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  5. Methods and indicators for measuring patterns of human exposure to malaria vectors
 
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Methods and indicators for measuring patterns of human exposure to malaria vectors
File(s)
Monroe et al 2020.pdf (1.87 MB)
Published version
Author(s)
Monroe, April
Moore, Sarah
Okumu, Fredros
Kiware, Samson
Lobo, Neil F
more
Type
Journal Article
Abstract
Background
Effective targeting and evaluation of interventions that protect against adult malaria vectors requires an understanding of how gaps in personal protection arise. An improved understanding of human and mosquito behaviour, and how they overlap in time and space, is critical to estimating the impact of insecticide-treated nets (ITNs) and determining when and where supplemental personal protection tools are needed. Methods for weighting estimates of human exposure to biting Anopheles mosquitoes according to where people spend their time were first developed over half a century ago. However, crude indoor and outdoor biting rates are still commonly interpreted as indicative of human-vector contact patterns without any adjustment for human behaviour or the personal protection effects of ITNs.

Main text
A small number of human behavioural variables capturing the distribution of human populations indoors and outdoors, whether they are awake or asleep, and if and when they use an ITN over the course of the night, can enable a more accurate representation of human biting exposure patterns. However, to date no clear guidance is available on what data should be collected, what indicators should be reported, or how they should be calculated. This article presents an integrated perspective on relevant indicators of human-vector interactions, the critical entomological and human behavioural data elements required to quantify human-vector interactions, and recommendations for collecting and analysing such data.

Conclusions
If collected and used consistently, this information can contribute to an improved understanding of how malaria transmission persists in the context of current intervention tools, how exposure patterns may change as new vector control tools are introduced, and the potential impact and limitations of these tools. This article is intended to consolidate understanding around work on this topic to date and provide a consistent framework for building upon it. Additional work is needed to address remaining questions, including further development and validation of methods for entomological and human behavioural data collection and analysis.
Date Issued
2020-06-16
Date Acceptance
2020-05-29
Citation
Malaria Journal, 2020, 19 (1), pp.1-14
URI
http://hdl.handle.net/10044/1/79998
URL
https://malariajournal.biomedcentral.com/articles/10.1186/s12936-020-03271-z
DOI
https://www.dx.doi.org/10.1186/s12936-020-03271-z
ISSN
1475-2875
Publisher
BioMed Central
Start Page
1
End Page
14
Journal / Book Title
Malaria Journal
Volume
19
Issue
1
Copyright Statement
© The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing,
adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and
the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material
in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material
is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the
permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativeco
mmons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/
zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Subjects
0605 Microbiology
1108 Medical Microbiology
1117 Public Health and Health Services
Tropical Medicine
Publication Status
Published
Article Number
207
Date Publish Online
2020-06-16
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