Skip to main content

Long-lasting microbial larvicides for controlling insecticide resistant and outdoor transmitting vectors: a cost-effective supplement for malaria interventions


The issues of pyrethroid resistance and outdoor malaria parasite transmission have prompted the WHO to call for the development and adoption of viable alternative vector control methods. Larval source management is one of the core malaria vector interventions recommended by the Ministry of Health in many African countries, but it is rarely implemented due to concerns on its cost-effectiveness. New long-lasting microbial larvicide can be a promising cost-effective supplement to current vector control and elimination methods because microbial larvicide uses killing mechanisms different from pyrethroids and other chemical insecticides. It has been shown to be effective in reducing the overall vector abundance and thus both indoor and outdoor transmission. In our opinion, the long-lasting formulation can potentially reduce the cost of larvicide field application, and should be evaluated for its cost-effectiveness, resistance development, and impact on non-target organisms when integrating with other malaria vector control measures. In this opinion, we highlight that long-lasting microbial larvicide can be a potential cost-effective product that complements current front-line long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS) programs for malaria control and elimination. Microbial larviciding targets immature mosquitoes, reduces both indoor and outdoor transmission and is not affected by vector resistance to synthetic insecticides. This control method is a shift from the conventional LLINs and IRS programs that mainly target indoor-biting and resting adult mosquitoes.


There has been a massive scale-up of antimalarial interventions since 2000 including long-lasting insecticidal nets (LLINs), indoor residual spraying (IRS), and artemisinin-based combination therapy (ACT). These interventions have led to significant reductions in malaria morbidity and mortality [1]. However, resurgence in malaria morbidity has been observed in some African countries in the past few years despite a high LLINs coverage [1, 2]. It is apparent that the existing front-line vector control measures fail to break the transmission cycle of malaria parasites in many malaria-endemic areas [3,4,5,6,7,8]. Persistence and resurgence of the vector mosquito populations continues to be a challenging issue for malaria control and elimination. Resistance to synthetic insecticides, particularly pyrethroids and outdoor parasite transmission have become a major hurdle to malaria control, prompting the World Health Organization (WHO) to call for the development and adoption of viable alternative methods of malaria vector control that can reduce the reliance on synthetic insecticides.

While pyrethroid and other chemical insecticides have been used for two decades for disease vector and/or agricultural pest control in malaria endemic Africa, there is ample evidence of the emergence and spread of pyrethroid resistance in the major African malaria vectors Anopheles gambiae, An. arabiensis, and An. funestus [9,10,11,12]. Unfortunately, pyrethroids are the only class of insecticides that the WHO recommends for the treatment of insecticide-treated nets (ITNs). Outside Africa, chemical insecticide resistance has also been detected in other major malaria vectors such as An. minimus, An. dirus, An. sinensis, and An. maculatus in Asia, as well as An. darlingi in South America [12]. Resistance to multiple chemical insecticides in malaria vectors has been observed in different locations [7, 8]. The scale-up of LLINs and IRS programs has unequivocally selected for increased insecticide resistance [12].

Outdoor malaria transmission has become a very important challenge to malaria control [13,14,15]. The current front-line malaria vector control programs such as LLINs and IRS target only indoor biting and resting mosquitoes. However, a number of recent studies have documented changes in the biting behaviour of An. gambiae and An. funestus, from biting exclusively indoors at night to biting both indoors and outdoors during early evening and morning hours when people are not protected by IRS or LLINs, or biting indoors but resting outdoors [7, 8]. These behavioural changes in the mosquitoes have unquestionably challenged the effectiveness of existing control programs that primarily target indoor mosquitoes and urged the need of an expanded or alternative vector control toolkit.

