used in areas in which filariasis and malaria are coendemic. Methods

We studied five villages in which five annual mass administrations of antifilarial drugs, which were completed in 1998, reduced the transmission of Wuchereria bancrofti, one of the nematodes that cause lymphatic filariasis. A total of 21,899 anopheles mosquitoes were collected for 26 months before and 11 to 36 months after bed nets treated with long-lasting insecticide were distributed in 2009. We evaluated the status of filarial infection and the presence of W. bancrofti DNA in anopheline mosquitoes before and after the introduction of insecticide-treated bed nets. We then used a model of population dynamics to estimate the probabilities of transmission cessation. Results

Village-specific rates of bites from anopheline mosquitoes ranged from 6.4 to 61.3 bites per person per day before the bed-net distribution and from 1.1 to 9.4 bites for 11 months after distribution (P