Abstract:
INTRODUCTION:Waste management through community mobilization to reduce breeding places at household level could be an effective and sustainable dengue vector control strategy in areas where vector breeding takes place in small discarded water containers. The objective of this study was to assess the validity of this assumption. METHODS:An intervention study was conducted from February 2009 to February 2010 in the populous Gampaha District of Sri Lanka. Eight neighborhoods (clusters) with roughly 200 houses each were selected randomly from high and low dengue endemic areas; 4 of them were allocated to the intervention arm (2 in the high and 2 in the low endemicity areas) and in the same way 4 clusters to the control arm. A baseline household survey was conducted and entomological and sociological surveys were carried out simultaneously at baseline, at 3 months, at 9 months and at 15 months after the start of the intervention. The intervention programme in the treatment clusters consisted of building partnerships of local stakeholders, waste management at household level, the promotion of composting biodegradable household waste, raising awareness on the importance of solid waste management in dengue control and improving garbage collection with the assistance of local government authorities. RESULTS:The intervention and control clusters were very similar and there were no significant differences in pupal and larval indices of Aedes mosquitoes. The establishment of partnerships among local authorities was well accepted and sustainable; the involvement of communities and households was successful. Waste management with the elimination of the most productive water container types (bowls, tins, bottles) led to a significant reduction of pupal indices as a proxy for adult vector densities. CONCLUSION:The coordination of local authorities along with increased household responsibility for targeted vector interventions (in our case solid waste management due to the type of preferred vector breeding places) is vital for effective and sustained dengue control.
journal_name
Pathog Glob Healthjournal_title
Pathogens and global healthauthors
Abeyewickreme W,Wickremasinghe AR,Karunatilake K,Sommerfeld J,Axel Kdoi
10.1179/2047773212Y.0000000060subject
Has Abstractpub_date
2012-12-01 00:00:00pages
479-87issue
8eissn
2047-7724issn
2047-7732journal_volume
106pub_type
杂志文章,随机对照试验abstract::During the last decade, the chikungunya (CHIKV) virus has expanded its range of activity, conquering new territories and becoming an important global health threat. In particular, the challenge represented by the recent emergence of CHIKV in the Americas has strengthened the need of a safe and effective vaccine. Altho...
journal_title:Pathogens and global health
pub_type: 杂志文章,评审
doi:10.1179/2047773215Y.0000000017
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journal_title:Pathogens and global health
pub_type: 杂志文章,评审
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abstract:BACKGROUND:The prevalence of sickle cell disease (SCD) is extremely high in the Democratic Republic of Congo (DRC). Despite the high prevalence of this disease in our midst, there has been no report on the clinical features in the sickle cell pediatric population suffering from malaria in our midst. METHODS:A retrospe...
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abstract::Crimean-Congo hemorrhagic fever (CCHF) is endemic in Turkey, with peak incidence of hospital admissions in the summer months. The aim of this pilot study was to evaluate the role of the severity grading score (SGS) in predicting length of hospital stay, laboratory usage, need for blood products, and hence total costs ...
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abstract::Genetic control strategies aimed to bias the sex of progenies towards males present a promising new paradigm to eliminate malaria-transmitting mosquitoes. A synthetic sex-ratio distortion (SD) system was successfully engineered in Anopheles gambiae by exploiting the meiotic activity of the I-PpoI endonuclease targetin...
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journal_title:Pathogens and global health
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journal_title:Pathogens and global health
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journal_title:Pathogens and global health
pub_type: 杂志文章
doi:10.1179/2047773213Y.0000000116
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journal_title:Pathogens and global health
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journal_title:Pathogens and global health
pub_type: 杂志文章,评审
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journal_title:Pathogens and global health
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pub_type: 杂志文章,评审
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journal_title:Pathogens and global health
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journal_title:Pathogens and global health
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