Reports of long-lasting insecticidal bed nets catching on fire: a threat to bed net users and to successful malaria control?
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- 作者：Marc Egrot (1) (2)
Roch Houngnihin (3)
Carine Baxerres (4) (5)
Georgia Damien (1) (2)
Armel Dj猫nontin (1) (2) (6)
Fabrice Chandre (1)
C茅dric Pennetier (1) (2)
Vincent Corbel (1) (7)
Franck Remou茅 (1)
1. MIVEGEC ; Maladies Infectieuses 脿 Vecteurs ; Ecologie ; G茅n茅tique ; Evolution et Contr么le ; IRD 224-CNRS 5290-Universit茅s de Montpellier 1 & 2 ; Montpellier ; France
2. Centre de Recherche Entomologique de Cotonou (CREC) ; Cotonou ; B茅nin
3. D茅partement de Sociologie et d鈥橝nthropologie ; Universit茅 d鈥橝bomey-Calavi ; Abomey-Calavi ; B茅nin
4. MERIT-UMR 216 ; M猫re et enfant face aux infections tropicales ; IRD ; Paris ; France
5. Centre d鈥櫭塼ude et de Recherche sur le Paludisme Associ茅 脿 la Grossesse et l鈥橢nfance (CERPAGE) ; Cotonou ; B茅nin
6. Facult茅 des Sciences et Technologies ; Universit茅 d鈥橝bomey-Calavi ; Abomey-Calavi ; B茅nin
7. Department of Entomology ; Faculty of Agriculture at Kamphaeng Saen ; Kamphaeng Saen Campus ; Kasetsart University ; Kragujevac ; Thailand - 关键词：Malaria ; Bed nets ; Anthropology ; Fires ; Use rate ; Communication strategy
- 刊名：Malaria Journal
- 出版年：2014
- 出版时间：December 2014
- 年：2014
- 卷：13
- 期：1
- 全文大小：1,170 KB
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- 出版者：BioMed Central
- ISSN：1475-2875
文摘
Background One of the control tools to reduce malaria transmission is the use of LLINs. However, several studies show that household bed net use is quite low. A study was developed to better understand the cultural factors that might explain these gaps in Benin. One reason mentioned is that bed nets can catch on fire and cause harm. This paper presents a summary of these findings, their analysis and the ensuing issues. Methods This anthropological study is based on an inductive qualitative approach, including 91 semi-structured interviews conducted from July 2011 to March 2012 in a health district in Southern Benin. Results Fifty-six persons stated that bed nets can catch on fire but do not always refer to specific facts. However, 34 of the 56 people narrate specific events they heard or experienced. 39 accounts were geographically located and situated in time, with various details. In 27 situations, people were burned, for which 12 people reportedly died. Discussion The disparity between these results and the dearth of bibliographic documentation in the initial search prompted a more in-depth literature review: 16 contributions between 1994 and 2013 were found. Bed net fires were noted in 10 countries, but it is impossible to ascertain the frequency of such events. Moreover, bodily harm can be significant, and several cases of death attributed to bed net fires were noted. Conclusions Indisputably, the use of bed nets to reduce the impact of this terrible disease is an optimal control method. However, the perception that LLINs have a potentially negative effect hinders the use rate in the real world, at least for some. If some people fear the risk of fires, this possibility must be addressed during information and prevention sessions on malaria, with a communication strategy tailored to specific social contexts. Moreover, all possible measures should be taken to limit the harm suffered by individuals and their families.