Effect of village-wide use of long-lasting insecticidal nets on visceral Leishmaniasis vectors in India and Nepal: a cluster randomized trial
Visceral leishmaniasis (VL) control in the Indian subcontinent is currently based on case detection and treatment, and on vector control using indoor residual spraying (IRS). The use of long-lasting insecticidal nets (LN) has been postulated as an alternative or complement to IRS. Here we tested the...
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creator | Picado, Albert Das, Murari L Kumar, Vijay Kesari, Shreekant Dinesh, Diwakar S Roy, Lalita Rijal, Suman Das, Pradeep Rowland, Mark Sundar, Shyam Coosemans, Marc Boelaert, Marleen Davies, Clive R |
description | Visceral leishmaniasis (VL) control in the Indian subcontinent is currently based on case detection and treatment, and on vector control using indoor residual spraying (IRS). The use of long-lasting insecticidal nets (LN) has been postulated as an alternative or complement to IRS. Here we tested the impact of comprehensive distribution of LN on the density of Phlebotomus argentipes in VL-endemic villages.
A cluster-randomized controlled trial with household P. argentipes density as outcome was designed. Twelve clusters from an ongoing LN clinical trial--three intervention and three control clusters in both India and Nepal--were selected on the basis of accessibility and VL incidence. Ten houses per cluster selected on the basis of high pre-intervention P. argentipes density were monitored monthly for 12 months after distribution of LN using CDC light traps (LT) and mouth aspiration methods. Ten cattle sheds per cluster were also monitored by aspiration.
A random effect linear regression model showed that the cluster-wide distribution of LNs significantly reduced the P. argentipes density/house by 24.9% (95% CI 1.80%-42.5%) as measured by means of LTs.
The ongoing clinical trial, designed to measure the impact of LNs on VL incidence, will confirm whether LNs should be adopted as a control strategy in the regional VL elimination programs. The entomological evidence described here provides some evidence that LNs could be usefully deployed as part of the VL control program.
ClinicalTrials.gov CT-2005-015374. |
doi_str_mv | 10.1371/journal.pntd.0000587 |
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A cluster-randomized controlled trial with household P. argentipes density as outcome was designed. Twelve clusters from an ongoing LN clinical trial--three intervention and three control clusters in both India and Nepal--were selected on the basis of accessibility and VL incidence. Ten houses per cluster selected on the basis of high pre-intervention P. argentipes density were monitored monthly for 12 months after distribution of LN using CDC light traps (LT) and mouth aspiration methods. Ten cattle sheds per cluster were also monitored by aspiration.
A random effect linear regression model showed that the cluster-wide distribution of LNs significantly reduced the P. argentipes density/house by 24.9% (95% CI 1.80%-42.5%) as measured by means of LTs.
The ongoing clinical trial, designed to measure the impact of LNs on VL incidence, will confirm whether LNs should be adopted as a control strategy in the regional VL elimination programs. The entomological evidence described here provides some evidence that LNs could be usefully deployed as part of the VL control program.
