Evidence on impact of community-based environmental management on dengue transmission in Santiago de Cuba
Open accessAbstract
Summary: 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.
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Combining community-based environmental management with water container covers significantly reduced the odds of dengue incidence (OR 0.22, 95% CI 0.15-0.32, p<0.0001).
“Combined community-based environmental management together with the use of water container covers [58] also reduced the odds of dengue incidence to 0.22 (95% CI 0.15, 0.32; p<0.0001).”
From Is Dengue Vector Control Deficient in Effectiveness or Evidence?: Systematic Review and Meta-analysis (2016) · cites this paper as [58]
The intervention description (p. 2) includes manufacturing lids for water containers, and the results (p. 3) report substantially lower dengue attack rates in intervention blocks. But the paper reports a relative risk of 4.5 for control versus intervention blocks (95% CI 3.1–6.5), not an odds ratio of 0.22, and does not report p<0.0001 for dengue incidence. Container covers were one of several activities, not a separately evaluated addition. (LLM, conf=0.88)
Experimental — accuracy not yet measuredNineteen of the included studies provided sufficient data for inclusion in meta-analyses.
“Forty-one studies were included in the review [45–85] (S1 Table), nineteen of which reported sufficient data for inclusion in meta-analyses [46–48, 52, 54, 55, 58, 59, 66, 69, 73, 74, 76, 77, 80–83, 85].”
From Is Dengue Vector Control Deficient in Effectiveness or Evidence?: Systematic Review and Meta-analysis (2016) · cites this paper as [58]
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- Authors
- Toledo, M. E., Rodriguez, A., Valdés, L., Carrión, R., Cabrera, G., Banderas, D., Ceballos, E., Domeqc, M., Peña, C., Baly, A., Vanlerberghe, V., & Van der Stuyft, P.
- Affiliations
- Instituto de Medicina Tropical “Pedro Kourí” (CU)
- Instituut voor Tropische Geneeskunde (BE)
- ORCID
- Vanlerberghe, Veerle
- Venue
- Tropical Medicine & International Health
- Publisher
- Wiley
- Published
- 2011-03-21
- Volume
- 16
- Issue
- 6
- Pages
- 744-747
- ISSN
- 1360-2276 (ISSN-L)
- 1365-3156
- OpenAlex
- W1835019555
- Semantic Scholar
- 760bdcc9d9fcbc914ce8bdd66a3542f8fcaf7d07
- Cited by
- 40
- References
- 13
- Citations by year
- 2026: 2 · 2025: 2 · 2023: 4 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 1 · 2013: 4 · 2012: 5
- FWCI
- 3.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Tropical Medicine & International Health (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mosquito-borne diseases and control
- Social Sciences › Sociology and Political Science › Dengue and Mosquito Control Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Keywords
- dengue transmission, community-based environmental management, Aedes aegypti control, dengue outbreak, vector infestation, community-based trial, Santiago de Cuba
- MeSH terms
- Aedes, Animals, Community Health Services, Cuba, Dengue, Disease Outbreaks, Humans, Insect Vectors, Mosquito Control
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