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Ethnobotanical study of some of mosquito repellent plants in north-eastern Tanzania
Malaria Journalvolume 7, Article number: 152 (2008)
The use of plant repellents against nuisance biting insects is common and its potential for malaria vector control requires evaluation in areas with different level of malaria endemicity. The essential oils of Ocimum suave and Ocimum kilimandscharicum were evaluated against malaria vectors in north-eastern Tanzania.
An ethnobotanical study was conducted at Moshi in Kilimanjaro region north-eastern Tanzania, through interviews, to investigate the range of species of plants used as insect repellents. Also, bioassays were used to evaluate the protective potential of selected plants extracts against mosquitoes.
The plant species mostly used as repellent at night are: fresh or smoke of the leaves of O. suave and O. kilimandscharicum (Lamiaceae), Azadirachta indica (Meliaceae), Eucalyptus globules (Myrtaceae) and Lantana camara (Verbenaceae). The most popular repellents were O. kilimandscharicum (OK) and O. suave (OS) used by 67% out of 120 households interviewed. Bioassay of essential oils of the two Ocimum plants was compared with citronella and DEET to study the repellence and feeding inhibition of untreated and treated arms of volunteers. Using filter papers impregnated with Ocimum extracts, knockdown effects and mortality was investigated on malaria mosquito Anopheles arabiensis and Anopheles gambiae, including a nuisance mosquito, Culex quinquefasciatus. High biting protection (83% to 91%) and feeding inhibition (71.2% to 92.5%) was observed against three species of mosquitoes. Likewise the extracts of Ocimum plants induced KD90 of longer time in mosquitoes than citronella, a standard botanical repellent. Mortality induced by standard dosage of 30 mg/m2 on filter papers, scored after 24 hours was 47.3% for OK and 57% for OS, compared with 67.7% for citronella.
The use of whole plants and their products as insect repellents is common among village communities of north-eastern Tanzania and the results indicate that the use of O. suave and O. kilimandscharicum as a repellent would be beneficial in reducing vector biting. The widespread use of this approach has a potential to complement other control measures.
Recently, the environmental friendly and biodegradable natural insecticides of plants origin have been receiving attention as an alternative green measure of control of arthropods of public health importance . More than two billion people, mostly in tropical countries, are at risk from mosquito-borne diseases, such as malaria, dengue, haemorrhagic fever and filariasis . Malaria accounts for 310 – 515 million clinical episodes with 1.5 – 3.0 million deaths per year, 90% of which occur in sub-Saharan Africa . The burden of malaria has been increasing due to development of resistance against both anti-malaria drugs and insecticides, complex social structures, and rapid environmental changes that have intensified in the last decade [1, 3]. Consequently, there is no single method of malaria control that is completely effective in high transmission areas [4–6]. Even the most widely tested interventions, using bed nets treated with pyrethroid insecticides, have proven difficult to implement correctly because of problems related to equity, accessibility, user compliance and insecticide resistance [7, 8]. For example, in western Kenya, the most important reasons for non-adherence to use of ITNs was the disruption of sleeping patterns due to visitors, funerals, house constructions and other events . Other concerns included fear of the insecticide, which is thought by some, to be a toxic drug used for family planning purposes . Insect repellents play an important role in reducing man-vector contact . Repellents of plant origin have been used for medicinal purposes for a long time because they do not pose hazards of toxicity to human or domestic animals and are easily biodegradable [11, 12]. Compared to other synthetic compounds, natural products are presumed to be safer for human use , justifying therefore a broad search for eco-friendly biological materials to be used for the control of vectors of medical importance.
The chemical contents extracted from plant materials can be useful as repellents, larvicides, oviposition attractants, insect growth hormone regulators and deterrent agents [11, 14, 15]. Plant products have been used in many parts of the world for killing or repelling mosquitoes either as extracts or as whole plant . Certain natural products have been investigated for repellent activity against mosquitoes [17, 18]. Ocimum kilimandscharicum (OK) and Ocimum suave (OS) have been reported to possess repellent properties against mosquitoes . The repellent action of plant parts or oil extracts from Ocimum species have been evaluated against Afro-tropical mosquitoes [16, 19]. Quelling, an insect repellent produced in Asia, derived from extracts of the eucalyptus and lemon grass has been evaluated against mosquitoes . Essential oil obtained from Vitex negudo and flowers from Lantana camara have shown repellence activities against Aedes aegypti [20, 21].