ClinicalTrials.gov CT-2005-015374.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0000587</identifier><identifier>PMID: 20126269</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Animals ; Bedding and Linens ; Cattle ; Clinical trials ; Households ; India ; Infectious Diseases/Epidemiology and Control of Infectious Diseases ; Infectious Diseases/Neglected Tropical Diseases ; Insect Control - methods ; Insect Vectors - drug effects ; Insect Vectors - growth & development ; Insecticides ; Insecticides - chemistry ; Insecticides - pharmacology ; Leishmaniasis, Visceral - prevention & control ; Nepal ; Parasitic diseases ; Phlebotomus - drug effects ; Phlebotomus - growth & development ; Population density ; Public health ; Sand & gravel ; Studies ; Tropical diseases</subject><ispartof>PLoS neglected tropical diseases, 2010-01, Vol.4 (1), p.e587</ispartof><rights>2010 Picado et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: Picado A, Das ML, Kumar V, Kesari S, Dinesh DS, et al. (2010) Effect of Village-wide Use of Long-Lasting Insecticidal Nets on Visceral Leishmaniasis Vectors in India and Nepal: A Cluster Randomized Trial. PLoS Negl Trop Dis 4(1): e587. doi:10.1371/journal.pntd.0000587</rights><rights>Picado et al. 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c591t-3ce5b7bf1df4a595b45d0cc9139e81d354b7d4e43c2a98d7f3ffe3c7a1b987023</citedby><cites>FETCH-LOGICAL-c591t-3ce5b7bf1df4a595b45d0cc9139e81d354b7d4e43c2a98d7f3ffe3c7a1b987023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811172/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811172/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23865,27923,27924,53790,53792,79371,79372</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20126269$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Dinglasan, Rhoel Ramos</contributor><creatorcontrib>Picado, Albert</creatorcontrib><creatorcontrib>Das, Murari L</creatorcontrib><creatorcontrib>Kumar, Vijay</creatorcontrib><creatorcontrib>Kesari, Shreekant</creatorcontrib><creatorcontrib>Dinesh, Diwakar S</creatorcontrib><creatorcontrib>Roy, Lalita</creatorcontrib><creatorcontrib>Rijal, Suman</creatorcontrib><creatorcontrib>Das, Pradeep</creatorcontrib><creatorcontrib>Rowland, Mark</creatorcontrib><creatorcontrib>Sundar, Shyam</creatorcontrib><creatorcontrib>Coosemans, Marc</creatorcontrib><creatorcontrib>Boelaert, Marleen</creatorcontrib><creatorcontrib>Davies, Clive R</creatorcontrib><title>Effect of village-wide use of long-lasting insecticidal nets on visceral Leishmaniasis vectors in India and Nepal: a cluster randomized trial</title><title>PLoS neglected tropical diseases</title><addtitle>PLoS Negl Trop Dis</addtitle><description>Visceral leishmaniasis (VL) control in the Indian subcontinent is currently based on case detection and treatment, and on vector control using indoor residual spraying (IRS). The use of long-lasting insecticidal nets (LN) has been postulated as an alternative or complement to IRS. Here we tested the impact of comprehensive distribution of LN on the density of Phlebotomus argentipes in VL-endemic villages.
A cluster-randomized controlled trial with household P. argentipes density as outcome was designed. Twelve clusters from an ongoing LN clinical trial--three intervention and three control clusters in both India and Nepal--were selected on the basis of accessibility and VL incidence. Ten houses per cluster selected on the basis of high pre-intervention P. argentipes density were monitored monthly for 12 months after distribution of LN using CDC light traps (LT) and mouth aspiration methods. Ten cattle sheds per cluster were also monitored by aspiration.
A random effect linear regression model showed that the cluster-wide distribution of LNs significantly reduced the P. argentipes density/house by 24.9% (95% CI 1.80%-42.5%) as measured by means of LTs.
The ongoing clinical trial, designed to measure the impact of LNs on VL incidence, will confirm whether LNs should be adopted as a control strategy in the regional VL elimination programs. The entomological evidence described here provides some evidence that LNs could be usefully deployed as part of the VL control program.
