Entomological indicators | Definition (methodology) | Justification |
---|---|---|
Indoor resting density (IRD) | Number of adult female vectors collected indoors per room per day (estimated from PSC collections over a 3 day period) | To determine relative abundance, indoor resting habit and suitability of local vectors for control measures such as IRS and ITNs |
Human biting rate (HBR) | Number of Anopheles attempting to feed per person per unit time (estimated from CDC-LT collections) | To determine EIR |
Biting cycle per location | Number of Anopheles attempting to feed per person per hour indoor/outdoor (from CDC-LT collections) | To determine peak biting times indoor and outdoor |
Percentage sibling species composition | Percentage of each female Anopheles mosquito sibling species in each sentinel site (estimated from morphological and PCR identifications) | To determine species distribution and prevalence |
Parity rate (PR) | Proportion of adult female vectors that laid eggs (estimated through ovary dissection) | An indicator for mosquito longevity |
Sporozoite rate (SPR) | Proportion of adult female vectors harboring sporozoites in their salivary glands (determined using ELISA/PCR) | To determine EIR |
Human blood index (HBI) | Proportion of blood-fed adult female vectors that fed on humans (determined with ELISA/PCR method) | To determine mosquito host preference |
Entomological inoculation rate (EIR) | Number of infectious bites by adult female vectors per person per unit time (calculated as product of HBR&SPR) | To estimate the intensity of malaria transmission within the sentinel site |
Resistance status | Classification of adult female vectors as confirmed resistant, possible resistant, or susceptible (WHO/CDC bioassay tests) to permethrin, deltamethrin, alphacypermethrin, bendiocarb, DDT, pirimiphos-methyl, clothianidin and chlorfenapyr | To determine response status of Anopheles populations in each site to WHO-PQ recommended insecticides |
Synergist-insecticide resistance status | Involves pre-exposure to PBO before exposure to insecticide. Full restoration of susceptibility after pre-exposure to the PBO synergist suggests that the metabolic resistance mechanism (enzyme class) related to the synergist plays a role in the insecticide resistance observed If an increase in mortality is not observed, the metabolic mechanisms related to the synergist are likely not involved in the resistance observed | To ascertain the involvement of metabolic resistance mechanism in the expression of resistance by the Anopheles mosquito population in each site |
Pyrethroid Resistance intensity | Classification of vector populations as having high, moderate, or low pyrethroids (permethrin, deltamethrin, and alphacypermethrin) resistance after WHO/CDC bioassay tests at × 2, × 5 and × 10 concentrations | To determine operational significance of detected pyrethroid resistance |
kdr frequency | Percentage of kdr allele occurrence in the resistant mosquito populations in each sentinel site (determined using PCR) | To determine the role and extent of target site mechanism involvement in DDT & pyrethroid resistance of An. gambiae s.l population in each sentinel sites |