Is what I have just a cold or is it dengue? Addressing the gap between the politics of dengue control and daily life in Villavicencio-Colombia

Suárez, Magaly; Olarte, Stephany; Ana, M.F.A.; González, Urdiales

doi:10.1016/j.socscimed.2004.11.069

Cited by 48 publications

(27 citation statements)

References 17 publications

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“…Other studies from Latin America and the Caribbean also found that people confused dengue with malaria and other febrile and respiratory diseases [41–45]. These findings suggest that self-reported dengue illness should be interpreted cautiously.

People were unsure how the mosquitoes became “contaminated” with dengue and whether the disease was contagious.

…”

Section: Resultsmentioning

confidence: 97%

A social-ecological analysis of community perceptions of dengue fever and Aedes aegypti in Machala, Ecuador

et al. 2014

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BackgroundThe growing burden of dengue fever and the lack of a vaccine or specific medical treatment have increased the urgency of the public health sector to identify alternative management strategies. A prevailing trend in Latin America has been a shift towards decentralized vector control programs with integrated management strategies, requiring significant intersectoral coordination, community engagement, and knowledge of the local social-ecological system (SES). Community perceptions and responses are a critical component of this system, since perceptions shape actions, and thus govern behavioral responses and acceptance of shifts in policy and management.MethodsWe investigated perceptions, misconceptions, and local SES risk factors for dengue in high risk communities located at the urban periphery and center in Machala, Ecuador. We facilitated twelve focus group discussions with community members using semi-structured question guides and causal diagrams. Focus groups were recorded, transcribed, and coded to identify emergent themes using qualitative methods for theme analysis. To estimate the relative importance of the themes in each study area, we tabulated the number of focus groups in which each theme was present. Household surveys (n = 79) were conducted to further explore these themes, and we compared survey responses from the two areas using descriptive statistics.ResultsWe identified thirty biophysical, political-institutional, and community-household risk factors for dengue. People at the periphery identified a greater number of risk factors. Dengue control required considerable investment of time and resources, which presented a greater challenge for women and people at the periphery. Common misperceptions included confusion with other febrile diseases, lack of knowledge of transmission mechanisms, and misconceptions about mosquito behavior. People perceived that dengue control programs had been limited by the lack of inter-institutional coordination and lack of social cohesion.ConclusionsThere is a need for local, policy-relevant research that can be translated to strengthen the design, implementation, and evaluation of new dengue management strategies. This study contributes to a growing body of research in this area. Based on these findings, we identify key policy and management recommendations that will inform the ongoing transition to a decentralized dengue control program in Ecuador and other dengue endemic countries.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2458-14-1135) contains supplementary material, which is available to authorized users.

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People were unsure how the mosquitoes became “contaminated” with dengue and whether the disease was contagious.

…”

Section: Resultsmentioning

confidence: 97%

A social-ecological analysis of community perceptions of dengue fever and Aedes aegypti in Machala, Ecuador

et al. 2014

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“…This is important for the assessment and definition of ‘asymptomatic’ dengue infection 7, 15, 16, 22, 31, 38. In this case, the incidence rate of dengue infections that were either mild (because the subject acknowledged the presence of symptoms) or inapparent is indicated, because only 9.8% of seroconverted subjects reported fever during the previous 6 months.…”

Section: Discussionmentioning

confidence: 99%

“…This right-censoring was considered non-informative, and the absence of statistical difference in seroprevalence status in new enrollees eased concerns about the risk of a selection bias. The interpretation of self-reported previous dengue infection and presence of fever or other symptoms may have been affected by the known lack of awareness of the disease in some Latin American contexts,15, 32, 38 as well as the risk of recall bias because of the visit intervals.…”

Section: Discussionmentioning

confidence: 99%

Dengue virus serological prevalence and seroconversion rates in children and adults in Medellin, Colombia: implications for vaccine introduction

Carabalí

Lim

Velez

et al. 2017

International Journal of Infectious Diseases

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“…For instance, fumigation of adult mosquitoes is seen as paramount by the citizens whereas breeding-site management is neglected, the more so as the commonly known breeding sites, car tires, are confined to industrial areas (29). Indeed, another study from Colombia, carried out in 2014, has shown that if control measures are directed against the mass breeding sites of Ae.…”

Section: Discussionmentioning

confidence: 99%

The Nuisance Mosquito Anopheles plumbeus (Stephens, 1828) in Germany—A Questionnaire Survey May Help Support Surveillance and Control

Heym

Schröder

Kampen

et al. 2017

Front. Public Health

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The mosquito species Anopheles plumbeus is an aggressive biter and a potential vector of malaria parasites and West Nile virus. It occurs naturally at low population densities, as its larval development is adapted to the specific water qualities found in tree holes. However, probably owing to environmental changes, it has recently been observed in several European countries to use increasingly often artificial breeding habitats that may lead to mass development and severe annoyance to humans living close by. The perception of mosquito nuisance, however, is very subjective, and breeding habitats are not always known, thus impeding targeted surveillance and control. To relate nuisance by An. plumbeus to specific environmental conditions, a questionnaire survey was carried out addressing persons who had submitted specimens of this particular mosquito species to the German citizen science project “Mueckenatlas”, an instrument of passive mosquito surveillance. The questionnaire was intended to find out whether a nuisance situation linked to An. plumbeus had existed, whether mosquito breeding habitats could be identified and whether control measures had been conducted. Despite some efforts, the participants who claimed to suffer from an An. plumbeus nuisance problem had rarely identified the source of the mosquitoes. Once control measures had been performed on abandoned manure pits, however, the nuisance problem disappeared or mosquito abundance was at least significantly reduced. Nevertheless, no significant effect of abandoned manure pits on the probability of an An. plumbeus nuisance could be demonstrated in a multivariate logistic regression model testing various variables. Instead, a significant positive effect of a disused farm nearby was found. The reason is probably that manure pits as the most frequent source of An. plumbeus mass development are often located on disused farms, without most people’s knowledge about their existence. Disused farms are therefore appropriate candidates to consider when it comes to public health issues connected to An. plumbeus such as surveillance of mass development and implementation of control measures.

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Is what I have just a cold or is it dengue? Addressing the gap between the politics of dengue control and daily life in Villavicencio-Colombia

Cited by 48 publications

References 17 publications

A social-ecological analysis of community perceptions of dengue fever and Aedes aegypti in Machala, Ecuador

A social-ecological analysis of community perceptions of dengue fever and Aedes aegypti in Machala, Ecuador

Dengue virus serological prevalence and seroconversion rates in children and adults in Medellin, Colombia: implications for vaccine introduction

The Nuisance Mosquito Anopheles plumbeus (Stephens, 1828) in Germany—A Questionnaire Survey May Help Support Surveillance and Control

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