Premium
Control de la Malaria utilizando pulverización residual interior y pez larvívoro: un caso estudiado en Betul, en India central
Author(s) -
Singh Neeru,
Shukla M. M.,
Mishra A. K.,
Singh M. P.,
Paliwal J. C.,
Dash A. P.
Publication year - 2006
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2006.01703.x
Subject(s) - malaria , indoor residual spraying , plasmodium falciparum , anopheles , biology , environmental health , medicine , toxicology , veterinary medicine , immunology , artemisinin
Summary Objectives To assess the impact of intensified malaria control interventions in an ethnic minority community in Betul using existing tools. Methods Two rounds of indoor residual spraying with synthetic pyrethroid insecticide were applied and larvivorous fish introduced, followed by intensive surveillance for early detection of Plasmodium falciparum with rapid diagnostic tests and prompt treatment with sulphadoxine pyrimethamine. Results Pre‐intervention surveys revealed a very high fever rate in the community in all age groups with a slide positivity rate of >50% with >90% P. falciparum . The post‐intervention phase showed a sharp steady decline in number of malaria cases ( β 0.972; P < 0.0001, 95% CI 0.35–0.47). Monitoring of entomological results revealed a significant decline in both Anopheles species and An. culicifacies ( P < 0.0001). Conclusion A combination of indoor residual spraying and early detection and prompt treatment complemented by rapid diagnostic tests and larvivorous fishes successfully brought malaria under control. These approaches could be applied in other regions of different endemicity to control malaria in India. Keywords malaria, tribal , Plasmodium falciparum , forest , Anopheles culicifacies , vector