The Nigeria Institute of
Medical Research, NIMR, has raised alarm over the increasing incidence of
mosquito resistance to Long Lasting Insecticide Nets, LLINs, in 18 states of
the federation, even as over 50 million Nigerians still test positive to
malaria annually.
In a new report released early this week,
by the institute, it was revealed that Lagos, Ogun and Niger states have the
highest incidence of resistance cases.
Other states where resistance have
been reported include Jigawa, Katsina, Kebbi, Sokoto, Zamfara, Benue, Kwara,
Nasarawa, Plateau, Anambra, Enugu, Rivers, Ondo, Osun and Oyo.
Giving insight into the outcome of
the report, Deputy Director & Head, Public Health Department, NIMR, Dr. Sam
Awolola, said since 2003, over 182 million LLINs had been distributed in Nigeria,
with only 16 percent reduction rate in 2008 to 2011 which have not been
sustained.
Awolola regretted that one of the
consequences of the development was that more deaths from malaria were imminent
in the affected areas, adding that the situation called for great concern.
He blamed the new trend of
resistance to use of same reagents on agricultural products, stressing that
“basically, one of the major factors that contributed to insecticide resistance
is the use of same reagents for agriculture globally.
Most of the insecticide used in
public health are also used in agriculture, which is a major source of
resistance.” Corroborating his views, Director General of NIMR, Prof. Babatunde
Salako, said the progress Nigeria had made in combating malaria was under
threat due to the spread of insecticide resistance.
“There is clear evidence that
insecticide resistance has been confirmed in at least 20 states across Nigeria.
There is a gap of resistant data in
14 states which requires urgent attention,” he said. He explained that such
resistance could lead to public health crisis, as insecticide resistance could
quickly over power the current portfolio of vector control tools, especially
LLINs.
Salako said it was high time the
country did away with ‘one-size-fits-all’ approach, and embrace multiple vector
control interventions. “There is need to explore alternative non-chemical base
control measures,’’ he said.
Salako called on government to
support a large scale operational research on deployment and use of PBO-LLINs
in insecticide-resistance hot spot areas. “The government should commission
NIMR as a hub for vector surveillance and insecticide resistance mapping in
Nigeria.
"Empower NIMR to explore the use of
alternative mosquito control measures such as the “Sterile Insect techniques”
and “genetic modified mosquito” for malaria control in Nigeria,’’ he said.
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