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Review
. 2015 Sep;93(3 Suppl):69-78.
doi: 10.4269/ajtmh.14-0844. Epub 2015 Aug 10.

Insecticide Resistance in Areas Under Investigation by the International Centers of Excellence for Malaria Research: A Challenge for Malaria Control and Elimination

Review

Insecticide Resistance in Areas Under Investigation by the International Centers of Excellence for Malaria Research: A Challenge for Malaria Control and Elimination

Martha L Quiñones et al. Am J Trop Med Hyg. 2015 Sep.

Abstract

Scale-up of the main vector control interventions, residual insecticides sprayed on walls or structures and/or impregnated in bed nets, together with prompt diagnosis and effective treatment, have led to a global reduction in malaria transmission. However, resistance in vectors to almost all classes of insecticides, particularly to the synthetic pyrethroids, is posing a challenge to the recent trend of declining malaria. Ten International Centers of Excellence for Malaria Research (ICEMR) located in the most malaria-endemic regions of the world are currently addressing insecticide resistance in the main vector populations, which not only threaten hope for elimination in malaria-endemic countries but also may lead to reversal where notable reductions in malaria have been documented. This communication illustrates the current status of insecticide resistance with a focus on the countries where activities are ongoing for 9 out of the 10 ICEMRs. Most of the primary malaria vectors in the ICEMR countries exhibit insecticide resistance, albeit of varying magnitude, and spanning all mechanisms of resistance. New alternatives to the insecticides currently available are still to be fully developed for deployment. Integrated vector management principles need to be better understood and encouraged, and viable insecticide resistance management strategies need to be developed and implemented.

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Figures

Figure 1.
Figure 1.
African region, including countries in the southern Africa, east Africa, and west Africa International Centers of Excellence for Malaria Research: summary of insecticide susceptibility status of malaria vectors showing the proportion of mosquitos killed in susceptibility bioassay tests, by country and site.
Figure 2.
Figure 2.
Latin American (LA) region, including countries in the LA and Amazonia International Centers of Excellence for Malaria Research: summary of insecticide susceptibility status of malaria vectors showing the proportion of mosquitos killed in susceptibility bioassay tests, by country and site.
Figure 2.
Figure 2.
Latin American (LA) region, including countries in the LA and Amazonia International Centers of Excellence for Malaria Research: summary of insecticide susceptibility status of malaria vectors showing the proportion of mosquitos killed in susceptibility bioassay tests, by country and site.
Figure 3.
Figure 3.
Pacific region, including countries in the Pacific International Centers of Excellence for Malaria Research: summary of insecticide susceptibility status of malaria vectors showing the proportion of mosquitos killed in susceptibility bioassay tests, by country and site.
Figure 4.
Figure 4.
South Asian region, including India and south Asia International Centers of Excellence for Malaria Research: summary of insecticide susceptibility status of malaria vectors showing the proportion of mosquitos killed in susceptibility bioassay tests, by country and site.
Figure 4.
Figure 4.
South Asian region, including India and south Asia International Centers of Excellence for Malaria Research: summary of insecticide susceptibility status of malaria vectors showing the proportion of mosquitos killed in susceptibility bioassay tests, by country and site.
Figure 5.
Figure 5.
Southeast (SE) Asian region, including countries in the SE Asia International Centers of Excellence for Malaria Research: summary of insecticide susceptibility status of malaria vectors showing the proportion of mosquitos killed in susceptibility bioassay tests, by country and site.

References

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