This study present an account of plants used as insect repellents in north-eastern Tanzania and evaluates the feeding inhibition, knockdown effect and mortality effect of two common repellents, Ocimum suave and Ocimum kilimandscharicum plants against An. gambiae ss, An. arabiensis and Cx.quinquefasciatus.
Materials and methods
Ethnobotanical survey area
The surveys were taken from January to March 2006, at Lower Moshi villages (37°20' E, 3°21' S; 750 M above sea level), located 19 km South of Moshi town, on the foot slopes of Mount Kilimanjaro. The area is characterized by a wet tropical climate with main rain season from March to May, short rain season from November to December and dry season from August to October. The selected villages were Mabogini, Rau Kati, Chekereni and Mtakuja with estimated population of 20,614 . Main ethnic groups inhabiting the study area include the Masai, Pare and Chagga tribes. The objectives and importance of the study, together with methods of data collection were introduced to the community through a village meeting. Standard questionnaires were dispensed by trained staffs to the randomly selected households for one week in each village. Before the interview, the head of household was asked to read a letter of consent explaining the purpose of study and participation was voluntary. The questioner used was designed to capture information on species of plants used as mosquito repellents, method of application, frequency of use, source of knowledge on plants and other means of protection used.
All laboratory tests were conducted using (F1, F2 or F3 generations) female mosquitoes; colonies of An. gambiae s.s. (from Kisumu, Kenya), An. arabiensis and Cx. quinquefasciatus were maintained in the laboratory. Anopheles gambiae is highly anthropophilic, whereas An. arabiensis is highly zoophilic and partly anthropophilic. Culex quinquefasciatus is a nuisance mosquito exhibit catholic feeding behaviour.
Extraction of volatile oils from plants
Volatile oils from leaves of OS and OK were extracted by steam distillation . This procedure gave an average yield of 0.2 mls of volatile oils per kilogram of fresh leaves of Ocimum plants. The extracted oil was stored in airtight bottle and kept at 4°C for later experiments.
Formulation of repellents
Four repellent formulations were prepared as follows: (1) 20% DEET (N, N,-diethyl-3-methylbenzamide) in glycerine with acetone as solvent; (2) 20% OS extract in glycerine with acetone as solvent; (3) 20% OK extracts in glycerine with acetone as solvent and (4) a mixture of glycerine with acetone was used as control. The products were applied on human skin as commonly done for normal body oil.
Impregnation of materials with extracts
The netting materials used for cone bioassay and tunnels tests  were treated at different concentrations: 75 mg/m2, 100 mg/m2, 200 mg/m2, 250 mg/m2 and 500 mg/m2. These dosages were calculated using the proportion of percentage of the targeted constituent of the crude essential oil composition. The dosage is comparable to concentration of pyrethroid used for net treatment approved for community use . The filter papers used for susceptibility test were treated with OS, OK and citronella oil at concentrations of 75 mg/m2, 100 mg/m2, 200 mg/m2, 250 mg/m2 and 500 mg/m2. The treated materials were stored at room temperature until the time of experiment.
Tunnel chamber experiment
Tunnel chamber (90 cm × 30 cm × 30 cm), made up of wood frames and 4 mm glasses was used to evaluate repellence, mortality and feeding inhibition of plant extracts against three mosquito species. It had three sections of equal dimensions (30 cm × 30 cm × 30 cm). The first partition, a release chamber, is where host-seeking mosquitoes are released at the beginning of experiment. The middle chamber is separated from the bait chamber by netting material with nine holes of 1 cm diameter which allows mosquito to get into a bait chamber. The third is a bait chamber, where bait (e.g. a rabbit) is fixed in a wooden cage. This tunnel chamber, modified from Chandre and others , is designed to imitate the setting of indigenous rural African houses, where in the majority of households, animals like chickens, cattle and goats are kept indoors. The test procedure and analysis methods used are described elsewhere .
The hands of two volunteers were exposed to mosquitoes in cages (30 cm × 30 cm × 30 cm) for one hour. Test hand was treated and control hand was untreated. The same volunteer was used to evaluate all three formulations (DEET 20%; OS 20% and OK 20%) in order to avoid bias related to preferential attractiveness to mosquitoes. Volunteers were exposed to different treatments with different mosquito species. Each exposure had five replicates of 25 mosquitoes, making a total of 125 mosquitoes used per treatment per species. All tests were conducted at a room temperature of 27 ± 2 degree centigrade and relative humidity of 78%.
