Assessing Community-Based Tick Control for LD Mitigation

评估基于社区的蜱虫控制以缓解 LD

• 批准号: 6831321
• 负责人: Thomas N Mather
• 金额: $ 22.38万
• 依托单位: UNIVERSITY OF RHODE ISLAND
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-04-01 至 2008-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6831321
• 关键词: Lyme disease; Ungulate; animal population study; arthropod nonpollutant control; behavioral /social science research tag; chemoprevention; clinical research; communicable disease control; community; cooperative study; data collection; disease vectors; drug screening /evaluation; education evaluation /planning; educational resource design /development; health behavior; health education; health surveys; human subject; insect control; insecticides; medical records; public opinion; questionnaires; ticks

HealthyPeople2010 established a goal of reducing Lyme diseaseto 9.7 cases per 100,000 residents within the next six years. Sincet ick abundance is positively correlated with disease incidence in Rhode Island,where statewide disease incidence rates average>51 per 100,000 residents, there clearly is an immediate need for effective disease mitigation measures including tick reduction interventions. Numerous tick control strategies for disease prevention have been developed ;many have been evaluated, at least to some degree but few have been implemented widely or in a coordinated manner. Moreover, there may be strong experimental evidence indicating the effectiveness of a particular intervention, but its efficacy under actual application circumstances may be limited or unknown. To date, there have been nostudies that measure actual effectiveness in reducing Lyme disease incidence at the population level. It is our hypothesis that for interventions to be effective, it wil lbe necessary to increase public knowledge and proper implementation of tick control strategies, or use strategies that require less participation of the public at risk. To evaluate this, we propose to: 1) assess and evaluate tick control attitudes and practices before and after implementing an aggressive, interactive community outreach program for tick control; 2) implement a community-wide 4-poster tick control program and evaluate its effectiveness for disease prevention; and 3) assist 4-poster technology transfer by developing a comprehensive manual detailing implementation of a municipal 4-poster tick control program. This project will be the first to test whether area-wide tick control efforts result in reduced disease incidence. Its innovation lies in the fact that tick biologists will use interactive techniques and be active participants in municipal and homeowner tick control programming. Efforts will focus on identifying strategiesfor engaging the community and individuals at risk.

HealthyPeople2010 制定了将莱姆病减少到每 10 万居民 9.7 例的目标 未来六年内。由于罗德岛州的蜱虫丰度与疾病发病率呈正相关，全州疾病发病率平均>每 10 万居民 51 例，因此显然迫切需要采取有效的疾病缓解措施，包括减少蜱虫干预措施。很多的 疾病预防的蜱虫控制策略已经制定；许多策略至少在某种程度上已经得到评估，但很少得到广泛或以协调的方式实施。此外，可能有强有力的实验证据表明特定干预措施的有效性，但其在实际应用情况下的功效可能是有限的或未知的。迄今为止，还没有研究衡量在人群水平上减少莱姆病发病率的实际效果。我们的假设是，为了使干预措施有效，有必要增加公众对蜱虫控制策略的了解和正确实施，或者使用需要较少风险公众参与的策略。 为了评估这一点，我们建议：1）在实施积极的、互动的蜱虫控制社区外展计划之前和之后评估蜱虫控制态度和做法； 2) 实施社区范围的四张海报蜱虫控制计划并评估其疾病预防的有效性； 3) 通过制定详细说明市政四柱蜱虫控制计划实施情况的综合手册，协助四柱技术转让。 该项目将是第一个测试区域性蜱虫控制工作是否能降低疾病发病率的项目。其创新之处在于蜱生物学家将使用互动技术并积极参与市政和房主的蜱控制计划。工作重点将是确定让社区和面临风险的个人参与的策略。