<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.4 20241031//EN" "JATS-journalpublishing1-4.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.4" xml:lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">ae</journal-id>
      <journal-title-group>
        <journal-title>Advances in Entomology</journal-title>
      </journal-title-group>
      <issn pub-type="epub">2331-2017</issn>
      <issn pub-type="ppub">2331-1991</issn>
      <publisher>
        <publisher-name>Scientific Research Publishing</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.4236/ae.2026.143017</article-id>
      <article-id pub-id-type="publisher-id">ae-152781</article-id>
      <article-categories>
        <subj-group>
          <subject>Article</subject>
        </subj-group>
        <subj-group>
          <subject>Biomedical</subject>
          <subject>Life Sciences</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Widespread Multi-Insecticide Resistance Associated with Metabolic Mechanisms in Wild Anopheles funestus s.s. Populations from Central Senegal</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <contrib-id contrib-id-type="orcid">0009-0009-8168-9957</contrib-id>
          <name name-style="western">
            <surname>Faye</surname>
            <given-names>Mouhamadou Bassir</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Sillamé</surname>
            <given-names>Balla Moussa</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Diouf</surname>
            <given-names>Adji Fatou</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Dia</surname>
            <given-names>Abdoulaye Kane</given-names>
          </name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Fall</surname>
            <given-names>Moussa</given-names>
          </name>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Thiaw</surname>
            <given-names>Omar</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Doucouré</surname>
            <given-names>Souleymane</given-names>
          </name>
          <xref ref-type="aff" rid="aff4">4</xref>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Konaté</surname>
            <given-names>Lassana</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Niang</surname>
            <given-names>El Hadj Amadou</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Dia</surname>
            <given-names>Ibrahima</given-names>
          </name>
          <xref ref-type="aff" rid="aff5">5</xref>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Samb</surname>
            <given-names>Badara</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
      </contrib-group>
      <aff id="aff1"><label>1</label> Laboratoire d’Ecologie Vectorielle et Parasitaire, Université Cheikh Anta Diop de Dakar, Dakar, Senegal </aff>
      <aff id="aff2"><label>2</label> Centre International de Recherche et de Formation en Génomique Appliquée et de Surveillance Sanitaire (CIGASS), Université Cheikh Anta Diop de Dakar, Dakar, Senegal </aff>
      <aff id="aff3"><label>3</label> Institut Sénégalais de Recherche Agricole, Laboratoire National de l’Elevage et de Recherches Vétérinaires (ISRA-LNERV), Dakar, Senegal </aff>
      <aff id="aff4"><label>4</label> EMR MINES: Maladies Infectieuses, Négligées et Émergentes au Sud, Institut de Recherche pour le Développement, Campus International Institut de Recherche pour le Développement-Université-Cheikh Anta Diop of Hann, Dakar, Senegal </aff>
      <aff id="aff5"><label>5</label> Pôle de Zoologie Médicale, Institut Pasteur de Dakar, Dakar, Senegal </aff>
      <author-notes>
        <fn fn-type="conflict" id="fn-conflict">
          <p>The authors declare no conflicts of interest regarding the publication of this paper.</p>
        </fn>
      </author-notes>
      <pub-date pub-type="epub">
        <day>01</day>
        <month>07</month>
        <year>2026</year>
      </pub-date>
      <pub-date pub-type="collection">
        <month>07</month>
        <year>2026</year>
      </pub-date>
      <volume>14</volume>
      <issue>03</issue>
      <fpage>283</fpage>
      <lpage>297</lpage>
      <history>
        <date date-type="received">
          <day>23</day>
          <month>06</month>
          <year>2026</year>
        </date>
        <date date-type="accepted">
          <day>24</day>
          <month>07</month>
          <year>2026</year>
        </date>
        <date date-type="published">
          <day>27</day>
          <month>07</month>
          <year>2026</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>© 2026 by the authors and Scientific Research Publishing Inc.</copyright-statement>
        <copyright-year>2026</copyright-year>
        <license license-type="open-access">
          <license-p> This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link> ). </license-p>
        </license>
      </permissions>
      <self-uri content-type="doi" xlink:href="https://doi.org/10.4236/ae.2026.143017">https://doi.org/10.4236/ae.2026.143017</self-uri>
      <abstract>
        <p><bold>Background</bold>: The insecticide resistance profile of the malaria vector <italic>Anophe</italic><italic>les funestus</italic> and its underlying mechanisms remain poorly characterized in several regions of Senegal. To address this gap in knowledge, we investigated insecticide resistance profiles and assessed the contribution of metabolic resistance in <italic>Anopheles funestus</italic> populations from central Senegal. <bold>Methods</bold>: Indoor-resting blood-fed and gravid female mosquitoes were collected from randomly selected human dwellings in each study site using mouth aspirators. WHO susceptibility tests, Piperonyl butoxide (PBO) synergist assays, and resistance intensity assays were conducted on unfed 3-5-day-old F1 female progeny derived from wild-caught blood-fed <italic>Anopheles funestus</italic> females. Four classes of public health insecticides were tested. <bold>Results:</bold><italic>Anopheles funestus</italic> populations from Camara, Keur Mamadou, and Tawa Mboudaye showed moderate to high resistance intensity to pyrethroids, whereas populations from Dielmo exhibited low intensity to lambda-cyhalothrin and moderate intensity to alpha-cypermethrin. Moderate resistance to bendiocarb was detected in Nioro, but neither in Sokone nor Ndoffane. Overall, populations remained susceptible to largely susceptible to the organochlorine (DDT) and organophosphates across the study areas. However, in the localities of Tawa Mboudaye and Keur Mamadou, resistance to fenitrothion (86.4% and 76.1% mortality, respectively) and suspected resistance to DDT (91.4% and 88.3% mortality, respectively) were observed. PBO synergist assays suggest the involvement of cytochrome P450 monooxygenases mediating resistance to pyrethroids and bendiocarb. <bold>Conclusions:</bold>This study demonstrates that <italic>Anopheles funestus</italic> populations in central Senegal exhibit moderate to high levels of pyrethroid resistance, together with localized resistance to bendiocarb and fenitrothion in some locations. The results suggest that metabolic resistance mechanisms, particularly those involving cytochrome P450 monooxygenases, may contribute substantially to the observed resistance phenotypes; however, these findings provide only indirect evidence, and additional mechanisms beyond P450s cannot be excluded, especially for compounds such as DDT and bendiocarb. These results support the consideration of PBO-based LLIN deployment across the study areas.</p>
      </abstract>
      <kwd-group kwd-group-type="author-generated" xml:lang="en">
        <kwd>&lt;i&gt;Anopheles funestus&lt;/i&gt;</kwd>
        <kwd>Insecticide Resistance</kwd>
        <kwd>Metabolic Resistance</kwd>
        <kwd>Piperonyl Butoxide</kwd>
        <kwd>Central Senegal</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec1">
      <title>1. Introduction</title>
      <p>Malaria remains a major public health challenge in endemic regions of sub-Saharan Africa, including Senegal. In 2024, an estimated 282 million cases and 610,000 deaths were reported globally, with approximately 95% of malaria-related deaths occurring in the WHO African Region. Children under five years of age remain the most vulnerable group, accounting for nearly 75% of malaria deaths in the region [<xref ref-type="bibr" rid="B1">1</xref>]. In Senegal, the malaria burden has progressively declined over recent years, with malaria-related mortality decreasing from 2.7% in 2020 to 1.62% in 2022 [<xref ref-type="bibr" rid="B2">2</xref>]. To sustain this progress and advance towards malaria elimination, the country has intensified malaria control strategies. Vector control remains the cornerstone of these efforts and relies mainly on indoor residual spraying (IRS) and the mass distribution of long-lasting insecticidal nets (LLINs) every three years [<xref ref-type="bibr" rid="B3">3</xref>]. These targeted interventions have substantially improved household access to and use of LLINs, contributing significantly to the reduction of malaria transmission and overall disease burden [<xref ref-type="bibr" rid="B4">4</xref>]. </p>
      <p>Among malaria vectors, <italic>Anopheles funestus</italic> is one of the principal species in sub-Saharan Africa, including Senegal. In Senegal, <italic>Anopheles funestus</italic>sensu stricto (s.s.) has been identified as an important contributor to malaria transmission [<xref ref-type="bibr" rid="B3">3</xref>][<xref ref-type="bibr" rid="B4">4</xref>]. Effective vector control strategies depend on a thorough understanding of vector biology and behaviour, and insecticide susceptibility. However, despite its epidemiological importance, <italic>An. funestus</italic> s.s. remains relatively understudied in Senegal compared with the members of the <italic>An. gambiae</italic> complex, with most existing studies focusing mainly on bionomic aspects. This highlights the need for more comprehensive data on insecticide resistance profiles in natural populations of <italic>An. funestus,</italic>and mechanisms to better guide vector control interventions. In particular, significant knowledge gaps persist regarding the monitoring of insecticide resistance and the characterization of the underlying resistance mechanisms. </p>
      <p>In Senegal, malaria vector control strategies have not specifically targeted <italic>An. funestus</italic> populations. As a result, the control of this vector remains challenging for current interventions, due to factors such as changes in biting behaviour, the ecological adaptability of its breeding habitats, and the emergence of insecticide resistance. Notably, <italic>An. funestus</italic> has shown a strong ability to develop resistance to commonly used public health insecticides, particularly pyrethroids [<xref ref-type="bibr" rid="B5">5</xref>]-[<xref ref-type="bibr" rid="B7">7</xref>]. Across Africa, resistance to pyrethroids, carbamates, and organochlorines in <italic>An. funestus</italic> populations has been widely documented [<xref ref-type="bibr" rid="B8">8</xref>]-[<xref ref-type="bibr" rid="B13">13</xref>]. </p>
