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Decreased bioefficacy of long-lasting insecticidal nets and the resurgence of malaria in Papua New Guinea

Author

Listed:
  • Rebecca Vinit

    (PNG Institute of Medical Research)

  • Lincoln Timinao

    (PNG Institute of Medical Research
    James Cook University)

  • Nakei Bubun

    (PNG Institute of Medical Research)

  • Michelle Katusele

    (PNG Institute of Medical Research)

  • Leanne J. Robinson

    (PNG Institute of Medical Research
    Burnet Institute)

  • Peter Kaman

    (PNG Institute of Medical Research)

  • Muker Sakur

    (PNG Institute of Medical Research)

  • Leo Makita

    (National Department of Health)

  • Lisa Reimer

    (Liverpool School of Tropical Medicine)

  • Louis Schofield

    (James Cook University)

  • William Pomat

    (PNG Institute of Medical Research)

  • Ivo Mueller

    (Walter and Eliza Hall Institute of Medical Research, 1G)

  • Moses Laman

    (PNG Institute of Medical Research)

  • Tim Freeman

    (Rotarians Against Malaria)

  • Stephan Karl

    (PNG Institute of Medical Research
    James Cook University)

Abstract

Papua New Guinea (PNG) has the highest malaria transmission outside of Africa. Long-lasting insecticidal nets (LLINs) are believed to have helped to reduce average malaria prevalence in PNG from 16% in 2008 to 1% in 2014. Since 2015 malaria in PNG has resurged significantly. Here, we present observations documenting decreased bioefficacy of unused LLINs with manufacturing dates between 2013 and 2019 collected from villages and LLIN distributors in PNG. Specifically, we show that of n = 167 tested LLINs manufactured after 2013, only 17% are fulfilling the required World Health Organisation bioefficacy standards of ≥ 80% 24 h mortality or ≥ 95% 60 min knockdown in bioassays with pyrethroid susceptible Anopheles farauti mosquitoes. In contrast, all (100%, n = 25) LLINs with manufacturing dates prior to 2013 are meeting these bioefficacy standards. These results suggest that decreased bioefficacy of LLINs is contributing to the malaria resurgence in PNG and increased scrutiny of LLIN quality is warranted.

Suggested Citation

  • Rebecca Vinit & Lincoln Timinao & Nakei Bubun & Michelle Katusele & Leanne J. Robinson & Peter Kaman & Muker Sakur & Leo Makita & Lisa Reimer & Louis Schofield & William Pomat & Ivo Mueller & Moses La, 2020. "Decreased bioefficacy of long-lasting insecticidal nets and the resurgence of malaria in Papua New Guinea," Nature Communications, Nature, vol. 11(1), pages 1-7, December.
  • Handle: RePEc:nat:natcom:v:11:y:2020:i:1:d:10.1038_s41467-020-17456-2
    DOI: 10.1038/s41467-020-17456-2
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