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Insecticidal decay effects of long-lasting insecticide nets and indoor residual spraying on Anopheles gambiae and Anopheles arabiensis in Western Kenya
Indoor residual spraying (IRS) and long-lasting insecticidal nets (LLINs) are the first-line tools for malaria prevention and control in Africa. Vector resistance to insecticides has been extensively studied, however the insecticidal effects of the nets and sprayed walls on pyrethroid resistant mosq...
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Published in: | Parasites & vectors 2015-11, Vol.8 (587), p.588-588, Article 588 |
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creator | Wanjala, Christine L Zhou, Guofa Mbugi, Jernard Simbauni, Jemimah Afrane, Yaw A Ototo, Ednah Gesuge, Maxwell Atieli, Harrysone Githeko, Andrew K Yan, Guiyun |
description | Indoor residual spraying (IRS) and long-lasting insecticidal nets (LLINs) are the first-line tools for malaria prevention and control in Africa. Vector resistance to insecticides has been extensively studied, however the insecticidal effects of the nets and sprayed walls on pyrethroid resistant mosquitoes has not been studied thoroughly. We evaluated the bioefficacy of LLINs of different ages and lambda-cyhalothrin (ICON 10cs) on the sprayed mud walls for a period of time on malaria vector survivorship.
WHO tube bioassay was performed using diagnostic doses of lambda-cyhalothrin (0.05%), permethrin (0.75%) and deltamethrin (0.05%). Cone bioassays were conducted on netting materials from 0 to 3 years old long-lasting insecticide-impregnated nets. Wall bioassays were performed monthly on mud slabs sprayed with lambdacyhalothrin over a period of seven months. All bioassays used An. gambiae mosquitoes collected from the field and the laboratory susceptible reference Kisumu strain. Concentration of the insecticides on the netting materials was examined using the gas chromatography method. Mosquitoes were identified to species level using PCR and genotyped for the kdr gene mutation frequencies.
WHO bioassays results showed that populations from five sites were highly resistant to the pyrethroids (mortalities ranged from 52.5 to 75.3%), and two sites were moderately resistant to these insecticides (80.4 - 87.2%). Homozygote kdr mutations of L1014S ranged from 73 to 88% in An. gambiae s.s. dominant populations whereas L1014S mutation frequencies were relatively low (7-31%) in An. arabiensis dominant populations. There was a significant decrease (P |
doi_str_mv | 10.1186/s13071-015-1194-6 |
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WHO tube bioassay was performed using diagnostic doses of lambda-cyhalothrin (0.05%), permethrin (0.75%) and deltamethrin (0.05%). Cone bioassays were conducted on netting materials from 0 to 3 years old long-lasting insecticide-impregnated nets. Wall bioassays were performed monthly on mud slabs sprayed with lambdacyhalothrin over a period of seven months. All bioassays used An. gambiae mosquitoes collected from the field and the laboratory susceptible reference Kisumu strain. Concentration of the insecticides on the netting materials was examined using the gas chromatography method. Mosquitoes were identified to species level using PCR and genotyped for the kdr gene mutation frequencies.
WHO bioassays results showed that populations from five sites were highly resistant to the pyrethroids (mortalities ranged from 52.5 to 75.3%), and two sites were moderately resistant to these insecticides (80.4 - 87.2%). Homozygote kdr mutations of L1014S ranged from 73 to 88% in An. gambiae s.s. dominant populations whereas L1014S mutation frequencies were relatively low (7-31%) in An. arabiensis dominant populations. There was a significant decrease (P < 0.05) in mosquito mortality with time after the spray with both lambda-cyhalothrin (75% mortality after six months) and with the age of LLINs (60% mortality after 24 month). Field collected mosquitoes were able to survive exposure to both IRS and LLINs even with newly sprayed walls (86.6-93.5% mortality) and new LLINs (77.5-85.0% mortality), Wild mosquitoes collected from the field had significantly lower mortality rates to LLINs (59.6-85.0%) than laboratory reared susceptible strain (100%). Insecticide concentration decreased significantly from 0.14 μg/ml in the new nets to 0.077 μg/ml in nets older than 18 months (P < 0.05).
