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Genetic modification (GM) of mosquitoes (which renders them genetically modified organisms, GMOs) offers opportunities for controlling malaria. Transgenic strains of mosquitoes have been developed and evaluation of these to 1) replace or suppress wild vector populations and 2) reduce transmission and deliver public health gains are an imminent prospect. The transition of this approach from confined laboratory settings to open field trials in disease-endemic countries (DECs) is a staged process that aims to maximize the likelihood of epidemiologic benefits while minimizing potential pitfalls during implementation. Unlike conventional approaches to vector control, application of GM mosquitoes will face contrasting expectations of multiple stakeholders, the management of which will prove critical to safeguard support and avoid antagonism, so that potential public health benefits can be fully evaluated. Inclusion of key stakeholders in decision-making processes, transfer of problem-ownership to DECs, and increased support from the wider malaria research community are important prerequisites for this. It is argued that the many developments in this field require coordination by an international entity to serve as a guiding coalition to stimulate collaborative research and facilitate stakeholder involvement. Contemporary developments in the field of modern biotechnology, and in particular GM, requires competencies beyond the field of biology, and the future of transgenic mosquitoes will hinge on the ability to govern the process of their introduction in societies in which perceived risks may outweigh rational and responsible involvement.
Received August 21, 2006. Accepted for publication December 27, 2006.
Acknowledgments: The authors thank Prof Chris Curtis for helpful comments on the manuscript.
Financial support: The IAEA provided support to Bart G. J. Knols for attending the 4th Pan-African MIM conference. Bart G. J. Knols receives financial support through a VIDI grant from the Dutch Scientific Organization.
* Address correspondence to Bart G. J. Knols, Laboratory of Entomology, Wageningen University and Research Centre, PO Box 8031, 6700 EH Wageningen, The Netherlands. E-mail: Bart.Knols{at}wur.nl
Authors addresses: Bart G. J. Knols, Entomology Unit, FAO/IAEA Agriculture and Biotechnology Laboratory, A-2444 Seibersdorf, Austria and Laboratory of Entomology, Wageningen University and Research Centre, PO Box 8031, 6700 EH Wageningen, The Netherlands, E-mail: Bart.Knols{at}wur.nl. Hervé C. Bossin and Alan S. Robinson, Entomology Unit, FAO/IAEA Agriculture and Biotechnology Laboratory, A-2444 Seibersdorf, Austria. Wolfgang R. Mukabana, Department of Zoology, University of Nairobi, PO Box 30197-00100 GPO, Nairobi, Kenya.
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