Given that outdoor transmission and insecticide resistance compromises the efficacy of LLINs and IRS [7], additional vector control tools that target outdoor biting and resting mosquitoes are urgently needed to further reduce malaria transmission. Developing alternative interventions with a long-lasting impact will reduce intervention operation cost, and thus enhancing sustainability [16]. Benelli and Beier have recently published a review on the development of further tools for effective mosquito vector control [7]. Killeen et al. further discussed evidence-based development of new vector control strategies from a programmatic point of view [8]. However, many of the proposed tools are still in development or in conceptual stage [7, 8]. Intervention measures targeting adult vectors such as topical or spatial repellents, attractive toxic sugar baits (ATSB) and outdoor mosquito traps are a few examples of tools that have been tested in the field for their effectiveness and applicability [7, 8]. Meta-analysis and field trial results suggest that topical/spatial repellents or outdoor light traps are not very effective in reducing outdoor transmission [17,18,19]. ATSB methods have been reported as highly effective and target-specific, but more field tests are required to determine its efficacy and cost-effectiveness on malaria incidence reduction [7]. Larval source management, including larviciding targeting immature-stage vectors may reduce overall vector population both indoors and outdoors [20,21,22,23,24,25,26]. Bacillus thuringiensis israelensis (Bti) and Bacillus sphaericus (Bs) based bacterial agents are considered as highly effective microbial mosquito larvicide, which targets aquatic stages and thus reduces both indoor and outdoor mosquitoes. They can be used either individually or as a mixture, and have been shown to be safe to non-target organisms cohabiting with the mosquito larvae in the natural environment [27]. Further investigations on their efficacy and cost-effectiveness are still underway.

Main text

Challenges in the role of larval mosquito control

Effectiveness of larviciding

Larval control and environmental management have played prominent roles in malaria elimination in the past [28, 29]. In the US and Europe, larval control especially larviciding has been the preferred vector control tool for many years and is still the primary tool in use today [29]. Larviciding has been shown to be effective in killing mosquito larvae and reducing adult abundance [24, 25].

Currently, United States Environment Protection Agency (US EPA) registered three major types of larval control agents, i.e., microbial larvicides, insect growth inhibitors, and chemical insecticide (mainly temephos). Microbial larvicides, Bti and Bs inhibit food digestion of the mosquito larvae and thus prevent larval development. Insect growth inhibitors such as methoprene and hydroprene are structurally related to insect juvenile hormone, preventing mosquito larvae from maturing into adults or delays egg maturation [12]. However, methoprene and S-methoprene show some toxicity to some fish and aquatic invertebrates in laboratory tests [30, 31]. Temephos, an organophosphate insecticide, causes rapid neurotoxicity to mosquitoes. However, in areas with long-term applications, mosquitoes have developed high resistance to temephos [32,33,34]. Microbial larvicides so far are the preferred larvicides over chemical adulticides for mosquito control.

Microbial larviciding has several advantages over chemical adulticides. First, microbial larvicides target mosquito larvae living in confined breeding habitats, so the effectiveness is not influenced by the changing biting and resting behaviours of adult mosquitoes. Second, larval control provides the dual benefit of reducing the number of house-entering mosquitoes as well as the number of mosquitoes that bite and rest outdoors. Third, when compared to pyrethroid or other chemical insecticides, microbial larvicides have different modes of action against mosquitoes. There is no cross-resistance between chemical insecticide and microbial larvicide [35, 36]. In addition, microbial larvicides are currently considered the safest biological insecticides for the health of humans and other non-target organisms. Fourth, larval control does not conflict with but complements the front-line LLINs and IRS malaria control programs, given that those methods target different stages of vector development. Fifth, microbial larviciding provides great collateral benefits because it kills all species of mosquito larvae, including Anopheles, Culex and Aedes and other disease vectors [12].

Key limitation of current larvicide formulations

While larval control may be one of the solutions to reduce outdoor as well as overall malaria transmission, microbial larviciding has several limitations as it is practiced today [26, 27]. First, the available microbial larvicide formulations have a short effective period and require re-treatment of aquatic habitats every 7–10 days [22,23,24,25,26,27]. Apart from logistic concerns, repeated larvicide applications are usually associated with high material and operational costs, so the current formulations may not be affordable for large-scale use in malaria endemic areas, especially in many African countries [37].