The bioassay tests were done on three mosquito species (An. gambiae s.s, An. arabiensis, and Cx. quinquefasciatus) using susceptibility kit and standard methods of World Health Organization . Mosquito were exposed to filter papers treated with different dosages (75 mg/m2, 100 mg/m2, 200 mg/m2, 250 mg/m2 and 500 mg/m2) of citronella and extracts of essential oils from OK and OS plants. Untreated filter papers were used as control.
Four replicates and one control for each dosage were done for each mosquito species tested. In total 125 (100 in four replicates of treatment and 25 in control) unfed female mosquitoes were tested for each species. Mosquitoes were exposed for one hour then transferred to holding chamber where mortality and recovery (i.e. immediate mortality and 24 hours mortality) were scored. Also time taken to knockdown 90% of the population (KD90) and 95% confidence interval were calculated per treatment.
Contact or cone bioassays
Netting material treated with six different dosages (75 mg/m2, 100 mg/m2, 200 mg/m2, 250 mg/m2 and 500 mg/m2) of Ocimum extracts and citronella were used for the cone bioassay. Five unfed female mosquitoes were exposed to treated material for three minutes, ten replicates per each test. The cones were held on treated surface and the control on untreated surface. The exposed mosquitoes were taken for observations to record immediate mortality, 24 hours mortality and recovery after 24 hours.
Ethical clearance was reviewed and granted by Ethics committee of Tumaini University, Moshi Tanzania. The purpose of study was elaborated to the head of households before the survey and participation was voluntary.
The percentages of blood feeding inhibition of mosquitoes for cage test, knockdown effect and mortality for both contact and WHO susceptibility tests, repellence and feeding inhibition for Tunnel test were computed using excel spreadsheet. The percentage protection (feeding inhibition, mortality or knockdown effect) was estimated by Abbot formula as PE = (NC - NT)/NT × 100%, where NC and NT are the number of mosquito on control and on treatment, respectively [18, 19]. Abbot formula was used to correct for mosquitoes feeding responses by different treatments in Tunnel and Cage experiments.
In contact and susceptibility tests, percentage mortality and recovery rates for Ocimum extracts (OS and OK) against citronella were calculated. Knockdown effect was determined as the proportion of mosquito knockdown at a particular observation. Data were subjected to one way analysis of variance (ANOVA) and mean percentage knockdown between treatments and against DEET for each of three mosquito species were compared by sample T – tests and significance level was determined at P < 0.05.
A total number of 120 head of households were interviewed at lower Moshi covering Rau Kati (30 households), Mtakuja (31), Chekereni (30) and Mabogini (29) villages to assess the social demographic data (Table 1). In these villages, plant species commonly used as mosquito repellents were Ocimum species (56.6%), Azadirachta indica (30.1%), Eucalyptus globules (11.6%) and Lantana camara (1.7%).
Methods of application were mostly incense burning/smouldering considered to offer effective protection and application was mostly done around 7 pm to 10 pm in 60% of households interviewed of which majority were small scale farmers (73%). The plant parts mostly used were leaves (70%), barks (10%), mixed plant parts (13%) or roots (7%).
Knockdown effect based on exposure to filter papers impregnated with plant extract
The knockdown effect induced by the two Ocimum plants and citronella ranged from 35% to 50% in all species of mosquitoes tested. This effect however, varied significantly (P < 0.05 – P > 0.05) among the three mosquito species tested. Citronella had the highest knockdown effect followed by OS and OK. At a dose of 30 mg/m2, citronella achieved over 50% knockdown within 10 minutes, while extracts of test plants (OS and OK) achieved between 35% to 45% knockdown for all species tested. There was no significant difference between the knockdown effect due to citronella and OS in all species tested. The OK showed the lowest knockdown effect in all species, whereas citronella scored a significantly high knockdown effect (P = 0.001). The KD90 results for all species against plant extracts are summarized in Table 2.
In general, the knockdown efficacy of OS was significantly higher on An. gambiae (P = 0.027), whereas that of OK was significant on An. arabiensis (P = 0.007). On the other hand, the knockdown effect of both OS (P = 0.223) and OK (0.045) was not significant on Cx. quinquefasciatus.
