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Status of insecticide susceptibility in Anopheles gambiae s.l. from malaria surveillance sites in The Gambia



Vector control is an effective way of reducing malaria transmission. The main vector control methods include the use of insecticide-treated bed nets and indoor residual spraying (IRS). Both interventions rely on the continuing susceptibility of Anopheles to a limited number of insecticides. However, insecticide resistance, in particular pyrethroid-DDT cross-resistance, is a challenge facing malaria vector control in Africa because pyrethroids represent the only class of insecticides approved for treating bed nets and DDT is commonly used for IRS. Here baseline data are presented on the insecticide susceptibility levels of malaria vectors prior to The Gambian indoor residual spraying intervention programme.


Anopheles larvae were collected from six malaria surveillance sites (Brikama, Essau, Farafenni, Mansakonko, Kuntaur and Basse) established by the National Malaria Control Programme and the UK Medical Research Council Laboratories in The Gambia. The mosquitoes were reared to adulthood and identified using morphological keys and a species-specific polymerase chain reaction assay. Two- to three-day old adult female mosquitoes were tested for susceptibility to permethrin, deltamethrin and DDT using standard WHO protocols, insecticide susceptibility test kits and treated papers.


All Anopheles mosquitoes tested belonged to the Anopheles gambiae complex. Anopheles arabiensis was predominant (54.1%), followed by An. gambiae s.s. (26.1%) and Anopheles melas (19.8%). Anopheles gambiae s.s. and An. arabiensis were found at all six sites. Anopheles melas was recorded only at Brikama. Mosquitoes from two of the six sites (Brikama and Basse) were fully susceptible to all three insecticides tested. However, DDT resistance was found in An. gambiae from Essau where the 24 hours post-exposure mortality was <80% but 88% for permethrin and 92% for deltamethrin.


This current survey of insecticide resistance in Anopheles provides baseline information for monitoring resistance in The Gambia and highlights the need for routine resistance surveillance as an integral part of the proposed nation wide IRS intervention using DDT.


Malaria vector control, using either insecticide-treated nets (ITNs) or indoor residual spraying (IRS), relies on the continued susceptibility of Anopheles mosquitoes to a limited number of insecticides. Twelve insecticides from four classes (organochlorines, organophosphates, carbamates and pyrethroids) have been recommended for IRS [1, 2], but only pyrethroids have been approved for treating bed nets. Since the mid-1950s, there have been numerous reports of reduced Anopheles susceptibility to DDT, malathion, fenithrotion, propoxur and bendiocarb, and resistance to all four classes of insecticides has been found in Anopheles species in different parts of Africa [312]. A much more recent development is that of pyrethroid resistance with cross-resistance to DDT, first reported in Anopheles gambiae from Côte d'Ivoire [13] and now widespread in West Africa. Pyrethroid-DDT cross-resistance presents a major challenge for malaria vector control in Africa because pyrethroids represent the only class of insecticides approved for treating bed nets and DDT is recommended for use in IRS [14].

Knockdown resistance (kdr) associated with a single point mutation in the gene encoding the voltage-gated sodium channel is a common mechanism of resistance to both pyrethroids and DDT. This mutation results in a leucine to phenylalanine substitution found predominantly in West Africa (kdr-w) or a leucine to serine substitution (kdr-e), which was originally identified in Kenya but is now found in several other African countries including Cameroon, Equatorial Guinea, Gabon, Angola and Uganda [1518]. Both forms of kdr presumably function through reducing the affinity of DDT and pyrethroids for their target site on the sodium channel [15].

A recent retrospective analysis of malaria indices in the Gambia has shown a decline in both mortality and morbidity associated with malaria [19]. Although various factors could be responsible for the observed decline, the high coverage and usage of ITNs is thought to be a major contributing factor. To complement this effort, The Gambian National Malaria Control Programme (NMCP) is embarking on a nationwide IRS control intervention using DDT. This exercise requires information on the current susceptibility status of the major malaria vectors to insecticides recommended for malaria control, and to DDT in particular. This study presents baseline data in support of the NMCP prior to The Gambian IRS intervention.


