VECTOR
CONTROL
MOOC
VECTOR
CONTROL
• Cri-cal
component
of
global
malaria
control
strategies
• Aims
at
both
adult
and
larval
stages
Common
methods:
– Indoor
residual
spraying
(IRS)
– Insec-cide
treated
nets
(ITNs)
– Personal
protec-on
– Larval
source
management
(LSM)
Indoor
Residual
Spraying
• Choice
and
type
of
insec-cide
depends
on
vector
biology,
resistance
of
target
mosquito,
acceptability
and
affordability
Ø Organochlorines
Ø Organophosphates
Ø
Carbamates
Ø Pyrethroids
• Applica-on-‐
EC
or
WP
formula-on,
compression
sprayer
Insec:cide
Treated
Nets
• Can
have
self
protec-on
and
mass
effect
• Protects
even
when
badly
torn
or
not
properly
placed
under
bed
• Uses
less
toxic
environmentally
friendly
insec-cides
such
as
pyrethroids
• Affordable
and
easily
to
administer
4
Personal
protec:on
• Appropriate
in
areas
where
the
vector
has
preference
to
feed
and
rest
outdoors
(exophagic-‐exophilic)
• Complementary
to
IRS
and
ITNs
Ø Protec-ve
clothing
Ø Improved
housing
Ø Space
spraying-‐aerosol
Ø Repellents
Ø Zooprophylaxis
5
Larval
source
management
• Effec-ve
where
breeding
sites
are:
o of
manageable
size
o can
be
located
o accessible
Ø
Appropriate
for
urban
areas
• It
includes
environmental
management,
larviciding,
the
use
of
biocides
and
biological
control
•
Environmental
management,
Ø Filling
in
or
drainage
of
large
breeding
sites
Ø IntermiRent
or
overhead
irriga-on
6
Larval
source
management
• Larviciding:
Larvicides:
Temephos,
Chlorpyrifos,
Pirimiphos-‐methyl,Fenthion
• Biocides:
Bacillus
thuringiensis,
B.
sphaericus
• Biological
control:
Predators
such
as
Gambusia
affinis
7
Decline
in
malaria
• Decline
in
transmission
and
clinical
burden
of
malaria
parasites
and
in
par-cular,
P.
falciparum
aRributed
to:
– Intensified
vector
control
strategies
– Climate
change
– Improved
rapid
diagnosis
and
treatment
– Improved
access
to
health
services