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Varying levels of protection against Plasmodium falciparium infection were conferred on non-users of long lasting insecticidal nets (LLINS) sleeping in rooms where different number of LLINS were hung in hyper endemic state of West Africa

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Abstract

The use of Long Lasting Insecticidal Nets (LLINs) has greatly reduced the health and economic impact posed by malaria. This study evaluated the residual effect of LLINs on malaria parasite infections among non-LLIN users sleeping in rooms where nets were hung. This study was carried out at Federal University of Agriculture Abeokuta, Ogun State, Nigeria. A total of 259 students were systematically recruited into this study and were classified into two groups of LLINs users and non-users. The LLIN users were further classified according to the proportion of net usage and this includes; < 50%, exactly 50% and > 50% respectively. Finger prick blood samples were collected from the participants and microscopically analysed for the presence of parasites. Demographic characteristics were also recorded. A general prevalence of 40.5% positivity for malaria was recorded among the study population. A significantly high prevalence (p < 0.05) of malaria was recorded among non-users of LLINs compared to users (AOR 4.66, 95%CI 1.27–17.06). A significantly low prevalence of malaria parasite infection was recorded among non-users of LLINs occupying rooms where LLINs was hung compared with non-users from rooms where LLIN were not used. Furthermore, a reduction in prevalence of malaria and parasite densities was observed among non-users of LLINs (occupying rooms where LLINs was hung) as the proportion of LLIN usage increased in such rooms (p < 0.05). This study showed that some level of protection may be conferred on non-users of LLINs staying in rooms where LLINs are hung.

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Acknowledgements

We thank the students that volunteered to participate in this study. Our special appreciation goes to all that contributed immensely to the success of this research work.

Funding

No funding was received for this research. It was funded by the researchers.

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Authors

Contributions

IOA conceived the research idea. BAS and IOA developed the research protocol, BAS, IOA and OOG did literature search and carried out the research work. BAS did the statistical analysis, BAS and IOA developed the manuscript. All authors read and approved the final manuscript.

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Correspondence to A. S. Babalola.

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The authors declare no conflict of interest.

Ethics approval

The Research and Ethics Committee of the Federal University of Agriculture provided ethical clearance for the study. The hostel warden, porters and the participants were fully briefed on the objectives of the study. Only participants who gave their consent were enrolled in the study.

Consent to participate

Both verbal and written consent of the students were also acquired. Only those who gave their written consent were enrolled for the study.

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Babalola, A.S., Idowu, O.A. & Omilabu, O.G. Varying levels of protection against Plasmodium falciparium infection were conferred on non-users of long lasting insecticidal nets (LLINS) sleeping in rooms where different number of LLINS were hung in hyper endemic state of West Africa. J Parasit Dis 45, 137–145 (2021). https://doi.org/10.1007/s12639-020-01286-6

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  • DOI: https://doi.org/10.1007/s12639-020-01286-6

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