New Paradigms in Vector Control
South East Asia presents a particularly difficult challenge for malaria prevention. Resistance to the most effective malaria drug treatments (ACTs) has been detected in Cambodia and has now spread to surrounding countries.
In order to stop the spread of this drug resistance it is important to stop disease transmission. But local mosquitoes live in forest areas and people are bitten and infected when they travel into the forest to attend their crops or gather wood.
Rather than take an ad hoc approach to developing new methods of vector control that are effective outdoors, which can then take decades to have a practical impact on disease prevention, IVCC aims to streamline the system.
A proposed IVCC framework for validation of new paradigms for malaria prevention will appear in a peer reviewed open access journal at the end of 2013. The review will include perspectives from organisations who need to make and deliver the new interventions, both public health and manufacturing. It will guide researchers and stakeholders on the scale of evidence and development required at each stage of the process of identifying new paradigms and developing new products.
Over the last 3 years IVCC has evaluated five potential new paradigms, including insecticide impregnated clothing and hammocks, slow release insecticide emanators that do not require heating or burning, and insect repellents. The most effective of these is now being tested in village scale trials in Cambodia.