Decreased motivation in the use of insecticide-treated nets in a malaria endemic area in Burkina Faso

<p>Abstract</p> <p>Background</p> <p>The use of insecticide-treated nets (ITN) is an important tool in the Roll Back Malaria (RBM) strategy. For ITNs to be effective they need to be used correctly. Previous studies have shown that many factors, such as wealth, access to health care, education, ethnicity and gender, determine the ownership and use of ITNs. Some studies showed that free distribution and public awareness campaigns increased the rate of use. However, there have been no evaluations of the short- and long-term impact of such motivation campaigns. A study carried out in a malaria endemic area in south-western Burkina Faso indicated that this increased use declined after several months. The reasons were a combination of the community representation of malaria, the perception of the effectiveness and usefulness of ITNs and also the manner in which households are organized by day and by night.</p> <p>Methods</p> <p>PermaNet 2.0^®and Olyset^®were distributed in 455 compounds at the beginning of the rainy season. The community was educated on the effectiveness of nets in reducing malaria and on how to use them. To assess motivation, qualitative tools were used: one hundred people were interviewed, two hundred houses were observed directly and two houses were monitored monthly throughout one year.</p> <p>Results</p> <p>The motivation for the use of bednets decreased after less than a year. Inhabitants' conception of malaria and the inconvenience of using bednets in small houses were the major reasons. Acceptance that ITNs were useful in reducing malaria was moderated by the fact that mosquitoes were considered to be only one of several factors which caused malaria. The appropriate and routine use of ITNs was adversely affected by the functional organization of the houses, which changed as between day and night. Bednets were not used when the perceived benefits of reduction in mosquito nuisance and of malaria were considered not to be worth the inconvenience of daily use.</p> <p>Conclusion</p> <p>In order to bridge the gap between possession and use of bednets, concerted efforts are required to change behaviour by providing accurate information, most particularly by convincing people that mosquitoes are the only source of malaria, whilst recognising that there are other diseases with similar symptoms, caused in other ways. The medical message must underline the seriousness of malaria and the presence of the malaria vector in the dry season as well as the wet, in order to encourage the use of bednets whenever transmission can occur. Communities would benefit from impregnated bednets and other vector control measures being better adapted to their homes, thus reducing the inconvenience of their use.</p

Impact of feeding by Arenicola marina (L.) and ageing of faecal material on fatty acid distribution and bacterial community structure in marine sediments: An experimental approach

The fate of ingested eukaryotic photoautotrophic fatty acids during gut transit in the lugwormArenicolamarina (L.) and the influence of A. marina's faeces on the evolution of fatty acid distribution and bacterial community structure in superficial sediments were studied under laboratory conditions. Dead phytoplanktonic cells (food portions) were fed to individual A. marina and subsequently incubated, or allowed to directly incubate in the presence of fresh egesta or non-ingested sediment. Changes in fatty acid composition and genetic structure of bacterial communities during gut transit and/or incubation were monitored using gas-chromatography/mass-spectrometry and a DNA fingerprint approach (RISA), respectively. Results, supported by principal component analyses, suggest that A. marina's feeding activity can directly and indirectly affect the lipid biomarker composition and the bacterial community structure of inhabited sediments. Faecal casts produced fromfood portions appeared qualitatively enriched in saturated fatty acids relative to (poly)unsaturated ones due, partly, to an increase of some bacterial fatty acids and to the preferential removal of some polyunsaturated fatty acids (PUFAs). The incubation of food portions in the presence of fresh A. marina's egesta (designed to study the indirect impact of feeding by A. marina) induced a significant increase in the concentrations of C20 and C22 polyunsaturated fatty acids (PUFAs), whereas these compounds almost disappeared following direct feeding and subsequent incubation, indicating that some dietary fatty acidsmay be more accessible to biodegradation following passage through the gut of A. marina. The aforementioned increase in PUFAs was attributed to a bacterial production during incubation, suggesting the presence of PUFA-producing bacteria in the fresh egesta of A. marina. Those bacteria were either enteric bacteria thatwere releasedwith the egesta or ingested bacteria that have survived gut passage, as suggested by the variations of the bacterial community structure (i.e. RISA profiles) during incubation. The results suggest that aged faeces from A. marina might be, in some circumstances, of relatively high nutritional value to trophic levels which are unable to synthesize essential PUFAs de novo. The presence of PUFA-producing bacteria in guts of marine lugworms deserves further attention