Use and effectiveness of commercial flit-spray insecticides in control of mosquito population in Sagamu, Southwest Nigeria.

INTRODUCTION: Control of mosquito vector is crucial to reducing the burden of malaria in endemic region. In the present study, we investigated the use of commercial insecticides in families and their effectiveness in control of mosquito population in Sagamu, southwest Nigeria. MATERIALS AND METHODS: A pretested structured questionnaire was used to determine mosquito adulticides techniques employed in the community and most commonly used adulticides were evaluated for effectiveness by exposing adult mosquitoes to varying concentrations of the insecticides and responses monitored. RESULTS: Families differ in methods adopted to prevent mosquito and use of flit-spray insecticide was commoner. Although parents constitute 64% of those applying the insecticide, 22.2% were children. Household pyrethroid insecticide products of Baygon (Imiprothrin, Prallethrin plus Cyfluthrin), Mobil (Neopynamin, Prallethrin plus Cyphenothrin) and Raid (Pynamin forte, Neopynamin plus Deltimethrin) were three commonly used in the community. The exposure tie interval for eath of osquitoes was shorter with Raid (100% at 8 minutes) when compared with Mobil (80%) and Baygon (85%) at 10 minutes (p = 0.005). Kaplan-Meier survival curve of cumulative probability of surviving exposure to insecticide was lowest with Raid (log rank 2 = 14.56, P = 0.001). CONCLUSION: Although flit-spray insecticides are affordable with simple application tool, inexplicit use-instruction on labels may cause discrepancies in application. Monitoring responses of mosquitoes to commercial flit-spray insecticide may support effective control technique and prevention of vector resistance in poor resource communities.

Use and effects of malaria control measures in pregnancy in Lagos, Nigeria.

In Nigeria, malaria causes up to 11% of maternal mortality. Our main aim was to find out the most common mosquito control measures employed by the pregnant women in Lagos and their effects on malaria infection. The study was carried out over a period of 6 months during which trained interviewers administered questionnaires to 400 pregnant women. The prevalence of malaria was 8.4%. There was no significant association between the prevalence of malaria and age, level of education, or occupation of the participants. Pregnant women in the age range 26-30 had the mean parasite density (409.9 ± 196.80). Insecticide spray (32.8%), mosquito coil (27.5%), and insecticide-treated nets (ITN) (15.5%) were the major mosquito control measures employed by the participants while the prevalence of infection among them were 2.3%, 6.2%, and 3.2%, respectively (P<0.05). Only 18.3% of the women had taken more than one dose of intermittent preventive treatment (IPT), while another 11.8% had taken a single dose. The infection rate among them was 4.1% and 6.4%, respectively. Malaria prevalence was highest among those who had not received any dose of IPT (10%). This study showed that the use of ITN and IPT among the pregnant women were still unacceptably low. It also showed that the use of insecticide spray which was the most common malaria control measure adopted by the participants was effective despite the fact that it is not a National Malaria Control Policy. We recommend that a sustained integrated mosquito management and public education should be strengthened in Nigeria.

High-level parasitic contamination of soil sampled in Ibadan metropolis.

Soil transmitted helminthes infections are common chronic human infections worldwide, this has been recognized as an important health problem, particularly in developing countries. The study was conducted within Ibadan metropolis in Oyo State, south western Nigeria between September 2008 and March 2009 to determine the prevalence of intestinal parasite in soil samples within the city. A total of 102 soil samples were collected from different sources from five local government areas ranging from refuse dumps, vegetable farms, school play grounds, abattoir, hospital, vicinity of house, gutter and road side. Two different methods of concentrating ova/cysts of parasites were used to analyze the samples--the zinc sulphate floatation technique and concentrated glucose solution method. Fifty-seven (55.9%) soil samples were positive for one or more parasites. These included; hookworm (37.3%), Strongyloides stercoralis (20%), Entamoeba histolytica (18.7%), Ascaris lumbricoides (17.3%), Trichuris trichiura (6.7%) respectively. The total number of parasites recovered was 75 (73.5%) and 74 (98.7) of these were recovered by the zinc sulphate floatation technique while only 44% was recovered by the concentrated normal saline-glucose solution technique. This study thus established the high prevalence rate of intestinal parasites in the soil sampled in Ibadan city and this obviously is one major means by which residents are at risk of parasitic diseases and also one of the means of vegetable contamination.