      <p>In Senegal, studies conducted in the Senegal River basin have reported resistance of <italic>An. funestus</italic> populations to pyrethroids commonly used in LLINs and IRS, as well as moderate resistance to dichlorodiphenyltrichloroethane (DDT) and the carbamate bendiocarb [<xref ref-type="bibr" rid="B7">7</xref>]. Molecular analyses from this region have highlighted the involvement of metabolic resistance mechanisms, particularly cytochrome P450 monooxygenases and glutathione S-transferases, including the overexpression of genes such as CYP6M7, CYP4H17, CYP304B1, CYP4C27, and CYP4H25 [<xref ref-type="bibr" rid="B7">7</xref>]. The increasing prevalence of these resistance mechanisms may reduce the effectiveness of LLINs and IRS interventions. Addressing these challenges requires strengthened vector control strategies alongside continuous monitoring of insecticide resistance. A comprehensive understanding of resistance profiles, underlying mechanisms, and their operational implications for vector control effectiveness is therefore essential for the development of evidence-based resistance management strategies. However, in several regions of Senegal, particularly in central areas, the insecticide resistance profile of <italic>An. funestus</italic> populations remains poorly documented. To support malaria vector control efforts and guide resistance management strategies, this study aimed to assess insecticide resistance patterns in <italic>An. funestus</italic> populations and investigate the contribution of metabolic resistance mechanisms in central Senegal. </p>
    </sec>
    <sec id="sec2">
      <title>2. Materials and Methods</title>
      <sec id="sec2dot1">
        <title>2.1. Study Area and Mosquito Collection</title>
        <p>Blood-fed and gravid <italic>Anopheles</italic>females resting indoors were collected in human dwellings between 8:00 and 12:00 during two sampling campaigns conducted in January 2023 and April 2024 in four villages located in central Senegal. The study was carried out in the villages of Camara (13˚38'N, 15˚37'W) and Keur Mamadou (13˚41'N, 16˚02'W) in the Nioro health district, Tawa Mboudaye (13˚58'N, 16˚12'W) in the Ndoffane health district, and Dielmo village (13˚43'N, 16˚24'W) in the Sokone health district (<xref ref-type="fig" rid="fig1">Figure 1</xref>). </p>
        <p>The Nioro and Ndoffane health districts are located in the Kaolack administrative region, whereas Sokone is situated in the Fatick region. The study area is characterized by a Sudano-Sahelian climate, with annual rainfall ranging from 700 to 1300 mm. Temperatures typically vary between 18˚C and 40˚C, with peak temperatures recorded in May and the lowest in January [<xref ref-type="bibr" rid="B14">14</xref>]. The region experiences two distinct seasons: a rainy season from June to October and a long dry season from November to May. The hydrographic network of the study sites includes permanent water bodies bordered by dense aquatic vegetation, predominantly <italic>Typha australis</italic>, creating favourable breeding habitats for <italic>An. funestus</italic> larvae. Indoor-resting, blood-fed, and gravid female mosquitoes were collected from human dwellings using mouth aspirators and torches and transferred into holding cups covered with untreated netting. Mosquitoes were transported alive to the insectary, where they were maintained on a 10% sugar solution for 3 - 4 days until they became fully gravid. Individual oviposition was then induced in Eppendorf tubes, after which the egg batches from individual females were pooled for larval rearing and transferred into plastic trays for larval rearing [<xref ref-type="bibr" rid="B15">15</xref>]. After oviposition, all F0 females were individually preserved in labelled 1.5 ml Eppendorf tubes containing silica gel and stored at −20˚C for subsequent molecular analysis. Larvae from hatched eggs were reared under standard insectary conditions (25˚C ± 2˚C and 70% ± 10% relative humidity), and emerging F1 adults were pooled and randomly maintained in rearing cages for subsequent WHO susceptibility tests.</p>
        <fig id="fig1">
          <label>Figure 1</label>
          <graphic xlink:href="https://html.scirp.org/file/1270605-rId17.jpeg?20260727104735" />
        </fig>
        <p><bold>Figure 1</bold>. Geographic location of the study sites in central Senegal. </p>
      </sec>
      <sec id="sec2dot2">
        <title>2.2. Molecular Species Identification</title>
        <p>Wild-caught female mosquitoes were initially morphologically identified as members of the <italic>Anopheles funestus</italic>group using standard mosquito identification keys [<xref ref-type="bibr" rid="B16">16</xref>][<xref ref-type="bibr" rid="B17">17</xref>]. Following oviposition, species identification was further confirmed using a multiplexed polymerase chain reaction (PCR) assay specific to the <italic>An. funestus</italic>group as described by Koekemoer <italic>et al.</italic> [<xref ref-type="bibr" rid="B18">18</xref>]. Genomic DNA was first extracted from individual mosquitoes following the method previously described by Collins <italic>et al.</italic> [<xref ref-type="bibr" rid="B19">19</xref>]. The amplified PCR products were visualized under UV illumination following gel electrophoresis to determine species-specific banding patterns. </p>
      </sec>
      <sec id="sec2dot3">
        <title>2.3. Adult Mosquito Susceptibility Assays</title>
        <p>Insecticide susceptibility assays were conducted on 3 - 5 day-old unfed F<sub>1</sub> females of <italic>An. funestus</italic>s.s. in accordance with standard WHO [<xref ref-type="bibr" rid="B20">20</xref>]. Mosquitoes were exposed to the WHO diagnostic concentration of insecticides from the four major classes used in public health, including pyrethroids (permethrin 0.75%, cyfluthrin 0.15%, deltamethrin 0.05%, lambda-cyhalothrin 0.05% and alpha-cypermethrin 0.05%), organochlorine (dichlorodiphenyltrichloroethane or DDT 4%), the carbamate (bendiocarb 0.1%), and the organophosphates (pirimiphos-methyl 0.25% and fenitrothion 1%). For each insecticide, approximately 100 mosquitoes were tested, divided into four replicates of 25 individuals each. A control group exposed to untreated papers was included for each experiment. Following exposure, mosquitoes were maintained under standard insectary conditions, and mortality was recorded 24 hours later. Resistance status was interpreted according to WHO criteria [<xref ref-type="bibr" rid="B20">20</xref>]. All bioassays were carried out under controlled laboratory conditions at 25˚C ± 2˚C and 70% ± 10% relative humidity. </p>
      </sec>
      <sec id="sec2dot4">
        <title>2.4. Piperonyl Butoxide (PBO) Synergist Tests</title>
        <p>The potential involvement of cytochrome P450s monooxygenases in insecticide resistance was investigated using PBO synergist assays following WHO guidelines [<xref ref-type="bibr" rid="B20">20</xref>]. Unfed F<sub>1</sub><italic>Anopheles funestus</italic> s.s. adult females aged (3 - 5 days) were first exposed to PBO 4% impregnated papers for 1 hour and then immediately transferred to test tubes containing insecticide-treated papers for an additional 1-hour exposure. The insecticides tested included deltamethrin (0.05%), alpha-cypermethrin (0.05%), lambda-cyhalothrin (0.05%), permethrin (0.75%), cyfluthrin (0.15%), DDT (4%), and bendiocarb (0.1%). Mosquito mortality was recorded 24 hours post-exposure. Two controls were included in each experiment: one exposed only to PBO papers and the other exposed to untreated papers. The contribution of cytochrome P450-mediated metabolic resistance was inferred by comparing mortality rates between mosquitoes exposed to insecticide alone and those pre-exposed to PBO prior to insecticide exposure [<xref ref-type="bibr" rid="B20">20</xref>]. </p>
      </sec>
      <sec id="sec2dot5">
        <title>2.5. Assessment of Resistance Intensity</title>
        <p>The intensity of resistance to pyrethroids and carbamate was assessed using WHO resistance intensity assays performed at 5x and 10x the diagnostic concentrations [<xref ref-type="bibr" rid="B20">20</xref>]. The insecticides tested included permethrin (3.75% and 7.5%), deltamethrin (0.25% and 0.5%), alpha-cypermethrin (0.25% and 0.5%), lambda-cyhalothrin (0.25% and 0.5%), and bendiocarb (0.5% and 1%). Results were interpreted according to WHO criteria for resistance intensity [<xref ref-type="bibr" rid="B20">20</xref>]. Following the assays, dead mosquitoes were preserved individually in silica gel, while surviving mosquitoes were stored in RNALater<sup>®</sup> to maintain RNA integrity for subsequent molecular and genomic analyses<bold>.</bold> All samples were kept at −80˚C until processing. </p>
      </sec>
      <sec id="sec2dot6">
        <title>2.6. Data Analysis</title>
        <p>Statistical analyses were performed using GraphPad Prism 8.0 (GraphPad Software, San Diego, California USA) with significance set at 5% and confidence intervals (CI) calculated at 95%. Mortality results were interpreted according to WHO criteria (≥98%: susceptible; 90% - 97%: possible resistance; &lt;90%: confirmed resistance). No additional statistical tests were applied, as WHO thresholds alone were considered sufficient for classification. </p>
      </sec>
    </sec>
    <sec id="sec3">
      <title>3. Results</title>
      <sec id="sec3dot1">
        <title>3.1. Field Collection</title>
        <p>Among mosquitoes collected indoors, a total of 600 females (F<sub>0</sub>) were morphologically identified as members of the <italic>Anopheles funestus</italic> group. Subsequent molecular characterization confirmed that all identified specimens belonged to <italic>Anopheles funestus</italic>sensu stricto, which will hereafter be referred to as <italic>An. funestus</italic>. </p>
      </sec>
      <sec id="sec3dot2">
        <title>3.2. WHO Susceptibility Tests</title>
        <p>No mortality was recorded in either control group exposed to PBO-only papers or untreated papers, confirming the validity and reliability of the bioassays. </p>
        <p>3.2.1. Phenotypic Resistance of <italic>Anopheles funestus</italic> to Standard Insecticide Concentrations </p>
        <p>A total of 10,834 F<sub>1</sub><italic>Anopheles funestus</italic> adults aged 3 - 5 days from the study sites were tested against different classes of insecticides at WHO diagnostic concentrations. </p>
        <p>WHO susceptibility bioassays revealed varying levels of resistance across insecticide classes and study sites. Overall, <italic>An. funestus</italic> populations from Nioro and Ndoffane were resistant to pyrethroids, with mortality rates ranging from 46.7% to 88.3% (<xref ref-type="fig" rid="fig2">Figure 2</xref>). </p>
        <p><italic>Anopheles funestus</italic> populations were susceptible to DDT (100%) in Camara (Nioro) and Dielmo (Sokone), but resistance (88.3%, n = 103) to that organochlorine was found in Keur Mamadou (Nioro), whereas in Tawa Mboudaye (Ndoffane), suspected resistance (91.4%, n = 116) was observed. </p>
        <p>Regarding organophosphates, <italic>An. funestus</italic> populations were fully susceptible to pirimiphos-methyl. However, resistance to fenitrothion was detected in Tawa Mboudaye and Keur Mamadou, with mortality rates of 86.4% (n = 103) and 76.1% (n = 109), respectively. </p>
        <p>For carbamates, full susceptibility to bendiocarb was observed in Tawa Mboudaye and Dielmo, with mortality rates of 99.1% (n = 107) and 100% (n = 110), respectively. In contrast, populations from Nioro were resistant, with mortality rates of 83.0% (n = 105) in Camara and 68.2% (n = 107) in Keur Mamadou (<xref ref-type="fig" rid="fig2">Figure 2</xref>). </p>
