Long-lasting insecticide-treated house screens and targeted treatment of productive breeding-sites for dengue vector control in Acapulco, Mexico.

Autor(es): Che-Mendoza Azael; Guillermo-May Guillermo; Herrera-Boj?³rquez Josu??; Barrera-P??rez Mario; Dzul-Manzanilla Felipe; Gutierrez-Castro Cipriano; Arredondo-Jim??nez Juan I; S?!nchez-Tejeda Gustavo; Vazquez-Prokopec Gonzalo; Ranson Hilary; Lenhart Audrey; Sommerfeld Johannes; McCall Philip J; Kroeger Axel; Manrique-Saide Pablo

Resumo: Long-lasting insecticidal net screens (LLIS) fitted to domestic windows and doors in combination with targeted treatment (TT) of the most productive Aedes aegypti breeding sites were evaluated for their impact on dengue vector indices in a cluster-randomised trial in Mexico between 2011 and 2013. Sequentially over 2 years, LLIS and TT were deployed in 10 treatment clusters (100 houses/cluster) and followed up over 24 months. Cross-sectional surveys quantified infestations of adult mosquitoes, immature stages at baseline (pre-intervention) and in four post-intervention samples at 6-monthly intervals. Identical surveys were carried out in 10 control clusters that received no treatment. LLIS clusters had significantly lower infestations compared to control clusters at 5 and 12 months after installation, as measured by adult (male and female) and pupal-based vector indices. After addition of TT to the intervention houses in intervention clusters, indices remained significantly lower in the treated clusters until 18 (immature and adult stage indices) and 24 months (adult indices only) post-intervention. These safe, simple affordable vector control tools were well-accepted by study participants and are potentially suitable in many regions at risk from dengue worldwide.

Palavras-Chave: Aedes aegypti; Control; Dengue; LLIS; Mexico; Targeted treatment

Imprenta: Transactions of the Royal Society of Tropical Medicine and Hygiene, v. 109, n. 2, p. 106-115, 2015

Identificador do objeto digital: 10.1093/trstmh/tru189.

Descritores: Aedes aegypti - Flaviviridae ; Aedes aegypti - Pathogenesis ; Aedes aegypti - Viral infections ; Aedes aegypti - Virus ; Aedes aegypti - Dengue ; Aedes aegypti - Epidemiology ; Aedes aegypti - Public health

Data de publicação: 2015