Study sites

The study was carried out at six sites currently used for malaria surveillance in The Gambia: Brikama in the Western Division, Essau and Farafenni in the North Bank Division, Mansakonko in the Lower River Division, Kuntaur in the Central River Division and Basse in the Upper River Division (Figure 1).

Figure 1
figure 1

Map of The Gambia showing the location of the larval collection sites. Pie charts indicate relative proportions of An. gambiae s.s., An. arabiensis and An. melas found at each site. On the map green represents the Western Division, pink the North Bank Division, yellow the Lower River Division, red the Central River Division and light green the Upper River Division.

Mosquito collections

Anopheles larvae were collected from natural breeding sites such as ponds and puddles in July 2008. To avoid the collection of siblings, larvae were sampled from more than one (usually at least four) breeding sites. In addition, for the Farafenni collections larvae were collected on four separate occasions over a period of two-three weeks. The mosquitoes were reared to adulthood in the insectary at the Medical Research Council field site in Farafenni and identified using morphological keys [20, 21] and a species-specific polymerase chain reaction assay [22].

Insecticide susceptibility tests

Insecticide susceptibility tests were carried out using the standard WHO protocol [23], insecticide susceptibility test kits and impregnated papers. Two- to three-day old non blood-fed adult female Anopheles were tested. Batches of 20–25 mosquitoes were exposed to test papers impregnated with DDT (4%), permethrin (0.75%) and deltamethrin (0.05%). Controls included batches of mosquitoes from each site exposed to untreated papers. The knockdown effect of each insecticide was recorded every 10 minutes over the one-hour exposure period. Mosquitoes were then transferred to a recovery tube and provided with 10% glucose solution. Final mortality was recorded 24 hours post-exposure. All batches of insecticide-impregnated paper used were pre-tested on a laboratory strain of An. gambiae s.s. maintained at the insectary, which is known to be highly susceptible to pyrethroids and DDT. All susceptibility tests were carried out at 26–29°C and 74–82% relative humidity.

Species identification

After performing the bioassays, all mosquitoes were given a unique identification number and then were stored individually over desiccated silica gel for later identification using morphological keys [20, 21]. Samples belonging to the An. gambiae complex where further identified using a species specific polymerase chain reaction (PCR) assay [22]. Briefly, genomic DNA was extracted from each mosquito using the Gentra Puregene DNA purification kit (Qiagen) according to the manufacturer's instructions. 1/100th of the genomic DNA from one mosquito was combined in a 25 μ l reaction with 1× Taq reaction buffer (10 mM Tris-HCl, 50 mM KCl), 1 mM MgCl2, 6.25 ng primer GA, 12.5 ng primers UN and ME, 18.75 ng primer AR, 200 μ M of each dNTP and 0.625 U Taq (New England Biolabs). 30 cycles of PCR were carried out, each cycle consisting of denaturation at 94°C for 30 s, annealing at 50°C for 30 s and extension at 72°C for 30 s.

Data analysis

Data were analysed using Excel and the R® statistical package, version 2.8.0. Results from the insecticide susceptibility bioassays were evaluated according to the recommendations of the WHO [23]. Fifty and 95% knock-down times (KDT50 and KDT95) were estimated by means of a log-time probit model using the Ldp LineR software [2426].


Species composition

A total of 1250 Anopheles were assayed. Almost all (99.9%) belonged to the An. gambiae complex. The PCR analysis showed that Anopheles arabiensis was predominant (54.1%), followed by An. gambiae s.s. (26.1%) and Anopheles melas (19.8%). Anopheles gambiae s.s. and An. arabiensis were found at all six sites. Anopheles melas was recorded only at Brikama where it constituted about 50% of the mosquitoes collected. The relative proportions of An. gambiae s.s. and An. arabiensis varied between the different study sites (Figure 1). Mosquitoes from Farafenni and Basse were predominantly An. arabiensis (Farafenni: 91.1%; Basse: 97.1%). In contrast, most (88.3%) Anopheles from Kuntaur were An. gambiae s.s.. A chi-squared test indicated significant difference in relative proportions of An. gambiae s.s., An. arabiensis and An. melas between the different study sites (p < 0.0001).

