Digitally managed larviciding as a cost-effective intervention for urban malaria: operational lessons from a pilot in São Tomé and Príncipe guided by the Zzapp system ...

Abstract Background Once a mainstay of malaria elimination operations, larval source management (LSM)—namely, the treatment of mosquito breeding habitats–has been marginalized in Africa in favour of long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS). However, the development o...

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Bibliographic Details
Main Authors: Vigodny, Arbel, Ben Aharon, Michael, Wharton-Smith, Alexandra, Fialkoff, Yonatan, Houri-Yafin, Arnon, Bragança, Fernando, Soares Da Graça, Flavio, Gluck, Dan, Alcântara Viegas D’Abreu, João, Rompão, Herodes
Format: Article in Journal/Newspaper
Language:unknown
Published: figshare 2023
Subjects:
DML
Online Access:https://dx.doi.org/10.6084/m9.figshare.c.6590638.v1
https://springernature.figshare.com/collections/Digitally_managed_larviciding_as_a_cost-effective_intervention_for_urban_malaria_operational_lessons_from_a_pilot_in_S_o_Tom_and_Pr_ncipe_guided_by_the_Zzapp_system/6590638/1
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Summary:Abstract Background Once a mainstay of malaria elimination operations, larval source management (LSM)—namely, the treatment of mosquito breeding habitats–has been marginalized in Africa in favour of long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS). However, the development of new technologies, and mosquitoes' growing resistance to insecticides used in LLINs and IRS raise renewed interest in LSM. Methods A digitally managed larviciding (DML) operation in three of the seven districts of São Tomé and Príncipe (STP) was launched by the Ministry of Health (MOH) and ZzappMalaria LTD. The operation was guided by the Zzapp system, consisting of a designated GPS-based mobile application and an online dashboard, which facilitates the detection, sampling and treatment of mosquito breeding sites. During the operation, quality assurance (QA) procedures and field management methods were developed and implemented. Results 12,788 water bodies were located and treated a total of 128,864 times. The ...