ABSTRACT
Bashagard is an important malaria endemic area in south of Iran. An epidemiological and entomological survey was performed during 2002-2010. The aim of study was to determine malaria situation, species composition of anopheline mosquitoes and susceptibility status of main vectors to insecticides/larvicides. A total of 13,490 malaria cases were recorded, Plasmodium vivax (99.64%), P. falciparum (0.35%) and mix cases (0.01%). The highest and lowest Annual Parasite Incidence (API) were observed in 2007 (145.72/1000) and 2009 (6.29/1000), respectively. Anopheles culicifacies, An. dthali, An. stephensi, An. superpictus, An. fluviatilis, An. moghulensis, An. turkhudi and An. apoci were collected from the area. Two peak activities occur in April and October. The first five species were confirmed as malaria vectors in Iran. No indication of sporozoite in mosquitoes using molecular method was performed. Susceptibility tests using diagnostic dose of insecticides and larvicides showed only resistance of An. stephensi to DDT. Tolerance in An. stephensi to deltamethrin and bendiocarb is reported. The same phenomenon was observed in An. culicifacies to DDT, propoxur and deltamethrin, and in An. dthali to malathion and deltamethrin. Larvae of vectors were susceptible to all larvicides, except for An. stephensi that exhibited tolerance to fenthion. In conclusion it should be emphasized that malaria transmission is a complex process in Bashagard. This event is attributed to five proven vectors with different behaviors which are active in the area. Regarding tolerance of vectors to deltamethrin, resistance management is suggested by using new insecticide with novel mode of action.
Subject(s)
Anopheles/growth & development , Anopheles/parasitology , Malaria, Falciparum/epidemiology , Malaria, Falciparum/transmission , Malaria, Vivax/epidemiology , Malaria, Vivax/transmission , Mosquito Control/methods , Adolescent , Animals , Anopheles/classification , Child , Child, Preschool , Coinfection/epidemiology , Coinfection/prevention & control , Coinfection/transmission , Drug Tolerance , Female , Humans , Incidence , Infant , Infant, Newborn , Insecticide Resistance , Insecticides/pharmacology , Iran/epidemiology , Malaria, Falciparum/prevention & control , Malaria, Vivax/prevention & control , Male , Plasmodium falciparum/isolation & purification , Plasmodium vivax/isolation & purification , SeasonsABSTRACT
BACKGROUND: Use of bed-net continues to offer potential strategy for malaria prevention in endemic areas. Local communities are indispensable during design and implementation stages. METHODS: A cross-sectional study of 192 randomly selected inhabitants was carried out in malarious zone, Siahoo direstrict, Hormozgan Province, southern Iran. In addition, we monitored human landing periodicity of main malaria vectors and as well as self-protection of inhabitant in the study area for a period of one transmission season between April to October 2006. RESULTS: The biting activities were seen throughout the whole night for three malaria vectors, Anopheles fluviatilis, An. stephensi and An. dthali, and An. fluviatilis exhibiting bimodal peaks, the first at midnight (0:00-1:00) and the other before dawn (5:00-6:00 am) but the maximum biting activity of An. stephensi was occurred at second quarter of night (11:00-12:00 pm). The majority of interviewers (83.3%) knew that malaria was transmitted by mosquitoes and 70.3% of them stated that bed-net is the best control measures. Most subjects (62%) did not have a mosquito net. CONCLUSION: Study subjects were aware of an association between mosquito bite and malaria transmission. Health workers at different levels of the health care delivery system should disseminate relevant information about self-protection to help community members to be involved more in malaria control.
