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Evidence on impact of community-based environmental management on dengue transmission in Santiago de Cuba

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Abstract
During the dengue outbreak that struck Santiago de Cuba in 2006-2007, we conducted an observational study in the Mariana Grajales district, the former setting of a community trial for Aedes aegypti control. In the trial, community working groups (CWG) had been created in 29 randomly selected intervention house blocks, and routine vector control activities alone were conducted in the remaining 30 control blocks. The CWG elaborated and implemented with the population plans and activities to reduce Aedes infestation. They were still functional in 2006 and continued organizing community-based environmental management activities. The attack rate of dengue fever during the outbreak was 8.5 per 1000 inhabitants in the former intervention blocks and 38.1 per 1000 inhabitants in the control blocks, which corresponds to a relative risk of 4.5 (95% CI 3.1-6.5). There was a significantly higher proportion of unaffected intervention blocks, and affected blocks had on average substantially less cases than affected control blocks. This study indicates that community-based environmental management inserted in the routine A. aegypti control programme can not only sustainably curb vector infestation but also have an impact on dengue transmission.
Keywords
community-based strategies, outbreak, vector control, dengue, Cuba, COST-EFFECTIVENESS, VECTOR CONTROL, AEDES-AEGYPTI, CONTROL PROGRAMS

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Citation

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MLA
Toledo, Maria E, Adriana Rodriguez, Luis Valdés, et al. “Evidence on Impact of Community-based Environmental Management on Dengue Transmission in Santiago De Cuba.” TROPICAL MEDICINE & INTERNATIONAL HEALTH 16.6 (2011): 744–747. Print.
APA
Toledo, Maria E, Rodriguez, A., Valdés, L., Carríon, R., Cabrera, G., Banderas, D., Ceballos, E., et al. (2011). Evidence on impact of community-based environmental management on dengue transmission in Santiago de Cuba. TROPICAL MEDICINE & INTERNATIONAL HEALTH, 16(6), 744–747.
Chicago author-date
Toledo, Maria E, Adriana Rodriguez, Luis Valdés, Rigoberto Carríon, Georgina Cabrera, Digna Banderas, Enrique Ceballos, et al. 2011. “Evidence on Impact of Community-based Environmental Management on Dengue Transmission in Santiago De Cuba.” Tropical Medicine & International Health 16 (6): 744–747.
Chicago author-date (all authors)
Toledo, Maria E, Adriana Rodriguez, Luis Valdés, Rigoberto Carríon, Georgina Cabrera, Digna Banderas, Enrique Ceballos, Mireya Domeqc, Carilda Peña, Alberto Baly, Veerle Vanlerberghe, and Patrick Van Der Stuyft. 2011. “Evidence on Impact of Community-based Environmental Management on Dengue Transmission in Santiago De Cuba.” Tropical Medicine & International Health 16 (6): 744–747.
Vancouver
1.
Toledo ME, Rodriguez A, Valdés L, Carríon R, Cabrera G, Banderas D, et al. Evidence on impact of community-based environmental management on dengue transmission in Santiago de Cuba. TROPICAL MEDICINE & INTERNATIONAL HEALTH. 2011;16(6):744–7.
IEEE
[1]
M. E. Toledo et al., “Evidence on impact of community-based environmental management on dengue transmission in Santiago de Cuba,” TROPICAL MEDICINE & INTERNATIONAL HEALTH, vol. 16, no. 6, pp. 744–747, 2011.
@article{2023601,
  abstract     = {During the dengue outbreak that struck Santiago de Cuba in 2006-2007, we conducted an observational study in the Mariana Grajales district, the former setting of a community trial for Aedes aegypti control. In the trial, community working groups (CWG) had been created in 29 randomly selected intervention house blocks, and routine vector control activities alone were conducted in the remaining 30 control blocks. The CWG elaborated and implemented with the population plans and activities to reduce Aedes infestation. They were still functional in 2006 and continued organizing community-based environmental management activities. The attack rate of dengue fever during the outbreak was 8.5 per 1000 inhabitants in the former intervention blocks and 38.1 per 1000 inhabitants in the control blocks, which corresponds to a relative risk of 4.5 (95% CI 3.1-6.5). There was a significantly higher proportion of unaffected intervention blocks, and affected blocks had on average substantially less cases than affected control blocks. This study indicates that community-based environmental management inserted in the routine A. aegypti control programme can not only sustainably curb vector infestation but also have an impact on dengue transmission.},
  author       = {Toledo, Maria E and Rodriguez, Adriana and Valdés, Luis and Carríon, Rigoberto and Cabrera, Georgina and Banderas, Digna and Ceballos, Enrique and Domeqc, Mireya and Peña, Carilda and Baly, Alberto and Vanlerberghe, Veerle and Van Der Stuyft, Patrick},
  issn         = {1360-2276},
  journal      = {TROPICAL MEDICINE & INTERNATIONAL HEALTH},
  keywords     = {community-based strategies,outbreak,vector control,dengue,Cuba,COST-EFFECTIVENESS,VECTOR CONTROL,AEDES-AEGYPTI,CONTROL PROGRAMS},
  language     = {eng},
  number       = {6},
  pages        = {744--747},
  title        = {Evidence on impact of community-based environmental management on dengue transmission in Santiago de Cuba},
  url          = {http://dx.doi.org/10.1111/j.1365-3156.2011.02762.x},
  volume       = {16},
  year         = {2011},
}

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