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DOI10.1038/s41467-021-22896-5
The impact of stopping and starting indoor residual spraying on malaria burden in Uganda
Namuganga J.F.; Epstein A.; Nankabirwa J.I.; Mpimbaza A.; Kiggundu M.; Sserwanga A.; Kapisi J.; Arinaitwe E.; Gonahasa S.; Opigo J.; Ebong C.; Staedke S.G.; Shililu J.; Okia M.; Rutazaana D.; Maiteki-Sebuguzi C.; Belay K.; Kamya M.R.; Dorsey G.; Rodriguez-Barraquer I.
发表日期2021
ISSN2041-1723
卷号12期号:1
英文摘要The scale-up of malaria control efforts has led to marked reductions in malaria burden over the past twenty years, but progress has slowed. Implementation of indoor residual spraying (IRS) of insecticide, a proven vector control intervention, has been limited and difficult to sustain partly because questions remain on its added impact over widely accepted interventions such as bed nets. Using data from 14 enhanced surveillance health facilities in Uganda, a country with high bed net coverage yet high malaria burden, we estimate the impact of starting and stopping IRS on changes in malaria incidence. We show that stopping IRS was associated with a 5-fold increase in malaria incidence within 10 months, but reinstating IRS was associated with an over 5-fold decrease within 8 months. In areas where IRS was initiated and sustained, malaria incidence dropped by 85% after year 4. IRS could play a critical role in achieving global malaria targets, particularly in areas where progress has stalled. © 2021, The Author(s).
语种英语
scopus关键词bendiocarb; chlorphenotane; pyrethroid; insecticide; disease incidence; disease vector; indoor air; insecticide; malaria; spatiotemporal analysis; Article; demography; disease surveillance; global disease burden; health care facility; human; human impact (environment); incidence; indoor residual spraying; malaria; microscopy; multicenter study; sensitivity analysis; starting indoor residual spraying; stopping indoor residual spraying; temporal analysis; trend study; Uganda; vector control; animal; Anopheles; epidemiological monitoring; geography; malaria; mosquito control; mosquito vector; parasitology; procedures; Uganda; Animals; Anopheles; Epidemiological Monitoring; Geography; Humans; Incidence; Insecticides; Malaria; Mosquito Control; Mosquito Vectors; Uganda
来源期刊Nature Communications
文献类型期刊论文
条目标识符http://gcip.llas.ac.cn/handle/2XKMVOVA/251451
作者单位Infectious Diseases Research Collaboration, Kampala, Uganda; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, United States; Department of Medicine, Makerere University, College of Health Sciences, Kampala, Uganda; Child Health and Development Centre, Makerere University, College of Health Sciences, Kampala, Uganda; National Malaria Control Division, Ministry of Health, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; US President’s Malaria Initiative – VectorLink Uganda Project, Kampala, Uganda; US President’s Malaria Initiative, USAID/Uganda Senior Malaria Advisor, Kampala, Uganda; Department of Medicine, University of California San Francisco, San Francisco, CA, United States
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Namuganga J.F.,Epstein A.,Nankabirwa J.I.,et al. The impact of stopping and starting indoor residual spraying on malaria burden in Uganda[J],2021,12(1).
APA Namuganga J.F..,Epstein A..,Nankabirwa J.I..,Mpimbaza A..,Kiggundu M..,...&Rodriguez-Barraquer I..(2021).The impact of stopping and starting indoor residual spraying on malaria burden in Uganda.Nature Communications,12(1).
MLA Namuganga J.F.,et al."The impact of stopping and starting indoor residual spraying on malaria burden in Uganda".Nature Communications 12.1(2021).
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