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

Strange tadpoles from the lower Miocene of Turkey: Is paedogenesis possible in anurans?

Fossil material from the lower Miocene collected in the basin lake of Beşkonak (Turkey) included 19 slabs showing 19 amphibian anuran tadpoles of rather large size, at Gosner stages 36–38. These well preserved specimens show many morphological and skeletal characters. They are here tentatively referred to the genus Pelobates. Two of these tadpoles show an unusual group of black roundish spots in the abdominal region, and a third similar group of spots is present in another slab but we were unable to state if it was associated with a tadpole or not. Several hypotheses can be proposed to account for these structures: artefacts; intestinal content (seeds; inert, bacterial or fungal aggregations; eggs); internal or external parasites; diseases; eggs produced by the tadpole. The latter hypothesis is discussed in detail and is shown to be unlikely for several reasons. However, in the improbable case where these spots would correspond to eggs, this would be the first reported case of natural paedogenesis in anurans, a phenomenon which has been so far considered impossible mostly for anatomical reasons (e.g., absence of space in the abdominal cavity)