Impregnated mosquito nets: IRD`s weapon against malaria
Transcription
Impregnated mosquito nets: IRD`s weapon against malaria
From research to development Impregnated mosquito nets: IRD’s weapon against malaria In a quarter of a century, mosquito nets have seen their role stepped up from merely ensuring comfort to becoming a key asset in the fight against malaria. Behind this success story, an invention by IRD’s researchers: insecticidetreated mosquito nets. The nets were first industrialised in the 2000s and are advocated by the WHO. They now protect 80% of households from mosquito bites in risk areas in Africa. It’s estimated that they have halved the number of malaria cases and reduced child mortality by 20%. Malaria has plagued humankind since ancient times (Tutankhamen apparently died from it 3,000 years ago). Western countries managed to eradicate it during the first half of the twentieth century. However, the disease was still rife in Africa, Asia and America in the early 1980s. Worldwide eradication efforts failed as strains of the parasite developed resistance to drugs. Massive spraying of DDT1-based pesticides was an environmental disaster. The scientific community had come up against a brick wall. Malaria-bearing mosquito on an impregnated mosquito net. (IRD/M. Dukhan) An idea dating back to 1983 the sleeper from bites and have a lethal effect on It was in this context that, in 1983, Dr P. Carnevale the malaria-bearing mosquito. However, there was and his team from Orstom, which later became the room for improvement in the manufacturing process IRD, came up with the idea of impregnating mosquito nets with insecticide. Until then, the nets had only provided a relative level of physical protection. The slightest hole or contact with skin erased its efficiency. However, when treated with insecticide2, at the time. In the 2000s: a new concept emerges Fifteen years later, mosquito nets were back on the the nets form a virtually impenetrable defence me- agenda when IRD researchers, working under the chanism. IRD tested the first prototypes in trials in direction of Dr P. Guillet, finally brought textile ma- Bobo-Dioulasso (Burkina Faso). The benefits of the nufacturers and agrochemical specialists together nets became apparent on two levels: they protect for the first time. A new concept emerged from their 3 discussions: mosquito nets with long-lasting insecticide treatment. Their protective treatment lasts up to 20 washes and remains effective for at least 3 years. Trials conducted around the world demonstrated long term effects which reduced the burden of malaria, with 50% fewer cases and a decrease of child mortality rates by 20%. It took just a few years for these long-lasting insecticide-treated nets to become the prime weapon in the fight against the disease. The World Health Organisation (WHO) recommends their widespread distribution through the national control programs run in most African countries concerned. The WHO estimated that in 2015, 67% of Sub- IRD, the scientific reference on mosquito nets Saharan households were equipped with insec- Industrial stakeholders soon realised the extraordi- ticide-treated mosquito nets. 154 million mos- nary potential of the market and quickly picked up on quito nets were issued on the continent that year. the invention. The IRD remains the reference from a scientific viewpoint. Its insect pest control laboratory (known as LIN) is a WHO collaborating centre. Researchers are now working to make this form of protection even more effective and practical. In 2004, the IRD registered a patent (JM Hougard and C Pennetier) for a new combination of insecticides, aimed at overcoming mosquito’s resistance. 1. Dichlorodiphenyltrichloroethane 2. From the pyrethroid family, low toxicity for human beings and effective at low doses. 3. Darriet et al. 1984. Evaluation of the efficacy of permethrin impregnated intact and perforated mosquito nets against vectors of malaria. World Partners Burkina Faso : Institute for Research in Science of Health (IRSS) Health Organization, WHO/VBC/84.899, WHO/MAL/84.1008, 19 p International Affairs Service Benoît Martimort-Asso : +33 (0)4 91 99 93 31 Contacts [email protected] Ivory Coast : Institut Pierre Richet (IPR), Benin : Centre de recherche entomologique de cotonou (CREC) Cameroon : Organization for the Coordination of the fight against Endemic Diseases in Central Africa (OCEAC) 44 boulevard de Dunkerque CS 90009 13572 Marseille Cedex 02 France www.ird.fr © IRD/DCPI, mars 2016 - Conception et réalisation graphique : L. CORSINI The LIN lab in Montpellier. (IRD/F. Chandre)