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Coverage-Dependent Effect of Insecticide-Treated Curtains for Dengue Control in Thailand
Open accessAbstract
Evidence on the effectiveness of insecticide-treated curtains (ITCs) for reducing densities of Aedes mosquitoes, the principal vectors of dengue, is scarce. In Laem Chabang southeast of Bangkok, Thailand, the Breteau Index (BI) (number of positive containers/100 houses) was 45 in October 2006. In March 2007, we distributed long-lasting ITCs in 22 clusters (2,032 houses) and selected 66 control clusters (661 houses). Routine control activities continued in all clusters. Six months after distribution, the BI was 25.8 and 77.6 in intervention and control areas, respectively ( P < 0.001). Eighteen months after distribution, the BI was 21.8 and 23.8, respectively ( P = 0.28). The average number of ITCs/house at cluster level was associated with the BI ( P < 0.01) after six months, when 70.5% of households still used ITCs, but not at 18 months, when ITC coverage had decreased to 33.2%. Deployment of ITCs can result in considerable reductions in Aedes infestation levels, but the effect is coverage dependent.
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Insecticide-treated curtains did not significantly reduce pooled mean differences for Breteau Index, House Index, Container Index, or pupal indices in cluster-randomized controlled trials.
“As shown in Fig 4, ITCs [76, 77] did not significantly reduce the pooled mean difference for either BI, (-25.16; 95% CI -76.02, -25.70; p = 0.33), HI (-10.58; 95% CI -32.22, -11.05; p = 0.34), CI (-0.24; 95% CI -0.16, 0.25) or Pupal indices (-0.19; 95% CI -0.37, 0.75).”
From Is Dengue Vector Control Deficient in Effectiveness or Evidence?: Systematic Review and Meta-analysis (2016) · cites this paper as [77]
The Results (page unavailable) report no significant association with infestation at 18 months, when curtain coverage had fallen. But they report significant reductions in the Breteau Index and pupae-per-person index at six months. This paper analyzes one trial using incidence rate ratios; it does not report the cited pooled mean differences or a Container Index result. (LLM, conf=0.86)
Experimental — accuracy not yet measuredA substantial number of reports demonstrated impacts on vector indices of insecticide-treated materials deployed as window or door curtains, although they were effective only where houses had fewer and smaller windows and doors and where coverage of the intervention was particularly high.
“A substantial number of reports demonstrated impacts on vector indices of insecticide-treated materials (ITMs), deployed as window or door curtains [54, 75, 77, 82, 104, 105], although they were effective only where houses with fewer and smaller windows and doors [75–77, 104] and where coverage of the intervention was particularly high [77].”
From Is Dengue Vector Control Deficient in Effectiveness or Evidence?: Systematic Review and Meta-analysis (2016) · cites this paper as [77]
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“Cluster-randomized controlled trials with data suitable for inclusion in these -analyses investigated: insecticide-treated curtains (ITCs) [76, 77]; community-based combination interventions such as waste disposal, clean up campaigns, formation of community working groups, mobilization and education [73]; source reduc…”
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Metadata
- Authors
- Vanlerberghe, V., Trongtokit, Y., Jirarojwatana, S., Jirarojwatana, R., Lenhart, A., Apiwathnasorn, C., McCall, P. J., & Van der Stuyft, P.
- Affiliations
- University of Liverpool (GB)
- Corresponding author
- Vanlerberghe, Veerle
- Venue
- The American Society of Tropical Medicine and Hygiene
- Published
- 2013-07-10
- Volume
- 89
- Issue
- 1
- Pages
- 93-98
- ISSN
- 0002-9637 (ISSN-L)
- 1476-1645
- PMC
- PMC3748493
- OpenAlex
- W2149639798
- Semantic Scholar
- 620eb6a023d53809df35c21eb874676af0d81011
- Cited by
- 34
- References
- 34
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 7 · 2015: 8 · 2014: 2 · 2013: 1
- FWCI
- 6.12
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Tropical Medicine and Hygiene (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- LSTM Online Archive (Liverpool School of Tropical Medicine) (acceptedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Funders
- European Commission (517708)
- Mahidol University
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mosquito-borne diseases and control
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Dengue and Mosquito Control Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Keywords
- insecticide-treated curtains, dengue control, Aedes, vector control, Breteau index, long-lasting insecticidal nets, vector density
- MeSH terms
- Aedes, Animals, Dengue, Family Characteristics, Household Articles, Humans, Insecticides, Mosquito Control, Population Surveillance, Thailand
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