        <p>Overall, <italic>An. funestus</italic> populations from central Senegal showed high levels of resistance to pyrethroids and carbamates, along with reduced susceptibility to organochlorines, while remaining fully susceptible to pirimiphos-methyl. These resistance patterns may be associated with local selection pressures, including agricultural insecticide use.</p>
        <fig id="fig2">
          <label>Figure 2</label>
          <graphic xlink:href="https://html.scirp.org/file/1270605-rId18.jpeg?20260727104737" />
        </fig>
        <p><bold>Figure 2.</bold> Susceptibility profile of F<sub>1</sub> mosquitoes across the four studied sites, showing mortality rates recorded 24 h post-exposure in <italic>An. funestus</italic> s.s. The red dotted line indicates resistance (90%) and the green dotted line indicates the susceptibility 98% threshold. </p>
        <p>3.2.2. Resistance Intensity to Insecticides </p>
        <p>Resistance intensity bioassays conducted using increased concentrations (5× and 10×) of alpha-cypermethrin, deltamethrin, lambda-cyhalothrin, permethrin, and bendiocarb revealed spatial variation in resistance levels across study sites, likely reflecting differences in local environmental conditions and insecticide use practices, particularly in agriculture. Overall, resistance intensity varied across study sites and insecticides, ranging from low to high levels. High intensity to pyrethroids was observed in some locations, while low to moderate intensity predominated for other compounds (<xref ref-type="fig" rid="fig3">Figure 3</xref>). </p>
        <p>In Keur Mamadou, <italic>An. funestus</italic> populations exhibited low resistance intensity to alpha-cypermethrin and permethrin, moderate resistance intensity to deltamethrin, and high resistance intensity to lambda-cyhalothrin. In Camara, low resistance intensity was observed for bendiocarb, deltamethrin, and permethrin, whereas moderate to high resistance intensity was recorded for alpha-cypermethrin (5×) and lambda-cyhalothrin (5×), with mortality rates of 95.2% and 92.2%, respectively. </p>
        <p>In the Ndoffane health district, high resistance intensity was detected in Tawa Mboudaye, with approximately 85% mortality at 10× for alpha-cypermethrin. In the same locality, moderate resistance intensity was observed for deltamethrin, lambda-cyhalothrin, and permethrin, with complete mortality (100%) recorded at 5×. This resistance profile may reflect selective pressure associated with the intensive use of agricultural insecticides in this horticultural area. In Dielmo, resistance intensity was low for lambda-cyhalothrin and moderate for alpha-cypermethrin (<xref ref-type="fig" rid="fig3">Figure 3</xref>). Overall, resistance intensity varied according to study sites and insecticides tested, ranging from low to high levels. High-intensity resistance to pyrethroids was observed in some locations, whereas low to moderate resistance intensity predominated for other insecticides (<xref ref-type="fig" rid="fig3">Figure 3</xref>).</p>
        <fig id="fig3">
          <label>Figure 3</label>
          <graphic xlink:href="https://html.scirp.org/file/1270605-rId19.jpeg?20260727104737" />
        </fig>
        <p><bold>Figure 3.</bold> Resistance intensity profiles of resistance <italic>Anopheles funestus</italic> populations to pyrethroids and bendiocarb. Red dotted line indicates the threshold of 98% mortality.</p>
        <p>3.2.3. Bioassays, Synergist PBO (Piperonyl Butoxide) </p>
        <p>Synergist assays using piperonyl butoxide (PBO) 4% were conducted to investigate the potential involvement of cytochrome P450 monooxygenases in the observed resistance to pyrethroids, bendiocarb, and DDT across the study sites. </p>
        <p>Pre-exposure of <italic>An. funestus</italic> s.s. to PBO resulted in a complete restoration of susceptibility to type I pyrethroids (permethrin and cyfluthrin), bendiocarb, and DDT (p &lt; 0.001), indicating a predominant role of cytochrome P450 monooxygenases in metabolic resistance in these populations. </p>
        <p>In contrast, a partial recovery of susceptibility was observed for type II pyrethroids (alpha-cypermethrin, deltamethrin, and lambda-cyhalothrin) following PBO pre-exposure (p &lt; 0.001) (<bold>Table 1</bold>). This partial restoration suggests that, in addition to cytochrome P450 monooxygenases, other resistance mechanisms may contribute to the observed phenotypic resistance. </p>
        <p>No mortality was recorded in the control groups (PBO-only exposure and untreated papers), confirming the validity of the bioassays. </p>
        <p><bold>Table 1.</bold>Effect of PBO pre-exposure on the susceptibility profile of mosquitoes to pyrethroids, bendiocarb, and DDT.</p>
        <table-wrap id="tbl1">
          <label>Table 1</label>
          <table>
            <tbody>
              <tr>
                <td>Localities</td>
                <td>Insecticideone time dose</td>
                <td>Insecticide onlymortality rate (%)</td>
                <td>
                  CI
                  <sub>95%</sub>
                </td>
                <td>N</td>
                <td>PBO + insecticidemortality rate (%)</td>
                <td>
                  CI
                  <sub>95%</sub>
                </td>
                <td>N</td>
              </tr>
              <tr>
                <td rowspan="5">Camara</td>
                <td>Alphacypermethrin</td>
                <td>51.8</td>
                <td>(40.5 - 63.1)</td>
                <td>81</td>
                <td>80</td>
                <td>(69.6 - 88.1)</td>
                <td>80</td>
              </tr>
              <tr>
                <td>Deltamethrin</td>
                <td>72.1</td>
                <td>(61 - 81.6)</td>
                <td>79</td>
                <td>92.6</td>
                <td>(84.4 - 97.2)</td>
                <td>81</td>
              </tr>
              <tr>
                <td>Lambdacyhalothrin</td>
                <td>83.9</td>
                <td>(74.1 - 91.2)</td>
                <td>81</td>
                <td>90.1</td>
                <td>(81.5 - 95.6)</td>
                <td>81</td>
              </tr>
              <tr>
                <td>Permethrin</td>
                <td>83.1</td>
                <td>(72.9 - 90.7)</td>
                <td>77</td>
                <td>100</td>
                <td>(95.4 - 100)</td>
                <td>78</td>
              </tr>
              <tr>
                <td>Bendiocarb</td>
                <td>81.5</td>
                <td>(71.3 - 89.2)</td>
                <td>81</td>
                <td>100</td>
                <td>(95.6 - 100)</td>
                <td>82</td>
              </tr>
              <tr>
                <td rowspan="7">Keur Mamadou</td>
                <td>Alphacypermethrin</td>
                <td>81</td>
                <td>(70.6 - 89)</td>
                <td>79</td>
                <td>94</td>
                <td>(86.5 - 98)</td>
                <td>83</td>
              </tr>
              <tr>
                <td>Deltamethrin</td>
                <td>80.3</td>
                <td>(69.5 - 88.5)</td>
                <td>76</td>
                <td>96.2</td>
                <td>(83.3 - 99.2)</td>
                <td>79</td>
              </tr>
              <tr>
                <td>Lambdacyhalothrin</td>
                <td>78.5</td>
                <td>(69.5 - 85.8)</td>
                <td>107</td>
                <td>93</td>
                <td>(86.1 - 97.1)</td>
                <td>100</td>
              </tr>
              <tr>
                <td>Permethrin</td>
                <td>79.2</td>
                <td>(68.5 - 87.6)</td>
                <td>77</td>
                <td>100</td>
                <td>(95.5 - 100)</td>
                <td>80</td>
              </tr>
              <tr>
                <td>Cyfluthrin</td>
                <td>46.7</td>
                <td>(36.9 - 56.6)</td>
                <td>105</td>
                <td>92.3</td>
                <td>(85.4 - 96.6)</td>
                <td>104</td>
              </tr>
              <tr>
                <td>DDT</td>
                <td>86.1</td>
                <td>(76.4 - 92.8)</td>
                <td>79</td>
                <td>100</td>
                <td>(95.4 - 100)</td>
                <td>78</td>
              </tr>
              <tr>
                <td>Bendiocarb</td>
                <td>42.8</td>
                <td>(31.6 - 54.6)</td>
                <td>77</td>
                <td>98.8</td>
                <td>(93.4 - 99.9)</td>
                <td>82</td>
              </tr>
              <tr>
                <td rowspan="5">Tawa Mboudaye</td>
                <td>Alphacypermethrin</td>
                <td>77.6</td>
                <td>(66.6 - 86.4)</td>
                <td>76</td>
                <td>94.8</td>
                <td>(87.2 - 98.6)</td>
                <td>77</td>
              </tr>
              <tr>
                <td>Deltamethrin</td>
                <td>70.4</td>
                <td>(59.2 - 80)</td>
                <td>81</td>
                <td>96.1</td>
                <td>(89.2 - 99.2)</td>
                <td>78</td>
              </tr>
              <tr>
                <td>Lambdacyhalothrin</td>
                <td>71.6</td>
                <td>(60.5 - 81.1)</td>
                <td>81</td>
                <td>84.5</td>
                <td>(74.9 - 91.5)</td>
                <td>84</td>
              </tr>
              <tr>
                <td>Permethrin</td>
                <td>48.2</td>
                <td>(37.1 - 59.4)</td>
                <td>83</td>
                <td>100</td>
                <td>(95.4 - 100)</td>
                <td>79</td>
              </tr>
              <tr>
                <td>Cyfluthrin</td>
                <td>80</td>
                <td>(69.9 - 87.9)</td>
                <td>85</td>
                <td>100</td>
                <td>(95.7 - 100)</td>
                <td>84</td>
              </tr>
              <tr>
                <td rowspan="4">Dielmo</td>
                <td>Alphacypermethrin</td>
                <td>66.7</td>
                <td>(55.1 - 76.9)</td>
                <td>78</td>
                <td>84.2</td>
                <td>(74 - 91.6)</td>
                <td>76</td>
              </tr>
              <tr>
                <td>Deltamethrin</td>
                <td>83.13</td>
                <td>(73.3 - 90.4)</td>
                <td>83</td>
                <td>89.6</td>
                <td>(80.5 - 95.4)</td>
                <td>77</td>
              </tr>
              <tr>
                <td>Lambdacyhalothrin</td>
                <td>84.1</td>
                <td>(74.3 - 91.3)</td>
                <td>82</td>
                <td>92</td>
                <td>(83.4 - 97)</td>
                <td>75</td>
              </tr>
              <tr>
                <td>Permethrin</td>
                <td>92.5</td>
                <td>(84.4 - 97.2)</td>
                <td>80</td>
                <td>100</td>
                <td>(95.3 - 100)</td>
                <td>77</td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
        <p>N: number of mosquitoes exposed, CI: confidence interval, and PBO: piperonyl butoxide.</p>
      </sec>
    </sec>
    <sec id="sec4">
      <title>4. Discussion</title>
