Publication: Recommendations for building out mosquito-transmitted diseases in sub-Saharan Africa: the DELIVER mnemonic
Issued Date
2021-02-15
Resource Type
ISSN
14712970
Other identifier(s)
2-s2.0-85099050452
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Mahidol University
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SCOPUS
Bibliographic Citation
Philosophical transactions of the Royal Society of London. Series B, Biological sciences. Vol.376, No.1818 (2021), 20190814
Suggested Citation
Steven W. Lindsay, Michael Davies, Graham Alabaster, Hector Altamirano, Ebrima Jatta, Musa Jawara, Majo Carrasco-Tenezaca, Lorenz von Seidlein, Fiona C. Shenton, Lucy S. Tusting, Anne L. Wilson, Jakob Knudsen Recommendations for building out mosquito-transmitted diseases in sub-Saharan Africa: the DELIVER mnemonic. Philosophical transactions of the Royal Society of London. Series B, Biological sciences. Vol.376, No.1818 (2021), 20190814. doi:10.1098/rstb.2019.0814 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/75728
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Title
Recommendations for building out mosquito-transmitted diseases in sub-Saharan Africa: the DELIVER mnemonic
Other Contributor(s)
Faculty of Tropical Medicine, Mahidol University
The Bartlett Faculty of the Built Environment
United Nations Centre for Human Settlements Nairobi
London School of Hygiene & Tropical Medicine
Durham University
Liverpool School of Tropical Medicine
Royal Danish Academy – Architecture, Design, Conservation
National Malaria Control Programme
The Bartlett Faculty of the Built Environment
United Nations Centre for Human Settlements Nairobi
London School of Hygiene & Tropical Medicine
Durham University
Liverpool School of Tropical Medicine
Royal Danish Academy – Architecture, Design, Conservation
National Malaria Control Programme
Abstract
In sub-Saharan Africa, most transmission of mosquito-transmitted diseases, such as malaria or dengue, occurs within or around houses. Preventing mosquito house entry and reducing mosquito production around the home would help reduce the transmission of these diseases. Based on recent research, we make key recommendations for reducing the threat of mosquito-transmitted diseases through changes to the built environment. The mnemonic, DELIVER, recommends the following best practices: (i) Doors should be screened, self-closing and without surrounding gaps; (ii) Eaves, the space between the wall and roof, should be closed or screened; (iii) houses should be Lifted above the ground; (iv) Insecticide-treated nets should be used when sleeping in houses at night; (v) houses should be Ventilated, with at least two large-screened windows to facilitate airflow; (vi) Environmental management should be conducted regularly inside and around the home; and (vii) Roofs should be solid, rather than thatch. DELIVER is a package of interventions to be used in combination for maximum impact. Simple changes to the built environment will reduce exposure to mosquito-transmitted diseases and help keep regions free from these diseases after elimination. This article is part of the theme issue 'Novel control strategies for mosquito-borne diseases'.