Development of long-lasting larvicide formulation

Slow-release briquet formulations of Bti/Bs have been developed and tested since the 1980s [12, 27]. The earlier granular formulation of Bti/Bs controlled Aedes aegypti in abandoned tires for 2–4 weeks, and Bti/Bs briquets exhibited larvicidal activity in large containers for 4–11 weeks. Since then, different formulations have been developed, with effective periods ranging from two weeks to six months. However, all of these tests were focused on Aedes larvae, and the vast majority of the tests were conducted in container environments. The few field trials conducted in urban areas yielded an effective period of 4–6 weeks, far better than the conventional 7-day formulation, but this is not sufficient for large-scale applications. Furthermore, the potential effectiveness of these long-lasting formulations of Bti/Bs against Anopheles larvae is unclear. The small confined environment where Aedes mosquitoes inhabit is very different from open field habitats where Anopheles mosquitoes breed.

Prospects of long-lasting larvicide in malaria control and elimination

Recent advancements in microbial larvicide formulation, a better understanding of larval habitat productivity, and the ability to predict productive larval habitats may help strengthen the role of microbial larvicides in malaria control. First, the new formulation of EPA-approved long-lasting microbial larvicides (LLML) allow a slow release of larvicide and increase the effective period by 4–6 months and can reduce both indoor and outdoor vector density in small cluster randomized controlled trials (Box 1) [26]. Large-scale intervention (32 clusters with 16 intervention clusters) in western Kenya shows that one application of LLML could reduce 60–80% of the pupae production for ten weeks. In addition, it shows no impact on non-targeted organisms (Box 2) [38, 39]. Compared to the weekly habitat re-treatment required by conventional microbial larvicides, the 4–6-month or even 10-week re-treatment interval of LLML is a significant improvement. Although the material cost of LLML is more expensive than the conventional formulation, its long-lasting effects and infrequent re-treatment requirements may reduce the overall material and operational costs. Second, based on topographic features and satellite images, larval habitats are found to be spatially clustered [40,41,42,43,44,45]. The clustering pattern of habitats greatly facilitates the field operation of larval control through application of larvicides in targeted hotspots. New microbial larvicide formulations that can last for one to three months across different types of habitats have been field-tested [26, 38, 39]. Large-scale clustered-randomized field trial is ongoing in western Kenya [46]. Field cohort study indicated that LLML significantly reduced immature malaria vector population density and did not have detectable effect on non-targeted organisms (Box 2) [38].

Issues related to field implementations

Before LLML can be implemented on a large scale, improvements must be made on both the LLML formulation and the field implementation techniques. Antonio-Nkondjio et al. has outlined some of the important guidelines for the implementation of larval control interventions [27]. Several outstanding issues with long-lasting microbial larvicides need investigations. First, what is the effective duration of the long-lasting formulation in the field? This is obviously related to the formulation, local larval ecology, habitat types, rainfall, and other ecological and environmental factors [47]. For example, fluctuating rainfall can dilute the active ingredient in larval habitats and thus may reduce the killing effect of the LLML briquettes. Second, what is the optimal application strategy and subsequent cost-effectiveness of the application strategy? Optimized application can save both cost and time. Optimal timing of applications is crucial to maximize the effectiveness of the intervention. Third, how to seamlessly integrate LLML into the national malaria intervention strategy? Some malaria endemic African countries such as Ethiopia have already incorporated larviciding into their malaria control policy [48], but how to best integrate larviciding with other intervention methods and maximize the benefit of integrated intervention remains unclear.

The cost-effectiveness of LLML should also be evaluated in other places than African countries. So far, LLML has only been evaluated in Kenya, although the conventional formulation of the same microbial larvicides has been tested/used and cost has been evaluated in other African [22,23,24,25,26,27,28,29, 35,36,37,38,39,40, 46] as well as Asian countries [49,50,51,52]. The results have been shown to be promising across different ecological settings, which is especially relevant in low transmission areas that are targeting the goal of malaria elimination [53].