      <p>The WHO Global Plan for Insecticide Resistance Management underscores the importance of continuous monitoring of insecticide resistance and characterization of underlying mechanisms to preserve progress achieved in malaria control [<xref ref-type="bibr" rid="B21">21</xref>]. In this context, the present study represents the first comprehensive evaluation of insecticide resistance patterns <italic>in An. funestus s.s.</italic> populations from central Senegal. </p>
      <p>Our findings reveal widespread resistance to multiple classes of insecticides, including pyrethroids, carbamates, organophosphates, and organochlorines (DDT). The comparable resistance profiles observed across Nioro, Ndoffane, and Sokone districts suggest that multiple insecticide resistance is broadly distributed among <italic>An. funestus</italic> natural populations across central Senegal. This situation is particularly concerning given that pyrethroids remain the principal class of insecticides used in long-lasting insecticidal nets (LLINs), including both PBO-based and dual active ingredient (AI) nets. </p>
      <p>Resistance intensity assays further demonstrated predominantly moderate to high levels of resistance to pyrethroids across study sites, consistent with previous reports from northern Senegal [<xref ref-type="bibr" rid="B7">7</xref>] and other regions of Africa, including West, Central, and Southern Africa [<xref ref-type="bibr" rid="B7">7</xref>][<xref ref-type="bibr" rid="B12">12</xref>][<xref ref-type="bibr" rid="B22">22</xref>]-[<xref ref-type="bibr" rid="B27">27</xref>]. Notably, exposure to type II pyrethroids (alpha-cypermethrin, deltamethrin, and lambda-cyhalothrin) showed higher resistance intensity than type I pyrethroids (permethrin), a pattern also reported elsewhere [<xref ref-type="bibr" rid="B7">7</xref>][<xref ref-type="bibr" rid="B13">13</xref>][<xref ref-type="bibr" rid="B28">28</xref>]. This variation may reflect differences in the specificity and expression levels of metabolic enzymes, particularly cytochrome P450 monooxygenases, which are known to metabolize pyrethroid subclasses differently [<xref ref-type="bibr" rid="B29">29</xref>]. </p>
      <p>Synergist bioassays using PBO provided additional evidence on the mechanisms underlying insecticide resistance among natural populations of <italic>An. funes</italic><italic>tus</italic> in the study area. The complete restoration of susceptibility to permethrin, cyfluthrin, bendiocarb, and DDT following pre-exposure to PBO indicates a predominant role of cytochrome P450-mediated metabolic resistance in these studied wild <italic>An. funestus</italic>populations. In contrast, only partial restoration of susceptibility was observed for type II pyrethroids, indicating that additional mechanisms, such as the involvement of other detoxification enzymes or target-site mutations, may also contribute to the observed resistance phenotype. These findings are consistent with previous studies highlighting the major role of P450 enzymes in <italic>An. funestus</italic> resistance across Africa [<xref ref-type="bibr" rid="B22">22</xref>][<xref ref-type="bibr" rid="B27">27</xref>]. The high levels of resistance observed in <italic>An. funestus</italic>s.s. populations are likely driven by multiple selective pressures. The widespread use of LLINs, which primarily rely on pyrethroids, is widely recognized as a major factor contributing to the selection of resistance [<xref ref-type="bibr" rid="B5">5</xref>][<xref ref-type="bibr" rid="B27">27</xref>][<xref ref-type="bibr" rid="B28">28</xref>]. In addition, agricultural practices in the study areas may play a substantial role in resistance development. The application of insecticides, including lambda-cyhalothrin-based products, organophosphates such as dimethoate, diazinon, and organochlorines such as endosulfan, may lead to contamination of mosquito breeding sites through runoff, thereby maintaining continuous selection pressure on vector populations. Similar associations between agricultural insecticide use and the selection of insecticide resistance among malaria vectors have been reported from several African settings [<xref ref-type="bibr" rid="B30">30</xref>]-[<xref ref-type="bibr" rid="B34">34</xref>]. Moreover, the domestic use of insecticides and informal vector control practices may further exacerbate this selection pressure. </p>
      <p>The detection of bendiocarb resistance in Keur Mamadou and Camara in the Nioro health district is of particular concern, given its importance as an alternative insecticide for IRS in areas with high pyrethroid resistance. Although bendiocarb has demonstrated effectiveness in malaria control programs in Senegal and other endemic settings [<xref ref-type="bibr" rid="B35">35</xref>]-[<xref ref-type="bibr" rid="B37">37</xref>], the emergence of resistance may compromise its long-term operational effectiveness. In contrast, the full susceptibility observed to pirimiphos-methyl suggests that organophosphates may remain effective for IRS-based interventions in the study area. However, the detection of resistance to fenitrothion in some localities underscores the importance of careful insecticide selection and continuous resistance monitoring. </p>
      <p>At the molecular level, previous studies conducted in Senegal have reported overexpression of cytochrome P450 genes, including CYP6M7 and CYP6Z1, in association with resistance to pyrethroids and carbamate [<xref ref-type="bibr" rid="B7">7</xref>][<xref ref-type="bibr" rid="B38">38</xref>]. Our results are consistent with these findings and further support the dominant role of metabolic resistance in <italic>An. funestus</italic> wild populations. Nevertheless, the incomplete restoration of susceptibility observed for type II pyrethroids indicates that additional resistance mechanisms may be involved, highlighting the need for further investigations to better characterize the full range of mechanisms contributing to resistance. A limitation of this study is that resistance mechanisms were inferred from bioassays and synergist tests, without direct gene expression or target-site data. </p>
    </sec>
    <sec id="sec5">
      <title>5. Conclusion</title>
      <p>This study provides the first comprehensive assessment of susceptibility and resistance to public health insecticides in <italic>An. funestus</italic> natural populations from the study site in central Senegal. The results reveal moderate to high levels of resistance to pyrethroids, together with emerging resistance to carbamates and organochlorines, predominantly driven by metabolic mechanisms involving cytochrome P450 monooxygenases. These findings raise concerns regarding the sustainability of current insecticide-based vector control interventions, particularly LLINs that primarily depend on pyrethroids. The deployment of next-generation vector control tools, such as PBO-based or dual-insecticide LLINs, should therefore be considered to improve vector control intervention efficacy in these areas. In addition, strengthening insecticide resistance monitoring, together with comprehensive characterization of resistance mechanisms and their geographical distribution range, will be critical to inform evidence-based resistance management strategies and sustain malaria vector control efforts in Senegal.</p>
    </sec>
    <sec id="sec6">
      <title>Acknowledgements</title>
      <p>We sincerely thank the inhabitants of the study villages for their participation and cooperation. We are grateful to the Institut de Recherche pour le Développement (IRD) for its assistance. We also thank Mr. Khalipha Thiam for his technical support during field collections and Dr. Assane Ndiaye for providing the study area map. </p>
    </sec>
    <sec id="sec7">
      <title>Funding</title>
      <p>This work was supported by a Wellcome Trust International Training Fellowship in Public Health and Tropical Medicine (214203/Z/18/Z) to BS. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. </p>
    </sec>
    <sec id="sec8">
      <title>Author Contributions</title>
      <p>BS conceived, designed, and supervised the study. EAN, SD, ID, and LK contributed to supervision. MBF, BMS, AFD, MF, and OT carried out the field collection and performed the laboratory analysis. MBF and BS analyzed the data and wrote the manuscript. AKD contributed to the draft of the manuscript. All authors have read, edited, and approved the final manuscript.</p>
    </sec>
  </body>
  <back>
    <ref-list>
      <title>References</title>
      <ref id="B1">
        <label>1.</label>
        <citation-alternatives>
          <mixed-citation publication-type="report">WHO (2025) World Malaria Report 2025. World Health Organization.</mixed-citation>
          <element-citation publication-type="report">
            <year>2025</year>
            <article-title>World Malaria Report 2025</article-title>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B2">
        <label>2.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">PNLP (2024) Bulletin épidémiologique annuel du paludisme au Sénégal. 1-67.</mixed-citation>
          <element-citation publication-type="other">
            <year>2024</year>
            <article-title>Bulletin épidémiologique annuel du paludisme au Sénégal</article-title>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B3">
        <label>3.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">PNLP (2021) Bulletin epidémiologique annuel du paludisme au Sénégal.</mixed-citation>
          <element-citation publication-type="other">
            <year>2021</year>
            <article-title>Bulletin epidémiologique annuel du paludisme au Sénégal</article-title>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B4">
        <label>4.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Kleinschmidt, I., Mnzava, A.P., Kafy, H.T., Mbogo, C., Bashir, A.I., Bigoga, J., <italic>et al</italic>. (2015) Design of a Study to Determine the Impact of Insecticide Resistance on Malaria Vector Control: A Multi-Country Investigation. <italic>Malaria Journal</italic>, 14, Article No. 282. https://doi.org/10.1186/s12936-015-0782-4 <pub-id pub-id-type="doi">10.1186/s12936-015-0782-4</pub-id><pub-id pub-id-type="pmid">26194648</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/s12936-015-0782-4">https://doi.org/10.1186/s12936-015-0782-4</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Kleinschmidt, I.</string-name>
              <string-name>Mnzava, A.P.</string-name>
              <string-name>Kafy, H.T.</string-name>
              <string-name>Mbogo, C.</string-name>
              <string-name>Bashir, A.I.</string-name>
              <string-name>Bigoga, J.</string-name>
            </person-group>
            <year>2015</year>
            <article-title>Design of a Study to Determine the Impact of Insecticide Resistance on Malaria Vector Control: A Multi-Country Investigation</article-title>
            <source>Malaria Journal</source>
            <volume>14</volume>
            <elocation-id>No</elocation-id>
            <pub-id pub-id-type="doi">10.1186/s12936-015-0782-4</pub-id>
            <pub-id pub-id-type="pmid">26194648</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B5">
