Lessons from Agriculture for the Sustainable Management of Malaria Vectors

The effectiveness of insecticide-treated bed nets and indoor insecticide sprays to control adult mosquito vectors is being threatened by the spread of insecticide resistance. We argue for expanding beyond “insecticide monotherapy” to more sustainable integrated vector management strategies that use optimal suites of control tactics. Experience in agriculture suggests that such integrated approaches can provide more effective and durable pest management. This shift will require increased investment in research and translational science. Failure to act risks a resurgence of malaria and erosion of community support and donor commitment