Resistance is another concern for LLML. So far, Bti/Bs resistance has not been documented in laboratory or in field Anopheles mosquitoes although it has been tested widely for controlling malaria vectors [27, 39, 40, 54]. The decade long use of conventional Bti/Bs formulation with a short effective duration for mosquito control in the USA and Europe has not led to high resistance in mosquitoes [35, 55]. However, LLML can be effective up to 4–6 months, this chronic selection pressure may help selecting Bti/Bs resistance. On the other hand, Bti/Bs has multiple toxin components, rendering resistance difficult to evolve [12]. Nevertheless, chronic exposure and imperfect killing of LLML presents a real risk for mosquitoes to evolve resistance.

Lastly, safety is a major concern regarding field application of any insecticides regardless of chemical or biological [56]. It is generally agreed that Bti/Bs is not harmful to human and other non-targeted organisms. However, previous evaluations are mainly based on conventional formulations with a short effective duration. As mentioned earlier, LLML may pose acute chronic selection pressure on mosquitoes and other non-targeted organisms in the aquatic habitats. Recent field study showed that LLML has no impact on population abundances and biodiversity of non-targeted organisms in Kenya [38]. Additional monitoring and evaluation on the long-term effects on non-targeted organisms is needed. This is especially important in field applications.

Conclusions and future directions

Long-lasting microbial larviciding represents a promising new tool that complements the currently front-line LLIN and IRS programs. It targets both indoor and outdoor transmission and alleviates the problem of insecticide resistance. Given the progress made in microbial larvicide formulation in conjunction with our improved understanding of mosquito ecology, in our opinion, long-lasting microbial larviciding may be a cost-effective supplemental malaria control method.

Before we can scale-up the LLML program, we need better understanding on some outstanding questions as described below:

  1. 1

    Are LLML suitable for different ecological settings? In other words, how does environmental factor impact the effectiveness of LLML? The effectiveness of LLML may depend on local larval ecology, i.e., is it possible that LLML is more effective in some habitat types than the others?

  2. 2

    Conventional formulation of microbial larvicide has been shown effective in some settings, but it is costly. Is LLML cost-effectiveness for scale-ups?

  3. 3

    So far, no Bti/Bs resistance in Anopheles mosquitoes has been reported after decades of application, potentially due to its multiple toxin components. However, with the persistent and chronic selection pressure from LLML exposure, will mosquitoes develop rapid resistance to Bti/Bs?

  4. 4

    It is generally believe that Bti/Bs has no toxicity to people, various tests revealed no detectable harm to non-target organisms. Will persistent exposure to LLML cause harm to other organisms in the aquatic habitats?

Available of supporting data

All data and results are already appeared in the paper.


  1. WHO. World Malaria Report 2018. Geneva: WHO; 2019.

  2. Bhatt S, Weiss DJ, Cameron E, Bisanzio D, Mappin B, Dalrymple U, Battle K, Moyes CL, Henry A, Eckhoff PA, et al. The effect of malaria control on Plasmodium falciparum in Africa between 2000 and 2015. Nature. 2015;526:207–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Raouf S, Mpimbaza A, Kigozi R, Sserwanga A, Rubahika D, Katamba H, Lindsay SW, Kapella BK, Belay KA, Kamya MR, et al. Resurgence of malaria following discontinuation of indoor residual spraying of insecticide in an area of Uganda with previously high-transmission intensity. Clin Infect Dis. 2017;65:453–60.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Katureebe A, Zinszer K, Arinaitwe E, Rek J, Kakande E, Charland K, Kigozi R, Kilama M, Nankabirwa J, Yeka A, et al. Measures of malaria burden after long-lasting insecticidal net distribution and indoor residual spraying at three sites in Uganda: a prospective observational study. PLoS Med. 2016;13:e1002167.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Kamya MR, Arinaitwe E, Wanzira H, Katureebe A, Barusya C, Kigozi SP, Kilama M, Tatem AJ, Rosenthal PJ, Drakeley C, et al. Malaria transmission, infection, and disease at three sites with varied transmission intensity in Uganda: implications for malaria control. Am J Trop Med Hyg. 2015;5:903–12.

