Reduction in dengue cases observed during mass control of Aedes (Stegomyia) in street catch basins in an endemic urban area in Colombia.

Autor: Ocampo CB; Centro Internacional de Entrenamiento e Investigaciones Médicas-CIDEIM, Cra 125 #19-225 Av La Maria, Cali, Colombia. Electronic address: claraocampo@cideim.org.co., Mina NJ; Centro Internacional de Entrenamiento e Investigaciones Médicas-CIDEIM, Cra 125 #19-225 Av La Maria, Cali, Colombia., Carabalí M; Centro Internacional de Entrenamiento e Investigaciones Médicas-CIDEIM, Cra 125 #19-225 Av La Maria, Cali, Colombia., Alexander N; Centro Internacional de Entrenamiento e Investigaciones Médicas-CIDEIM, Cra 125 #19-225 Av La Maria, Cali, Colombia., Osorio L; Centro Internacional de Entrenamiento e Investigaciones Médicas-CIDEIM, Cra 125 #19-225 Av La Maria, Cali, Colombia; Grupo de Epidemiologia y Salud Poblacional-GESP, School of Public Health, Faculty of Health, Universidad del Valle, Calle 4B #36-00, Cali, Colombia.
Jazyk: angličtina
Zdroj: Acta tropica [Acta Trop] 2014 Apr; Vol. 132, pp. 15-22. Date of Electronic Publication: 2014 Jan 02.
DOI: 10.1016/j.actatropica.2013.12.019
Abstrakt: Dengue incidence continues to increase globally and, in the absence of an efficacious vaccine, prevention strategies are limited to vector control. It has been suggested that targeting the most productive breeding sites instead of all water-holding containers could be a cost-effective vector control strategy. We sought to identify and continuously control the most productive Aedes (Stegomyia) breeding site in an endemic urban area in Colombia and followed the subsequent incidence of dengue. In the urban area of Guadalajara de Buga, southwestern Colombia, potential breeding sites inside and outside houses were first characterized, and local personnel trained to assess their productivity based on the pupae/person index. Simultaneously, training and monitoring were implemented to improve the dengue case surveillance system. Entomological data and insecticide resistance studies were used to define the targeted intervention. Then, a quasi-experimental design was used to assess the efficacy of the intervention in terms of the positivity index of the targeted and non- targeted breeding sites, and the impact on dengue cases. Street catch basins (storm drains) were the potential breeding site most frequently found containing Aedes immature stages in the baseline (58.3% of 108). Due to the high resistance to temephos (0% mortality after 24h), the intervention consisted of monthly application of pyriproxyfen in all the street catch basins (n=4800). A significant decrease in catch basins positivity for Aedes larvae was observed after each monthly treatment (p<0.001). Over the intervention period, a reduction in the dengue incidence in Buga was observed (rate ratio 0.19, 95% CI 0.12-0.30, p<0.0001) after adjusting for autocorrelation and controlling with a neighboring town, Palmira, This study highlights the importance of street catch basins as Aedes breeding sites and suggests that their targeted control could help to decrease dengue transmission in such areas.
(Copyright © 2014 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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