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Three trials with torn bed nets impregnated with permethrin and deltamethrin were made under field conditions at the Soumousso Field Station and the Vallée du Kou rice-field area, both in Burkina Faso, and the Djoumouna fish pond area in the Congo Republic. Even a considerably torn correctly impregnated bed net could be an useful method for limiting human-anopheline contacts. But bed nets in poor condition, i.e. too little impregnated and too much torn, cannot protect the users against anopheline bites. Protection increases with insecticide concentration, but at a high dosage insecticide could have more a repellent than a killing effect. Therefore a balance has to be found for the optimum rate of insecticide treatment of bed nets to obtain a real reduction in malaria transmission and morbidity, in every epidemiological situation.
Carnevale et al. (Wed,) studied this question.