Mosquito mortality in experiments with treated netting materials (contact bioassays)
In all tests, citronella induced the highest mortality rate on both species, followed by OS on Anopheles species and OK on Culex species. Mortality rate was high in An. gambiae s.s up to cut off point (30 mg) for all the test products. Citronella induced the highest mortality (56.6%) followed by OS (47.5 %) and the lowest was OK (43.3%).
At a concentration of 30 mg, mortality caused by exposure to citronella were high in An. arabiensis (67.7%, P < 0.001) followed by An. gambiae ss (56.7%, P < 0.001) and Cx. quinquefaciatus 63.7% (P = 0.001).
In An. arabiensis, mortality induced by citronella was 67.7% (P < 0.0001); 62.0% for OS (P = 0.006) and 55% (P = 0.051) for OK. Mortality induced by both citronella and OS are comparable and significantly higher than mortality caused by OK.
In An. gambiae s.s., citronella achieved the highest mortality of 56.7% (P < 0.001) followed by OS 47.4% (P = 0.001) and OK 43.3% (P = 0.054) at a dosage of 30 mg. The citronella caused more than 50% mortality, but the effect of both OS and OK was comparable and below 50%.
In Cx. quinquefasciatus, citronella caused the highest mortality 63.7% (P = 0.001) followed by 56.3% for OK (0.012) and 46.3% for OS (P = 0.062). Mortality due to OK and citronella was comparable and significantly higher on Culex mosquitoes. With increased dosage to 50 mg, there was no significant increase in mortality in all species and in all treatments.
Biting inhibition of mosquitoes
This present finding of cage experiments which compared the number of mosquitoes landed on treated and untreated arms of volunteers. The highest biting inhibition rate against all tested mosquito species was achieved by DEET (ranging from 88.7% to 92.5 %) followed by OS (83.5% to 88.9%) and OK (71.2% to 85.3%). Among the natural products tested, variation in biting inhibition within the species was observed; OS was more inhibiting for the An. gambiae s.s and An. arabiensis whereas the OK was efficient in inhibiting Cx. quinquefasciatus. The feeding inhibition caused by OS (P < 0.001) was significant higher than OK (P = 0.045) on both species of Anopheles tested. Likewise OK induced significant feeding inhibition on Cx. quinquefaciatus, but overall DEET gave the highest biting inhibition (Figure 1).
All measured protective effects namely repellence, feeding inhibition and mortality rates of test extracts (OS or OK) were compared against CT, a standard repellent to obtain significance levels. The trend in repellency effect, feeding inhibition and mortality were found to increase with dosage (ranged from 75 mg to 500 mg/M2) of extracts (Figure 2) impregnated on netting materials. The dosage of 500 mg/m2 was found to be the most effective and this was used to compare the effects of different exposures.
In the tunnel experiment, the overall repellence effect induced by netting material treated with citronella against mosquitoes entering the bait chamber was 81% for An. gambiae s.s, 85% for An. arabiensis and 98 % for Cx. quinquefasciatus. There was feeding inhibition of 93% for An. gambiae s.s, 96 % for An. arabiensis and 100% for Cx. quinquefasciatus. Mortality rates were 63% for An. gambiae s.s, 69% for An. arabiensis and 65% for Cx. quinquefasciatus. Notably, all test effects, repellence (Table 3), feeding inhibition (Table 4) and morality rates (Table 5) induced by citronella were significant for all three species of mosquitoes.
Overall repellence induced by OS was 81% for An. gambiae ss, 89% for An. arabiensis and 91% for Cx.quinquefasciatus. High level of feeding inhibition was observed, indeed 88% of An. gambiae ss, 90% of An. arabiensis and 100% of Cx. quinquefasciatus could not feed on the bait. Mortality rates due to OS were 50% for An. gambiae s.s, 58% for An. arabiensis and 67% for Cx. quinquefasciatus. Notably, repellence effect (Table 3), feeding inhibition (Table 4) and mortality rates (Table 5) induced by OS were significant for all three species of mosquitoes tested.
An overall repellence effect induced by OK was 73%, 75% and 82% for An. gambiae s.s, An. arabiensis and Cx. quinquefasciatus respectively. Likewise feeding inhibition was 77% for An. gambiae s.s, 75 % for An. arabiensis and 99% for Cx. quinquefasciatus. Mortality scored were 47%, 52% and 56% for An. gambiae s.s, An. arabiensis and Cx. quinquefasciatus respectively. Repellence effect (Table 3) and feeding inhibition (Table 4) induced by OK was significant for An. arabiensis and Cx quinquefasciatus only. However, mortality rates were significant higher for all three species of mosquitoes tested (Table 5).
