Permethrin-impregnated bed nets for malaria control in northern Guatemala: Epidemiologic impact and community acceptance

F. O. Richards, R. E. Klein, R. Z. Flores, S. Weller, M. Gatica, R. Zeissig, J. Sexton

Research output: Contribution to journalArticle

35 Scopus citations


Permethrin-impregnated bed nets were evaluated as a control measure for malaria in northern Guatemala. Twelve hundred forty participants were allocated to one of three experimental groups (impregnated bed nets [IBN], untreated bed nets [UBN], and controls) and followed up for a period of 13 months. The incidence density of malaria was significantly lower in both IBN (86 cases/1,000 person-years) and UBN groups (106/1,000) compared with that in controls (200/1,000). No difference in malaria incidence was noted between the IBN and UBN groups. Complaints of fever and chills were less frequent in the IBN group compared with controls. The participants were enthusiastic about the nets, which they saw as a means for avoiding nuisance insects more than for preventing malaria. Most (85%) wanted to wash their nets every 4-12 weeks, a practice known to shorten the duration of residual insecticide action. Larger studies are needed to determine whether or not impregnated bed nets offer an advantage over untreated nets in this setting.

Original languageEnglish (US)
Pages (from-to)410-418
Number of pages9
JournalAmerican Journal of Tropical Medicine and Hygiene
Issue number4
StatePublished - Jan 1 1993
Externally publishedYes


ASJC Scopus subject areas

  • Parasitology
  • Virology
  • Infectious Diseases

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