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We investigated the experience of residents in the Ntui Health District (Cameroon) regarding blackfly nuisance and assessed their perceptions of a novel \u201cSlash and Clear\u201d (S&amp;C) intervention for blackfly control. Focus group discussions were conducted before and after S&amp;C implementation (respectively, in February 2022 and December 2023). Blackflies were known to emerge from the river areas and cause disease. To prevent blackfly bites, the population often covered their body with protective clothing and applied various substances (kerosene, oil, or lemon) to their skin. Post-intervention data showed reduced blackfly nuisance, and the willingness to sustain blackfly control in the long-term was unanimous among community leaders and members, including the village volunteers who implemented the S&amp;C intervention. In conclusion, blackfly nuisance is evident in the Ntui onchocerciasis focus of Cameroon and led to a panoply of coping practices, some of which could be detrimental to their health. Implementing S&amp;C for blackfly control is well accepted and could sustainably alleviate the nuisance caused by blackflies while simultaneously breaking the onchocerciasis transmission cycle.<\/jats:p>","DOI":"10.3390\/ijerph21060658","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T10:00:11Z","timestamp":1716372011000},"page":"658","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Community Perceptions of Blackfly Nuisance and Acceptability of the \u201cSlash and Clear\u201d Vector Control Approach in the Ntui Health District of Cameroon: A Qualitative Study"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3544-1239","authenticated-orcid":false,"given":"Joseph Nelson","family":"Siewe Fodjo","sequence":"first","affiliation":[{"name":"Brain Research Africa Initiative (BRAIN), Yaound\u00e9 P.O. Box 25625, Cameroon"},{"name":"Global Health Institute, University of Antwerp, Doornstraat 331, 2610 Antwerp, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge Raoul Ekukole","family":"Ekome","sequence":"additional","affiliation":[{"name":"Brain Research Africa Initiative (BRAIN), Yaound\u00e9 P.O. Box 25625, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julius Ndi Taryunyu","family":"Njamnshi","sequence":"additional","affiliation":[{"name":"Brain Research Africa Initiative (BRAIN), Yaound\u00e9 P.O. Box 25625, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5082-7960","authenticated-orcid":false,"given":"Wepnyu Yembe","family":"Njamnshi","sequence":"additional","affiliation":[{"name":"Brain Research Africa Initiative (BRAIN), Yaound\u00e9 P.O. Box 25625, Cameroon"},{"name":"Division of Operational Research in Health, Ministry of Public Health, N\u00b08 Rue 3038 quartier du Lac (Yaound\u00e9 III), Yaound\u00e9 P.O. Box 3595, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8659-2824","authenticated-orcid":false,"given":"Kongnyu G.","family":"Njamnshi","sequence":"additional","affiliation":[{"name":"Brain Research Africa Initiative (BRAIN), Yaound\u00e9 P.O. Box 25625, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonard","family":"Ngarka","sequence":"additional","affiliation":[{"name":"Brain Research Africa Initiative (BRAIN), Yaound\u00e9 P.O. Box 25625, Cameroon"},{"name":"Neuroscience Lab, Faculty of Medicine and Biomedical Sciences, The University of Yaound\u00e9 1, Yaound\u00e9 P.O. Box 1364, Cameroon"},{"name":"Neurology & Clinical Neuroscience Department, Yaound\u00e9 Central Hospital, Yaound\u00e9 P.O. Box 87, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0052-1511","authenticated-orcid":false,"given":"Alfred K.","family":"Njamnshi","sequence":"additional","affiliation":[{"name":"Brain Research Africa Initiative (BRAIN), Yaound\u00e9 P.O. Box 25625, Cameroon"},{"name":"Neuroscience Lab, Faculty of Medicine and Biomedical Sciences, The University of Yaound\u00e9 1, Yaound\u00e9 P.O. Box 1364, Cameroon"},{"name":"Neurology & Clinical Neuroscience Department, Yaound\u00e9 Central Hospital, Yaound\u00e9 P.O. Box 87, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"105677","DOI":"10.1016\/j.actatropica.2020.105677","article-title":"Onchocerciasis (River Blindness)\u2014More than a Century of Research and Control","volume":"218","author":"Brattig","year":"2021","journal-title":"Acta Trop."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1111\/j.1365-2133.1993.tb11844.x","article-title":"A Clinical Classification and Grading System of the Cutaneous Changes in Onchocerciasis","volume":"129","author":"Murdoch","year":"1993","journal-title":"Br. J. Dermatol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"986884","DOI":"10.3389\/fitd.2022.986884","article-title":"Onchocerciasis: Current Knowledge and Future Goals","volume":"3","author":"Frallonardo","year":"2022","journal-title":"Front. Trop. 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