PMID- 22587687 OWN - NLM STAT- MEDLINE DCOM- 20120905 LR - 20211021 IS - 1475-2875 (Electronic) IS - 1475-2875 (Linking) VI - 11 DP - 2012 May 15 TI - Efficacy of ICON(R) Maxx in the laboratory and against insecticide-resistant Anopheles gambiae in central Cote d'Ivoire. PG - 167 LID - 10.1186/1475-2875-11-167 [doi] AB - BACKGROUND: Long-lasting treatment kits, designed to transform untreated nets into long-lasting insecticidal nets (LLINs), may facilitate high coverage with LLINs where non-treated nets are in place. In this study, the efficacy of ICON(R) Maxx (Syngenta) was evaluated under laboratory conditions and in an experimental hut trial in central Cote d'Ivoire, where Anopheles gambiae s.s. are resistant to pyrethroid insecticides. METHODS: In the laboratory, polyester and polyethylene net samples were treated with ICON(R) Maxx, washed up to 20 times and their efficacy determined in World Health Organization (WHO) cone assays against a susceptible laboratory An. gambiae s.s. colony. Over a 12-month period, the polyester nets were evaluated in a hut trial to determine mosquito deterrence, induced exophily, blood-feeding inhibition and mortality. RESULTS: In the laboratory, ICON(R) Maxx-treated polyethylene nets showed higher efficacy against pyrethroid-susceptible mosquitoes than polyester nets. After 20 washings, insecticidal efficacy in bioassays was 59.4% knockdown (KD) and 22.3% mortality for polyethylene, and 55.3% KD and 17.9% mortality for polyester nets. In experimental huts, treated nets showed strong deterrence, induced exophily and an over three-fold reduction in blood-fed mosquitoes. More than half (61.8%) of the mosquitoes entering the huts with treated nets were found dead the next morning despite high levels of KD resistance. After washing the treated nets, KD and mortality rates were close to or exceeded predefined WHO thresholds in cone bioassays. CONCLUSION: In contrast to previous laboratory investigation, ICON(R) Maxx-treated nets showed only moderate KD and mortality rates. However, under semi-field conditions, in an area where mosquitoes are resistant to pyrethroids, ICON(R) Maxx showed high deterrence, induced exophily and provided a significant reduction in blood-feeding rates; features that are likely to have a positive impact in reducing malaria transmission. The WHO cone test may not always be a good proxy for predicting product performance under field conditions. FAU - Winkler, Mirko S AU - Winkler MS AD - Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, P.O. Box, CH-4002 Basel, Switzerland. FAU - Tchicaya, Emile AU - Tchicaya E FAU - Koudou, Benjamin G AU - Koudou BG FAU - Donze, Jennifer AU - Donze J FAU - Nsanzabana, Christian AU - Nsanzabana C FAU - Muller, Pie AU - Muller P FAU - Adja, Akre M AU - Adja AM FAU - Utzinger, Jurg AU - Utzinger J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120515 PL - England TA - Malar J JT - Malaria journal JID - 101139802 RN - 0 (Insecticides) SB - IM MH - Adolescent MH - Adult MH - Animals MH - Anopheles/*drug effects MH - Biological Assay MH - Cote d'Ivoire MH - Feeding Behavior/drug effects MH - Female MH - Humans MH - Insecticide-Treated Bednets MH - Insecticides/*pharmacology MH - Male MH - Mosquito Control/methods MH - Survival Analysis MH - Young Adult PMC - PMC3369213 EDAT- 2012/05/17 06:00 MHDA- 2012/09/06 06:00 PMCR- 2012/05/15 CRDT- 2012/05/17 06:00 PHST- 2011/08/22 00:00 [received] PHST- 2012/05/15 00:00 [accepted] PHST- 2012/05/17 06:00 [entrez] PHST- 2012/05/17 06:00 [pubmed] PHST- 2012/09/06 06:00 [medline] PHST- 2012/05/15 00:00 [pmc-release] AID - 1475-2875-11-167 [pii] AID - 10.1186/1475-2875-11-167 [doi] PST - epublish SO - Malar J. 2012 May 15;11:167. doi: 10.1186/1475-2875-11-167.