In north-eastern Tanzania, the use of plants repellents to reduce human vector contact is a common practice among village communities. The major plants used as repellents are Ocimum species (Ocimum kilimandscharicum and Ocimum suave), Eucalyptus species, Lantana camara and Azadirachta indica. The majority of interviewed villagers admitted that they could not afford to use synthetic commercial mosquito repellents or insecticides because of high cost and or discouraged by poor performance of some of the products. Similar finding have been reported elsewhere in African, such as Guinea Bissau and Kenya, where the majority of the villagers could not afford synthetic commercial mosquito insecticides due to poverty [18, 29].
Majority of the interviewed households (66.7%) showed preference to Ocimum species than other anti-mosquitoes plants. Ocimum plants are common as the post-harvest weed in the area around these villages. Most common method of application is burning of plant leaves for protection before going to bed, hanging the repellent plants inside the house concurring with other reports from Africa [16, 30]. Application of repellents was mostly done between 7 pm to 10 pm, such timing corresponds with the mosquito active biting cycle in the evening. Curtis and others  recorded up to a ten fold reduction in mosquito biting close to smouldering Hyptis suaveolens; but there was not any reduction of mosquito biting in a hut with fresh H. suaveolens. Extracts of Ocimum plants have shown significant protection against the malaria vectors in different areas of Africa [16, 19].
Knockdown effect on tested mosquitoes
At a standard dosage of 30 mg/m2, the knockdown effect induced by OS, OK and citronella ranged from 35% to 50%, this effect however, varied significantly (P < 0.05 – P > 0.05) among the three species tested. Similar results were reported on a test done with Callosobruchus maculates of which the knockdown effect varied with concentrations of extracts .
The knock down effect (KD90) was calculated to estimate the population of mosquitoes that will be knocked down at the standard time of ten minutes as recommended for insecticides used for the space spraying such as aerosols . The KD90 accounts for the efficacy of insecticide to knockdown 90% of the population in ten minutes. Such insecticides therefore need to have the ability to knockdown 90% of the insect population in ten minutes so as to be considered for space spraying as recommended by WHO . In this study, Citronella fulfilled this criterion; the OS was second best with KD90 of 43 min on An. arabiensis and 42 min on Cx. quinquefasciatus knockdown within and 42 minutes respectively.
Variation in knockdown rates among OS and OK between various species of mosquito is probably due to the effect of the major active ingredients found in the extracts . The knockdown effect of OK might has been attributed by the presence of camphor found in high concentration in its essential oil. The camphor has a terpenoids in their hydrocarbon structure, which confers a common property of hydrophobicity . Many hydrophobic compounds are associated with the protein deactivation leading to enzyme inhibition . The knockdown effect of OS might have been attributed with the high amount of eugenol (60%) found in its essential oils. Likewise, OS extract contains linalool (1.4%), a compound known to act as a reversible inhibitor of acetyl cholinesterase, capable of disrupting the function of neurotransmitter in insects like mosquito, hence inducing knockdown effect .
Mortality rates on tested mosquito
Plant secondary metabolites are thought to act as toxicants or deterrents . This study revealed that, essential oil extracts tested had good insecticidal activity against mosquito and the effect is dosage dependant .
Citronella, OS and OK impregnated in filter papers and netting materials were toxic to all three species of mosquitoes tested. There was 100 percent knockdown due to exposure to Ocimum extracts. Mortality of both Anopheline and Culicine was found to increase proportionately with increase in concentration of the plant products; either in filter papers or netting material. Similar effect of dosage dependant mortality has been found in permethrin-treated materials .
The toxicity and bioactivity of OS may be attributed with high concentration of eugenol, a compound with phenolic structure  and the presence of other compounds such as linalool. Phenols are generally known to be important sources of potent insecticides, fungicides, bactericides and herbicides for pest control. These results suggest a potential of OS to be used as repellents and toxicant agent against mosquitoes. Similarly, the repellent effect of eugenol against insects has been demonstrated elsewhere Hassanali et al .
Repellence activities of Ocimum plants against insects have been reported elsewhere. In Rwanda, farmers protect farm-stored edible beans (Phaseolus vulgaris) against insect damage by using leaves of Ocimum canum. Linalool is the major component of the essential oil of this annual mint, representing 60–90% of the total volatile collected  and act as a reversible competitive inhibitor of acetyl cholinesterase .
