title: Extension of indoor residual spraying for malaria control into high transmission settings in Africa.
abstract: Contrary to previous consensus, a recent WHO statement recommends a more dominant role for indoor residual spraying (IRS) in malaria control in high transmission settings of sub-Saharan Africa and re-emphasises the role of DDT. We review the issues related to this change in recommendation. In high transmission settings, IRS must be implemented indefinitely and at high quality to achieve control. As current infrastructure limitations and unpredictable funding make this unlikely, each country must carefully consider the role of IRS. There remains a need to support ongoing insecticide-treated net scale-up. Insecticide choice is hampered by the lack of economic costing data.
authors.affiliation: Malaria Consortium Africa, P.O. Box 8045, Sturrock Road, Kampala, Uganda. k.kolaczinski@malariaconsortium.org
authors.forename: Kate
authors.initials: K
authors.lastname: Kolaczinski
authors.forename: Jan
authors.initials: J
authors.lastname: Kolaczinski
authors.forename: Albert
authors.initials: A
authors.lastname: Kilian
authors.forename: Sylvia
authors.initials: S
authors.lastname: Meek
mesh_terms: D000349:Africa / Q000453:epidemiology; D000818:Animals; D003634:DDT; D006801:Humans; D007306:Insecticides; D008288:Malaria / Q000517:prevention & control*; D009032:Mosquito Control / Q000379:methods*; D012423:Rural Health
chemical_list: D007306:Insecticides; D003634:DDT