Browsing by Author "Finda, Marceline"

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Creating mosquito-free outdoor spaces using transfuthrin-treated chairs and ribbons
(Springer Nature, 2020-03-10) Paliga, John; Finda, Marceline; Killeen, Gerry F.; Ngowo, Halfan S.; Pinda, Polius G.; Okumu, Fredros O.
Background: Residents of malaria-endemic communities spend several hours outdoors performing diferent activities, e.g. cooking, story-telling or eating, thereby exposing themselves to potentially-infectious mosquitoes. This compromises efectiveness of indoor interventions, notably long-lasting insecticide-treated nets (LLINs) and indoor residual spraying (IRS). This study characterized common peri-domestic spaces in rural south-eastern Tanzania, and assessed protective efcacy against mosquitoes of hessian fabric mats and ribbons treated with the spatial repellent, transfuthrin, and ftted to chairs and outdoor kitchens, respectively. Methods: Two hundred households were surveyed, and their most-used peri-domestic spaces physically characterized. Protective efcacies of locally-made transfuthrin-emanating chairs and hessian ribbons were tested in outdoor environments of 28 households in dry and wet seasons, using volunteer-occupied exposure-free double net traps. CDC light traps were used to estimate host-seeking mosquito densities within open-structure outdoor kitchens. Fieldcollected Anopheles arabiensis and Anopheles funestus mosquitoes were exposed underneath the chairs to estimate 24 h-mortality. Finally, The World Health Organization insecticide susceptibility tests were conducted on wild-caught Anopheles from the villages. Results: Approximately half (52%) of houses had verandas. Aside from these verandas, most houses also had peridomestic spaces where residents stayed most times (67% of houses with verandas and 94% of non-veranda houses). Two-thirds of these spaces were sited under trees, and only one third (34.4%) were built-up. The outdoor structures were usually makeshift kitchens having roofs and partial walls. Transfuthrin-treated chairs reduced outdoor-biting An. arabiensis densities by 70–85%, while transfuthrin-treated hessian ribbons ftted to the outdoor kitchens caused 77–81% reduction in the general peri-domestic area. Almost all the feld-collected An. arabiensis (99.4%) and An. funestus (100%) exposed under transfuthrin-treated chairs died. The An. arabiensis were susceptible to non-pyrethroids (pirimiphos methyl and bendiocarb), but resistant to pyrethroids commonly used on LLINs (deltamethrin and permethrin). Conclusion: Most houses had actively-used peri-domestic outdoor spaces where exposure to mosquitoes occurred. The transfuthrin-treated chairs and ribbons reduced outdoor-biting malaria vectors in these peri-domestic spaces, and also elicited signifcant mortality among pyrethroid-resistant feld-caught malaria vectors. These two new prototype formats for transfuthrin emanators, if developed further, may constitute new options for complementing LLINs and IRS with outdoor protection against malaria and other mosquito-borne pathogens in areas where peri-domestic human activities are common.
The needs and opportunities for housing improvement for malaria control in southern Tanzania
(BMC, 2023-02-27) Bofu, Ramadhani; Santos, Ellen; Msugupakulya, Betwel; Kahamba, Najat; Swilla, Joseph; Njalambaha, Rukiyah; Kelly, Ann; Lezaun, Javier; Christofides, Nicola; Okumu, Fredros; Finda, Marceline;
Background Malaria disproportionately afects low-income households in rural communities where poor housing is common. Despite evidence that well-constructed and mosquito-proofed houses can reduce malaria risk, housing improvement is rarely included in malaria control toolboxes. This study assessed the need, magnitude, and opportuni ties for housing improvement to control malaria in rural Tanzania. Methods A mixed-methods study was conducted in 19 villages across four district councils in southern Tanzania. A structured survey was administered to 1292 community members to assess need, perceptions, and opportunities for housing improvement for malaria control. Direct observations of 802 houses and surrounding environments were done to identify the actual needs and opportunities, and to validate the survey fndings. A market survey was done to assess availability and cost of resources and services necessary for mosquito-proofng homes. Focus group discussions were conducted with key stakeholders to explore insights on the potential and challenges of housing improvement as a malaria intervention. Results Compared to other methods for malaria control, housing improvement was among the best understood and most preferred by community members. Of the 735 survey respondents who needed housing improvements, a majority needed window screening (91.1%), repairs of holes in walls (79.4%), door covers (41.6%), closing of eave spaces (31.2%) and better roofs (19.0%). Community members invested signifcant eforts to improve their own homes against malaria and other dangers, but these eforts were often slow and delayed due to high costs and limited household incomes. Study participants suggested several mechanisms of support to improve their homes, including government loans and subsidies. Conclusion Addressing the need for housing improvement is a critical component of malaria control eforts in southern Tanzania. In this study, a majority of the community members surveyed needed modest modifcations and had plans to work on those modifcations. Without additional support, their eforts were however generally slow; households would take years to sufciently mosquito-proof their houses. It is, therefore, crucial to bring together the key players across sectors to reduce barriers in malaria-proofng housing in endemic settings. These may include government subsidies or partnerships with businesses to make housing improvement more accessible and afordable to residents.