        <label>5.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Dia, I., Konate, L., Samb, B., Sarr, J., Diop, A., Rogerie, F., <italic>et al</italic>. (2008) Bionomics of Malaria Vectors and Relationship with Malaria Transmission and Epidemiology in Three Physiographic Zones in the Senegal River Basin. <italic>Acta Tropica</italic>, 105, 145-153. https://doi.org/10.1016/j.actatropica.2007.10.010 <pub-id pub-id-type="doi">10.1016/j.actatropica.2007.10.010</pub-id><pub-id pub-id-type="pmid">18068685</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.actatropica.2007.10.010">https://doi.org/10.1016/j.actatropica.2007.10.010</ext-link></mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Dia, I.</string-name>
              <string-name>Konate, L.</string-name>
              <string-name>Samb, B.</string-name>
              <string-name>Sarr, J.</string-name>
              <string-name>Diop, A.</string-name>
              <string-name>Rogerie, F.</string-name>
            </person-group>
            <year>2008</year>
            <article-title>Bionomics of Malaria Vectors and Relationship with Malaria Transmission and Epidemiology in Three Physiographic Zones in the Senegal River Basin</article-title>
            <source>Acta Tropica</source>
            <volume>105</volume>
            <pub-id pub-id-type="doi">10.1016/j.actatropica.2007.10.010</pub-id>
            <pub-id pub-id-type="pmid">18068685</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B6">
        <label>6.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Konate, L., Diagne, N., Brahimi, K., Faye, O., Legros, F., Rogier, C., <italic>et al</italic>. (1994) Biologie des vecteurs et transmission de <italic>Plasmodium falciparum</italic>, <italic>p. malariae et p. ovale</italic> dans un village de savane d’afrique de l’ouest (Dielmo, Sénégal). <italic>Parasite</italic>, 1, 325-333. https://doi.org/10.1051/parasite/1994014325 <pub-id pub-id-type="doi">10.1051/parasite/1994014325</pub-id><pub-id pub-id-type="pmid">9235206</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1051/parasite/1994014325">https://doi.org/10.1051/parasite/1994014325</ext-link></mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Konate, L.</string-name>
              <string-name>Diagne, N.</string-name>
              <string-name>Brahimi, K.</string-name>
              <string-name>Faye, O.</string-name>
              <string-name>Legros, F.</string-name>
              <string-name>Rogier, C.</string-name>
              <string-name>Dielmo, S</string-name>
            </person-group>
            <year>1994</year>
            <article-title>Biologie des vecteurs et transmission de Plasmodium falciparum, p</article-title>
            <source>malariae et p. ovale dans un village de savane d’afrique de l’ouest (Dielmo</source>
            <volume>1</volume>
            <pub-id pub-id-type="doi">10.1051/parasite/1994014325</pub-id>
            <pub-id pub-id-type="pmid">9235206</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B7">
        <label>7.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Samb, B., Konate, L., Irving, H., Riveron, J.M., Dia, I., Faye, O., <italic>et al</italic>. (2016) Investigating Molecular Basis of Lambda-Cyhalothrin Resistance in an <italic>Anopheles funestus</italic> Population from Senegal. <italic>Parasites &amp; Vectors</italic>, 9, 1-10. https://doi.org/10.1186/s13071-016-1735-7 <pub-id pub-id-type="doi">10.1186/s13071-016-1735-7</pub-id><pub-id pub-id-type="pmid">27519696</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/s13071-016-1735-7">https://doi.org/10.1186/s13071-016-1735-7</ext-link></mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Samb, B.</string-name>
              <string-name>Konate, L.</string-name>
              <string-name>Irving, H.</string-name>
              <string-name>Riveron, J.M.</string-name>
              <string-name>Dia, I.</string-name>
              <string-name>Faye, O.</string-name>
            </person-group>
            <year>2016</year>
            <article-title>Investigating Molecular Basis of Lambda-Cyhalothrin Resistance in an Anopheles funestus Population from Senegal</article-title>
            <source>Parasites &amp; Vectors</source>
            <volume>9</volume>
            <pub-id pub-id-type="doi">10.1186/s13071-016-1735-7</pub-id>
            <pub-id pub-id-type="pmid">27519696</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B8">
        <label>8.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Nkemngo, F.N., Mugenzi, L.M.J., Terence, E., Niang, A., Wondji, M.J., Tchoupo, M., <italic>et al</italic>. (2020) Elevated Plasmodium Sporozoite Infection and Multiple Insecticide Resistance in the Principal Malaria Vectors <italic>Anopheles funestus</italic> and <italic>Anopheles gambiae</italic> in a Forested Locality Close to the Yaoundé Airport, Cameroon. <italic>Wellcome Open Research</italic>, 5, Article 146. https://doi.org/10.12688/wellcomeopenres.15818.1 <pub-id pub-id-type="doi">10.12688/wellcomeopenres.15818.1</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.12688/wellcomeopenres.15818.1">https://doi.org/10.12688/wellcomeopenres.15818.1</ext-link></mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Nkemngo, F.N.</string-name>
              <string-name>Mugenzi, L.M.J.</string-name>
              <string-name>Terence, E.</string-name>
              <string-name>Niang, A.</string-name>
              <string-name>Wondji, M.J.</string-name>
              <string-name>Tchoupo, M.</string-name>
              <string-name>Airport, C</string-name>
            </person-group>
            <year>2020</year>
            <article-title>Elevated Plasmodium Sporozoite Infection and Multiple Insecticide Resistance in the Principal Malaria Vectors Anopheles funestus and Anopheles gambiae in a Forested Locality Close to the Yaoundé Airport, Cameroon</article-title>
            <source>Wellcome Open Research</source>
            <volume>5</volume>
            <elocation-id>146</elocation-id>
            <pub-id pub-id-type="doi">10.12688/wellcomeopenres.15818.1</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B9">
        <label>9.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Chanda, J., Saili, K., Phiri, F., Stevenson, J.C., Mwenda, M., Chishimba, S., <italic>et al</italic>. (2020) Pyrethroid and Carbamate Resistance in <italic>Anopheles funestus</italic> Giles along Lake Kariba in Southern Zambia. <italic>The American Journal of Tropical Medicine and Hygiene</italic>, 103, 90-97. https://doi.org/10.4269/ajtmh.19-0664 <pub-id pub-id-type="doi">10.4269/ajtmh.19-0664</pub-id><pub-id pub-id-type="pmid">32618244</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.4269/ajtmh.19-0664">https://doi.org/10.4269/ajtmh.19-0664</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Chanda, J.</string-name>
              <string-name>Saili, K.</string-name>
              <string-name>Phiri, F.</string-name>
              <string-name>Stevenson, J.C.</string-name>
              <string-name>Mwenda, M.</string-name>
              <string-name>Chishimba, S.</string-name>
            </person-group>
            <year>2020</year>
            <article-title>Pyrethroid and Carbamate Resistance in Anopheles funestus Giles along Lake Kariba in Southern Zambia</article-title>
            <source>The American Journal of Tropical Medicine and Hygiene</source>
            <volume>103</volume>
            <pub-id pub-id-type="doi">10.4269/ajtmh.19-0664</pub-id>
            <pub-id pub-id-type="pmid">32618244</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B10">
        <label>10.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Mugenzi, L.M.J., Akosah-Brempong, G., Tchouakui, M., Menze, B.D., Tekoh, T.A., Tchoupo, M., <italic>et al</italic>. (2022) Escalating Pyrethroid Resistance in Two Major Malaria Vectors <italic>Anopheles funestus</italic> and <italic>Anopheles gambiae</italic> (S.L.) in Atatam, Southern Ghana. <italic>BMC Infectious Diseases</italic>, 22, Article No. 799. https://doi.org/10.1186/s12879-022-07795-4 <pub-id pub-id-type="doi">10.1186/s12879-022-07795-4</pub-id><pub-id pub-id-type="pmid">36284278</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/s12879-022-07795-4">https://doi.org/10.1186/s12879-022-07795-4</ext-link></mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Mugenzi, L.M.J.</string-name>
              <string-name>Akosah-Brempong, G.</string-name>
              <string-name>Tchouakui, M.</string-name>
              <string-name>Menze, B.D.</string-name>
              <string-name>Tekoh, T.A.</string-name>
              <string-name>Tchoupo, M.</string-name>
              <string-name>Atatam, S</string-name>
            </person-group>
            <year>2022</year>
            <article-title>Escalating Pyrethroid Resistance in Two Major Malaria Vectors Anopheles funestus and Anopheles gambiae (S</article-title>
            <source>L.) in Atatam</source>
            <volume>22</volume>
            <elocation-id>No</elocation-id>
            <pub-id pub-id-type="doi">10.1186/s12879-022-07795-4</pub-id>
            <pub-id pub-id-type="pmid">36284278</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B11">
        <label>11.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Menze, B.D., Tchouakui, M., Mugenzi, L.M.J., Tchapga, W., Tchoupo, M., Wondji, M.J., <italic>et al</italic>. (2022) Marked Aggravation of Pyrethroid Resistance in Major Malaria Vectors in Malawi between 2014 and 2021 Is Partly Linked with Increased Expression of P450 Alleles. <italic>BMC Infectious Diseases</italic>, 22, Article No. 660. https://doi.org/10.1186/s12879-022-07596-9 <pub-id pub-id-type="doi">10.1186/s12879-022-07596-9</pub-id><pub-id pub-id-type="pmid">35907831</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/s12879-022-07596-9">https://doi.org/10.1186/s12879-022-07596-9</ext-link></mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Menze, B.D.</string-name>
              <string-name>Tchouakui, M.</string-name>
              <string-name>Mugenzi, L.M.J.</string-name>
              <string-name>Tchapga, W.</string-name>
              <string-name>Tchoupo, M.</string-name>
              <string-name>Wondji, M.J.</string-name>
            </person-group>
            <year>2022</year>
            <article-title>Marked Aggravation of Pyrethroid Resistance in Major Malaria Vectors in Malawi between 2014 and 2021 Is Partly Linked with Increased Expression of P450 Alleles</article-title>
            <source>BMC Infectious Diseases</source>
            <volume>22</volume>
            <elocation-id>No</elocation-id>
            <pub-id pub-id-type="doi">10.1186/s12879-022-07596-9</pub-id>
            <pub-id pub-id-type="pmid">35907831</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B12">
        <label>12.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Ngongang-Yipmo, E.S., Tchouakui, M., Menze, B.D., Mugenzi, L.M.J., Njiokou, F. and Wondji, C.S. (2022) Reduced Performance of Community Bednets against Pyrethroid-Resistant <italic>Anopheles funestus</italic> and <italic>Anopheles gambiae</italic>, Major Malaria Vectors in Cameroon. <italic>Parasites &amp; Vectors</italic>, 15, Article No. 230. https://doi.org/10.1186/s13071-022-05335-2 <pub-id pub-id-type="doi">10.1186/s13071-022-05335-2</pub-id><pub-id pub-id-type="pmid">35754045</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/s13071-022-05335-2">https://doi.org/10.1186/s13071-022-05335-2</ext-link></mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Ngongang-Yipmo, E.S.</string-name>