Extracts from OK, with high concentration of camphor, induced low mortality in tested mosquitoes in comparison with citronella and OS. According to Ryan and Byrne , the effect of camphors is attributed to toxicity of several terpenoids representing a range of functional groups including pulegone (ketone), linalool (alcohol) and 1,8-cineole (ether) against pests to their reversible competitive inhibition of acetylinecholinesterase by apparently occupying the hydrophobic sites of the enzymes active centre. Although, OK has high concentration of camphor, its protection effects against insect biting may be attributed to other minor toxic components such as 1,8-cineole (7%), limonene (6%) and linalool (0.5%). Since concentration of linalool in OS (1.4%) is much higher than in OK (0.5%), a significant mortality induced by OS could be attributed to the high amount of linalool.
In the tunnel experiments, the feeding inhibition, repellence effect and mortality response patterns measured on An. gambiae, An. arabiensis and Cx quinquefasciatus was the most effective at the dosage of 500 mg/m2. Overall Ocimum extracts in treated material at different dosage provided substantial repellence effects on tested mosquitoes. The performance of extracts from OS, with mortality range from 50% to 67%, was the second best to the commercial product (citronella) and these results are comparable to report elsewhere . Permethrin, a commonly used pyrethroid insecticides evaluated at similar dosages of 500 mg/m2 in tunnel experiments against An. gambiae s.s induced mortality rate of around 80%. At a lower dosage of 100 mg/m2, mortality was around 58% . The performance efficacy of crude extracts of OS and OK, measured in terms of repellence, mortality and feeding inhibition effects, at the dosage of 500 mg/m2 have shown possibility of increasing protection against malaria vectors . Since Ocimum plants are abundant and locally available, the community use of such repellent plants to compliment existing control measures is feasible, such as treating mosquito nets once a month in rural areas where affordability of the ITNs is restricted. Meanwhile, more research on formulation of Ocimum extracts suitable for community use is required.
Notably, the effect of OS and OK extracts varied by dosage and the mosquito species. The differences in the active phytochemicals such as eugenol, camphor and other compounds influence the protective effect of Ocimum plants. In particular variation in the concentration of linalool component found in OS (1.4%) and OK (0.4%) could explain difference in mortality rates induced by the two plants .
The protective effects in terms of feeding inhibition, knockdown effect and mortality by O. suave and O. kilimandscharicum plant extracts is significant particularly against mosquito biting. The community-wide use of such repellent plants has potential to compliment existing control measures, such as treating mosquito nets once a month in areas where affordability of the ITNs is restricted. However, the duration of effect of Ocimum essential oils is compromised due to its high volatility and hence further investigation should focus on developing formulation applicable for community application. Specifically, such formulation can be promoted for protection against early biting cycle of mosquito in the evening before going to bed and for those exposed to early morning biting cycle. Likewise assays to quantify and determine contribution of different active ingredients of O. suave and O. kilimandscharicum extracts to its protective effect should be investigated because this may lead to discovery of novel compound(s) with desired insecticidal activities.
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The study was funded by Belgium Technical Co-operation as part of MSc scholarship for EJK. Augustine Mtui, Joyce Philipo, James Mkulia, Honest Temba and Cecilia Chuwa are highly appreciated for assisting in the field activities. This work would not have been a success without participation of the communities of Mabogini village, their cooperation is highly appreciated. Vector project is well acknowledged. Dr. Jasper Ijumba of University of Dar-es-salaam is appreciated for his valuable contribution. The authors are thankful for valuable critical comments from two reviewers (Dr. Rose Nathan of IHRDC and Rose Mwangi of JMP). This paper is dedicated to Juvenal Lyimo (RIP) who spent his time and efforts upon completion.
The authors declare that they have no competing interests.
EJK and FWM conceived and designed the study. EJK and EAT participated in the analysis and interpretation of data and contributed to the drafting of the manuscript. AL prepared the questioner for the sociological survey. EAT, FT and AMM carried out data analysis and interpretation, and were involved in the drafting of the manuscript. EJK, JK, JM, JM, CM, FT, EL, MM, RM and GC reared mosquitoes and performed experiments, participated in the analysis and interpretation of results, and was involved it the drafting of the manuscript. All authors read and approved the final copy of manuscript.