Community-based dengue prevention programs in Puerto Rico: impact on knowledge, behavior, and residential mosquito infestation.

Abstract

Abstract. Dengue is a major health burden in Puerto Rico. Televised public service announcements and posters, elementary and pre-school educational programs, and an exhibit at the Children's Museum in Old San Juan were evaluated separately using knowledge and practices surveys administered to children and their parents, surveys of house lots for larval container habitats, focus groups, and interviews with program organizers and participants. Exposure to the programs was associated with increased dengue-related knowledge, increased proportion of tires protected from rain, decreased proportion of water storage containers positive for mosquito larvae, and increased indoor use of aerosol insecticides. Exposure to the elementary school program was associated with slightly lower indices of residential mosquito infestation. The programs have resulted in high levels of awareness, some behavior change, and limited change in larval indices. Greater emphasis on the skills necessary for community members to keep containers free of mosquito larvae would increase program effectiveness.

Effect of dengue vector control interventions on entomological parameters in developing countries: a systematic review and meta‐analysis

“…This supports the suggestion that combining interventions produces a higher overall effect. For malaria, there is growing evidence that integrated control approaches are highly effective ( Utzinger et al , 2002;Castro et al , 2004; Honduras, El Progreso, 1988 (Fernández et al, 1998) Mexico, Yucatan, 1990(Lloyd et al, 1992 Puerto Rico, NA, 1986 (Winch et al, 2002) Cuba, Havana, 1999 (Sanchez et al, 2005) Thailand, Kohn Kaen, 2001 (Phuanukoonnon et al, 2005) Philippines, Labangon, 1997 (Madarieta et al, 1999) Indonesia, Pekalongan, 1985(Suroso & Suroso, 1990 …”

“…Relative effectiveness (95% confidence interval) Venezuela, Trujillo, 2003 Honduras, El Progreso, 1990 (Leontsini et al, 1993) Mexico, Veracruz, 2002 Mexico, Yucatan, 1990(Lloyd et al, 1992 Puerto Rico, NA, 1986 (Winch et al, 2002) Philippines, Labangon, 1997 (Madarieta et al, 1999) Indonesia, Pekalongan, 1985(Suroso & Suroso, 1990 Randomly combined Killeen et al , 2004;Keiser et al , 2005 ). We conjecture that in the case of the investigated dengue vector control interventions, integrated vector management covered larger areas and populations, and hence overall effects might be even higher in comparison with the other methods.…”

“…Ideally, they should be accompanied by improvements in the provision of reliable safe drinking water. In the longterm, updating health legislation might give vector control Fiji, Lautoka, 2002(Raju, 2003 Venezuela, Trujillo, 2003 Mexico, Veracruz, 2002 Mexico, Yucatan, 1990(Lloyd et al, 1992 Puerto Rico, NA, 1986(Winch et al, 2002 Cuba, Havana, 1999 (Sanchez et al, 2005) Vietnam, Hai Hung province, 1994 (Igarashi, 1997) Philippines, Labangon, 1997 (Madarieta et al, 1999) Indonesia, Pekalongan, 1985(Suroso & Suroso, 1990 …”

Trials of Improved Practices (TIPs): A Strategy for Making Long-Lasting Nets Last Longer?

“…[27][28][29][30][31] TIPs have also shaped interventions related to newborn care, indoor air quality, dengue prevention, human immunodeficiency virus (HIV), basic hygiene, and family planning. 26,[32][33][34][35][36][37][38] This paper reports on trials of improved practices designed to maximize effective ITN use in a malaria-endemic region of the Peruvian Amazon. The study took place in 2000-2001, before the development of LLINs.…”

Knowledge gained and preventive practices planned by mothers of children with dengue admitted to a ward at the Lady Ridgeway Hospital, Colombo, Sri Lanka

“…Enhancing community participation for sustainable control and prevention of dengue is one of its objectives. Educating people on practical measures to be adopted at household level and changing their attitudes motivates them to participate actively in preventing mosquito breeding sites while educating them on identifying the illness, managing the patient at home and recognizing dengue haemorrhagic fever (DHF) patients early contributes to reduction of mortality due to dengue [2,3]. Moreover, educating people while they are experiencing the specific diseases has been shown to be more effective in promoting preventive practices compared to educating them at other times.…”