Empirical evidence of the effect of school gathering on the dynamics of dengue epidemics.

Abstract:

INTRODUCTION:Dengue fever is an important vector-transmitted disease that affects more than 100 countries worldwide. Locations where individuals tend to gather may play an important role in disease transmission in the presence of the vector. By controlling mosquitoes' breeding places, this study aims to analyze the effect of reducing transmission in elementary schools (grades 1-9) on the dynamics of the epidemic at a regional level. MATERIALS AND METHODS:In 2007, we implemented a massive campaign in a region of México (Colima state, 5,191 km(2), population 568,000) focused on training janitors to locate and avoid mosquitoes' breeding places, the objective being to maintain elementary schools free of mosquitoes. RESULTS:We observed 45% reduction in dengue incidence compared to the previous year. In contrast, the rest of Mexico observed an 81% increase in incidence on average. DISCUSSION:Costs associated with campaigns focusing on cleaning schools are very low and results seem to be promising. Nevertheless, more controlled studies are needed.

journal_name

Glob Health Action

journal_title

Global health action

authors

Hernández-Suárez CM,Mendoza-Cano O

doi

10.3402/gha.v9.28026

subject

Has Abstract

pub_date

2016-01-06 00:00:00

pages

28026

eissn

1654-9716

issn

1654-9880

pii

28026

journal_volume

9

pub_type

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