Insecticide assay

According to WHO recommendations, 98–100% mosquito mortality indicates susceptibility, 80–97% suggests potential resistance that needs to be confirmed, and < 80% mortality suggests resistance [23]. Based on these criteria, An. gambiae s.l. mosquitoes from Brikama and Basse showed complete susceptibility to all three insecticides, mosquitoes from Kuntaur were highly susceptible to DDT as were those from Mansakonko to deltamethrin (Table 1[27]). Although the number of mosquitoes assayed at Mansakonko and Kuntaur were low compared to other sites, the point estimates for percentage mortalities suggest potential resistance of An. gambiae s.l. from Kuntaur to permethrin and deltamethrin and of An. gambiae s.l. from Mansakonko to DDT and permethrin (Table 1). Anopheles gambiae s.l. from Essau were resistant to DDT (69.6% mortality; 95% CI: 59.5–79.7%), and were potentially resistant to permethrin and deltamethrin while An. gambiae s.l. from Farafenni showed potential resistance to all three insecticides (Table 1). Species analysis of the resistant mosquitoes indicated that all DDT-resistant mosquitoes were An. arabiensis, whereas pyrethroid resistant mosquitoes were both An. arabiensis and An. gambiae s.s.. In Essau there was a significant difference in the proportion of An. arabiensis mosquitoes in DDT-resistant versus non-DDT-resistant Anopheles (two-tailed Fisher's exact test, p = 0.01). In all other cases, the number of surviving mosquitoes in each area was not significant so a logical conclusion to could not be drawn.

Table 1 Number of Anopheles gambiae s.l. mosquitoes tested and percentage mortality observed in insecticide susceptibility tests.

Knockdown effect

The knockdown effect of the three insecticides determined over a one-hour period indicated that, in all cases apart from Brikama, knockdown was more rapid for pyrethroid insecticides than DDT (Figure 2). All mosquitoes showed over 90% knock-down within the one hour exposure period, apart from Essau mosquitoes exposed to DDT and permethrin and Mansakonko mosquitoes exposed to DDT (Figure 2). Exposure times which resulted in 50% and 95% knockdown (KDT50 and KDT95) estimated for each insecticide using a log-time probit model were consistent with the DDT resistance observed in An. gambiae s.l. from Essau: the KDT50 and KDT95 for DDT were higher for mosquitoes from Essau than for mosquitoes from other sites (Table 2). Anopheles gambiae s.l. from Essau also showed a higher KDT95 for permethrin than An. gambiae s.l. from other sites. KDT50 and KDT95 for deltamethrin did not vary substantially between mosquitoes from the different study sites (Table 2).

Figure 2
figure 2

Knockdown rate of unfed female Anopheles gambiae s.l. mosquitoes. from Brikama (A), Essau (B), Farafenni (C), Mansakonko (D), Kuntaur (E) and Basse (F) exposed to pyrethroid and DDT treated papers.

Table 2 Knockdown times (KDTs) for Anopheles gambiae s.l. in The Gambia after exposure to different insecticides.


The species composition of Anopheles gambiae complex found in this study did not differ from previous records in the Gambia [2830]. The preponderance of An. arabiensis contrasts previous findings but reflects the fact that larvae were sampled at the beginning of the rainy season when conditions tend to be drier and unsuitable for An. gambiae s.s.. The absence of An. melas in samples from Essau, Farafenni and Mansakonko, where there is brackish water in the flood plains, may be attributable to the fact that larvae were mostly sampled from pools and puddles rather from floodwater, the preferred breeding sites of An. melas [31].

The KDT50 and KDT95 for DDT in mosquitoes from the Essau area are relatively higher than those reported for susceptible reference strains [3236], suggesting that a knockdown resistance mechanism could be operating in this mosquito population. The knockdown times for Anopheles from other sites were comparable to those published for Anopheles strains classified as susceptible to DDT, permethrin and deltamethrin [3236].