This study confirms that insecticide decay and developing levels of resistance have a negative contribution to reduced efficacy of ITN and IRS in western Kenya. These factors contribute to decreased efficacy of pyrethroid insectides in ongoing malaria control programs. In order to mitigate against the impact of insecticide resistance and decay it is important to follow the WHO policy to provide the residents with new LLINs every three years of use while maintaining a high level of LLINs coverage and usage. There is also need for urgent development and deployment of non-pyrethroid based vector control tools.</description><identifier>ISSN: 1756-3305</identifier><identifier>EISSN: 1756-3305</identifier><identifier>DOI: 10.1186/s13071-015-1194-6</identifier><identifier>PMID: 26567915</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Animals ; Anopheles ; Anopheles - drug effects ; Anopheles - growth & development ; Biological Assay ; Chromatography, Gas ; Control ; Indoor residual spraying ; Infection control ; Insecticidal decay ; Insecticide resistance ; Insecticide-Treated Bednets ; Insecticides ; Insecticides - pharmacology ; Kenya ; Long-lasting insecticide nets ; Malaria ; Methods ; Mosquito Control - methods ; Nets ; Netting ; Nitriles - pharmacology ; Permethrin - pharmacology ; Pyrethrins - pharmacology ; Time Factors</subject><ispartof>Parasites & vectors, 2015-11, Vol.8 (587), p.588-588, Article 588</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2015</rights><rights>Wanjala et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c594t-b30b6acf6c23967d37dd5ae4d25ebd205ea7f682925c75c5d3a08901cf4f30ad3</citedby><cites>FETCH-LOGICAL-c594t-b30b6acf6c23967d37dd5ae4d25ebd205ea7f682925c75c5d3a08901cf4f30ad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4644290/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1779785598?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26567915$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wanjala, Christine L</creatorcontrib><creatorcontrib>Zhou, Guofa</creatorcontrib><creatorcontrib>Mbugi, Jernard</creatorcontrib><creatorcontrib>Simbauni, Jemimah</creatorcontrib><creatorcontrib>Afrane, Yaw A</creatorcontrib><creatorcontrib>Ototo, Ednah</creatorcontrib><creatorcontrib>Gesuge, Maxwell</creatorcontrib><creatorcontrib>Atieli, Harrysone</creatorcontrib><creatorcontrib>Githeko, Andrew K</creatorcontrib><creatorcontrib>Yan, Guiyun</creatorcontrib><title>Insecticidal decay effects of long-lasting insecticide nets and indoor residual spraying on Anopheles gambiae and Anopheles arabiensis in Western Kenya</title><title>Parasites & vectors</title><addtitle>Parasit Vectors</addtitle><description>Indoor residual spraying (IRS) and long-lasting insecticidal nets (LLINs) are the first-line tools for malaria prevention and control in Africa. Vector resistance to insecticides has been extensively studied, however the insecticidal effects of the nets and sprayed walls on pyrethroid resistant mosquitoes has not been studied thoroughly. We evaluated the bioefficacy of LLINs of different ages and lambda-cyhalothrin (ICON 10cs) on the sprayed mud walls for a period of time on malaria vector survivorship.
WHO tube bioassay was performed using diagnostic doses of lambda-cyhalothrin (0.05%), permethrin (0.75%) and deltamethrin (0.05%). Cone bioassays were conducted on netting materials from 0 to 3 years old long-lasting insecticide-impregnated nets. Wall bioassays were performed monthly on mud slabs sprayed with lambdacyhalothrin over a period of seven months. All bioassays used An. gambiae mosquitoes collected from the field and the laboratory susceptible reference Kisumu strain. Concentration of the insecticides on the netting materials was examined using the gas chromatography method. Mosquitoes were identified to species level using PCR and genotyped for the kdr gene mutation frequencies.
