Permethrin impregnated netting was tested against Tanzanian populations of Anopheles arabiensis Patton, An.gambiae Giles and An.funestus Giles in experimental huts fitted with traps to catch samples of the mosquitoes existing during the night. Treated bednets killed some mosquitoes and increased the tendency of survivors to exit during the night. Treated cotton did not perform so well as treated nylon bednets. An impregnated bednet in which holes had been cut, to simulate a torn net, reduced the number of mosquitoes which fed and survived approximately as well as an intact untreated net. Treated curtains around the eaves of experimental huts did not perform so well as bednets but caused considerable reductions in the number of mosquitoes which fed and survived. However, there was no such effect when treated netting was placed around the eaves of a dwelling house. When one child slept under a treated net and another slept outside the net in the same hut, the number of bites on the latter child was less than if neither child had been under a net. Various aspects of the applicability of permethrin impregnated nets on a community basis are discussed.

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Various formulations of six insecticides (a carbamate and five pyrethroids), were impregnated into bednets and curtains made from cotton, polyester, polyethylene or polypropylene fabric. For bioassays of insecticidal efficacy, female Anopheles gambiae mosquitoes were made to walk on the fabrics for 3 min and mortality was scored after 24 h. The main concentrations tested were: bendiocarb 400 mg/m2, cyfluthrin 30-50 mg/m2, deltamethrin 15-25 mg/m2, etofenprox 200 mg/m2, lambda-cyhalothrin 5-15 mg/m2 and permethrin 200-500 mg/m2. Field trials in Tanzania used experimental huts (fitted with verandah traps) entered by wild free-flying Anopheles gambiae, An.funestus and Culex quinquefasciatus mosquitoes. Results of testing the impregnated fabrics in experimental huts showed better personal protection provided by bednets than by curtains. Permethrin cis:trans isomer ratios 25:75 and 40:60 were equally effective, and the permethrin rate of 200 mg/m2 performed as well as 500 mg/m2. Bioassay data emphasized the prolonged insecticidal efficacy of lambda-cyhalothrin deposits, except on polyethylene netting. Most of the impregnated nets (including the 'Olyset' net with permethrin incorporated during manufacture of the polyethylene fibre) and an untreated intact net performed well in preventing both Anopheles and Culex mosquitoes from feeding on people using them overnight in the experimental huts. Anopheles showed high mortality rates in response to pyrethroid-treated nets, but only bendiocarb treated curtains killed many Culex. Holed nets treated with either cyfluthrin (5 EW formulation applied at the rate of 50 mg a.i./m2) or lambda-cyhalothrin (2.5 CS formulation at 10 mg a.i./m2) performed well after 15 months of domestic use. Treatment with deltamethrin SC or lambda-cyhalothrin CS at the very low rate of 3 mg/m2 gave good results, including after washing and re-treatment.

BackgroundCombination mosquito nets incorporating two unrelated insecticides or insecticide plus synergist are designed to control insecticide resistant mosquitoes. PermaNet 3.0 is a long-lasting combination net incorporating deltamethrin on the side panels and a mixture of deltamethrin and synergist piperonyl butoxide (PBO) on the top panel. PBO is an inhibitor of mixed function oxidases implicated in pyrethroid resistance.MethodAn experimental hut trial comparing PermaNet 3.0, PermaNet 2.0 and a conventional deltamethrin-treated net was conducted in NE Tanzania using standard WHOPES procedures. The PermaNet arms included unwashed nets and nets washed 20 times. PermaNet 2.0 is a long-lasting insecticidal net incorporating deltamethrin as a single active.ResultsAgainst pyrethroid susceptible Anopheles gambiae the unwashed PermaNet 3.0 showed no difference to unwashed PermaNet 2.0 in terms of mortality (95% killed), but showed differences in blood-feeding rate (3% blood-fed with PermaNet 3.0 versus 10% with PermaNet 2.0). After 20 washes the two products showed no difference in feeding rate (10% with 3.0 and 9% with 2.0) but showed small differences in mortality (95% with 3.0 and 87% with 2.0). Against pyrethroid resistant Culex quinquefasciatus, mediated by elevated oxidase and kdr mechanisms, the unwashed PermaNet 3.0 killed 48% and PermaNet 2.0 killed 32% but after 20 washes there was no significant difference in mortality between the two products (32% killed by 3.0 and 30% by 2.0). For protecting against Culex PermaNet 3.0 showed no difference to PermaNet 2.0 when either unwashed or after 20 washes; both products were highly protective against biting. Laboratory tunnel bioassays confirmed the loss of biological activity of the PBO/deltamethrin-treated panel after washing.ConclusionBoth PermaNet products were highly effective against susceptible Anopheles gambiae. As a long-lasting net to control or protect against pyrethroid resistant mosquitoes PermaNet 3.0 showed limited improvement over PermaNet 2.0 against Culex quinquefasciatus.