Leishmaniasis, Cutaneous, Vector Borne Diseases
Conditions
Keywords
Conflict, Internally displaced people, temporary shelter, spatial repellants
Brief summary
The aim of this study is to determine the efficacy of Mosquito Shield (spatial repellent) in reducing cutaneous leishmaniasis case incidence among internally displaced persons and sandfly density in temporary shelters and camp settings in Ar-Raqqa governorate, North-East Syria.
Interventions
Spatial emanator with an active ingredient Transfluthrin (C15H12Cl2F4O2, 110mg, EPA registered number 432-1588).
Sponsors
Study design
Masking description
Neither the deliverers of the intervention nor the outcome assessors are blinded to the group allocations
Eligibility
Inclusion criteria
Known history of cutaneous leishmaniasis in camp Sleeping under same shelter type (all UNHCR tents / plastic sheets) Camp easily accessible by road Camps a minimum of 5km apart Adequate security levels
Exclusion criteria
Camps closer than 5km from a camp included in the study Camps with no previously recorded cases of cutaneous leishmaniasis Displaced communities living outside of defined camp settings
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Epidemiological outcome: cutaneous leishmaniasis incidence | 11 or 9 months | Cutaneous leishmaniasis incidence per 1,000 will be estimated as the total number of cutaneous leishmaniasis episodes per 1,000 persons over the course of the trial. Two different incubation times or diagnostic cut-offs will be used: at 2 months post-intervention (from August 2021 to April 2022) and at 4 months post-intervention (from August 2021 to April 2022). |
| Entomological outcome: phlebotomine sandfly density | 9 months | Phlebotomine sandfly density will be estimated monthly using Centers for Disease Control and Prevention light traps inside shelters. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intervention feasibility, acceptability and uptake | 11 months | To measure community and household intervention acceptability and uptake, a questionnaire will be conducted post-intervention. |
Countries
Syria