PMID- 36083983 OWN - NLM STAT- MEDLINE DCOM- 20220913 LR - 20220926 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 17 IP - 9 DP - 2022 TI - Outdoor residual spraying for malaria vector-control in Kayin (Karen) state, Myanmar: A cluster randomized controlled trial. PG - e0274320 LID - 10.1371/journal.pone.0274320 [doi] LID - e0274320 AB - Outdoor and early biting by mosquitoes challenge the efficacy of bed nets and indoor residual spraying against malaria in the Greater Mekong Subregion. The objective of this study was to assess the efficacy of outdoor residual spraying (ORS) for malaria vector-control in this region. A cluster randomized controlled trial was conducted between July 2018 and April 2019 in twelve villages in Karen (Kayin) state, Myanmar. Villages were randomly assigned to receive either a single round of ORS with a capsule suspension of lambda-cyhalothrin for two days in October or no intervention (six villages per group). The primary endpoint was the biting rate of malaria mosquitoes assessed with human-landing catch and cow-baited trap collection methods, and was analyzed with a Bayesian multi-level model. In the intervention villages, the proportion of households located within the sprayed area ranged between 42 and 100% and the application rate ranged between 63 and 559 g of active ingredient per hectare. At baseline, the median of Anopheles biting rate estimates in the twelve villages was 2 bites per person per night (inter-quartile range [IQR] 0-5, range 0-48) indoors, 6 bites per person per night (IQR 2-16, range 0-342) outdoors and 206 bites per cow per night (IQR 83-380, range 19-1149) in the cow-baited trap. In intention-to-treat analysis, it was estimated that ORS reduced biting rate by 72% (95% confidence interval [CI] 63-79) from Month 0 to Month 3 and by 79% (95% CI 62-88) from Month 4 to Month 6, considering control villages as the reference. In conclusion, ORS rapidly reduces the biting rates of malaria mosquitoes in a Southeast Asian setting where the vectors bite mostly outdoors and at a time when people are not protected by mosquito bed nets. FAU - Chaumeau, Victor AU - Chaumeau V AUID- ORCID: 0000-0003-0171-2176 AD - Shoklo Malaria Research Unit, Mahidol-Oxford Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand. AD - Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom. FAU - Kajeechiwa, Ladda AU - Kajeechiwa L AD - Shoklo Malaria Research Unit, Mahidol-Oxford Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand. FAU - Kulabkeeree, Thithiworada AU - Kulabkeeree T AD - Shoklo Malaria Research Unit, Mahidol-Oxford Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand. FAU - Sawasdichai, Sunisa AU - Sawasdichai S AD - Shoklo Malaria Research Unit, Mahidol-Oxford Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand. FAU - Haohankhunnatham, Warat AU - Haohankhunnatham W AD - Shoklo Malaria Research Unit, Mahidol-Oxford Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand. FAU - Inta, Aritsara AU - Inta A AD - Shoklo Malaria Research Unit, Mahidol-Oxford Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand. FAU - Phanaphadungtham, Monthicha AU - Phanaphadungtham M AD - Shoklo Malaria Research Unit, Mahidol-Oxford Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand. FAU - Girond, Florian AU - Girond F AD - Institut Pasteur du Cambodge, Institut Pasteur International Network, Phnom Penh, Cambodia. AD - Institut de Recherche pour le Developpement, UMR 228 Espace-Dev (IRD, UA, UG, UM, UR), Phnom Penh, Cambodia. FAU - Herbreteau, Vincent AU - Herbreteau V AUID- ORCID: 0000-0003-1762-6336 AD - Institut de Recherche pour le Developpement, UMR 228 Espace-Dev (IRD, UA, UG, UM, UR), Phnom Penh, Cambodia. FAU - Delmas, Gilles AU - Delmas G AD - Shoklo Malaria Research Unit, Mahidol-Oxford Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand. AD - Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom. FAU - Nosten, Francois AU - Nosten F AUID- ORCID: 0000-0002-7951-0745 AD - Shoklo Malaria Research Unit, Mahidol-Oxford Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand. AD - Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom. LA - eng GR - 220211/WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20220909 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Animals MH - *Anopheles MH - Bayes Theorem MH - Cattle MH - Feeding Behavior MH - Female MH - Humans MH - *Malaria/epidemiology/prevention & control MH - Mosquito Control/methods MH - Mosquito Vectors MH - Myanmar/epidemiology PMC - PMC9462579 COIS- The authors have declared that no competing interests exist. EDAT- 2022/09/10 06:00 MHDA- 2022/09/14 06:00 PMCR- 2022/09/09 CRDT- 2022/09/09 14:05 PHST- 2022/04/25 00:00 [received] PHST- 2022/08/26 00:00 [accepted] PHST- 2022/09/09 14:05 [entrez] PHST- 2022/09/10 06:00 [pubmed] PHST- 2022/09/14 06:00 [medline] PHST- 2022/09/09 00:00 [pmc-release] AID - PONE-D-22-11850 [pii] AID - 10.1371/journal.pone.0274320 [doi] PST - epublish SO - PLoS One. 2022 Sep 9;17(9):e0274320. doi: 10.1371/journal.pone.0274320. eCollection 2022.