              <string-name>Tchouakui, M.</string-name>
              <string-name>Menze, B.D.</string-name>
              <string-name>Mugenzi, L.M.J.</string-name>
              <string-name>Njiokou, F.</string-name>
              <string-name>Wondji, C.S.</string-name>
            </person-group>
            <year>2022</year>
            <article-title>Reduced Performance of Community Bednets against Pyrethroid-Resistant Anopheles funestus and Anopheles gambiae, Major Malaria Vectors in Cameroon</article-title>
            <source>Parasites &amp; Vectors</source>
            <volume>15</volume>
            <elocation-id>No</elocation-id>
            <pub-id pub-id-type="doi">10.1186/s13071-022-05335-2</pub-id>
            <pub-id pub-id-type="pmid">35754045</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B13">
        <label>13.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Pinda, P.G., Msaky, D.S., Muyaga, L.L., Mshani, I.H., Njalambaha, R.M., Kihonda, J., <italic>et al</italic>. (2022) Relationships between Biological Age, Distance from Aquatic Habitats and Pyrethroid Resistance Status of <italic>Anopheles funestus</italic> Mosquitoes in South-Eastern Tanzania. <italic>Malaria Journal</italic>, 21, Article No. 365. https://doi.org/10.1186/s12936-022-04389-y <pub-id pub-id-type="doi">10.1186/s12936-022-04389-y</pub-id><pub-id pub-id-type="pmid">36461058</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/s12936-022-04389-y">https://doi.org/10.1186/s12936-022-04389-y</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Pinda, P.G.</string-name>
              <string-name>Msaky, D.S.</string-name>
              <string-name>Muyaga, L.L.</string-name>
              <string-name>Mshani, I.H.</string-name>
              <string-name>Njalambaha, R.M.</string-name>
              <string-name>Kihonda, J.</string-name>
              <string-name>Age, D</string-name>
            </person-group>
            <year>2022</year>
            <article-title>Relationships between Biological Age, Distance from Aquatic Habitats and Pyrethroid Resistance Status of Anopheles funestus Mosquitoes in South-Eastern Tanzania</article-title>
            <source>Malaria Journal</source>
            <volume>21</volume>
            <elocation-id>No</elocation-id>
            <pub-id pub-id-type="doi">10.1186/s12936-022-04389-y</pub-id>
            <pub-id pub-id-type="pmid">36461058</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B14">
        <label>14.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">ANSD (2025) Situation economique et sociale de la region de kaolack.</mixed-citation>
          <element-citation publication-type="other">
            <year>2025</year>
            <article-title>Situation economique et sociale de la region de kaolack</article-title>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B15">
        <label>15.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Morgan, J.C., Irving, H., Okedi, L.M., Steven, A. and Wondji, C.S. (2010) Pyrethroid Resistance in an <italic>Anopheles funestus</italic> Population from Uganda. <italic>PLOS ONE</italic>, 5, e11872. https://doi.org/10.1371/journal.pone.0011872 <pub-id pub-id-type="doi">10.1371/journal.pone.0011872</pub-id><pub-id pub-id-type="pmid">20686697</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pone.0011872">https://doi.org/10.1371/journal.pone.0011872</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Morgan, J.C.</string-name>
              <string-name>Irving, H.</string-name>
              <string-name>Okedi, L.M.</string-name>
              <string-name>Steven, A.</string-name>
              <string-name>Wondji, C.S.</string-name>
            </person-group>
            <year>2010</year>
            <article-title>Pyrethroid Resistance in an Anopheles funestus Population from Uganda</article-title>
            <source>PLOS ONE</source>
            <volume>5</volume>
            <pub-id pub-id-type="doi">10.1371/journal.pone.0011872</pub-id>
            <pub-id pub-id-type="pmid">20686697</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B16">
        <label>16.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Diagne, N., Fontenille, D., Konate, L., Faye, O., Lamizana, M.T., Legros, F., <italic>et al</italic>. (1994) Anopheles of Senegal: An Annotated and Illustrated List. <italic>Bulletin de la Société de Pathologie Exotique</italic>, 87, 267-77.</mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Diagne, N.</string-name>
              <string-name>Fontenille, D.</string-name>
              <string-name>Konate, L.</string-name>
              <string-name>Faye, O.</string-name>
              <string-name>Lamizana, M.T.</string-name>
              <string-name>Legros, F.</string-name>
            </person-group>
            <year>1994</year>
            <article-title>Anopheles of Senegal: An Annotated and Illustrated List</article-title>
            <source>Bulletin de la Société de Pathologie Exotique</source>
            <volume>87</volume>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B17">
        <label>17.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Coetzee, M. (2020) Key to the Females of Afrotropical Anopheles Mosquitoes (Diptera: Culicidae). <italic>Malaria Journal</italic>, 19, 1-20. https://doi.org/10.1186/s12936-020-3144-9 <pub-id pub-id-type="doi">10.1186/s12936-020-3144-9</pub-id><pub-id pub-id-type="pmid">32054502</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/s12936-020-3144-9">https://doi.org/10.1186/s12936-020-3144-9</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Coetzee, M.</string-name>
            </person-group>
            <year>2020</year>
            <article-title>Key to the Females of Afrotropical Anopheles Mosquitoes (Diptera: Culicidae)</article-title>
            <source>Malaria Journal</source>
            <volume>19</volume>
            <pub-id pub-id-type="doi">10.1186/s12936-020-3144-9</pub-id>
            <pub-id pub-id-type="pmid">32054502</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B18">
        <label>18.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Koekemoer, L.L., Kamau, L., Hunt, R.H. and Coetzee, M. (2002) A Cocktail Polymerase Chain Reaction Assay to Identify Members of the <italic>Anopheles funestus</italic> (Diptera: Culicidae) Group. <italic>The American Journal of Tropical Medicine and Hygiene</italic>, 66, 804-811. https://doi.org/10.4269/ajtmh.2002.66.804 <pub-id pub-id-type="doi">10.4269/ajtmh.2002.66.804</pub-id><pub-id pub-id-type="pmid">12224596</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.4269/ajtmh.2002.66.804">https://doi.org/10.4269/ajtmh.2002.66.804</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Koekemoer, L.L.</string-name>
              <string-name>Kamau, L.</string-name>
              <string-name>Hunt, R.H.</string-name>
              <string-name>Coetzee, M.</string-name>
            </person-group>
            <year>2002</year>
            <article-title>A Cocktail Polymerase Chain Reaction Assay to Identify Members of the Anopheles funestus (Diptera: Culicidae) Group</article-title>
            <source>The American Journal of Tropical Medicine and Hygiene</source>
            <volume>66</volume>
            <pub-id pub-id-type="doi">10.4269/ajtmh.2002.66.804</pub-id>
            <pub-id pub-id-type="pmid">12224596</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B19">
        <label>19.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Collins, F.H., Mendez, M.A., Rasmussen, M.O., Mehaffey, P.C., Besansky, N.J. and Finnerty, V. (1987) A Ribosomal RNA Gene Probe Differentiates Member Species of the <italic>Anopheles gambiae</italic> Complex. <italic>The American Journal of Tropical Medicine and Hygiene</italic>, 37, 37-41. https://doi.org/10.4269/ajtmh.1987.37.37 <pub-id pub-id-type="doi">10.4269/ajtmh.1987.37.37</pub-id><pub-id pub-id-type="pmid">2886070</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.4269/ajtmh.1987.37.37">https://doi.org/10.4269/ajtmh.1987.37.37</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Collins, F.H.</string-name>
              <string-name>Mendez, M.A.</string-name>
              <string-name>Rasmussen, M.O.</string-name>
              <string-name>Mehaffey, P.C.</string-name>
              <string-name>Besansky, N.J.</string-name>
              <string-name>Finnerty, V.</string-name>
            </person-group>
            <year>1987</year>
            <article-title>A Ribosomal RNA Gene Probe Differentiates Member Species of the Anopheles gambiae Complex</article-title>
            <source>The American Journal of Tropical Medicine and Hygiene</source>
            <volume>37</volume>
            <pub-id pub-id-type="doi">10.4269/ajtmh.1987.37.37</pub-id>
            <pub-id pub-id-type="pmid">2886070</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B20">
        <label>20.</label>
        <citation-alternatives>
          <mixed-citation publication-type="confproc">OMS (2018) Procédures pour tester la résistance aux insecticides chez les moustiques vecteurs du paludisme Seconde édition. 55 p.</mixed-citation>
          <element-citation publication-type="confproc">
            <year>2018</year>
            <article-title>Procédures pour tester la résistance aux insecticides chez les moustiques vecteurs du paludisme Seconde édition</article-title>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B21">
        <label>21.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">WHO (2012) Global Plan for Insecticide Management. 1-24.</mixed-citation>
          <element-citation publication-type="other">
            <year>2012</year>
            <article-title>Global Plan for Insecticide Management</article-title>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B22">
        <label>22.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Casimiro, S., Coleman, M., Mohloai, P., Hemingway, J. and Sharp, B. (2006) Insecticide Resistance in <italic>Anopheles funestus</italic> (Diptera: Culicidae) from Mozambique. <italic>Journal of Medical Entomology</italic>, 43, 267-275. https://doi.org/10.1093/jmedent/43.2.267 <pub-id pub-id-type="doi">10.1093/jmedent/43.2.267</pub-id><pub-id pub-id-type="pmid">16619610</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1093/jmedent/43.2.267">https://doi.org/10.1093/jmedent/43.2.267</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Casimiro, S.</string-name>
              <string-name>Coleman, M.</string-name>
              <string-name>Mohloai, P.</string-name>
              <string-name>Hemingway, J.</string-name>
              <string-name>Sharp, B.</string-name>
            </person-group>
            <year>2006</year>
            <article-title>Insecticide Resistance in Anopheles funestus (Diptera: Culicidae) from Mozambique</article-title>
            <source>Journal of Medical Entomology</source>
            <volume>43</volume>
            <pub-id pub-id-type="doi">10.1093/jmedent/43.2.267</pub-id>
            <pub-id pub-id-type="pmid">16619610</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B23">