The results of this investigation provide evidence of DDT resistance in Anopheles from Essau. DDT resistance was not detected at three sites (Basse, Brikama and Kuntar) but data from two other sites (Farafeni and Mansakonko) suggests the need for continued surveillance. The presence of DDT resistance at Essau is not surprising given the numerous reports of insecticide resistance in other West African countries including neighbouring Senegal [8, 37, 38]. A study conducted in a group of villages on the south bank of The River Gambia near Mansakonko in the early 90s [30] showed evidence of increased glutathione-S-transferase in the mosquito population with a link to DDT resistance. A recent survey of insecticide resistance in mosquitoes collected from Jangjangbureh (Georgetown), 11 miles from Kuntaur, found no evidence of resistance in anopheline mosquitoes, though marked resistance was found in culicine species (TSA, unpublished results).

In The Gambia, low levels of DDT residues have been found in soil sampled from various sites across the country [39]. It is possible that the past use of DDT and current use of pyrethroids have selected for resistance in Anopheles. The DDT and permethrin resistance observed at Essau is not suprising as similar findings have been reported in villages in neighbouring Senegal [8, 37, 38]. The overall level of DDT resistance recorded in The Gambia is low when compared to other West African countries. However, the information also provides an early warning of the development of insecticide resistance.

In Africa, DDT and pyrethroids resistance has been reported in the S and M molecular forms of An. gambiae s.s. and in An. arabiensis but not in An. melas [33, 35, 4045]. The underlying resistance mechanism in most cases has been the kdr mutation [16, 18, 4649]. In addition, metabolic resistance mechanisms have been implicated in reduced susceptibility to insecticides in both species [15, 46, 50, 51]. In the present study, resistance to DDT was only detected in An. arabiensis, whereas resistance to pyrethroids was detected in both An. arabiensis and An. gambiae s.s.. Athough resistance could only be established at one site, these results have a couple of potentially interesting implications. Firstly, if DDT resistance is only found in An. arabiensis levels of resistance in Anopeheles mosquitoes may vary depending on the season reflecting the relative abundance of An. arabiensis and An. gambiae s.s.. Secondly, kdr mutation may play a role in An. arabiensis resistance at Essau where resistance was established. However, the absence of pyrethroid-DDT cross resistance in An. gambiae in this area suggest the possible role of a metabolic-based resistance mechanism.

Ideally, before any insecticide-based control activities are introduced, the levels of insecticide resistance in the main malaria vector should be assessed to provide information for measuring the effectiveness of the intervention. However, in most sub-Saharan African countries, insecticide resistance monitoring is given a low priority by the National Malaria Control Programmes. With the take-off of the Gambian IRS programme, it is important that a resistance management strategy is put in place that includes routine monitoring of insecticide resistance and investigation of alternative insecticides for IRS. The present study sites provide ideal focal points for malaria surveillance as insecticide resistance data can be directly linked to both epidemiological and clinical data.


This study is the first to report DDT resistance based on bioassay tests on the An. gambiae complex from The Gambia. The data provide baseline information on resistance levels in Anopheles before the Gambian health authority embarks on an IRS campaign using DDT. A routine resistance surveillance and management strategy should be introduced as an integral part of the proposed nationwide IRS intervention.


  1. Kelly-Hope L, Ranson H, Hemingway J: Lessons from the past: managing insecticide resistance in malaria control and eradication programmes. Lancet Infect Dis. 2008, 8: 387-389. 10.1016/S1473-3099(08)70045-8.

    Article  PubMed  Google Scholar 

  2. Najera JA, Zaim M: Decision making criteria and procedures for the judicious use of insecticides. vol. WHO/CDS/WHOPES/2002.5 Rev.1. 2002, Geneva: World Health Organization

    Google Scholar 

  3. Awolola TS, Brooke BD, Hunt RH, Coetze M: Resistance of the malaria vector Anopheles gambiae s.s. to pyrethroid insecticides, in south-western Nigeria. Ann Trop Med Parasitol. 2002, 96: 849-852. 10.1179/000349802125002581.

    Article  CAS  PubMed  Google Scholar 

  4. Casimiro S, Coleman M, Hemingway J, Sharp B: Insecticide resistance in Anopheles arabiensis and Anopheles gambiae from Mozambique. J Med Entomol. 2006, 43: 276-282. 10.1603/0022-2585(2006)043[0276:IRIAAA]2.0.CO;2.

