1International Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
2QIMR Berghofer Medical Research Institute (QIMR Berghofer), Brisbane, Queensland, Australia.
Am J Trop Med Hyg. 2020 Aug;103(2):810-811. doi: 10.4269/ajtmh.20-0146. Epub 2020 May 7.
According to the WHO, unmanaged insecticide resistance may lead to increases in malaria-related mortality and morbidity. Bangladesh, having made significant progress in malaria control efforts, has recently seen an upswing in malaria cases-58% of which occurred in Bandarban district. Toward identifying entomological drivers of increased malaria, an entomological survey including susceptibility to the insecticides in use was conducted in Bandarban. , the primary vector of malaria, was found to be resistant to both permethrin and deltamethrin-with only 29% and 55% mortality at 30 minutes, respectively. Intervention strategies in this area-all based on pyrethroids, may need to be reevaluated toward closing this gap in protection and increasing intervention efficacy.
根据世界卫生组织的说法,杀虫剂管理不善可能导致疟疾相关死亡率和发病率上升。孟加拉国在疟疾控制方面取得了重大进展,但最近疟疾病例有所增加,其中 58%发生在班达班县。为了确定导致疟疾增加的昆虫学驱动因素,在班达班县进行了一项包括对正在使用的杀虫剂的敏感性在内的昆虫学调查。发现疟疾的主要传播媒介对氯菊酯和溴氰菊酯均具有抗性-分别只有 29%和 55%的死亡率在 30 分钟时。该地区的干预策略均基于拟除虫菊酯,可能需要重新评估,以缩小保护差距并提高干预效果。