        <label>23.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Riveron, J.M., Chiumia, M., Menze, B.D., Barnes, K.G., Irving, H., Ibrahim, S.S., <italic>et al</italic>. (2015) Rise of Multiple Insecticide Resistance in <italic>Anopheles funestus</italic> in Malawi: A Major Concern for Malaria Vector Control. <italic>Malaria Journal</italic>, 14, 1-9. https://doi.org/10.1186/s12936-015-0877-y <pub-id pub-id-type="doi">10.1186/s12936-015-0877-y</pub-id><pub-id pub-id-type="pmid">26370361</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/s12936-015-0877-y">https://doi.org/10.1186/s12936-015-0877-y</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Riveron, J.M.</string-name>
              <string-name>Chiumia, M.</string-name>
              <string-name>Menze, B.D.</string-name>
              <string-name>Barnes, K.G.</string-name>
              <string-name>Irving, H.</string-name>
              <string-name>Ibrahim, S.S.</string-name>
            </person-group>
            <year>2015</year>
            <article-title>Rise of Multiple Insecticide Resistance in Anopheles funestus in Malawi: A Major Concern for Malaria Vector Control</article-title>
            <source>Malaria Journal</source>
            <volume>14</volume>
            <pub-id pub-id-type="doi">10.1186/s12936-015-0877-y</pub-id>
            <pub-id pub-id-type="pmid">26370361</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B24">
        <label>24.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Menze, B.D., Riveron, J.M., Ibrahim, S.S., Irving, H., Antonio-Nkondjio, C., Awono-Ambene, P.H., <italic>et al</italic>. (2016) Multiple Insecticide Resistance in the Malaria Vector <italic>Anopheles funestus</italic> from Northern Cameroon Is Mediated by Metabolic Resistance Alongside Potential Target Site Insensitivity Mutations. <italic>PLOS ONE</italic>, 11, e0163261. https://doi.org/10.1371/journal.pone.0163261 <pub-id pub-id-type="doi">10.1371/journal.pone.0163261</pub-id><pub-id pub-id-type="pmid">27723825</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pone.0163261">https://doi.org/10.1371/journal.pone.0163261</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Menze, B.D.</string-name>
              <string-name>Riveron, J.M.</string-name>
              <string-name>Ibrahim, S.S.</string-name>
              <string-name>Irving, H.</string-name>
              <string-name>Antonio-Nkondjio, C.</string-name>
              <string-name>Awono-Ambene, P.H.</string-name>
            </person-group>
            <year>2016</year>
            <article-title>Multiple Insecticide Resistance in the Malaria Vector Anopheles funestus from Northern Cameroon Is Mediated by Metabolic Resistance Alongside Potential Target Site Insensitivity Mutations</article-title>
            <source>PLOS ONE</source>
            <volume>11</volume>
            <pub-id pub-id-type="doi">10.1371/journal.pone.0163261</pub-id>
            <pub-id pub-id-type="pmid">27723825</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B25">
        <label>25.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Mulamba, C., Irving, H., Riveron, J.M., Mukwaya, L.G., Birungi, J. and Wondji, C.S. (2014) Contrasting Plasmodium Infection Rates and Insecticide Susceptibility Profiles between the Sympatric Sibling Species Anopheles Parensis and <italic>Anopheles funestus</italic> s.s: A Potential Challenge for Malaria Vector Control in Uganda. <italic>Parasites &amp; Vectors</italic>, 7, 1-9. https://doi.org/10.1186/1756-3305-7-71 <pub-id pub-id-type="doi">10.1186/1756-3305-7-71</pub-id><pub-id pub-id-type="pmid">24533773</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/1756-3305-7-71">https://doi.org/10.1186/1756-3305-7-71</ext-link></mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Mulamba, C.</string-name>
              <string-name>Irving, H.</string-name>
              <string-name>Riveron, J.M.</string-name>
              <string-name>Mukwaya, L.G.</string-name>
              <string-name>Birungi, J.</string-name>
              <string-name>Wondji, C.S.</string-name>
            </person-group>
            <year>2014</year>
            <article-title>Contrasting Plasmodium Infection Rates and Insecticide Susceptibility Profiles between the Sympatric Sibling Species Anopheles Parensis and Anopheles funestus s</article-title>
            <source>s: A Potential Challenge for Malaria Vector Control in Uganda. Parasites &amp; Vectors</source>
            <volume>7</volume>
            <pub-id pub-id-type="doi">10.1186/1756-3305-7-71</pub-id>
            <pub-id pub-id-type="pmid">24533773</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B26">
        <label>26.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Okoye, P.N., Brooke, B.D., Koekemoer, L.L., Hunt, R.H. and Coetzee, M. (2008) Characterisation of DDT, Pyrethroid and Carbamate Resistance in <italic>Anopheles funestus</italic> from Obuasi, Ghana. <italic>Transactions of the Royal Society of Tropical Medicine and Hygiene</italic>, 102, 591-598. https://doi.org/10.1016/j.trstmh.2008.02.022 <pub-id pub-id-type="doi">10.1016/j.trstmh.2008.02.022</pub-id><pub-id pub-id-type="pmid">18405930</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.trstmh.2008.02.022">https://doi.org/10.1016/j.trstmh.2008.02.022</ext-link></mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Okoye, P.N.</string-name>
              <string-name>Brooke, B.D.</string-name>
              <string-name>Koekemoer, L.L.</string-name>
              <string-name>Hunt, R.H.</string-name>
              <string-name>Coetzee, M.</string-name>
              <string-name>DDT, P</string-name>
              <string-name>Obuasi, G</string-name>
            </person-group>
            <year>2008</year>
            <article-title>Characterisation of DDT, Pyrethroid and Carbamate Resistance in Anopheles funestus from Obuasi, Ghana</article-title>
            <source>Transactions of the Royal Society of Tropical Medicine and Hygiene</source>
            <volume>102</volume>
            <pub-id pub-id-type="doi">10.1016/j.trstmh.2008.02.022</pub-id>
            <pub-id pub-id-type="pmid">18405930</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B27">
        <label>27.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Wondji, C.S., Dabire, R.K., Tukur, Z., Irving, H., Djouaka, R. and Morgan, J.C. (2011) Identification and Distribution of a GABA Receptor Mutation Conferring Dieldrin Resistance in the Malaria Vector <italic>Anopheles funestus</italic> in Africa. <italic>Insect Biochemistry and Molecular Biology</italic>, 41, 484-491. https://doi.org/10.1016/j.ibmb.2011.03.012 <pub-id pub-id-type="doi">10.1016/j.ibmb.2011.03.012</pub-id><pub-id pub-id-type="pmid">21501685</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.ibmb.2011.03.012">https://doi.org/10.1016/j.ibmb.2011.03.012</ext-link></mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Wondji, C.S.</string-name>
              <string-name>Dabire, R.K.</string-name>
              <string-name>Tukur, Z.</string-name>
              <string-name>Irving, H.</string-name>
              <string-name>Djouaka, R.</string-name>
              <string-name>Morgan, J.C.</string-name>
            </person-group>
            <year>2011</year>
            <article-title>Identification and Distribution of a GABA Receptor Mutation Conferring Dieldrin Resistance in the Malaria Vector Anopheles funestus in Africa</article-title>
            <source>Insect Biochemistry and Molecular Biology</source>
            <volume>41</volume>
            <pub-id pub-id-type="doi">10.1016/j.ibmb.2011.03.012</pub-id>
            <pub-id pub-id-type="pmid">21501685</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B28">
        <label>28.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Cuamba, N., Morgan, J.C., Irving, H., Steven, A. and Wondji, C.S. (2010) High Level of Pyrethroid Resistance in an <italic>Anopheles funestus</italic> Population of the Chokwe District in Mozambique. <italic>PLOS ONE</italic>, 5, e11010. https://doi.org/10.1371/journal.pone.0011010 <pub-id pub-id-type="doi">10.1371/journal.pone.0011010</pub-id><pub-id pub-id-type="pmid">20544036</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pone.0011010">https://doi.org/10.1371/journal.pone.0011010</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Cuamba, N.</string-name>
              <string-name>Morgan, J.C.</string-name>
              <string-name>Irving, H.</string-name>
              <string-name>Steven, A.</string-name>
              <string-name>Wondji, C.S.</string-name>
            </person-group>
            <year>2010</year>
            <article-title>High Level of Pyrethroid Resistance in an Anopheles funestus Population of the Chokwe District in Mozambique</article-title>
            <source>PLOS ONE</source>
            <volume>5</volume>
            <pub-id pub-id-type="doi">10.1371/journal.pone.0011010</pub-id>
            <pub-id pub-id-type="pmid">20544036</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B29">
        <label>29.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Ye, M., Nayak, B., Xiong, L., Xie, C., Dong, Y., You, M., <italic>et al</italic>. (2022) The Role of Insect Cytochrome P450s in Mediating Insecticide Resistance. <italic>Agriculture</italic>, 12, Article 53. https://doi.org/10.3390/agriculture12010053 <pub-id pub-id-type="doi">10.3390/agriculture12010053</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3390/agriculture12010053">https://doi.org/10.3390/agriculture12010053</ext-link></mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Ye, M.</string-name>
              <string-name>Nayak, B.</string-name>
              <string-name>Xiong, L.</string-name>
              <string-name>Xie, C.</string-name>
              <string-name>Dong, Y.</string-name>
              <string-name>You, M.</string-name>
            </person-group>
            <year>2022</year>
            <article-title>The Role of Insect Cytochrome P450s in Mediating Insecticide Resistance</article-title>
            <source>Agriculture</source>
            <volume>12</volume>
            <elocation-id>53</elocation-id>
            <pub-id pub-id-type="doi">10.3390/agriculture12010053</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B30">
        <label>30.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Riveron, J.M., Ibrahim, S.S., Chanda, E., Mzilahowa, T., Cuamba, N., Irving, H., <italic>et al</italic>. (2014) The Highly Polymorphic CYP6M7 Cytochrome P450 Gene Partners with the Directionally Selected CYP6P9a and CYP6P9b Genes to Expand the Pyrethroid Resistance Front in the Malaria Vector <italic>Anopheles funestus</italic> in Africa. <italic>BMC Genomics</italic>, 15, Article No. 817. https://doi.org/10.1186/1471-2164-15-817 <pub-id pub-id-type="doi">10.1186/1471-2164-15-817</pub-id><pub-id pub-id-type="pmid">25261072</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/1471-2164-15-817">https://doi.org/10.1186/1471-2164-15-817</ext-link></mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Riveron, J.M.</string-name>
              <string-name>Ibrahim, S.S.</string-name>
              <string-name>Chanda, E.</string-name>
              <string-name>Mzilahowa, T.</string-name>
              <string-name>Cuamba, N.</string-name>
              <string-name>Irving, H.</string-name>
            </person-group>
            <year>2014</year>
            <article-title>The Highly Polymorphic CYP6M7 Cytochrome P450 Gene Partners with the Directionally Selected CYP6P9a and CYP6P9b Genes to Expand the Pyrethroid Resistance Front in the Malaria Vector Anopheles funestus in Africa</article-title>
            <source>BMC Genomics</source>
            <volume>15</volume>
