articleAmerican Journal of Tropical Medicine and HygieneApr 1, 2003Closed access

COMMUNITY-WIDE EFFECTS OF PERMETHRIN-TREATED BED NETS ON CHILD MORTALITY AND MALARIA MORBIDITY IN WESTERN KENYA

Amsterdam UMC Location University of Amsterdam · Kenya Medical Research Institute · +3 more institutions

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Abstract

Spatial analyses of the effect of insecticide (permethrin)-treated bed nets (ITNs) on nearby households both with and without ITNs was performed in the context of a large-scale, group-randomized, controlled mortality trial in Asembo, western Kenya. Results illustrate a protective effect of ITNs on compounds lacking ITNs located within 300 meters of compounds with ITNs for child mortality, moderate anemia, high-density parasitemia, and hemoglobin levels. This community effect on nearby compounds without nets is approximately as strong as the effect observed within villages with ITNs. This implies that in areas with intense malaria transmission with high ITN coverage, the primary effect of insecticide-treated…

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