    Article  CAS  PubMed  Google Scholar 

  5. Casimiro S, Coleman M, Mohloai P, Hemingway J, Sharp B: Insecticide resistance in Anopheles funestus (Diptera: Culicidae) from Mozambique. J Med Entomol. 2006, 43: 267-275. 10.1603/0022-2585(2006)043[0267:IRIAFD]2.0.CO;2.

    Article  CAS  PubMed  Google Scholar 

  6. Coetzee M, van Wyk P, Booman M, Koekemoer LL, Hunt RH: Insecticide resistance in malaria vector mosquitoes in a gold mining town in Ghana and implications for malaria control. Bull Soc Pathol Exot. 2006, 99: 400-403.

    CAS  PubMed  Google Scholar 

  7. Elissa N, Mouchet J, Riviere F, Meunier JY, Yao K: [Susceptibility of Anopheles gambiae to insecticides in the Ivory Coast]. Sante. 1994, 4: 95-99.

    CAS  PubMed  Google Scholar 

  8. Faye O, Gaye O, Diallo S: [Evaluation of the sensitivity of Anopheles gambiae to fenitrothion, malathion and DDT in Senegal]. Dakar Med. 1991, 36: 170-177.

    CAS  PubMed  Google Scholar 

  9. Hargreaves K, Koekemoer LL, Brooke BD, Hunt RH, Mthembu J, Coetzee M: Anopheles funestus resistant to pyrethroid insecticides in South Africa. Med Vet Entomol. 2000, 14: 181-189. 10.1046/j.1365-2915.2000.00234.x.

    Article  CAS  PubMed  Google Scholar 

  10. Hemingway J: The genetics of malathion resistance in Anopheles stephensi from Pakistan. Trans R Soc Trop Med Hyg. 1983, 77 (1): 106-108. 10.1016/0035-9203(83)90030-5.

    Article  CAS  PubMed  Google Scholar 

  11. Mostafa AA, Allam KA: Studies on the present status of insecticides resistance on mosquitoes using the diagnostic dosages in El-Fayium Governorate, a spot area of malaria in Egypt. J Egypt Soc Parasitol. 2001, 31: 177-186.

    CAS  PubMed  Google Scholar 

  12. N'Guessan R, Darriet F, Guillet P, Carnevale P, Traore-Lamizana M, Corbel V, Koffi AA, Chandre F: Resistance to carbosulfan in Anopheles gambiae from Ivory Coast, based on reduced sensitivity of acetylcholinesterase. Med Vet Entomol. 2003, 17: 19-25. 10.1046/j.1365-2915.2003.00406.x.

    Article  PubMed  Google Scholar 

  13. Elissa N, Mouchet J, Riviere F, Meunier JY, Yao K: Resistance of Anopheles gambiae s.s. to pyrethroids in Cote d'Ivoire. Ann Soc Belg Med Trop. 1993, 73: 291-294.

    CAS  PubMed  Google Scholar 

  14. WHO: Indoor Reisdual Spraying: Use of Indoor Residual Spraying for scaling up global malaria control and elimination. 2006, Geneva: World Health Organization

    Google Scholar 

  15. Hemingway J, Hawkes NJ, McCarroll L, Ranson H: The molecular basis of insecticide resistance in mosquitoes. Insect Biochem Mol Biol. 2004, 34: 653-665. 10.1016/j.ibmb.2004.03.018.

    Article  CAS  PubMed  Google Scholar 

  16. Pinto J, Lynd A, Vicente JL, Santolamazza F, Randle NP, Gentile G, Moreno M, Simard F, Charlwood JD, do Rosario VE: Multiple origins of knockdown resistance mutations in the Afrotropical mosquito vector Anopheles gambiae. PLoS ONE. 2007, 2: e1243-10.1371/journal.pone.0001243.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Ranson H, Jensen B, Vulule JM, Wang X, Hemingway J, Collins FH: Identification of a point mutation in the voltage-gated sodium channel gene of Kenyan Anopheles gambiae associated with resistance to DDT and pyrethroids. Insect Mol Biol. 2000, 9: 491-497. 10.1046/j.1365-2583.2000.00209.x.

