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Dry Season Determinants of Malaria Disease and Net Use in Benin, West Africa 英文参考文献
DrySeasonDeterminantsofMalariaDiseaseandNetUse
inBenin,WestAfrica
NicolasMoiroux1,2,Olayide′ Boussari2,ArmelDje`nontin1,2,GeorgiaDamien1,GillesCottrell3,4 ,Marie-
ClaireHenry2,5,He′le`neGuis6,VincentCorbel1,2*
1MIVEGEC(IRD224-CNRS5290-UM1),InstitutdeRecherchepourleDe′veloppement(IRD),Cotonou,Be′nin,2CentredeRechercheenEntomologiedeCotonou(CREC),
Ministe`re delaSante′, Cotonou, Be′nin, 3UMR216 Me`re et EnfantFace auxInfectionsTropicales, Institut deRecherchepour leDe′veloppement(IRD),Cotonou, Be′nin,
4InstitutdesSciencesBiome′dicales Applique′es (ISBA),Universite′ d’AbomeyCalavi,Cotonou,Be′nin, 5ServicedeCoope′ration etd’ActionCulturelle(SCAC),Ambassade
deFrance,Cotonou,Be′nin,6UMRCMAEE,CIRAD,Montpellier,France
Abstract
Background:Toachievemalariaeradication,controleffortshavetobesustainedevenwhentheincidenceofmalariacases
becomes low during the dry season. In this work, malaria incidence and its determinants including bed net use were
investigatedinchildrenofunder5yearsofagein28villagesinsouthernBeninduringthedryseason.
MethodsandFindings:Meanmalariaclinicalincidencewasmeasuredinchildrenaged0–5yearsbyactivecasedetectionin
28villagesoftheOuidah-Kpomasse-ToriBossitosanitarydistrictbetweenNovember2007andMarch2008.UsingPoisson
mixed-effectmodels,malariaincidencewasassessedaccordingtotheleveloftransmissionbydifferentvectorspecies,and
Long-Lasting Insecticide-treated mosquito Nets (LLIN) use and ownership. Then, a Binomial mixed-effect model was
developedtoassesswhethernighttimetemperature(derivedfromMODISremotesensingdata),bitingnuisanceandLLIN
ownership are good predictors of LLIN use .60%. Results suggested that Anopheles funestus (Incidence Rates Ratio
(IRR)=3.38[IC951.91–6])ratherthanAn.gambiaes.s.isresponsibleformalariatransmission.ArateofLLINuse.60%was
associatedwithalowerriskofmalaria(IRR=0.6[IC950.37–0.99]).Lownocturnaltemperatureandhighbitingnuisancewere
goodpredictorsofLLINuse.60%.
Conclusions:AsrecommendedbytheMalariaEradication(MalERA)ConsultativeGrou
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