Participatory Development of Practical, Affordable, Insecticide-Treated Mosquito Proofing for a Range of Housing Designs in Rural Southern Tanzania
(Research Square, 2022-02) Msoffe, Rogath; Hewitt, Matilda; Masalu, John; Finda, Marceline; Kavishe, Deogratius; Okumu, Fredros; Mpolya, Emmanuel; Kaindoa, Emmanuel; Killeen, Gerry
Background Insecticidal mosquito-proof netting screens could combine the best features of insecticide treated nets (ITNs) and indoor residual spraying (IRS), the two most important front line vector control interventions in Africa today, and also overcome the most important limitations of these two methods, such as pyrethroid resistance. This study engaged members of a rural Tanzanian community in developing and evaluating simple, affordable and scalable procedures for installing readily available screening materials on eave gaps and windows of their own houses, and then treating those screens with a widely used IRS formulation of the organophosphate insecticide pirimiphos-methyl (PM). Methods A cohort of 54 households were recruited upon consent, following which the structural features and occupant demographics of their houses were surveyed. Indoor mosquito densities were surveyed longitudinally, both before and after a participatory house modification, and screening was done using locally available materials. Each house was randomly assigned to one of three study arms: (1) No screens installed until the end of the study (negative control), (2) untreated screens installed, and (3) screened installed and then those screens treated with PM. The longevity of the activity of the insecticide applied to these screens was assessed using standard WHO cone assays. Results Of the 54 households, 52 participated until to the end, at which point all houses had been successfully screened. In most cases, screening was only installed after making enabling structural modifications that were accepted by the enrolled households. Screening installations almost entirely excluded Anopheles arabiensis (Relative reduction (RR) ≥ 96%, P < < 0.0001), the most abundant malaria vector in the area; but was less effective against Culex quinquefasciatus, a non-malaria vector with significant biting nuisance (RR ≤ 46%, P < < 0.0001). While the PM treatment of these netting screens reduced indoor densities of Cx. quinquefasciatus by only 24%, An. arabiensis was reduced by 63% and treated screens exhibited satisfactory residual efficacy eight months after treatment. Conclusions This study demonstrates that participatory approaches to mosquito proofing houses may be acceptable and effective, and that installed screens may be suitable targets for treatment with residual insecticides.
Risk of Aedes-borne diseases in and around the Tanzanian seaport of Tanga despite community members being more concerned about malaria
(BioMed Central, 2024-12-18) Abas, Amri; Simfukwe, Alfred; Masalu, John; Kahamba, Najat; Nambunga, Ismail; Msaky, Dickson; Limwagu, Alex; Kipekepeke, Abdallah; Wergin, Carsten; Njalambaha, Rukiyah; Kemibala, Elison; Seleman, Amour; Mlacha, Yeromin; Finda, Marceline; Beisel, Uli; Kimaro, Esther; Ngowo, Halfan; Okumu, Fredros
Background Increased global trade, while beneficial economically, can also increase the spread of vector-borne diseases, particularly those transmitted by Aedes mosquitoes spreading via trade routes. Given the heightened trade- induced activity at ports of entry, it is particularly crucial to assess the risk of mosquito-borne diseases in these set- tings. This study compared the risks of Aedes-borne disease in and around the eastern Tanzanian seaport of Tanga. Methods A 200 m × 200 m grid-based system was used to sample mosquitoes within the port area, and in surround- ing areas at 2 km, 2.5 km, and 5 km away, between June and December 2023. We characterized mosquito breeding habitats, collected mosquito larvae using standard dippers and tested susceptibility of raised adult Aedes aegypti populations to different insecticides. Adult mosquitoes were collected using BG sentinel traps (daytime) and Centers for Disease Control (CDC) light traps (night-time). Additionally, more than 200 port users and neighboring residents were surveyed to assess their experiences with and perceptions of mosquito biting and disease risks. Results There were 2931 breeding sites, with (60.8%, n = 1782) positive for Aedes larvae. The percentage of water- holding containers infested with Aedes immatures, i.e., the container index (CI), was highest in the port area (66.2%), and lowest 5 km away (44.6%). The port area also had a greater proportion of temporary breeding sites (64.9%) than did the surrounding areas. The adult mosquito surveys revealed 20,449 mosquito species including: Culex quinquefasciatus (56.2%), Mansonia uniformis (38.6%), Ae. aegypti (5.1%), Anopheles gambiae (0.1%), and Anoph- eles funestus. Ae. aegypti were more abundant in the port area than in the surrounding areas (P < 0.001), whereas Culex sp., and Mansonia sp., were significantly outside (P < 0.001). Adult Anopheles sp., were found only in the port area, but Anopheles larvae were found both within and outside the port areas. Tests on Ae. aegypti sp., revealed susceptibility to bendiocarb and DDT, and resistance to permethrin. Awareness of mosquito-borne diseases among respondents was high for malaria (64.8%), but low for dengue (26.3%) and Chikungunya (1.7%). Most respond- ents reported being bothered by mosquitoes mostly at night (53.4%) or in the evening (40.7%). In addition to insecti- cidal bednets, which are used primarily against malaria, preventive measures for Aedes-borne diseases are limited. Conclusions This study identified significant potential risk of Aedes species, specifically Ae. aegypti sp., and associated diseases, but low perception of risk and inadequate personal protection measures in the study area. This low percep- tion of risk highlights the need to improve public knowledge of the transmission and control of Aedes-borne diseases.