PMID- 26440967 OWN - NLM STAT- MEDLINE DCOM- 20160411 LR - 20181113 IS - 1935-2735 (Electronic) IS - 1935-2727 (Print) IS - 1935-2727 (Linking) VI - 9 IP - 10 DP - 2015 TI - Permethrin-Treated Clothing as Protection against the Dengue Vector, Aedes aegypti: Extent and Duration of Protection. PG - e0004109 LID - 10.1371/journal.pntd.0004109 [doi] LID - e0004109 AB - INTRODUCTION: Dengue transmission by the mosquito vector, Aedes aegypti, occurs indoors and outdoors during the day. Personal protection of individuals, particularly when outside, is challenging. Here we assess the efficacy and durability of different types of insecticide-treated clothing on laboratory-reared Ae. aegypti. METHODS: Standardised World Health Organisation Pesticide Evaluation Scheme (WHOPES) cone tests and arm-in-cage assays were used to assess knockdown (KD) and mortality of Ae. aegypti tested against factory-treated fabric, home-dipped fabric and microencapsulated fabric. Based on the testing of these three different treatment types, the most protective was selected for further analysis using arm-in cage assays with the effect of washing, ultra-violet light, and ironing investigated using high pressure liquid chromatography. RESULTS: Efficacy varied between the microencapsulated and factory dipped fabrics in cone testing. Factory-dipped clothing showed the greatest effect on KD (3 min 38.1%; 1 hour 96.5%) and mortality (97.1%) with no significant difference between this and the factory dipped school uniforms. Factory-dipped clothing was therefore selected for further testing. Factory dipped clothing provided 59% (95% CI = 49.2%- 66.9%) reduction in landing and a 100% reduction in biting in arm-in-cage tests. Washing duration and technique had a significant effect, with insecticidal longevity shown to be greater with machine washing (LW50 = 33.4) compared to simulated hand washing (LW50 = 17.6). Ironing significantly reduced permethrin content after 1 week of simulated use, with a 96.7% decrease after 3 months although UV exposure did not reduce permethrin content within clothing significantly after 3 months simulated use. CONCLUSION: Permethrin-treated clothing may be a promising intervention in reducing dengue transmission. However, our findings also suggest that clothing may provide only short-term protection due to the effect of washing and ironing, highlighting the need for improved fabric treatment techniques. FAU - DeRaedt Banks, Sarah AU - DeRaedt Banks S AD - Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom. FAU - Orsborne, James AU - Orsborne J AD - Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom; arctec, London School of Hygiene and Tropical Medicine, London, United Kingdom. FAU - Gezan, Salvador A AU - Gezan SA AD - SFRC, University of Florida, Gainesville, Florida, United States of America. FAU - Kaur, Harparkash AU - Kaur H AD - Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom. FAU - Wilder-Smith, Annelies AU - Wilder-Smith A AD - Department of Global Health and Epidemiology, Umea University, Umea, Sweden; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore. FAU - Lindsey, Steve W AU - Lindsey SW AD - School of Biological and Biomedical Sciences, Durham University, Durham, United Kingdom. FAU - Logan, James G AU - Logan JG AD - Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom; arctec, London School of Hygiene and Tropical Medicine, London, United Kingdom. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151006 PL - United States TA - PLoS Negl Trop Dis JT - PLoS neglected tropical diseases JID - 101291488 RN - 0 (Insect Repellents) RN - 0 (Insecticides) RN - 509F88P9SZ (Permethrin) SB - IM MH - *Aedes MH - Animals MH - Chromatography, High Pressure Liquid MH - Clothing MH - Dengue/*prevention & control MH - Female MH - Insect Repellents/pharmacology MH - *Insect Vectors MH - Insecticides/*pharmacology MH - Permethrin/*pharmacology MH - World Health Organization PMC - PMC4595206 COIS- The authors have declared that no competing interests exist. EDAT- 2015/10/07 06:00 MHDA- 2016/04/12 06:00 PMCR- 2015/10/06 CRDT- 2015/10/07 06:00 PHST- 2015/03/13 00:00 [received] PHST- 2015/09/01 00:00 [accepted] PHST- 2015/10/07 06:00 [entrez] PHST- 2015/10/07 06:00 [pubmed] PHST- 2016/04/12 06:00 [medline] PHST- 2015/10/06 00:00 [pmc-release] AID - PNTD-D-15-00411 [pii] AID - 10.1371/journal.pntd.0004109 [doi] PST - epublish SO - PLoS Negl Trop Dis. 2015 Oct 6;9(10):e0004109. doi: 10.1371/journal.pntd.0004109. eCollection 2015.