Malaria infection and predictor factors among Chadian nomads' children.

BACKGROUND: In Chad, malaria remains a significant public health concern, particularly among nomadic populations. Geographical factors and the mobility of human populations have shown to be associated with the diversity of Plasmodium species. The study aims to describe the malaria prevalence among nomadic children and to investigate its associated factors. METHODS: A cross-sectional study was conducted in February and October 2021 among nomadic communities in Chad. Blood sample were collected and tested from 187 Arab, Fulani and Dazagada nomadic children aged 3-59 months using malaria rapid diagnostic test (RDT). A structured electronic questionnaire was administered to their parents to collect information about the socio­economic data. Malaria testing results were categorized according to the SD BIOLINE Malaria Ag Pf/Pan RDT procedures. Logistic regression analysis was used to determine key risk factors explaining the prevalence of malaria. STATA version IC 13 was used for statistical analysis. RESULTS: The overall malaria prevalence in nomadic children was 24.60%, with 65.20% being Plasmodium falciparum species and 34.8% mixed species. Boys were twice as likely (COR = 1.83; 95% CI, 0.92-3.62; p = 0.083) to have malaria than girls. Children whose parents used to seek traditional drugs were five times more likely (AOR = 5.59; 95% CI, 1.40-22.30, p = 0.015) to have malaria than children whose parents used to seek health facilities. Children whose parents reported spending the last night under a mosquito net were one-fifth as likely (AOR = 0.17; 95% CI, 0.03-0.90, p = 0.037) to have malaria compared to children whose parents did not used a mosquito net. Furthermore, Daza children were seventeen times (1/0.06) less likely (AOR = 0.06; 95% CI, 0.01-0.70, p = 0.024) to have malaria than Fulani children and children from households piped water as the main source were seven times more likely (AOR = 7.05; 95% CI, 1.69-29.45; p = 0.007) to have malaria than those using surface water. CONCLUSIONS: Malaria remains a significant public health issue in the nomadic communities of Chad. Community education and sensitization programs within nomad communities are recommended to raise awareness about malaria transmission and control methods, particularly among those living in remote rural areas. The National Malaria Control Program (NMCP) should increase both the coverage and use of long-lasting insecticidal nets (LLINs) and seasonal malaria chemoprevention (SMC) in addition to promoting treatment-seeking behaviors in nomadic communities.

An entomological survey in the Sudanese Guinean environmental transition zone after indoor residual spraying, Chad.

INTRODUCTION: malaria is a major public health issue in Africa. In Chad in 2019, with 955,243 confirmed cases and 2,955 deaths, malaria is the main cause of consultations. A longitudinal entomological study was conducted in Moïssala Health District. Its objective was to assess the impact of indoor residual spraying with 80% bendiocarb wettable powder on malaria transmission. METHODS: two areas were defined for the study: Dembo, located in the sprayed area, Moïssala, in the untreated area. Two sampling methods were used: pyrethrum spray catches and human landing catches. RESULTS: sixteen sessions of human landing catches totalling 32 man-nights were conducted and 160 rooms/site were sprayed. Two anopheles were captured in Dembo and 547 in Moïssala. In Moïssala, An coluzzii, An funestus and An rufipes were captured in the rooms and on human bait. An colluzzii and An funestus were captured in pyrethrum spray catches in Dembo. The anophelian human landing catches density was zero in Dembo while it was 8.38 bites/man/night in outdoor and 10.06 bits/man/night in indoor in Moïssala. Only An coluzziiwas found infected in human landing catches and sporozoite index of was 7.46% (10/134) in outdoor and 7.45% (12/161) in indoor in Moïssala. Malaria transmission was estimated at 0.63 infected bites/man/night in outdoor and 0.75 infected bites/man/night in indoor i.e. 229.95 infected bites/man/year in outdoor and 273.75 infected bites/man/year. In pyrethrum spray catches, An coluzzii and An rufipes were the two species found infected in Moïssala with sporozoite indices of 6.70% (23/343) and 20% (2/10) respectively. However, in Dembo, neither of the two captured mosquitoes was found infected. CONCLUSION: the indoor residual spraying campaign in the eastern zone of Moïssala has led to the collapse of vectors´ density and aggressiveness. However, its evaluation over a short period of time is not sufficient to assess the impact of malaria transmission in this constant and endemic malaria zone.

Averting a malaria disaster: will insecticide resistance derail malaria control?

World Malaria Day 2015 highlighted the progress made in the development of new methods of prevention (vaccines and insecticides) and treatment (single dose drugs) of the disease. However, increasing drug and insecticide resistance threatens the successes made with existing methods. Insecticide resistance has decreased the efficacy of the most commonly used insecticide class of pyrethroids. This decreased efficacy has increased mosquito survival, which is a prelude to rising incidence of malaria and fatalities. Despite intensive research efforts, new insecticides will not reach the market for at least 5 years. Elimination of malaria is not possible without effective mosquito control. Therefore, to combat the threat of resistance, key stakeholders need to rapidly embrace a multifaceted approach including a reduction in the cost of bringing new resistance management methods to market and the streamlining of associated development, policy, and implementation pathways to counter this looming public health catastrophe.