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    Short report: assessing the impact of indoor residual spraying on malaria morbidity using a sentinel site surveillance system in Western Uganda

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    Date
    2009
    Author
    Bukirwa, Hasifa
    Yau, Vincent
    Kigozi, Ruth
    Filler, Scott
    Quick, Linda
    Lugemwa, Myers
    Dissanayake, Gunawardena
    Kamya, Moses
    Wabwire-Mangen, Fred
    Dorsey, Grant
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    Abstract
    A single round of indoor residual spraying (IRS) using lambda-cyhalothrin was implemented in a district of Uganda with moderate transmission intensity in 2007. Individual patient data were collected from one health facility within the district 8 months before and 16 months after IRS. There was a consistent decrease in the proportion of patients diagnosed with clinical malaria after IRS for patients <5 and >5 years of age (52% versus 26%, P <0.001 and 36% versus 23%, P <0.001, respectively). There was a large decrease in the proportion of positive blood smears in the first 4 months after IRS for patients <5 (47% versus 14%, P <0.001) and >5 (26% versus 9%, P <0.001) years of age, but this effect waned over the subsequent 12 months. IRS was effective in reducing malaria morbidity, but this was not sustained beyond 1 year for the proportion of blood smears read as positive.
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    http://hdl.handle.net/10570/1027
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