Impacts of dual active-ingredient bed nets on the behavioural responses of pyrethroid resistant Anopheles gambiae determined by room-scale infrared video tracking

3D video tracking analysis reveals that mosquitoes pass more likely through holes in permethrin-treated than in untreated nets

In addition to killing, mosquito nets treated with permethrin have been claimed to repel mosquitoes, reducing their success in passing through a holed net. We have tested this hypothesis by tracking mosquitoes in a modified World Health Organization tunnel test. In the original assay, mosquitoes are released at one end of the tunnel and have to pass through a holed piece of net to reach the bait at the other end. The mosquitoes are left in the tunnel overnight, while mortality and feeding rates are scored the following morning. Since the original test does not reveal how mosquitoes move within the tunnel, we combined the tunnel with a 3D video camera system. We tracked susceptible and permethrin-resistant Anopheles gambiae s.s. as they moved in the tunnel and interacted with an untreated or a permethrin-treated net (Olyset Net®). Surprisingly, while permethrin increased the mortality and reduced blood-feeding rates, twice as many mosquitoes passed through the holes of the permethrin-treated net. The flight trajectories reveal that upon exposure to the permethrin-treated net, both mosquito colonies showed increased 'excitation', thereby augmenting their chance of getting through the holes in the net. The study underlines the complexity of behavioural modes of action of insecticides.

Trapping and killing performance of a PermaNet 2.0 hybrid mosquito trapping bednet: an experimental hut evaluation

Background

Despite the huge global effort , there has been an increase in malaria morbidity and mortality in sub-Saharan Africa since 2015, from 212 million cases and 429,000 deaths in 2015 to 241 million cases and 627,000 deaths in 2020 mainly because of resistance to insecticide. Therefore, advancing innovative approaches is the only sustainable way to fight malaria.

Methods

Taking advantage of the behavior of mosquitoes around the net, which is almost 70-90% concentrated on the roof, we have developed a two-compartment mosquito bednet, the so-called T-Net for mass mosquito trapping and killing. In the current study, we investigated in an experimental hut trial, the efficacy of trapping-long-lasting insecticide-treated nets (T-LLINs) against Anopheles gambiae s.l. in an insecticide resistance context. Five different arms have been considered in this study including three positive control arms e.g. PermaNet 2.0 LLIN, Tsara boost LLIN and Interceptor generation 2 (IG2) LLIN), one negative control arm using insecticide-free bednet, and one candidate arm using a hybrid-treated trapping bednet made with PermaNet 2.0 LLIN mounted with an insecticide-free compartment (T-LLIN).

Results

The highest average daily mortality was recorded with the T-LLIN. In total, 678 mosquitoes were killed by T-LLIN among the 760 collected, i.e. 89.2%. Out of these, 317 were found in the trap compartment, representing 46.75% of mortality directly attributable to the mechanical effect of this net. This added value made it possible to quantify the increased in the killing effect that this net would have over the positive control arms: this would be 58.5% higher than the killing effect of PN2.0, 38% higher than that of Tsara boost and 31.5% higher than that of IG2.

Conclusion

The current study shows potential to maximize the efficiency of the WHO-recommended LLINs by an addition of an insecticide-free trap compartment on top of the net.

Insecticidal roof barriers mounted on untreated bed nets can be as effective against Anopheles gambiae as regular insecticide-treated bed nets

Barrier bednets (BBnets), regular bednets with a vertical insecticidal panel to target mosquitoes above the bednet roof, where they are most active, have the potential to improve existing Insecticidal Treated Bednets (ITNs), by reducing the quantity of insecticide required per net, reducing the toxic risks to those using the net, potentially increasing insecticide choice. We evaluated the performance of PermaNet 3.0 (P3) and untreated (Ut) bed nets with and without pyrethroid and piperonyl butoxide roof barriers in killing pyrethroid-resistant and susceptible Anopheles gambiae, simultaneously video-recording mosquito flight tracks. Bioassay results showed that treated roof barriers, particularly the longitudinal P3 barrier (P3L) could be an effective addition to a bed net: P3 + P3L were consistently significantly more effective than the reference P3 bednet while performance of untreated nets could be raised to equal that of the reference P3 following the addition of a P3 barrier. The BBnet's potential to augment existing bednets and enhance their performance is considered.