WHO bioassays results showed that populations from five sites were highly resistant to the pyrethroids (mortalities ranged from 52.5 to 75.3%), and two sites were moderately resistant to these insecticides (80.4 - 87.2%). Homozygote kdr mutations of L1014S ranged from 73 to 88% in An. gambiae s.s. dominant populations whereas L1014S mutation frequencies were relatively low (7-31%) in An. arabiensis dominant populations. There was a significant decrease (P < 0.05) in mosquito mortality with time after the spray with both lambda-cyhalothrin (75% mortality after six months) and with the age of LLINs (60% mortality after 24 month). Field collected mosquitoes were able to survive exposure to both IRS and LLINs even with newly sprayed walls (86.6-93.5% mortality) and new LLINs (77.5-85.0% mortality), Wild mosquitoes collected from the field had significantly lower mortality rates to LLINs (59.6-85.0%) than laboratory reared susceptible strain (100%). Insecticide concentration decreased significantly from 0.14 μg/ml in the new nets to 0.077 μg/ml in nets older than 18 months (P < 0.05).
This study confirms that insecticide decay and developing levels of resistance have a negative contribution to reduced efficacy of ITN and IRS in western Kenya. These factors contribute to decreased efficacy of pyrethroid insectides in ongoing malaria control programs. In order to mitigate against the impact of insecticide resistance and decay it is important to follow the WHO policy to provide the residents with new LLINs every three years of use while maintaining a high level of LLINs coverage and usage. There is also need for urgent development and deployment of non-pyrethroid based vector control tools.</description><subject>Animals</subject><subject>Anopheles</subject><subject>Anopheles - drug effects</subject><subject>Anopheles - growth & development</subject><subject>Biological Assay</subject><subject>Chromatography, Gas</subject><subject>Control</subject><subject>Indoor residual spraying</subject><subject>Infection control</subject><subject>Insecticidal decay</subject><subject>Insecticide resistance</subject><subject>Insecticide-Treated Bednets</subject><subject>Insecticides</subject><subject>Insecticides - pharmacology</subject><subject>Kenya</subject><subject>Long-lasting insecticide nets</subject><subject>Malaria</subject><subject>Methods</subject><subject>Mosquito Control - methods</subject><subject>Nets</subject><subject>Netting</subject><subject>Nitriles - pharmacology</subject><subject>Permethrin - pharmacology</subject><subject>Pyrethrins - pharmacology</subject><subject>Time Factors</subject><issn>1756-3305</issn><issn>1756-3305</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptks1u1DAUhSMEoqXwAGxQJDZlkWLHsRNvkEYVPyMqIfEjltaNfZ16lLEHO0HMk_C6eDpl2kHIi1gn3zm2r05RPKfkgtJOvE6UkZZWhPKKUtlU4kFxSlsuKsYIf3hvf1I8SWlFiCCSi8fFSS24aCXlp8XvpU-oJ6edgbE0qGFborVZSmWw5Rj8UI2QJueH0h1QLD1mALzJogkhlhGTM3OOSJsI2x0dfLnwYXONI6ZygHXvAG8cdypE6B365FKOKb9jmjD68iP6LTwtHlkYEz67_Z4V3969_Xr5obr69H55ubiqNJfNVPWM9AK0FbpmUrSGtcZwwMbUHHtTE47QWtHVsua65ZobBqSThGrbWEbAsLNiuc81AVZqE90a4lYFcOpGCHFQEPObR1S0lcSYThBTswaE6LnhIp9aG4sSeJez3uyzNnO_RqPRTxHGo9DjP95dqyH8VI1omlqSHHB-GxDDjzmPQ61d0jiO4DHMKd-AccZq2vCMvvwHXYU5-jyqTLWy7TiX3R01QH6A8zbkc_UuVC2apiM894Bm6uI_VF4G104Hj9Zl_cjw6siQmQl_TQPMKanll8_HLN2zOoaUItrDPChRuxarfYtVbrHatViJ7Hlxf5AHx9_asj_Rru34</recordid><startdate>20151114</startdate><enddate>20151114</enddate><creator>Wanjala, Christine L</creator><creator>Zhou, Guofa</creator><creator>Mbugi, Jernard</creator><creator>Simbauni, Jemimah</creator><creator>Afrane, Yaw A</creator><creator>Ototo, Ednah</creator><creator>Gesuge, Maxwell</creator><creator>Atieli, Harrysone</creator><creator>Githeko, Andrew K</creator><creator>Yan, Guiyun</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>3V.