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Table 1 Design characteristics of the WHO cone test, WHO tunnel test and I-ACT

From: Comparing the new Ifakara Ambient Chamber Test with WHO cone and tunnel tests for bioefficacy and non-inferiority testing of insecticide-treated nets

Particular

WHO cone test

WHO tunnel test

Ifakara Ambient Chamber test (I-ACT)

Diagram

Endpoints measured

Knock down (KD 60), 24-h mortality

12-h mortality, 24-h mortality, feeding inhibition

12-h mortality, 24-h mortality, feeding inhibition

Infrastructure required

Temperature controlled room, boards, aspirators, cones, insect rearing facilities

Temperature controlled room, tunnel, aspirators, insect rearing facilities, animal rearing facilities

Ambient or temperature controlled chambers, temperature controlled holding room, aspirators, insect rearing facilities

Bait used

No

Rabbit, guinea pig

Human

Mosquitoes per net

80

100

30

Exposure time

3 min

12–15 h

12 h

Holding time

24 h

None

24 h

Time to conduct including preparation

25 h

16 h

26 h

Surface area exposed to mosquitoes

78 cm2

625 cm2

145,200 cm2

Useful for durability monitoring

Measures presence of insecticide

Measures mortality and feeding inhibition on a small section of net

Measures the functional efficacy of nets under user conditions

Useful for non-inferiority testing

Not suitable for some ITN products

Works for all ITNs

Works for all ITNs