    Article  CAS  PubMed  Google Scholar 

  18. Santolamazza F, Calzetta M, Etang J, Barrese E, Dia I, Caccone A, Donnelly MJ, Petrarca V, Simard F, Pinto J: Distribution of knock-down resistance mutations in Anopheles gambiae molecular forms in west and west-central Africa. Malar J. 2008, 7: 74-10.1186/1475-2875-7-74.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Ceesay SJ, Casals-Pascual C, Erskine J, Anya SE, Duah NO, Fulford AJ, Sesay SS, Abubakar I, Dunyo S, Sey O: Changes in malaria indices between 1999 and 2007 in The Gambia: a retrospective analysis. Lancet. 2008, 372: 1545-1554. 10.1016/S0140-6736(08)61654-2.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Gillet JD: Common African mosquitoes and their medical importance. 1972, London: John Swahi

    Google Scholar 

  21. Gillies MT, Coetzee M: Supplement to the Anophelinae of Africa South of the Sahara (Afrotropical region). Publ S Afr Inst Med Res. 1987, 55: 143-

    Google Scholar 

  22. Scott JA, Brogdon WG, Collins FH: Identification of single specimens of the Anopheles gambiae complex by the polymerase chain reaction. Am J Trop Med Hyg. 1993, 49: 520-529.

    CAS  PubMed  Google Scholar 

  23. WHO: Test procedures for insecticide resistance monitoring in malaria vectos, bio-efficacy and persistence of insecticides on treated surfaces. vol. WHO/CDS/MAL/98.12. 1998, Geneva: World Health Organization

    Google Scholar 

  24. []

  25. Finney DJ: Probit Analysis. 1971, Cambridge: Cambridge University Press, 3

    Google Scholar 

  26. Kamau L, Vulule JM: Status of insecticide susceptibility in Anopheles arabiensis from Mwea rice irrigation scheme, Central Kenya. Malar J. 2006, 5: 46-10.1186/1475-2875-5-46.

    Article  PubMed Central  PubMed  Google Scholar 

  27. Armitage P, Berry G: Statistical Methods in Medical Research. 1994, Oxford: Blackwell Scientific, 3

    Google Scholar 

  28. Bryan JH, Petrarca V, Di Deco MA, Coluzzi M: Adult behaviour of members of the Anopheles gambiae complex in the Gambia with special reference to An. melas and its chromosomal variants. Parassitologia. 1987, 29: 221-249.

    CAS  PubMed  Google Scholar 

  29. Kirby MJ, Green C, Milligan PM, Sismanidis C, Jasseh M, Conway DJ, Lindsay SW: Risk factors for house-entry by malaria vectors in a rural town and satellite villages in The Gambia. Malar J. 2008, 7: 2-10.1186/1475-2875-7-2.

    Article  PubMed Central  PubMed  Google Scholar 

  30. Lindsay SW, Alonso PL, Armstrong Schellenberg JR, Hemingway J, Thomas PJ, Shenton FC, Greenwood BM: A malaria control trial using insecticide-treated bed nets and targeted chemoprophylaxis in a rural area of The Gambia, west Africa. 3. Entomological characteristics of the study area. Trans R Soc Trop Med Hyg. 1993, 87 (Suppl 2): 19-23. 10.1016/0035-9203(93)90171-L.

    Article  PubMed  Google Scholar 

  31. Majambere S, Fillinger U, Sayer DR, Green C, Lindsay SW: Spatial distribution of mosquito larvae and the potential for targeted larval control in The Gambia. Am J Trop Med Hyg. 2008, 79: 19-27.

    PubMed  Google Scholar 

  32. Chandre F, Manguin S, Brengues C, Dossou Yovo J, Darriet F, Diabate A, Carnevale P, Guillet P: Current distribution of a pyrethroid resistance gene (kdr) in Anopheles gambiae complex from west Africa and further evidence for reproductive isolation of the Mopti form. Parassitologia. 1999, 41: 319-322.