ClinicalTrials.gov CT-2005-015374.</description><subject>Animals</subject><subject>Bedding and Linens</subject><subject>Cattle</subject><subject>Clinical trials</subject><subject>Households</subject><subject>India</subject><subject>Infectious Diseases/Epidemiology and Control of Infectious Diseases</subject><subject>Infectious Diseases/Neglected Tropical Diseases</subject><subject>Insect Control - methods</subject><subject>Insect Vectors - drug effects</subject><subject>Insect Vectors - growth & development</subject><subject>Insecticides</subject><subject>Insecticides - chemistry</subject><subject>Insecticides - pharmacology</subject><subject>Leishmaniasis, Visceral - prevention & control</subject><subject>Nepal</subject><subject>Parasitic diseases</subject><subject>Phlebotomus - drug effects</subject><subject>Phlebotomus - growth & development</subject><subject>Population density</subject><subject>Public health</subject><subject>Sand & gravel</subject><subject>Studies</subject><subject>Tropical 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of village-wide use of long-lasting insecticidal nets on visceral Leishmaniasis vectors in India and Nepal: a cluster randomized trial</title><author>Picado, Albert ; Das, Murari L ; Kumar, Vijay ; Kesari, Shreekant ; Dinesh, Diwakar S ; Roy, Lalita ; Rijal, Suman ; Das, Pradeep ; Rowland, Mark ; Sundar, Shyam ; Coosemans, Marc ; Boelaert, Marleen ; Davies, Clive R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c591t-3ce5b7bf1df4a595b45d0cc9139e81d354b7d4e43c2a98d7f3ffe3c7a1b987023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Animals</topic><topic>Bedding and Linens</topic><topic>Cattle</topic><topic>Clinical trials</topic><topic>Households</topic><topic>India</topic><topic>Infectious Diseases/Epidemiology and Control of Infectious Diseases</topic><topic>Infectious Diseases/Neglected Tropical Diseases</topic><topic>Insect Control - methods</topic><topic>Insect Vectors - drug effects</topic><topic>Insect Vectors - growth & development</topic><topic>Insecticides</topic><topic>Insecticides - chemistry</topic><topic>Insecticides - pharmacology</topic><topic>Leishmaniasis, Visceral - prevention & control</topic><topic>Nepal</topic><topic>Parasitic diseases</topic><topic>Phlebotomus - drug effects</topic><topic>Phlebotomus - growth & development</topic><topic>Population density</topic><topic>Public health</topic><topic>Sand & gravel</topic><topic>Studies</topic><topic>Tropical diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Picado, Albert</creatorcontrib><creatorcontrib>Das, Murari L</creatorcontrib><creatorcontrib>Kumar, Vijay</creatorcontrib><creatorcontrib>Kesari, Shreekant</creatorcontrib><creatorcontrib>Dinesh, Diwakar S</creatorcontrib><creatorcontrib>Roy, Lalita</creatorcontrib><creatorcontrib>Rijal, Suman</creatorcontrib><creatorcontrib>Das, 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Trop Dis</addtitle><date>2010-01-26</date><risdate>2010</risdate><volume>4</volume><issue>1</issue><spage>e587</spage><pages>e587-</pages><issn>1935-2735</issn><issn>1935-2727</issn><eissn>1935-2735</eissn><abstract>Visceral leishmaniasis (VL) control in the Indian subcontinent is currently based on case detection and treatment, and on vector control using indoor residual spraying (IRS). The use of long-lasting insecticidal nets (LN) has been postulated as an alternative or complement to IRS. Here we tested the impact of comprehensive distribution of LN on the density of Phlebotomus argentipes in VL-endemic villages.
A cluster-randomized controlled trial with household P. argentipes density as outcome was designed. Twelve clusters from an ongoing LN clinical trial--three intervention and three control clusters in both India and Nepal--were selected on the basis of accessibility and VL incidence. Ten houses per cluster selected on the basis of high pre-intervention P. argentipes density were monitored monthly for 12 months after distribution of LN using CDC light traps (LT) and mouth aspiration methods. Ten cattle sheds per cluster were also monitored by aspiration.
A random effect linear regression model showed that the cluster-wide distribution of LNs significantly reduced the P. argentipes density/house by 24.9% (95% CI 1.80%-42.5%) as measured by means of LTs.
The ongoing clinical trial, designed to measure the impact of LNs on VL incidence, will confirm whether LNs should be adopted as a control strategy in the regional VL elimination programs. The entomological evidence described here provides some evidence that LNs could be usefully deployed as part of the VL control program.
ClinicalTrials.gov CT-2005-015374.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>20126269</pmid><doi>10.1371/journal.pntd.0000587</doi><oa>free_for_read</oa></addata></record> |
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subjects | Animals Bedding and Linens Cattle Clinical trials Households India Infectious Diseases/Epidemiology and Control of Infectious Diseases Infectious Diseases/Neglected Tropical Diseases Insect Control - methods Insect Vectors - drug effects Insect Vectors - growth & development Insecticides Insecticides - chemistry Insecticides - pharmacology Leishmaniasis, Visceral - prevention & control Nepal Parasitic diseases Phlebotomus - drug effects Phlebotomus - growth & development Population density Public health Sand & gravel Studies Tropical diseases |
title | Effect of village-wide use of long-lasting insecticidal nets on visceral Leishmaniasis vectors in India and Nepal: a cluster randomized trial |
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