Opportunities for improved chagas disease vector control based on knowledge, attitudes and practices of communities in the yucatan peninsula, Mexico.

Opportunities for improved chagas disease vector control based on knowledge, attitudes and practices of communities in the yucatan peninsula, Mexico.
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DOI:
10.1371/journal.pntd.0002763
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发表时间:
2014-03
影响因子:
3.8
通讯作者:
Dumonteil E
Dumonteil E
中科院分区:
医学2区
文献类型:
--
作者:
Rosecrans K;Cruz-Martin G;King A;Dumonteil E

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恰加斯病是一种媒介传播的寄生虫病,对公共卫生具有重大意义。目前的预防工作以锥蝽病媒控制为基础,以减少向人类的传播。病媒控制干预措施的成功取决于其对受影响社区的可接受性和价值。我们的目标是确定墨西哥尤卡坦半岛改进病媒控制战略的机会和障碍。我们采用了一系列定性和定量的研究方法,调查知识,态度和做法周围的南美锥虫病,锥虫病和病媒控制在三个农村社区。我们的综合数据表明,社区成员都很清楚锥蝽,并了解他们的习惯。然而,大多数人对恰加斯病的传播动力学和临床表现的了解有限。虽然锥蝽控制不是社区成员的优先事项,但他们经常使用家用杀虫剂产品,包括杀虫剂喷雾剂、蚊香和插入式驱虫剂。家庭每年在这些产品上花费约32美元。替代方法,如庭院清洁和窗纱被认为是可取的,可能更有效。尽管如此,纱窗的费用与杀虫剂产品的平均年支出相当,但仍被认为是负担不起的。进一步的教育运动和可能的融资计划可能会导致家庭将其目前的病媒控制支出从杀虫剂产品转向窗纱。此外,还应进一步探索与蚊虫控制工作的协同作用,以激励社区参与,确保南美锥虫病病媒控制的可持续性。恰加斯病是由锥蝽传播的一种重要寄生虫病。目前的预防工作是基于消除家庭中的三唑胺,以减少疾病传播给人类。然而,这些控制干预措施的成功取决于它们对受影响社区的接受程度和价值。我们的目的是确定机会和障碍,在尤卡坦半岛,墨西哥锥蝽控制策略。我们使用了一系列的小组讨论,访谈和调查,以调查的看法和知识的社区对南美锥虫病和锥虫病在三个村庄从尤卡坦半岛,墨西哥。居民对锥蝽相当熟悉,但并没有很好地将这些蝽与恰加斯病及其临床表现联系起来。灭蚊而不是锥虫脒控制是一个共同的当务之急,家庭经常使用杀虫剂喷雾剂,蚊香和插入式驱虫剂,每年花费约32美元在这些产品上。替代方法,如庭院清洁和窗纱被认为是可取的,可能更有效。然而,屏幕被描述为负担不起。促进教育运动和可能的融资计划可以帮助家庭将其目前的开支从杀虫剂产品转向纱窗。此外,还应进一步探索与蚊虫控制工作的协同作用,以激励社区参与,确保南美锥虫病病媒控制的可持续性。
Chagas disease is a vector-borne parasitic disease of major public health importance. Current prevention efforts are based on triatomine vector control to reduce transmission to humans. Success of vector control interventions depends on their acceptability and value to affected communities. We aimed to identify opportunities for and barriers to improved vector control strategies in the Yucatan peninsula, Mexico. We employed a sequence of qualitative and quantitative research methods to investigate knowledge, attitudes and practices surrounding Chagas disease, triatomines and vector control in three rural communities. Our combined data show that community members are well aware of triatomines and are knowledgeable about their habits. However, most have a limited understanding of the transmission dynamics and clinical manifestations of Chagas disease. While triatomine control is not a priority for community members, they frequently use domestic insecticide products including insecticide spray, mosquito coils and plug-in repellents. Families spend about $32 US per year on these products. Alternative methods such as yard cleaning and window screens are perceived as desirable and potentially more effective. Screens are nonetheless described as unaffordable, in spite of a cost comparable to the average annual spending on insecticide products. Further education campaigns and possibly financing schemes may lead families to redirect their current vector control spending from insecticide products to window screens. Also, synergism with mosquito control efforts should be further explored to motivate community involvement and ensure sustainability of Chagas disease vector control. Chagas disease is an important parasitic disease transmitted by triatomine bugs. Current prevention efforts are based on eliminating triatomines from homes to reduce disease transmission to humans. However, the success of these control interventions depends on their acceptability and value to affected communities. We aimed to identify opportunities for and barriers to triatomine control strategies in the Yucatan peninsula, Mexico. We used a sequence of group discussion, interviews, and a survey to investigate the perception and knowledge of communities on Chagas disease and triatomines in three villages from the Yucatan peninsula, Mexico. Inhabitants are rather familiar with triatomine bugs, but do not associate well these bugs with Chagas disease and its clinical manifestations. Mosquito rather than triatomine control is a common preoccupation, and households frequently use insecticide spray, mosquito coils and plug-in repellents, spending about $32 US per year on these products. Alternative methods such as yard cleaning and window screens are perceived as desirable and potentially more effective. Screens are nonetheless described as unaffordable. The promotion of education campaigns and possibly financing schemes could help families to redirect their current spending from insecticide products to window screens. Also, synergism with mosquito control efforts should be further explored to motivate community involvement and ensure sustainability of Chagas disease vector control.
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