    CAS  PubMed  Google Scholar 

  33. Chouaibou M, Etang J, Brevault T, Nwane P, Hinzoumbe CK, Mimpfoundi R, Simard F: Dynamics of insecticide resistance in the malaria vector Anopheles gambiae s.l. from an area of extensive cotton cultivation in Northern Cameroon. Trop Med Int Health. 2008, 13: 476-486.

    Article  CAS  PubMed  Google Scholar 

  34. Diabate A, Baldet T, Chandre F, Guiguemde RT, Brengues C, Guillet P, Hemingway J, Hougard JM: First report of the kdr mutation in Anopheles gambiae M form from Burkina Faso, west Africa. Parassitologia. 2002, 44: 157-158.

    CAS  PubMed  Google Scholar 

  35. Etang J, Manga L, Chandre F, Guillet P, Fondjo E, Mimpfoundi R, Toto JC, Fontenille D: Insecticide susceptibility status of Anopheles gambiae s.l. (Diptera: Culicidae) in the Republic of Cameroon. J Med Entomol. 2003, 40: 491-497.

    Article  CAS  PubMed  Google Scholar 

  36. Kristan M, Fleischmann H, della Torre A, Stich A, Curtis CF: Pyrethroid resistance/susceptibility and differential urban/rural distribution of Anopheles arabiensis and An. gambiae s.s. malaria vectors in Nigeria and Ghana. Med Vet Entomol. 2003, 17: 326-332. 10.1046/j.1365-2915.2003.00449.x.

    Article  CAS  PubMed  Google Scholar 

  37. Chandre F, Darrier F, Manga L, Akogbeto M, Faye O, Mouchet J, Guillet P: Status of pyrethroid resistance in Anopheles gambiae sensu lato. Bull World Health Organ. 1999, 77: 230-234.

    PubMed Central  CAS  PubMed  Google Scholar 

  38. Pages F, Texier G, Pradines B, Gadiaga L, Machault V, Jarjaval F, Penhoat K, Berger F, Trape JF, Rogier C: Malaria transmission in Dakar: a two-year survey. Malar J. 2008, 7: 178-10.1186/1475-2875-7-178.

    Article  PubMed Central  PubMed  Google Scholar 

  39. Manirakiza P, Akinbamijo O, Covaci A, Pitonzo R, Schepens P: Assessment of organochlorine pesticide residues in West African city farms: Banjul and Dakar case study. Arch Environ Contam Toxicol. 2003, 44: 171-179. 10.1007/s00244-002-2006-5.

    Article  CAS  PubMed  Google Scholar 

  40. Awolola TS, Oyewole IO, Amajoh CN, Idowu ET, Ajayi MB, Oduola A, Manafa OU, Ibrahim K, Koekemoer LL, Coetzee M: Distribution of the molecular forms of Anopheles gambiae and pyrethroid knock down resistance gene in Nigeria. Acta Trop. 2005, 95: 204-209. 10.1016/j.actatropica.2005.06.002.

    Article  CAS  PubMed  Google Scholar 

  41. Mosha FW, Lyimo IN, Oxborough RM, Matowo J, Malima R, Feston E, Mndeme R, Tenu F, Kulkarni M, Maxwell CA: Comparative efficacies of permethrin-, deltamethrin- and alpha-cypermethrin-treated nets, against Anopheles arabiensis and Culex quinquefasciatus in northern Tanzania. Ann Trop Med Parasitol. 2008, 102: 367-376. 10.1179/136485908X278829.

    Article  CAS  PubMed  Google Scholar 

  42. Munhenga G, Masendu HT, Brooke BD, Hunt RH, Koekemoer LK: Pyrethroid resistance in the major malaria vector Anopheles arabiensis from Gwave, a malaria-endemic area in Zimbabwe. Malar J. 2008, 7: 247-10.1186/1475-2875-7-247.

    Article  PubMed Central  PubMed  Google Scholar 

  43. Ndjemai HN, Patchoke S, Atangana J, Etang J, Simard F, Bilong CF, Reimer L, Cornel A, Lanzaro GC, Fondjo E: The distribution of insecticide resistance in Anopheles gambiae s.l. populations from Cameroon: an update. Trans R Soc Trop Med Hyg.