Residual efficacy of field-applied permethrin, d-phenothrin, and resmethrin on plant foliage against adult mosquitoes.

Backpack sprayer applications of permethrin, d-phenothrin, and resmethrin to vegetation and plants at Anastasia Island, St. Augustine, FL, were evaluated for duration of residual efficacy against adult mosquitoes. All treatments produced 100% mortality (24 h) of mosquitoes in test cages placed within the vegetation. At 48 h and 1 wk posttreatment, insecticide treatments resulted in 70-100% reduction of adult mosquitoes caught by Centers for Disease Control and Prevention traps baited with 1-octen-3-ol. Insecticide residues in excised leaves from both treated and control areas of the study sites were evaluated against adult female Culex quinquefasciatus by laboratory bioassay. Permethrin produced 90% mortality up to 1 wk postapplication. Both d-phenothrin and resmethrin produced nearly this level of mortality for a much shorter duration of <48 h postapplication, with residual effects dropping significantly thereafter. Average insecticide concentrations in leaves were quantified by gas chromatography/mass spectroscopy, and some correlation was observed between chemical and biological results.

The effects of artemether-lumefantrine vs amodiaquine-sulfalene-pyrimethamine on the hepatomegaly associated with Plasmodium falciparum malaria in children.

An open randomized controlled study of artemether-lumefantrine (AL) and amodiaquine-sulfalene-pyrimethamine (ASP) for the treatment of uncomplicated Plasmodium falciparum malaria was carried out in 181 children. In 79 children, the hepatomegaly reduction ratios (HRR) and the speed of resolution of hepatomegaly, the hepatomegaly resolution rates (HRSR), were calculated and compared between the two treatment groups. HRR and HRSR were similar in the two treatment groups. HRSR was 71% and 62% in AL- and ASP-treated children, respectively, 14 days after commencing treatment. There was no significant correlation between HRR and parasite reduction ratio in the same patient. In children in whom parasitaemia cleared and hepatomegaly resolved within 14 days, recurrence of parasitaemia was associated with reoccurrence of hepatomegaly, suggesting that the propensity for recurrence of infection drives the malaria-attributable hepatomegaly in children from this endemic area. Combination therapy may provide additional beneficial effects on pathophysiological processes and changes associated with falciparum malaria by rapid clearing of asexual parasitaemia and reducing the propensity for recurrence of infection.

Plasmodium falciparum malaria in Nigerian children during high and low transmission seasons: gametocyte carriage and response to oral chloroquine.

Plasmodium falciparum malaria during high and low transmission seasons was evaluated in 1031 children treated with different antimalarial drug in a hyperendemic area of southwestern Nigeria. Seventy-three (10.5%) of 693 and forty (11.8%) of 338 children were gametocyte carriers in the high transmission seasons (HTS) and low transmission seasons (LTS), respectively. In a multiple regression model, two factors were found to be independent risk factors for the presence of gametocytemia at enrolment in the HTS: duration of illness >3 d, and asexual parasite densities less than 10,000/microl. Similarly male gender, duration of illness >4 d and parasite density less than 5000/mul were found independent risk factors for presence of gametocytemia during LTS. The presenting parasitemia, parasite clearance times, intensity of gametocytemia and proportion carrying gametocytes post treatment differ significantly in the 333 (32.3%) of these children that were treated with chloroquine in the two seasons. These findings may be important in our understanding of P. falciparum transmission sustenance, response to chloroquine therapy and contribution of chloroquine to gametocyte carriage as seasonal changes occur.