Applicability of attractive toxic sugar baits as a mosquito vector control tool in the context of India: a review.

Vector-borne diseases (VBD) constitute 17% of all infectious diseases that pose a major public health concern around the world. In India, VBD like malaria and dengue continue to account for a significant disease burden. Management of these diseases is dependent in part upon effective vector control and hence several vector control strategies are in use for controlling mosquito populations. However, vectors evolve over time and become capable of averting many of the used control measures, leading to a constant need to find for novel and improved interventions. Attractive toxic sugar bait (ATSB) is a novel vector control strategy that is highly effective at regulating vector density in a particular area. ATSBs exploit the sugar feeding behaviour of mosquitoes. They are developed by combining small amounts of toxins with sugar. A chemical attractant is also included to lure the mosquito into the toxic sugary trap. Although effective, ATSB testing has been limited in scope around the world and ATSBs are completely unexplored in India. In this review, we provide an in-depth account of the development of ATSBs. We highlight the potential of ATSBs in controlling major Indian vectors of malaria and dengue, and we discuss possible challenges that could affect the efficacy of ATSBs in India.