  44. Ramphul U, Boase T, Bass C, Okedi LM, Donnelly MJ, Muller P: Insecticide resistance and its association with target-site mutations in natural populations of Anopheles gambiae from eastern Uganda. Trans R Soc Trop Med Hyg.

  45. Sharp BL, Ridl FC, Govender D, Kuklinski J, Kleinschmidt I: Malaria vector control by indoor residual insecticide spraying on the tropical island of Bioko, Equatorial Guinea. Malar J. 2007, 6: 52-10.1186/1475-2875-6-52.

    Article  PubMed Central  PubMed  Google Scholar 

  46. Chen H, Githeko AK, Githure JI, Mutunga J, Zhou G, Yan G: Monooxygenase levels and knockdown resistance (kdr) allele frequencies in Anopheles gambiae and Anopheles arabiensis in Kenya. J Med Entomol. 2008, 45: 242-250. 10.1603/0022-2585(2008)45[242:MLAKRK]2.0.CO;2.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  47. Dabire KR, Diabate A, Namountougou M, Toe KH, Ouari A, Kengne P, Bass C, Baldet T: Distribution of pyrethroid and DDT resistance and the L1014F kdr mutation in Anopheles gambiae s.l. from Burkina Faso (West Africa). Trans R Soc Trop Med Hyg. 2009, 14: 396-403.

    Article  CAS  Google Scholar 

  48. Diabate A, Brengues C, Baldet T, Dabire KR, Hougard JM, Akogbeto M, Kengne P, Simard F, Guillet P, Hemingway J: The spread of the Leu-Phe kdr mutation through Anopheles gambiae complex in Burkina Faso: genetic introgression and de novo phenomena. Trop Med Int Health. 2004, 9: 1267-1273. 10.1111/j.1365-3156.2004.01336.x.

    Article  CAS  PubMed  Google Scholar 

  49. Himeidan YE, Chen H, Chandre F, Donnelly MJ, Yan G: Short report: permethrin and DDT resistance in the malaria vector Anopheles arabiensis from eastern Sudan. Am J Trop Med Hyg. 2007, 77: 1066-1068.

    PubMed  Google Scholar 

  50. Muller P, Chouaibou M, Pignatelli P, Etang J, Walker ED, Donnelly MJ, Simard F, Ranson H: Pyrethroid tolerance is associated with elevated expression of antioxidants and agricultural practice in Anopheles arabiensis sampled from an area of cotton fields in Northern Cameroon. Mol Ecol. 2008, 17: 1145-1155. 10.1111/j.1365-294X.2007.03617.x.

    Article  CAS  PubMed  Google Scholar 

  51. Vulule JM, Beach RF, Atieli FK, McAllister JC, Brogdon WG, Roberts JM, Mwangi RW, Hawley WA: Elevated oxidase and esterase levels associated with permethrin tolerance in Anopheles gambiae from Kenyan villages using permethrin-impregnated nets. Med Vet Entomol. 1999, 13: 239-244. 10.1046/j.1365-2915.1999.00177.x.

    Article  CAS  PubMed  Google Scholar 

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We are very grateful for the field assistance of W. Njie, S. Kanteh, Z. Conteh and A. Jallow, and the technical assistance of L. Camara. Sincere thanks go to Dr David Conway, Head of the Malaria Research Programme at the MRC Laboratories, The Gambia for supporting the work. This research was funded by the Medical Research Council, UK.

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Correspondence to Taiwo Samson Awolola.

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The authors declare that they have no competing interests.

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MB undertook the field and laboratory work and drafted the manuscript. MJ coordinated the field activities and assisted with revision of the manuscript. TSA conceived of and designed the study, and revised the manuscript. All authors read and approved the final manuscript.

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Betson, M., Jawara, M. & Awolola, T.S. Status of insecticide susceptibility in Anopheles gambiae s.l. from malaria surveillance sites in The Gambia. Malar J 8, 187 (2009).

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