            <elocation-id>No</elocation-id>
            <pub-id pub-id-type="doi">10.1186/1471-2164-15-817</pub-id>
            <pub-id pub-id-type="pmid">25261072</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B31">
        <label>31.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Menze, B.D., Wondji, M.J., Tchapga, W., Tchoupo, M., Riveron, J.M., <italic>et al</italic>. (2018) Bionomics and Insecticides Resistance Profiling of Malaria Vectors at a Selected Site for Experimental Hut Trials in Central CAMEROON. <italic>Malaria Journal</italic>, 17, Article No. 317. https://doi.org/10.1186/s12936-018-2467-2 <pub-id pub-id-type="doi">10.1186/s12936-018-2467-2</pub-id><pub-id pub-id-type="pmid">30165863</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/s12936-018-2467-2">https://doi.org/10.1186/s12936-018-2467-2</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Menze, B.D.</string-name>
              <string-name>Wondji, M.J.</string-name>
              <string-name>Tchapga, W.</string-name>
              <string-name>Tchoupo, M.</string-name>
              <string-name>Riveron, J.M.</string-name>
            </person-group>
            <year>2018</year>
            <article-title>Bionomics and Insecticides Resistance Profiling of Malaria Vectors at a Selected Site for Experimental Hut Trials in Central CAMEROON</article-title>
            <source>Malaria Journal</source>
            <volume>17</volume>
            <elocation-id>No</elocation-id>
            <pub-id pub-id-type="doi">10.1186/s12936-018-2467-2</pub-id>
            <pub-id pub-id-type="pmid">30165863</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B32">
        <label>32.</label>
        <citation-alternatives>
          <mixed-citation publication-type="other">Yahouédo, G.A., Chandre, F., Rossignol, M., Ginibre, C., Balabanidou, V., Mendez, N.G.A., <italic>et al</italic>. (2017) Contributions of Cuticle Permeability and Enzyme Detoxification to Pyrethroid Resistance in the Major Malaria Vector <italic>Anopheles gambiae</italic>. <italic>Scientific Reports</italic>, 7, Article No. 11091. https://doi.org/10.1038/s41598-017-11357-z <pub-id pub-id-type="doi">10.1038/s41598-017-11357-z</pub-id><pub-id pub-id-type="pmid">28894186</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1038/s41598-017-11357-z">https://doi.org/10.1038/s41598-017-11357-z</ext-link></mixed-citation>
          <element-citation publication-type="other">
            <person-group person-group-type="author">
              <string-name>Chandre, F.</string-name>
              <string-name>Rossignol, M.</string-name>
              <string-name>Ginibre, C.</string-name>
              <string-name>Balabanidou, V.</string-name>
              <string-name>Mendez, N.G.A.</string-name>
            </person-group>
            <year>2017</year>
            <article-title>Contributions of Cuticle Permeability and Enzyme Detoxification to Pyrethroid Resistance in the Major Malaria Vector Anopheles gambiae</article-title>
            <source>Scientific Reports</source>
            <volume>7</volume>
            <elocation-id>No</elocation-id>
            <pub-id pub-id-type="doi">10.1038/s41598-017-11357-z</pub-id>
            <pub-id pub-id-type="pmid">28894186</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B33">
        <label>33.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Thiaw, O., Doucouré, S., Sougoufara, S., Bouganali, C., Konaté, L., Diagne, N., <italic>et al</italic>. (2018) Investigating Insecticide Resistance and Knock-Down Resistance (KDR) Mutation in Dielmo, Senegal, an Area under Long Lasting Insecticidal-Treated Nets Universal Coverage for 10 years. <italic>Malaria Journal</italic>, 17, Article No. 123. https://doi.org/10.1186/s12936-018-2276-7 <pub-id pub-id-type="doi">10.1186/s12936-018-2276-7</pub-id><pub-id pub-id-type="pmid">29566682</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/s12936-018-2276-7">https://doi.org/10.1186/s12936-018-2276-7</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Thiaw, O.</string-name>
              <string-name>Sougoufara, S.</string-name>
              <string-name>Bouganali, C.</string-name>
              <string-name>Diagne, N.</string-name>
              <string-name>Dielmo, S</string-name>
            </person-group>
            <year>2018</year>
            <article-title>Investigating Insecticide Resistance and Knock-Down Resistance (KDR) Mutation in Dielmo, Senegal, an Area under Long Lasting Insecticidal-Treated Nets Universal Coverage for 10 years</article-title>
            <source>Malaria Journal</source>
            <volume>17</volume>
            <elocation-id>No</elocation-id>
            <pub-id pub-id-type="doi">10.1186/s12936-018-2276-7</pub-id>
            <pub-id pub-id-type="pmid">29566682</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B34">
        <label>34.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Alou, L.P.A., Koffi, A.A., Adja, M.A., Tia, E., Kouassi, P.K. and Koné, M. (2010) Distribution of ACE-1 <sup>R</sup> and Resistance to Carbamates Populations from Côte d’Ivoire. <italic>Malaria Journal</italic>, 9, Article 167.</mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Alou, L.P.A.</string-name>
              <string-name>Koffi, A.A.</string-name>
              <string-name>Adja, M.A.</string-name>
              <string-name>Tia, E.</string-name>
              <string-name>Kouassi, P.K.</string-name>
            </person-group>
            <year>2010</year>
            <article-title>Distribution of ACE-1R and Resistance to Carbamates Populations from Côte d’Ivoire</article-title>
            <source>Malaria Journal</source>
            <volume>9</volume>
            <elocation-id>167</elocation-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B35">
        <label>35.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Abuelmaali, S.A., Elaagip, A.H., Basheer, M.A., Frah, E.A., Ahmed, F.T.A., Elhaj, H.F.A., <italic>et al</italic>. (2013) Impacts of Agricultural Practices on Insecticide Resistance in the Malaria Vector Anopheles Arabiensis in Khartoum State, Sudan. <italic>PLOS ONE</italic>, 8, e80549. https://doi.org/10.1371/journal.pone.0080549 <pub-id pub-id-type="doi">10.1371/journal.pone.0080549</pub-id><pub-id pub-id-type="pmid">24260414</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pone.0080549">https://doi.org/10.1371/journal.pone.0080549</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Abuelmaali, S.A.</string-name>
              <string-name>Elaagip, A.H.</string-name>
              <string-name>Basheer, M.A.</string-name>
              <string-name>Frah, E.A.</string-name>
              <string-name>Ahmed, F.T.A.</string-name>
              <string-name>Elhaj, H.F.A.</string-name>
              <string-name>State, S</string-name>
            </person-group>
            <year>2013</year>
            <article-title>Impacts of Agricultural Practices on Insecticide Resistance in the Malaria Vector Anopheles Arabiensis in Khartoum State, Sudan</article-title>
            <source>PLOS ONE</source>
            <volume>8</volume>
            <pub-id pub-id-type="doi">10.1371/journal.pone.0080549</pub-id>
            <pub-id pub-id-type="pmid">24260414</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B36">
        <label>36.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Lo, C., Dia, A.K., Dia, I., Niang, E.H.A., Konaté, L. and Faye, O. (2019) Evaluation of the Residual Efficacy of Indoor Residual Spraying with Bendiocarb (FICAM WP 80) in Six Health Districts in Senegal. <italic>Malaria Journal</italic>, 18, Article No. 198. https://doi.org/10.1186/s12936-019-2829-4 <pub-id pub-id-type="doi">10.1186/s12936-019-2829-4</pub-id><pub-id pub-id-type="pmid">31196091</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/s12936-019-2829-4">https://doi.org/10.1186/s12936-019-2829-4</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Lo, C.</string-name>
              <string-name>Dia, A.K.</string-name>
              <string-name>Dia, I.</string-name>
              <string-name>Niang, E.H.A.</string-name>
              <string-name>Faye, O.</string-name>
            </person-group>
            <year>2019</year>
            <article-title>Evaluation of the Residual Efficacy of Indoor Residual Spraying with Bendiocarb (FICAM WP 80) in Six Health Districts in Senegal</article-title>
            <source>Malaria Journal</source>
            <volume>18</volume>
            <elocation-id>No</elocation-id>
            <pub-id pub-id-type="doi">10.1186/s12936-019-2829-4</pub-id>
            <pub-id pub-id-type="pmid">31196091</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B37">
        <label>37.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Akogbéto, M.C., Padonou, G.G., Gbénou, D., Irish, S. and Yadouleton, A. (2010) Bendiocarb, a Potential Alternative against Pyrethroid Resistant <italic>Anopheles gambiae</italic> in Benin, West Africa. <italic>Malaria Journal</italic>, 9, Article No. 204.</mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Padonou, G.G.</string-name>
              <string-name>Irish, S.</string-name>
              <string-name>Yadouleton, A.</string-name>
              <string-name>Benin, W</string-name>
            </person-group>
            <year>2010</year>
            <article-title>Bendiocarb, a Potential Alternative against Pyrethroid Resistant Anopheles gambiae in Benin, West Africa</article-title>
            <source>Malaria Journal</source>
            <volume>9</volume>
            <elocation-id>No</elocation-id>
          </element-citation>
        </citation-alternatives>
      </ref>
      <ref id="B38">
        <label>38.</label>
        <citation-alternatives>
          <mixed-citation publication-type="journal">Fagbohun, I.K., Oyeniyi, T.A., Idowu, T.E., Otubanjo, O.A. and Awolola, S.T. (2019) Cytochrome P450 Mono-Oxygenase and Resistance Phenotype in DDT and Deltamethrin-Resistant <italic>Anopheles gambiae</italic> (Diptera: Culicidae) and Culex Quinquefasciatus in Kosofe, Lagos, Nigeria. <italic>Journal of Medical Entomology</italic>, 56, 817-821. https://doi.org/10.1093/jme/tjz006 <pub-id pub-id-type="doi">10.1093/jme/tjz006</pub-id><pub-id pub-id-type="pmid">30753574</pub-id><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1093/jme/tjz006">https://doi.org/10.1093/jme/tjz006</ext-link></mixed-citation>
          <element-citation publication-type="journal">
            <person-group person-group-type="author">
              <string-name>Fagbohun, I.K.</string-name>
              <string-name>Oyeniyi, T.A.</string-name>
              <string-name>Idowu, T.E.</string-name>
              <string-name>Otubanjo, O.A.</string-name>
              <string-name>Awolola, S.T.</string-name>
              <string-name>Kosofe, L</string-name>
            </person-group>
            <year>2019</year>
            <article-title>Cytochrome P450 Mono-Oxygenase and Resistance Phenotype in DDT and Deltamethrin-Resistant Anopheles gambiae (Diptera: Culicidae) and Culex Quinquefasciatus in Kosofe, Lagos, Nigeria</article-title>
            <source>Journal of Medical Entomology</source>
            <volume>56</volume>
            <pub-id pub-id-type="doi">10.1093/jme/tjz006</pub-id>
            <pub-id pub-id-type="pmid">30753574</pub-id>
          </element-citation>
        </citation-alternatives>
      </ref>
    </ref-list>
  </back>
</article>