Application of eco-friendly tools and eco-biosocial strategies to control dengue vectors in urban and peri-urban settings in Thailand
Application of eco-friendly tools and eco-biosocial strategies to control dengue vectors in urban and peri-urban settings in Thailand
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DOI：
10.1179/2047773212y.0000000059
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发表时间：
2012-12-01
影响因子：
3.4
通讯作者：
Butraporn, Piyarat
中科院分区：
文献类型：
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作者：
Kittayapong, Pattamaporn;Thongyuan, Suporn;Butraporn, Piyarat
背景：登革热被认为是泰国最重要的媒介传播疾病之一。尽管例行执行国家登革热控制方案，但其发病率仍在上升。这项研究，在2010年期间进行，旨在展示应用综合，以社区为基础的，生态-生物社会战略结合当地生产的生态友好型病媒控制工具，在登革热控制programme，强调在泰国东部的城市和城市周边的设置方法：三个不同的社区设置被选中，并随机分配到干预和控制集群。与主要社区领袖和有关政府当局进行了接触，请他们参加这一干预方案。在每个研究社区确定并培训了生态健康志愿者。他们是从活跃的社区卫生志愿者中挑选出来的，并接受了公共卫生专家的培训，在自己的社区利用环境管理和生态友好型病媒控制工具开展病媒控制活动。这些经过培训的生态保健志愿人员在家访期间开展外联保健教育和病媒控制工作。地方市政当局有效地管理公共空间和公共财产，特别是固体废物管理。与对照组相比，干预组的人均死亡人数指数显著下降，这被用作确定该方案影响的替代指标。我们以社区为基础的登革热病媒控制方案表明，在两个月进行的昆虫学调查中，从2010年5月开始，干预组和对照组的时间间隔为6个月。该方案还提高了人们对采用生态友好型病媒控制方法的认识，并增加了部门间和家庭对登革热控制活动的参与。结论：通过部门间合作和家庭一级的实际行动，在泰国城市和城郊环境中成功实施了生态友好型登革热病媒控制方案，大大降低了病媒密度。
Background: Dengue is considered one of the most important vector-borne diseases in Thailand. Its incidence is increasing despite routine implementation of national dengue control programmes. This study, conducted during 2010, aimed to demonstrate an application of integrated, community-based, eco-biosocial strategies in combination with locally-produced eco-friendly vector control tools in the dengue control programme, emphasizing urban and peri-urban settings in eastern Thailand.Methodology: Three different community settings were selected and were randomly assigned to intervention and control clusters. Key community leaders and relevant governmental authorities were approached to participate in this intervention programme. Ecohealth volunteers were identified and trained in each study community. They were selected among active community health volunteers and were trained by public health experts to conduct vector control activities in their own communities using environmental management in combination with eco-friendly vector control tools. These trained ecohealth volunteers carried out outreach health education and vector control during household visits. Management of public spaces and public properties, especially solid waste management, was efficiently carried out by local municipalities. Significant reduction in the pupae per person index in the intervention clusters when compared to the control ones was used as a proxy to determine the impact of this programme.Results: Our community-based dengue vector control programme demonstrated a significant reduction in the pupae per person index during entomological surveys which were conducted at two-month intervals from May 2010 for the total of six months in the intervention and control clusters. The programme also raised awareness in applying eco-friendly vector control approaches and increased intersectoral and household participation in dengue control activities.Conclusion: An eco-friendly dengue vector control programme was successfully implemented in urban and peri-urban settings in Thailand, through intersectoral collaboration and practical action at household level, with a significant reduction in vector densities.