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Research
Tents pre-treated with insecticide for malaria control in refugee camps: an
entomological evaluation
Kate Graham12*
, Hameed Rehman1, Mushtaq Ahmad1, Mohammed Kamal1, Irfanullah Khan1 and Mark Rowland2
 *Corresponding author: Kate Graham kate.graham@lshtm.ac.uk
Author Affiliations
1
HealthNet International, Peshawar, Pakistan
2
Infectious and Tropical Diseases Department, London School of Hygiene & Tropical Medicine, London, UK
For all author emails, please log on.
Malaria Journal 2004, 3:25 doi:10.1186/1475-2875-3-25
The electronic version of this article is the complete one and can be found online at:http://www.malariajournal.com/content/3/1/25
Received: 19 May 2004
Accepted: 15 July 2004
Published: 15 July 2004
© 2004 Graham et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are
permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
Abstract
Background
A refugee shelter that is treated with insecticide during manufacture would be useful for malaria control at the acute stage of an
emergency, when logistic problems, poor co-ordination and insecurity limit the options for malaria control.
Methods
Tents made of untreated canvas with deltamethrin-treated polyethylene threads interwoven through the canvas during manufacture, 'pre-
treated tents', were tested in Pakistan for their impact on malaria vectors. Fixed-time contact bioassays tested the insecticidal activity of
the material over 3 months of outdoor weathering. Unweathered tents were erected under large trap-nets on outdoor platforms and tested
using wild-caught, host-seeking mosquitoes and insectary-reared mosquitoes released during the night into the trap-nets.
Results
The insecticide-treated tents were effective both in killing mosquitoes and reducing blood-feeding. Mean 24 hour mortality was 25.7%
on untreated tents and 50.8% on treated tents (P = 0.001) in wild anophelines and 5.2% on untreated tents and 80.9% on treated tents (P
< 0.001) in insectary-reared Anopheles stephensi. Blood-feeding of wild anophelines was reduced from 46% in the presence of an
untreated tent to 9.2% (P < 0.001) in the presence of treated tents and from 51.1% to 22.2% (P < 0.001) for insectary-reared An.
stephensi. In contact bioassays on tents weathered for three months there was 91.3% mortality after 10-minute exposure and a 24 h
holding period and 83.0% mortality after 3-minute exposure and a 24 h holding period.
Conclusion
The results demonstrate the potential of these pre-treated canvas-polyethylene tents for malaria control. Further information on the
persistence of the insecticide over an extended period of weathering should be gathered. Because the epidemiological evidence for the
effectiveness of pyrethroid-treated tents for malaria control already exists, this technology could be readily adopted as an option for
malaria control in refugee camps, provided the insecticidal effect is shown to be sufficiently persistent.

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Tents pre-treated with insecticide for malaria control in refugee camps an entomological evaluation

  • 1. Research Tents pre-treated with insecticide for malaria control in refugee camps: an entomological evaluation Kate Graham12* , Hameed Rehman1, Mushtaq Ahmad1, Mohammed Kamal1, Irfanullah Khan1 and Mark Rowland2  *Corresponding author: Kate Graham kate.graham@lshtm.ac.uk Author Affiliations 1 HealthNet International, Peshawar, Pakistan 2 Infectious and Tropical Diseases Department, London School of Hygiene & Tropical Medicine, London, UK For all author emails, please log on. Malaria Journal 2004, 3:25 doi:10.1186/1475-2875-3-25 The electronic version of this article is the complete one and can be found online at:http://www.malariajournal.com/content/3/1/25 Received: 19 May 2004 Accepted: 15 July 2004 Published: 15 July 2004 © 2004 Graham et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL. Abstract Background A refugee shelter that is treated with insecticide during manufacture would be useful for malaria control at the acute stage of an emergency, when logistic problems, poor co-ordination and insecurity limit the options for malaria control. Methods Tents made of untreated canvas with deltamethrin-treated polyethylene threads interwoven through the canvas during manufacture, 'pre- treated tents', were tested in Pakistan for their impact on malaria vectors. Fixed-time contact bioassays tested the insecticidal activity of the material over 3 months of outdoor weathering. Unweathered tents were erected under large trap-nets on outdoor platforms and tested using wild-caught, host-seeking mosquitoes and insectary-reared mosquitoes released during the night into the trap-nets. Results The insecticide-treated tents were effective both in killing mosquitoes and reducing blood-feeding. Mean 24 hour mortality was 25.7% on untreated tents and 50.8% on treated tents (P = 0.001) in wild anophelines and 5.2% on untreated tents and 80.9% on treated tents (P < 0.001) in insectary-reared Anopheles stephensi. Blood-feeding of wild anophelines was reduced from 46% in the presence of an untreated tent to 9.2% (P < 0.001) in the presence of treated tents and from 51.1% to 22.2% (P < 0.001) for insectary-reared An. stephensi. In contact bioassays on tents weathered for three months there was 91.3% mortality after 10-minute exposure and a 24 h holding period and 83.0% mortality after 3-minute exposure and a 24 h holding period. Conclusion The results demonstrate the potential of these pre-treated canvas-polyethylene tents for malaria control. Further information on the persistence of the insecticide over an extended period of weathering should be gathered. Because the epidemiological evidence for the effectiveness of pyrethroid-treated tents for malaria control already exists, this technology could be readily adopted as an option for malaria control in refugee camps, provided the insecticidal effect is shown to be sufficiently persistent.