    Article  Google Scholar 

  6. Ndo C, Kopya E, Donbou MA, Njiokou F, Awono-Ambene P, Wondji C. Elevated Plasmodium infection rates and high pyrethroid resistance in major malaria vectors in a forested area of Cameroon highlight challenges of malaria control. Parasit Vectors. 2018;11:157.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  7. Benelli G, Beier JC. Current vector control challenges in the fight against malaria. Acta Trop. 2017;174:91–6.

    Article  PubMed  Google Scholar 

  8. Killeen GF, Tatarsky A, Diabate A, Chaccour CJ, Marshall JM, Okumu FO, Brunner S, Newby G, Williams YA, Malone D, et al. Developing an expanded vector control toolbox for malaria elimination. BMJ Glob Health. 2017;2:e000211.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Akoton R, Tchigossou GM, Djègbè I, Yessoufou A, Atoyebi MS, Tossou E, Zeukeng F, Boko P, Irving H, Adéoti R, et al. Experimental huts trial of the efficacy of pyrethroids/piperonyl butoxide (PBO) net treatments for controlling multi-resistant populations of Anopheles funestus s.s. in Kpomè Southern Benin. Wellcome Open Res. 2018;3:71.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  10. Schmidt M, Hrabcova V, Jun D, Kuca K, Musilek K. Vector control and insecticidal resistance in the African malaria mosquito Anopheles gambiae. Chem Res Toxicol. 2018;31:534–47.

    Article  CAS  PubMed  Google Scholar 

  11. Hancock PA, Wiebe A, Gleave KA, Bhatt S, Cameron E, Trett A, Weetman D, Smith DL, Hemingway J, Coleman M, Gething PW, Moyes CL. Associated patterns of insecticide resistance in field populations of malaria vectors across Africa. Proc Natl Acad Sci U S A. 2018;115:5938–43.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. WHO. Global report on insecticide resistance in malaria vectors: 2010–2016. Geneva: World Health Organization; 2018.

  13. Degefa T, Yewhalaw D, Zhou G, Lee MC, Atieli H, Githeko AK, Yan G. Indoor and outdoor malaria vector surveillance in western Kenya: implications for better understanding of residual transmission. Malar J. 2017;16:443.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Bamou R, Mbakop LR, Kopya E, Ndo C, Awono-Ambene P, Tchuinkam T, Rono MK, Mwangangi J, Antonio-Nkondjio C. Changes in malaria vector bionomics and transmission patterns in the equatorial forest region of Cameroon between 2000 and 2017. Parasit Vectors. 2018;11:464.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  15. Cooke MK, Kahindi SC, Oriango RM, Owaga C, Ayoma E, Mabuka D, Nyangau D, Abel L, Atieno E, Awuor S, et al. “A bite before bed”: exposure to malaria vectors outside the times of net use in the highlands of western Kenya. Malar J. 2015;14:259.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Rabinovich RN, Drakeley C, Djimde AA, Hall BF, Hay SI, Hemingway J, Kaslow DC, Noor A, Okumu F, Steketee R, et al. An updated research agenda for malaria elimination and eradication. PLoS Med. 2017;14:e1002456.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Sluydts V, Durnez L, Heng S, Gryseels C, Canier L, Kim S, Van Roey K, Kerkhof K, Khim N, Mao S, et al. Efficacy of topical mosquito repellent (picaridin) plus long-lasting insecticidal nets versus long-lasting insecticidal nets alone for control of malaria: a cluster randomised controlled trial. Lancet Infect Dis. 2016;16:1169–77.

    Article  CAS  PubMed  Google Scholar 

  18. Maia MF, Kliner M, Richardson M, Lengeler C, Moore SJ. Mosquito repellents for malaria prevention. Cochrane Database Syst Rev. 2018;2:011595.

