Background
The World Health Organization (WHO) estimated to 229 million the number of cases of malaria and to 409,000 the number of death having occurred worldwide in 2019 [
1]. The same year, 94% of all malaria deaths occurred in sub-Saharan African [
1] countries, where malaria control consumes a major part of the national health budgets [
2,
3].
The WHO’s global vector control strategy recommends the scaling up of long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS) to control malaria, towards achieving the Millennium Development Goals for malaria [
4,
5]. Achieving high coverage of these interventions, especially to populations at highest risk of malaria, and their continued implementation remains a major challenge [
6].
In Burkina Faso, malaria is endemic with an estimated number of annual cases reaching height million, resulting in 27,800 deaths [
2]. Malaria control policies in Burkina Faso include intermittent preventive treatment (IPT) for pregnant women, Seasonal Malaria Chemoprevention (SMC) for children from 0 to 5 years old and the universal coverage with LLINs, according to the WHO recommendations [
7‐
9]. In 2011 and 2012, the National Malaria Control Programmes (NMCP) of Burkina Faso in collaboration with President’s Malaria Initiative (PMI) implemented IRS as a pilot intervention in several villages of the Diébougou health district (South-West of Burkina Faso).
The implementation of insecticide-based vector control programs has led to the rapid emergence of physiological [
10,
11] and behavioural [
12‐
15] resistance mechanisms in many vector populations in Africa. In Burkina Faso, recent studies indicated that
Anopheles gambiae sensu lato (s.l.) was highly resistant to both pyrethroids and organochlorine [
16] insecticides, but showed low levels of resistance to carbamates and organophosphates [
17]. Until now, no behavioural resistance mechanism (i.e. change in biting or resting behaviour) was clearly described in Burkina Faso in relation to the implementation of vector control measures. The spread of resistance mechanisms and changes in the vector population composition may lead to a reduced efficacy of the vector control interventions [
11]. It is, therefore, essential to describe and monitor malaria vector bionomics, resistance, behaviour and contribution to malaria transmission in areas where vector control measures are implemented [
18,
19].
Therefore, in order to gather relevant data to the NMCP for decision-making about vector control planning and resistance management, we monitored vector diversity, endophagy, resistance and malaria transmission during the 2015 rainy season in two peri-urban areas in Southwestern Burkina Faso. Both areas received universal pyrethroid LLIN distributions in 2010 and 2013 and one of both received bendiocarb IRS in 2011 and 2012 as part of a PMI pilot intervention.
Discussion
The entomological monitoring that we carried out revealed that
An. gambiae s.l. and
An. funestus group were the main malaria vectors in both Diébougou and Dano areas. The density of
An. gambiae s.l. (major vector) fell down drastically in October and November, compared to the two previous months. This was also true for
An. funestus in Dano. However, in Diébougou, we collected more
An. funestus individuals in October and November (especially in November). The predominance of
An. gambiae s.l. could be explained by the presence of its preferential deposits, consisting in temporary shallow and sunny water collections associated with rainfall [
32,
33]. The increased densities of
An. funestus group at the end of the rainy seasons in Diébougou might be explained by the presence, in the Bapla site, of a dam that provides permanent and semi-permanent breeding sites typically associated with the presence of this species [
33‐
36]. Similar observations have been reported by Dabiré et al. [
37] in two savannah villages (Soumousso and Lena) in Burkina Faso, where
An. funestus group was found as the major malaria vector towards the end of the rainy season.
Mean parous and sporozoite infection rates of
An. gambiae s.l. were high, indicating that older females were more prevalent and probably capable of malaria transmission during the rainy season in both study sites. These results corroborate previous studies carried out in the savannah areas of Bobo-Dioulasso, Burkina Faso [
38] and Gansé, Côte d’Ivoire [
39]. These data highlight the need for the correct use of protective tools such as LLINs. This situation could contribute to reduce human-vector contact and induce a decrease in the human population that is not very infectious for the vectors as well as mortality in the epidemiologically dangerous stages (parous female) [
40,
41].
Despite many years of continuous implementation of indoor, insecticide-based, vector control measures (LLINs alone or in combination with carbamate-IRS) in the study areas,
Anopheles populations continue to exhibits mainly anthropophilic and endophilic behaviours, similarly to prior descriptions in closed area [
37]. This seems to indicate, at the opposite to what was found in other areas [
12,
18,
19], that LLINs and IRS did not induced significant change in vectors behaviour in Dano and Diébougou. This situation may be explained by the high pyrethroid-resistance levels [
42,
43] observed in the vector population well before the 2010 and 2013 LLINs distributions.
In both areas of this study,
An. gambiae populations were resistant to bendiobarb, DDT and pyrethroid. The intensive use of these insecticides in agriculture (gardening, rice and cotton growing) as well as in public health (IRS, LLINs) was found to induce selection of insecticide resistance in malaria vectors [
44]. Cotton is intensively cultivated around Dano and Diébougou and was shown to possibly induce strong selection pressure malaria vectors [
45]. This constitutes a limit to the efficacy of vector control strategies based on pyrethroids (such as LLINs) and carbamates in this part of the country. However, susceptibility tests indicated that
An. gambiae was still susceptible to chlorpyriphos-methyl, an organophosphate that received a recommendation for its use in IRS [
46]. This insecticide family might therefore be used in this area of Burkina Faso in combination with pyrethroids-LLIN with the goal to manage pyrethroids resistance and help reduce malaria transmission [
47,
48].
In this study, we characterize phenotypic resistance of
An. gambiae s.l. and identify the
kdr mutation as a probable major cause for pyrethroids and DDT resistance. However, we did not investigated the role of metabolic resistance (such as esterase, oxidase and glutathione-
S-transferase) that might have contributed to pyrethroids resistance and explained carbamate resistance [
49,
50]. Moreover, insecticide resistance in
An. funestus was not investigated. Because this species is a major malaria vector in the area, particularly at the end of the rainy season, further studies should consider describing phenotypic resistance and the mechanisms involved.
Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit
http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (
http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.