%0 Journal Article %T Efficacy of long-lasting insecticidal nets in use in Macha, Zambia, against the local Anopheles arabiensis population %A Laura C Norris %A Douglas E Norris %J Malaria Journal %D 2011 %I BioMed Central %R 10.1186/1475-2875-10-254 %X F1 offspring of field-collected adult An. arabiensis were tested for insecticide resistance, using CDC bottle bioassays and deltamethrin ITN susceptibility assays. The mosquitoes were characterized for the knock-down resistance (kdr) allele by PCR. LLINs that had been in use for two years in nearby villages were collected and tested for residual deltamethrin concentration and net quality, and were used in bioassays against susceptible colonized Anopheles gambiae s.s. Keele. Additionally, a survey on ITN use and care was conducted among LLIN owners.In the F1 An. arabiensis field population, low levels of resistance to DDT and deltamethrin-treated net material were detected by bioassay, although the knock-down resistance (kdr) allele not present in the population. ITN evaluations revealed high variability in residual deltamethrin concentration, quality of the nets, and mosquito mortality in bioassays. Mortality against An. gambiae s.s. in bioassays was correlated with residual deltamethrin concentration, which was dependent upon the number of washes each net had received.Proper LLIN care was a strong determinant of LLIN efficacy, indicating that education on the importance of LLIN use and care is key when distributing nets. As there is little insecticide resistance in the local vector population, degradation of LLINs most likely allowed for continued human feeding by An. arabiensis. Continued monitoring and assessment of both the vector population and the efficacy of LLINs in use is necessary in order to appropriately modify vector control operations and prevent the development of pyrethroid resistance.Malaria is a severe public health problem, causing an estimated 225 million disease cases and 781,000 deaths per year [1]. Most victims are children under five years old living in sub-Saharan Africa [1]. Malaria is transmitted by Anopheles mosquitoes, and because there is currently no vaccine available, vector control is one of the most important means of malaria preven %U http://www.malariajournal.com/content/10/1/254