    Google Scholar 

  19. Homan T, Hiscox A, Mweresa CK, Masiga D, Mukabana WR, Oria P, Maire N, Pasquale AD, Silkey M, Alaii J, et al. The effect of mass mosquito trapping on malaria transmission and disease burden (SolarMal): a stepped-wedge cluster-randomised trial. Lancet. 2016;388:1193–201.

    Article  PubMed  Google Scholar 

  20. WHO Global Malaria Program. Malaria vector control policy recommendations and their applicability to product evaluation. Geneva: WHO; 2017.

    Google Scholar 

  21. Obopile M, Segoea G, Waniwa K, Ntebela DS, Moakofhi K, Motlaleng M, Mosweunyane T, Edwards JK, Namboze J, Butt W, et al. Did microbial larviciding contribute to a reduction in malaria cases in eastern Botswana in 2012–2013? Public Health Action. 2018;8(Suppl 1):S50–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Pruszynski CA, Hribar LJ, Mickle R, Leal AL. A large scale biorational approach using Bacillus thuringiensis israeliensis (Strain AM65-52) for managing Aedes aegypti populations to prevent dengue, chikungunya and zika transmission. PLoS ONE. 2017;12:e0170079.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  23. Mpofu M, Becker P, Mudambo K, de Jager C. Field effectiveness of microbial larvicides on mosquito larvae in malaria areas of Botswana and Zimbabwe. Malar J. 2016;15:586.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Ingabire CM, Hakizimana E, Rulisa A, Kateera F, Van Den Borne B, Muvunyi CM, Mutesa L, Van Vugt M, Koenraadt CJM, Takken W, et al. Community-based biological control of malaria mosquitoes using Bacillus thuringiensis var. israelensis (Bti) in Rwanda: community awareness, acceptance and participation. Malar J. 2017;16:399.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Afrane YA, Mweresa NG, Wanjala CL, Gilbreath Iii TM, Zhou G, Lee MC, Githeko AK, Yan G. Evaluation of long-lasting microbial larvicide for malaria vector control in Kenya. Malar J. 2016;15:577.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Antonio-Nkondjio C, Sandjo NN, Awono-Ambene P, Wondji CS. Implementing a larviciding efficacy or effectiveness control intervention against malaria vectors: key parameters for success. Parasit Vectors. 2018;11:57.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Dahmana H, Mediannikov O. Mosquito-borne diseases emergence/resurgence and how to effectively control it biologically. Pathogens. 2020;9:310.

    Article  PubMed Central  Google Scholar 

  28. Williams YA, Tusting LS, Hocini S, Graves PM, Killeen GF, Kleinschmidt I, Okumu FO, Feachem RGA, Tatarsky A, Gosling RD. Expanding the vector control toolbox for malaria elimination: a systematic review of the evidence. Adv Parasitol. 2018;99:345–79.

    Article  PubMed  Google Scholar 

  29. Thomas MB. Biological control of human disease vectors: a perspective on challenges and opportunities. Biocontrol (Dordr). 2018;63:61–9.

    Article  Google Scholar 

  30. Walker AN, Bush P, Puritz J, Wilson T, Chang ES, Miller T, Holloway K, Horst MN. Bioaccumulation and metabolic effects of the endocrine disruptor methoprene in the lobster Homarus americanus. Integr Comp Biol. 2005;45:118–26.

    Article  CAS  PubMed  Google Scholar 

  31. U.S. Environmental Protection Agency. R.E.D. Facts: Methoprene. Office of Pesticides and Toxic Substances, Washington, DC, 1991. p. 10–158.

  32. Azrag RS, Mohammed BH. Anopheles arabiensis in Sudan: a noticeable tolerance to urban polluted larval habitats associated with resistance to Temephos. Malar J. 2018;17:204.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Boyer S, Lopes S, Prasetyo D, Hustedt J, Sarady AS, Doum D, Yean S, Peng B, Bunleng S, Leang R, et al. Resistance of Aedes aegypti (Diptera: Culicidae) populations to deltamethrin, permethrin, and temephos in Cambodia. Asia Pac J Public Health. 2018;30:158–66.

