Mitigating Diseases Transmitted by Aedes Mosquitoes: A Cluster-Randomised Trial of Permethrin-Impregnated School Uniforms
Publication Date
January 19, 2017
Authors
Pattamaporn Kittayapong, Phanthip Olanratmanee, Pongsri Maskhao, Peter Byass, et al
Volume
11
Issue
1
Pages
e0005197
DOI
https://dx.plos.org/10.1371/journal.pntd.0005197
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0005197
Scopus
85012862506
Mendeley
http://www.mendeley.com/research/mitigating-diseases-transmitted-aedes-mosquitoes-clusterrandomised-trial-permethrinimpregnated-schoo
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Mendeley | Further Information

{"title"=>"Mitigating Diseases Transmitted by Aedes Mosquitoes: A Cluster-Randomised Trial of Permethrin-Impregnated School Uniforms", "type"=>"journal", "authors"=>[{"first_name"=>"Pattamaporn", "last_name"=>"Kittayapong", "scopus_author_id"=>"7004004858"}, {"first_name"=>"Phanthip", "last_name"=>"Olanratmanee", "scopus_author_id"=>"55356878100"}, {"first_name"=>"Pongsri", "last_name"=>"Maskhao", "scopus_author_id"=>"55466638700"}, {"first_name"=>"Peter", "last_name"=>"Byass", "scopus_author_id"=>"7006527895"}, {"first_name"=>"James", "last_name"=>"Logan", "scopus_author_id"=>"16744378800"}, {"first_name"=>"Yesim", "last_name"=>"Tozan", "scopus_author_id"=>"6506664051"}, {"first_name"=>"Valérie", "last_name"=>"Louis", "scopus_author_id"=>"34570963600"}, {"first_name"=>"Duane J.", "last_name"=>"Gubler", "scopus_author_id"=>"7007112362"}, {"first_name"=>"Annelies", "last_name"=>"Wilder-Smith", "scopus_author_id"=>"35509574300"}], "year"=>2017, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"issn"=>"19352735", "scopus"=>"2-s2.0-85012862506", "sgr"=>"85012862506", "pui"=>"614416066", "isbn"=>"1935-2727", "pmid"=>"28103255", "doi"=>"10.1371/journal.pntd.0005197"}, "id"=>"0633d617-2029-30e6-bc05-8d569bd1d2e4", "abstract"=>"BACKGROUND: Viral diseases transmitted via Aedes mosquitoes are on the rise, such as Zika, dengue, and chikungunya. Novel tools to mitigate Aedes mosquitoes-transmitted diseases are urgently needed. We tested whether commercially insecticide-impregnated school uniforms can reduce dengue incidence in school children.\\n\\nMETHODS: We designed a cluster-randomised controlled trial in Thailand. The primary endpoint was laboratory-confirmed dengue infections. Secondary endpoints were school absenteeism; and impregnated uniforms' 1-hour knock-down and 24 hour mosquito mortality as measured by standardised WHOPES bioassay cone tests at baseline and after repeated washing. Furthermore, entomological assessments inside classrooms and in outside areas of schools were conducted.\\n\\nRESULTS: We enrolled 1,811 pupils aged 6-17 from 5 intervention and 5 control schools. Paired serum samples were obtained from 1,655 pupils. In the control schools, 24/641 (3.7%) and in the intervention schools 33/1,014 (3.3%) students had evidence of new dengue infections during one school term (5 months). There was no significant difference in proportions of students having incident dengue infections between the intervention and control schools, with adjustment for clustering by school. WHOPES cone tests showed a 100% knock down and mortality of Aedes aegypti mosquitoes exposed to impregnated clothing at baseline and up to 4 washes, but this efficacy rapidly declined to below 20% after 20 washes, corresponding to a weekly reduction in knock-down and mosquito mortality by 4.7% and 4.4% respectively. Results of the entomological assessments showed that the mean number of Aedes aegypti mosquitoes caught inside the classrooms of the intervention schools was significantly reduced in the month following the introduction of the impregnated uniforms, compared to those collected in classrooms of the control schools (p = 0.04).\\n\\nCONCLUSIONS: Entomological assessments showed that the intervention had some impact on the number of Aedes mosquitoes inside treatment schools immediately after impregnation and before insecticidal activity declined. However, there was no serological evidence of protection against dengue infections over the five months school term, best explained by the rapid washing-out of permethrin after 4 washes. If rapid washing-out of permethrin could be overcome by novel technological approaches, insecticide-treated clothes might become a potentially cost-effective and scalable intervention to protect against diseases transmitted by Aedes mosquitoes such as dengue, Zika, and chikungunya.\\n\\nTRIAL REGISTRATION: ClinicalTrials.gov NCT01563640.", "link"=>"http://www.mendeley.com/research/mitigating-diseases-transmitted-aedes-mosquitoes-clusterrandomised-trial-permethrinimpregnated-schoo", "reader_count"=>60, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Researcher"=>18, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>4, "Student > Master"=>10, "Other"=>2, "Student > Bachelor"=>10, "Lecturer"=>2, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Researcher"=>18, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>4, "Student > Master"=>10, "Other"=>2, "Student > Bachelor"=>10, "Lecturer"=>2, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Agricultural and Biological Sciences"=>7, "Veterinary Science and Veterinary Medicine"=>3, "Chemistry"=>1, "Engineering"=>1, "Environmental Science"=>1, "Biochemistry, Genetics and Molecular Biology"=>2, "Nursing and Health Professions"=>2, "Mathematics"=>1, "Medicine and Dentistry"=>25, "Pharmacology, Toxicology and Pharmaceutical Science"=>2, "Psychology"=>5, "Social Sciences"=>3, "Immunology and Microbiology"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>25}, "Social Sciences"=>{"Social Sciences"=>3}, "Psychology"=>{"Psychology"=>5}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>5}, "Environmental Science"=>{"Environmental Science"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>2}, "Engineering"=>{"Engineering"=>1}, "Chemistry"=>{"Chemistry"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>7}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>3}}, "reader_count_by_country"=>{"United States"=>1, "United Kingdom"=>1}, "group_count"=>12}

Scopus | Further Information

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