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Cost-effectiveness and sustainability of lambdacyhalothrin-treated mosquito nets in comparison to DDT spraying for malaria control in western Thailand.

2001/10/01 by Pirom Kamolratanakul, Piyarat Butraporn, M Prasittisuk +2 · 2 citations
Medicine · Social Sciences · #Malaria Research and Control #Mosquito-borne diseases and control #Dengue and Mosquito Control Research

paper · doi:10.4269/ajtmh.2001.65.279

openalex publication_date 2001/10/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/06/11

Abstract

The cost-effectiveness of lambdacyhalothrin-treated nets in comparison with conventional DDT spraying for malaria control among migrant populations was evaluated in a malaria hyperendemic area along the Thai-Myanmar border. Ten hamlets of 243 houses with 948 inhabitants were given only treated nets. Twelve hamlets of 294 houses and 1,315 population were in the DDT area, and another 6 hamlets with 171 houses and 695 inhabitants were in the non-DDT-treated area. The impregnated net program was most cost-effective (US1.54 per 1 case of prevented malaria). Spraying with DDT was more cost-effective than malaria surveillance alone (1.87 versus 2.50 per 1 case of prevented malaria). These data suggest that personal protection measures with insecticide-impregnated mosquito net are justified in their use to control malaria in highly malaria-endemic areas in western Thailand.

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