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COMMUNITY END USER PERCEPTIONS OF HESSIAN FABRIC TRANSFLUTHRIN VAPOUR EMANATORS FOR PROTECTING AGAINST MOSQUITOES UNDER CONDITIONS OF ROUTINE USE IN PORT-AU-PRINCE, HAITI
Entomology
Smell
Social sciences
Vapors
Medical risk factors
Prototypes
Neighborhoods
Author
Affilliation
Université Quisqueya. Port-au-Prince, Republic of Haiti.
Université Quisqueya. Port-au-Prince, Republic of Haiti.
Ministère de la Santé Publique et de la Population. Programme National de Contrôle de la Malaria. Port-au-Prince, Republic of Haiti.
Université Quisqueya. Port-au-Prince, Republic of Haiti.
Envu UK Ltd. Milton, Cambridge, United Kingdom.
Abt Associates. Nairobi, Kenya.
University of Montpellier. Genetics, Evolution and Control Unit. Institut de Recherche pour le Developpement, Infectious Diseases and Vectors-Ecology. Montpellier, France / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Fisiologia e Controle de Artrópodes Vetores. Rio de Janeiro, RJ, Brasil.
Tulane University School of Public Health and Tropical Medicine. New Orleans, LA, USA.
Centers for Disease Control and Prevention. Entomology Division. Atlanta, GA, USA.
Ifakara Health Institute. Environmental Health and Ecological Sciences Department. Morogoro, United Republic of Tanzania / Liverpool School of Tropical Medicine. Department of Vector Biology. Liverpool, United Kingdom / University College Cork. Environmental Research Institute. School of Biological Earth & Environmental Sciences. Cork, Republic of Ireland.
University of Montpellier. Genetics, Evolution and Control Unit. Institut de Recherche pour le Developpement, Infectious Diseases and Vectors-Ecology. Montpellier, France / Entente Interdépartementale pour la Démoustication du Littoral Méditerranéen. Montpellier, France.
Université Quisqueya. Port-au-Prince, Republic of Haiti.
Ministère de la Santé Publique et de la Population. Programme National de Contrôle de la Malaria. Port-au-Prince, Republic of Haiti.
Université Quisqueya. Port-au-Prince, Republic of Haiti.
Envu UK Ltd. Milton, Cambridge, United Kingdom.
Abt Associates. Nairobi, Kenya.
University of Montpellier. Genetics, Evolution and Control Unit. Institut de Recherche pour le Developpement, Infectious Diseases and Vectors-Ecology. Montpellier, France / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Fisiologia e Controle de Artrópodes Vetores. Rio de Janeiro, RJ, Brasil.
Tulane University School of Public Health and Tropical Medicine. New Orleans, LA, USA.
Centers for Disease Control and Prevention. Entomology Division. Atlanta, GA, USA.
Ifakara Health Institute. Environmental Health and Ecological Sciences Department. Morogoro, United Republic of Tanzania / Liverpool School of Tropical Medicine. Department of Vector Biology. Liverpool, United Kingdom / University College Cork. Environmental Research Institute. School of Biological Earth & Environmental Sciences. Cork, Republic of Ireland.
University of Montpellier. Genetics, Evolution and Control Unit. Institut de Recherche pour le Developpement, Infectious Diseases and Vectors-Ecology. Montpellier, France / Entente Interdépartementale pour la Démoustication du Littoral Méditerranéen. Montpellier, France.
Abstract
Background: A treated fabric device for emanating the volatile pyrethroid transfluthrin was recently developed in Tanzania that protected against night-biting Anopheles and Culex mosquitoes for several months. Here perceptions of community end users provided with such transfluthrin emanators, primarily intended to protect them against day-active Aedes vectors of human arboviruses that often attack people outdoors, were assessed in Port-au-Prince, Haiti. Methods: Following the distribution of transfluthrin emanators to participating households in poor-to-middle class urban neighbourhoods, questionnaire surveys and in-depth interviews of end-user households were supplemented with conventional and Photovoice-based focus group discussions. Observations were assessed synthetically to evaluate user perceptions of protection and acceptability, and to solicit advice for improving and promoting them in the future. Results: Many participants viewed emanators positively and several outlined various advantages over current alternatives, although some expressed concerns about smell, health hazards, bulkiness, unattractiveness and future cost. Most participants expressed moderate to high satisfaction with protection against mosquitoes, especially indoors. Protection against other arthropod pests was also commonly reported, although satisfaction levels were highly variable. Diverse use practices were reported, some of which probably targeted nocturnal Culex resting indoors, rather than Aedes attacking them outdoors during daylight hours. Perceived durability of protection varied: While many participants noted some slow loss over months, others noted rapid decline within days. A few participants specifically attributed efficacy loss to outdoor use and exposure to wind or moisture. Many expressed stringent expectations of satisfactory protection levels, with even a single mosquito bite considered unsatisfactory. Some participants considered emanators superior to fans, bedsheets, sprays and coils, but it is concerning that several preferred them to bed nets and consequently stopped using the latter. Conclusions: The perspectives shared by Haitian end-users are consistent with those from similar studies in Brazil and recent epidemiological evidence from Peru that other transfluthrin emanator products can protect against arbovirus infection. While these encouraging sociological observations contrast starkly with evidence of essentially negligible effects upon Aedes landing rates from parallel entomological assessments across Haiti, Tanzania, Brazil and Peru, no other reason to doubt the generally encouraging views expressed herein by Haitian end users could be identified.
Keywords
MosquitoesEntomology
Smell
Social sciences
Vapors
Medical risk factors
Prototypes
Neighborhoods
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