更好的方法,更好的数据:确定改进病媒控制方法的优先事项

Katherine Gleave, R. Lees
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摘要

本文探讨了在评估病媒控制杀虫剂工具方面不断变化的挑战。为应对主要疟疾病媒中出现的杀虫剂抗药性,新型化学物质和产品正在上市,因此有必要对现有的测试方法进行审查。评估杀虫剂的常用方法,如世界卫生组织(WHO)的锥体生物测定法,不足以应对目前多种多样的工具。从创新到影响 (I2I) 研究了实验室方法的变异性,目的是找出导致变异的关键因素,并提供建议以加强规程。I2I 方法图景是一份活文件,对现有的病媒控制工具评估方法进行了审查,目前范围已扩展到驱虫蚊帐 (ITN) 和室内滞留喷洒剂 (IRS)。审查显示,许多常用的病媒控制方法缺乏验证,突出表明需要改进规程,以提高数据的可靠性和稳健性,从而在产品开发、评估和实施过程中做出决策。这项工作强调的一个重要方面是,需要量身定制的方法来测量与新型杀虫剂的不同作用模式相关的终点。I2I 设想,"方法全景 "将成为研究人员和产品制造商选择适当方法的决策工具,以及确定研究和开发优先次序的手段。我们呼吁大家共同努力,积极开发、验证和持续实施病媒控制方面的适当方法,以生成做出稳健决策所需的数据。
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Better methods, better data: landscaping the priorities for improving methodologies in vector control
This article addresses the evolving challenges in evaluating insecticide-based tools for vector control. In response to the emergence of insecticide resistance in major malaria vectors, novel chemistries and products are coming to market, and there is a need to review the available testing methodologies. Commonly used methods for evaluating insecticides, such as the World Health Organization (WHO) cone bioassay, are inadequate for the diverse range of tools now available. Innovation to Impact (I2I) has studied the variability in laboratory methods, with the aim of identifying key factors that contribute to variation and providing recommendations to tighten up protocols. The I2I Methods Landscape is a living document which presents a review of existing methods for evaluating vector control tools, with the scope currently extending to insecticide-treated nets (ITNs) and indoor residual sprays (IRS). The review reveals a lack of validation for many commonly used vector control methods, highlighting the need for improved protocols to enhance reliability and robustness of the data that is generated to make decisions in product development, evaluation, and implementation. A critical aspect highlighted by this work is the need for tailored methods to measure endpoints relevant to the diverse modes of action of novel insecticides. I2I envisage that the Methods Landscape will serve as a decision-making tool for researchers and product manufacturers in selecting appropriate methods, and a means to prioritise research and development. We call for collective efforts in the pro-active development, validation, and consistent implementation of suitable methods in vector control to produce the data needed to make robust decisions.
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