</scope><scope>7SN</scope><scope>7SS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>F1W</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H95</scope><scope>K9.</scope><scope>L.G</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20151114</creationdate><title>Insecticidal decay effects of long-lasting insecticide nets and indoor residual spraying on Anopheles gambiae and Anopheles arabiensis in Western Kenya</title><author>Wanjala, Christine L ; Zhou, Guofa ; Mbugi, Jernard ; Simbauni, Jemimah ; Afrane, Yaw A ; Ototo, Ednah ; Gesuge, Maxwell ; Atieli, Harrysone ; Githeko, Andrew K ; Yan, Guiyun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c594t-b30b6acf6c23967d37dd5ae4d25ebd205ea7f682925c75c5d3a08901cf4f30ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Animals</topic><topic>Anopheles</topic><topic>Anopheles - drug effects</topic><topic>Anopheles - growth & development</topic><topic>Biological Assay</topic><topic>Chromatography, Gas</topic><topic>Control</topic><topic>Indoor residual spraying</topic><topic>Infection control</topic><topic>Insecticidal decay</topic><topic>Insecticide resistance</topic><topic>Insecticide-Treated Bednets</topic><topic>Insecticides</topic><topic>Insecticides - pharmacology</topic><topic>Kenya</topic><topic>Long-lasting insecticide nets</topic><topic>Malaria</topic><topic>Methods</topic><topic>Mosquito Control - methods</topic><topic>Nets</topic><topic>Netting</topic><topic>Nitriles - pharmacology</topic><topic>Permethrin - pharmacology</topic><topic>Pyrethrins - pharmacology</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wanjala, Christine L</creatorcontrib><creatorcontrib>Zhou, Guofa</creatorcontrib><creatorcontrib>Mbugi, Jernard</creatorcontrib><creatorcontrib>Simbauni, Jemimah</creatorcontrib><creatorcontrib>Afrane, Yaw A</creatorcontrib><creatorcontrib>Ototo, Ednah</creatorcontrib><creatorcontrib>Gesuge, Maxwell</creatorcontrib><creatorcontrib>Atieli, Harrysone</creatorcontrib><creatorcontrib>Githeko, Andrew K</creatorcontrib><creatorcontrib>Yan, Guiyun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) Professional</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals(OpenAccess)</collection><jtitle>Parasites & vectors</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wanjala, Christine L</au><au>Zhou, Guofa</au><au>Mbugi, Jernard</au><au>Simbauni, Jemimah</au><au>Afrane, Yaw A</au><au>Ototo, Ednah</au><au>Gesuge, Maxwell</au><au>Atieli, Harrysone</au><au>Githeko, Andrew K</au><au>Yan, Guiyun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Insecticidal decay effects of long-lasting insecticide nets and indoor residual spraying on Anopheles gambiae and Anopheles arabiensis in Western Kenya</atitle><jtitle>Parasites & vectors</jtitle><addtitle>Parasit Vectors</addtitle><date>2015-11-14</date><risdate>2015</risdate><volume>8</volume><issue>587</issue><spage>588</spage><epage>588</epage><pages>588-588</pages><artnum>588</artnum><issn>1756-3305</issn><eissn>1756-3305</eissn><abstract>Indoor residual spraying (IRS) and long-lasting insecticidal nets (LLINs) are the first-line tools for malaria prevention and control in Africa. Vector resistance to insecticides has been extensively studied, however the insecticidal effects of the nets and sprayed walls on pyrethroid resistant mosquitoes has not been studied thoroughly. We evaluated the bioefficacy of LLINs of different ages and lambda-cyhalothrin (ICON 10cs) on the sprayed mud walls for a period of time on malaria vector survivorship.