    Article  PubMed  Google Scholar 

  34. Garcia GA, David MR, Martins AJ, Maciel-de-Freitas R, Linss JGB, Araújo SC, Lima JBP, Valle D. The impact of insecticide applications on the dynamics of resistance: The case of four Aedes aegypti populations from different Brazilian regions. PLoS Negl Trop Dis. 2018;12:e0006227.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  35. Roungou J-B, Yameogo L, Mwikisa C, Boakye DA, Bundy DA. 40 Years of the APOC Partnership. PLoS Negl Trop Dis. 2015;9:e0003562.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  36. Silva-Filha MHNL, et al. Resistance of mosquitoes to entomopathogenic bacterial-based larvicides: current status and strategies for management. In: Fiuza L, et al., editors. Bacillus thuringiensis and Lysinibacillus sphaericus. Cham: Springer; 2017. p. 239–57.

    Chapter  Google Scholar 

  37. Dambach P, Schleicher M, Stahl HC, Traoré I, Becker N, Kaiser A, Sié A, Sauerborn R. Routine implementation costs of larviciding with Bacillus thuringiensis israelensis against malaria vectors in a district in rural Burkina Faso. Malar J. 2016;15:380.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Derua Y, Kahindi SC, Mosha FW, Kweka EJ, Atieli HE, Wang X, Zhou G, Lee MC, Githeko AK, Yan G. Microbial larvicides for mosquito control: impact of long lasting formulations of Bacillus thuringiensis var israelensis and Bacillus sphaericus on non-target organisms in western Kenya highlands. Ecol Evol. 2018;8:7563–73.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Kahindi SC, Muriu S, Derua YA, Wang X, Zhou G, Lee MC, Mwangangi J, Atieli H, Githeko AK, Yan G. Efficacy and persistence of long lasting microbial larvicides against malaria vectors in western Kenya highlands. Parasit Vectors. 2018;11:438.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  40. Schneider S, Tajrin T, Lundström JO, Hendriksen NB, Melin P, Sundh I. Do multi-year applications of Bacillus thuringiensis subsp israelensis for control of mosquito larvae affect the abundance of B cereus group populations in riparian wetland soils? Microb Ecol. 2017;74:901–9.

    Article  PubMed  Google Scholar 

  41. Mwakalinga VM, Sartorius BKD, Limwagu AJ, Mlacha YP, Msellemu DF, Chaki PP, Govella NJ, Coetzee M, Dongus S, Killeen GF. Topographic mapping of the interfaces between human and aquatic mosquito habitats to enable barrier targeting of interventions against malaria vectors. R Soc Open Sci. 2018;5:161055.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Mahgoub MM, Kweka EJ, Himeidan YE. Characterisation of larval habitats, species composition and factors associated with the seasonal abundance of mosquito fauna in Gezira. Sudan Infect Dis Poverty. 2017;6:23.

    Article  PubMed  Google Scholar 

  43. Kweka EJ, Kimaro EE, Munga S. Effect of deforestation and land use changes on mosquito productivity and development in western Kenya highlands: implication for malaria risk. Front Public Health. 2016;4:238.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Amadi JA, Ong’amo GO, Olago DO, Oriaso SO, Nyamongo IK, Estambale BBA. Mapping potential Anopheles gambiae s.l. larval distribution using remotely sensed climatic and environmental variables in Baringo Kenya. Med Vet Entomol. 2018;32:417–26.

    Article  CAS  PubMed  Google Scholar 

  45. Paul P, Kangalawe RYM, Mboera LEG. Land-use patterns and their implication on malaria transmission in Kilosa District. Tanzania Trop Dis Travel Med Vaccines. 2018;4:6.