WHO tube bioassay was performed using diagnostic doses of lambda-cyhalothrin (0.05%), permethrin (0.75%) and deltamethrin (0.05%). Cone bioassays were conducted on netting materials from 0 to 3 years old long-lasting insecticide-impregnated nets. Wall bioassays were performed monthly on mud slabs sprayed with lambdacyhalothrin over a period of seven months. All bioassays used An. gambiae mosquitoes collected from the field and the laboratory susceptible reference Kisumu strain. Concentration of the insecticides on the netting materials was examined using the gas chromatography method. Mosquitoes were identified to species level using PCR and genotyped for the kdr gene mutation frequencies.
WHO bioassays results showed that populations from five sites were highly resistant to the pyrethroids (mortalities ranged from 52.5 to 75.3%), and two sites were moderately resistant to these insecticides (80.4 - 87.2%). Homozygote kdr mutations of L1014S ranged from 73 to 88% in An. gambiae s.s. dominant populations whereas L1014S mutation frequencies were relatively low (7-31%) in An. arabiensis dominant populations. There was a significant decrease (P < 0.05) in mosquito mortality with time after the spray with both lambda-cyhalothrin (75% mortality after six months) and with the age of LLINs (60% mortality after 24 month). Field collected mosquitoes were able to survive exposure to both IRS and LLINs even with newly sprayed walls (86.6-93.5% mortality) and new LLINs (77.5-85.0% mortality), Wild mosquitoes collected from the field had significantly lower mortality rates to LLINs (59.6-85.0%) than laboratory reared susceptible strain (100%). Insecticide concentration decreased significantly from 0.14 μg/ml in the new nets to 0.077 μg/ml in nets older than 18 months (P < 0.05).
This study confirms that insecticide decay and developing levels of resistance have a negative contribution to reduced efficacy of ITN and IRS in western Kenya. These factors contribute to decreased efficacy of pyrethroid insectides in ongoing malaria control programs. In order to mitigate against the impact of insecticide resistance and decay it is important to follow the WHO policy to provide the residents with new LLINs every three years of use while maintaining a high level of LLINs coverage and usage. There is also need for urgent development and deployment of non-pyrethroid based vector control tools.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26567915</pmid><doi>10.1186/s13071-015-1194-6</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Animals Anopheles Anopheles - drug effects Anopheles - growth & development Biological Assay Chromatography, Gas Control Indoor residual spraying Infection control Insecticidal decay Insecticide resistance Insecticide-Treated Bednets Insecticides Insecticides - pharmacology Kenya Long-lasting insecticide nets Malaria Methods Mosquito Control - methods Nets Netting Nitriles - pharmacology Permethrin - pharmacology Pyrethrins - pharmacology Time Factors |
title | Insecticidal decay effects of long-lasting insecticide nets and indoor residual spraying on Anopheles gambiae and Anopheles arabiensis in Western Kenya |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T04%3A10%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Insecticidal%20decay%20effects%20of%20long-lasting%20insecticide%20nets%20and%20indoor%20residual%20spraying%20on%20Anopheles%20gambiae%20and%20Anopheles%20arabiensis%20in%20Western%20Kenya&rft.jtitle=Parasites%20&%20vectors&rft.au=Wanjala,%20Christine%20L&rft.date=2015-11-14&rft.volume=8&rft.issue=587&rft.spage=588&rft.epage=588&rft.pages=588-588&rft.artnum=588&rft.issn=1756-3305&rft.eissn=1756-3305&rft_id=info:doi/10.1186/s13071-015-1194-6&rft_dat=%3Cgale_doaj_%3EA448056561%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c594t-b30b6acf6c23967d37dd5ae4d25ebd205ea7f682925c75c5d3a08901cf4f30ad3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1779785598&rft_id=info:pmid/26567915&rft_galeid=A448056561&rfr_iscdi=true |