    Article  PubMed  Google Scholar 

  46. Zhou G, Wiseman V, Atieli HE, Lee MC, Githeko AK, Yan G. The impact of long-lasting microbial larvicides in reducing malaria transmission and clinical malaria incidence: study protocol for a cluster randomized controlled trial. Trials. 2016;17:423.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  47. Obeta JA. Effect of inactivation by sunlight on the larvicidal activities of mosquitocidal Bacillus thuringiensis H-14 isolates from Nigerian soils. J Commun Dis. 1996;28:94–100.

    CAS  PubMed  Google Scholar 

  48. PMI. Ethiopia malaria operational plan FY 2019. USAID, 2019.

  49. Bohari R, Jin Hin C, Matusop A, Abdullah MR, Ney TG, Benjamin S, Lim LH. Wide area spray of bacterial larvicide, Bacillus thuringiensis israelensis strain AM65-52, integrated in the national vector control program impacts dengue transmission in an urban township in Sibu district, Sarawak. Malaysia PLoS One. 2020;15:e0230910.

    Article  CAS  PubMed  Google Scholar 

  50. Setha T, Chantha N, Benjamin S, Socheat D. Bacterial larvicide, Bacillus thuringiensis israelensis Strain AM 65–52 water dispersible granule formulation impacts both dengue vector, Aedes aegypti (L.) population density and disease transmission in Cambodia. PLoS Negl Trop Dis. 2016;10:e0004973.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Uragayala S, Kamaraju R, Tiwari S, Ghosh SK, Valecha N. Field testing and evaluation of the efficacy and duration of effectiveness of a biolarvicide, Bactivec® SC (Bacillus thuringiensis var israelensis SH-14) in Bengaluru India. Indian J Med Res. 2018;147:299–307.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Halton K, Sarna M, Barnett A, Leonardo L, Graves N. A systematic review of community-based interventions for emerging zoonotic infectious diseases in Southeast Asia. JBI Database System Rev Implement Rep. 2013;11:1–235.

    Article  PubMed Central  Google Scholar 

  53. Chen Y-A, Lien JC, Tseng LF, Cheng CF, Lin WY, Wang HY, Tsai KH. Effects of indoor residual spraying and outdoor larval control on Anopheles coluzzii from São Tomé and Príncipe, two islands with pre-eliminated malaria. Malar J. 2019;18:405.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. Demissew A, Balkew M, Girma M. Larvicidal activities of chinaberry, neem and Bacillus thuringiensis israelensis (Bti) to an insecticide resistant population of Anopheles arabiensis from Tolay, Southwest Ethiopia. Asian Pac J Trop Biomed. 2016;6:554–61.

    Article  Google Scholar 

  55. Peralta C, Palma L. Is the insect world overcoming the efficacy of Bacillus thuringiensis? Toxins (Basel). 2017;9:39.

    Article  CAS  Google Scholar 

  56. Lawler SP. Environmental safety review of methoprene and bacterially-derived pesticides commonly used for sustained mosquito control. Ecotoxicol Environ Safety. 2017;139:335–43.

    Article  CAS  PubMed  Google Scholar 

Download references


We thank the authors who gave our permission to use their published figures.


This work was supported by the National Institutes of Health (R01 A1050243, U19 AI129326 and D43 TW001505). The funding sources have no role in any aspect of this study.

Author information

Authors and Affiliations



GZ and GY conceived and designed the study. GZ, EL and YAA reproduced the figures. GZ drafted the manuscript with contributions from EL, YAA, AKG and GY. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Guiyun Yan.

Ethics declarations

Ethics approval and consent to participate

Not applicable.

Consent for publication

All authors read and approved the final version of the manuscript. Consent has been obtained from GY for reprints of figures from previous publications (references [26, 38, 39]).

Competing interests

The authors declare no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zhou, G., Lo, E., Githeko, A.K. et al. Long-lasting microbial larvicides for controlling insecticide resistant and outdoor transmitting vectors: a cost-effective supplement for malaria interventions. Infect Dis Poverty 9, 162 (2020).

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: