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Martinez-Cruz C, Arenas-Monreal L, Gomez-Dantes H, Villegas-Chim J, Barrera-Fuentes Gloria A, Toledo-Romani Maria E, Pavia-Ruz N, Che-Mendoza A, Manrique-Saide P. Educational intervention for the control of Aedes aegypti with Wolbachia in Yucatan, Mexico. EVALUATION AND PROGRAM PLANNING 2023; 97:102205. [PMID: 36580820 DOI: 10.1016/j.evalprogplan.2022.102205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 11/16/2022] [Accepted: 12/13/2022] [Indexed: 06/17/2023]
Abstract
UNLABELLED The implementation of new control strategies for Aedes aegypti (Ae. Aegpyti), a vector of dengue, chikungunya, and Zika viruses, requires communities to adopt specific behaviors to achieve the success of these innovations. AIM We evaluated the effect of an educational intervention based on the Precede-Proceed Model (PPM) and the Diffusion of Innovations Theory (DIT) for the control and prevention of diseases transmitted by Ae. aegypti through release of male mosquitoes infected with Wolbachia bacteria in a suburban town in Yucatan, Mexico. MATERIAL AND METHODS From July 2019 to February 2020, a quasi-experimental study was carried out through an educational intervention (pre- and post-measurements) using quantitative-qualitative techniques, in a Yucatan suburban town where male mosquitoes with Wolbachia were released for the suppression of Ae. aegypti populations. Eleven educational workshops were attended by heads of household (n = 19) and schoolchildren (n = 11). Other 136 heads of household not attending the workshops received information individually. RESULTS The educational intervention had a significant effect on the mean scores of the contributing and behavioral factors for adoption of innovation (p < 0.05) in the pre- and post-intervention measurements. CONCLUSION Innovative methods for the control and prevention of diseases related to Aedes aegypti can be strengthened through educational interventions supported by sound methodologies. DESCRIPTORS Community health education, Aedes aegypti, Wolbachia, Mexico.
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Affiliation(s)
- Carolina Martinez-Cruz
- School of Public Health of Mexico/National Institute of Public Health, University No. 655 Colonia Santa María Ahuacatitlán, Los Pinos and Caminera, Cuernavaca, Morelos, Mexico.
| | - Luz Arenas-Monreal
- Health Systems Research Center/National Institute of Health, University No. 655 Colonia Santa María Ahuacatitlán, Los Pinos and Caminera, Cuernavaca, Morelos, Mexico.
| | - Héctor Gomez-Dantes
- Health Systems Research Center/National Institute of Health, University No. 655 Colonia Santa María Ahuacatitlán, Los Pinos and Caminera, Cuernavaca, Morelos, Mexico.
| | - Josue Villegas-Chim
- Collaborative Unit for Entomological Bioassays, Campus of Biological and Agricultural Sciences, Autonomous University of Yucatan, Carretera Merida-Xmatkuil Km. 15.5 Apdo., Plan de Ayala II, Itzimná, 97100 Mérida, Yucatan, Mexico,.
| | - Abigail Barrera-Fuentes Gloria
- Collaborative Unit for Entomological Bioassays, Campus of Biological and Agricultural Sciences, Autonomous University of Yucatan, Carretera Merida-Xmatkuil Km. 15.5 Apdo., Plan de Ayala II, Itzimná, 97100 Mérida, Yucatan, Mexico,.
| | - Eugenia Toledo-Romani Maria
- Pedro Kouri Institute of Tropical Medicine, Avenida Novia del Mediodia, KM 6 1/2, La Lisa, Havana 11400, Cuba.
| | - Norma Pavia-Ruz
- Regional Research Center, Biomedical Unit, Autonomous University of Yucatan, Av. Itzáes, Centro, 97000 Mérida, Yucatan, Mexico.
| | - Azael Che-Mendoza
- Collaborative Unit for Entomological Bioassays, Campus of Biological and Agricultural Sciences, Autonomous University of Yucatan, Carretera Merida-Xmatkuil Km. 15.5 Apdo., Plan de Ayala II, Itzimná, 97100 Mérida, Yucatan, Mexico,.
| | - Pablo Manrique-Saide
- Collaborative Unit for Entomological Bioassays, Campus of Biological and Agricultural Sciences, Autonomous University of Yucatan, Carretera Merida-Xmatkuil Km. 15.5 Apdo., Plan de Ayala II, Itzimná, 97100 Mérida, Yucatan, Mexico,.
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Kirstein OD, Ayora-Talavera G, Koyoc-Cardeña E, Chan Espinoza D, Che-Mendoza A, Cohuo-Rodriguez A, Granja-Pérez P, Puerta-Guardo H, Pavia-Ruz N, Dunbar MW, Manrique-Saide P, Vazquez-Prokopec GM. Natural arbovirus infection rate and detectability of indoor female Aedes aegypti from Mérida, Yucatán, Mexico. PLoS Negl Trop Dis 2021; 15:e0008972. [PMID: 33395435 PMCID: PMC7781390 DOI: 10.1371/journal.pntd.0008972] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Accepted: 11/10/2020] [Indexed: 12/03/2022] Open
Abstract
Arbovirus infection in Aedes aegypti has historically been quantified from a sample of the adult population by pooling collected mosquitoes to increase detectability. However, there is a significant knowledge gap about the magnitude of natural arbovirus infection within areas of active transmission, as well as the sensitivity of detection of such an approach. We used indoor Ae. aegypti sequential sampling with Prokopack aspirators to collect all mosquitoes inside 200 houses with suspected active ABV transmission from the city of Mérida, Mexico, and tested all collected specimens by RT-PCR to quantify: a) the absolute arbovirus infection rate in individually tested Ae. aegypti females; b) the sensitivity of using Prokopack aspirators in detecting ABV-infected mosquitoes; and c) the sensitivity of entomological inoculation rate (EIR) and vectorial capacity (VC), two measures ABV transmission potential, to different estimates of indoor Ae. aegypti abundance. The total number of Ae. aegypti (total catch, the sum of all Ae. aegypti across all collection intervals) as well as the number on the first 10-min of collection (sample, equivalent to a routine adult aspiration session) were calculated. We individually tested by RT-PCR 2,161 Aedes aegypti females and found that 7.7% of them were positive to any ABV. Most infections were CHIKV (77.7%), followed by DENV (11.4%) and ZIKV (9.0%). The distribution of infected Aedes aegypti was overdispersed; 33% houses contributed 81% of the infected mosquitoes. A significant association between ABV infection and Ae. aegypti total catch indoors was found (binomial GLMM, Odds Ratio > 1). A 10-min indoor Prokopack collection led to a low sensitivity of detecting ABV infection (16.3% for detecting infected mosquitoes and 23.4% for detecting infected houses). When averaged across all infested houses, mean EIR ranged between 0.04 and 0.06 infective bites per person per day, and mean VC was 0.6 infectious vectors generated from a population feeding on a single infected host per house/day. Both measures were significantly and positively associated with Ae. aegypti total catch indoors. Our findings provide evidence that the accurate estimation and quantification of arbovirus infection rate and transmission risk is a function of the sampling effort, the local abundance of Aedes aegypti and the intensity of arbovirus circulation. Aedes-borne diseases comprise a serious public health burden in many parts of the world, usually affecting low income areas. The ability to detect virus circulation within a population may be key in responding to the threat of outbreaks, providing a cost-effective approach for triggering vector control. Unfortunately, gaps in the knowledge of natural Aedes-borne virus (ABV) infection in Aedes aegypti have led to uncertainties in the consideration of arbovirus surveillance in mosquitoes. Here, we show that the natural infection rate in a mosquito population may not be a function of where Aedes aegypti are, but rather where key human-mosquito contacts occur. Sampling 200 houses with suspected ABV active transmission led us to quantify high virus infection rates in all Aedes aegypti present in the house and use such information to estimate the sensitivity of indoor aspiration with Prokopack devices and two measures of ABV transmission potential. Our findings provide evidence that the accurate quantification of arbovirus infection rate and transmission risk is a function of the sampling effort, the local abundance of Aedes aegypti and the intensity of arbovirus circulation. Results from this study are relevant to understand the value of virus testing of vector populations, and for the design of entomological endpoints relevant for epidemiological trials quantifying the impact of vector control on ABVs.
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Affiliation(s)
- Oscar David Kirstein
- Department of Environmental Sciences, Emory University, Atlanta, Georgia, United States of America
| | - Guadalupe Ayora-Talavera
- Laboratorio de Virología. Centro de Investigaciones Regionales “Dr. Hideyo Noguchi”, Universidad Autónoma de Yucatán, Mérida, Yucatán, México
| | - Edgar Koyoc-Cardeña
- Unidad Colaborativa de Bioensayos Entomológicos, Campus de Ciencias Biológicas y Agropecuarias, Universidad Autónoma de Yucatán, Mérida, Yucatán, México
| | - Daniel Chan Espinoza
- Unidad Colaborativa de Bioensayos Entomológicos, Campus de Ciencias Biológicas y Agropecuarias, Universidad Autónoma de Yucatán, Mérida, Yucatán, México
| | - Azael Che-Mendoza
- Unidad Colaborativa de Bioensayos Entomológicos, Campus de Ciencias Biológicas y Agropecuarias, Universidad Autónoma de Yucatán, Mérida, Yucatán, México
| | - Azael Cohuo-Rodriguez
- Unidad Colaborativa de Bioensayos Entomológicos, Campus de Ciencias Biológicas y Agropecuarias, Universidad Autónoma de Yucatán, Mérida, Yucatán, México
| | - Pilar Granja-Pérez
- Laboratorio Estatal de Salud Pública, Servicios de Salud de Yucatán, Mérida, Yucatán, México
| | - Henry Puerta-Guardo
- Unidad Colaborativa de Bioensayos Entomológicos, Campus de Ciencias Biológicas y Agropecuarias, Universidad Autónoma de Yucatán, Mérida, Yucatán, México
| | - Norma Pavia-Ruz
- Laboratorio de Hematología. Centro de Investigaciones Regionales “Dr. Hideyo Noguchi”, Universidad Autónoma de Yucatán, Mérida, Yucatán, México
| | - Mike W. Dunbar
- Department of Environmental Sciences, Emory University, Atlanta, Georgia, United States of America
| | - Pablo Manrique-Saide
- Unidad Colaborativa de Bioensayos Entomológicos, Campus de Ciencias Biológicas y Agropecuarias, Universidad Autónoma de Yucatán, Mérida, Yucatán, México
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Mendez-Dominguez N, Alvarez-Baeza A, Carrillo G. Demographic and Health Indicators in Correlation to Interstate Variability of Incidence, Confirmation, Hospitalization, and Lethality in Mexico: Preliminary Analysis from Imported and Community Acquired Cases during COVID-19 Outbreak. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17124281. [PMID: 32549337 PMCID: PMC7344596 DOI: 10.3390/ijerph17124281] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Revised: 06/05/2020] [Accepted: 06/09/2020] [Indexed: 12/20/2022]
Abstract
This study’s objective is to analyze the incidence, lethality, hospitalization, and confirmation of COVID-19 cases in Mexico. Sentinel surveillance for COVID-19 cases in Mexico began after the confirmation of the first patient with community transmission. Methods: This epidemiologic, cross-sectional study includes all clinically suspected, and laboratory-confirmed cases nationwide from the beginning of the outbreak to 21 April 2020. State-cluster demographic data and health indicators were analyzed in reference to epidemiologic measures, with logistic regressions for the dependent variables of incidence, confirmation, and lethality. Results: The national incidence was 13.89/100,000 inhabitants with a 6.52% overall lethality and a confirmed-case mortality of 11.1%. The incidence variation significantly correlated with migration, but not urbanization. Pediatric patients were less prone to be tested (OR = −3.92), while geriatric individuals were a priority. State lethality positively correlated with the proportion of the population assisted at public hospitals and correlated inversely to the number of hospitals and clinics in the state. Conclusions: Migration strongly correlated with incidence; elderly patients had lower odds of being hospitalized but were likely to die. Patients aged <15 were less prone to be laboratory-confirmed. Case confirmation was not performed in all hospitalized patients, but 72.15% of hospitalized patients had favorable outcomes to date.
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Affiliation(s)
- Nina Mendez-Dominguez
- Department of Health Sciences, School of Medicine, Universidad Marista, Periférico Norte Tablaje Catastral 13941, Merida 97300, Mexico; (N.M.-D.); (A.A.-B.)
| | - Alberto Alvarez-Baeza
- Department of Health Sciences, School of Medicine, Universidad Marista, Periférico Norte Tablaje Catastral 13941, Merida 97300, Mexico; (N.M.-D.); (A.A.-B.)
| | - Genny Carrillo
- Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, 212 Adriance Lab Road, College Station, TX 77843, USA
- Correspondence: ; Tel.: +1-979-436-0963
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Laviada-Molina H, Huchim-Lara O, Méndez-Domínguez N. Health and Well-being in the Yucatan Peninsula Revisited with a Human Ecology Perspective. CULTURE, ENVIRONMENT AND HEALTH IN THE YUCATAN PENINSULA 2020:259-276. [DOI: 10.1007/978-3-030-27001-8_14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/02/2024]
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Subacute and chronic symptoms of chikungunya fever in a group of adults in Colombia. ACTA ACUST UNITED AC 2019; 39:587-594. [PMID: 31584771 PMCID: PMC7357365 DOI: 10.7705/biomedica.4350] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Indexed: 11/26/2022]
Abstract
Introducción . La fiebre de chikungunya en Colombia ocasiona una alerta en salud pública que se extiende en el tiempo, dadas las características subagudas y crónicas de la enfermedad. Objetivo. Describir los síntomas subagudos y crónicos en personas mayores de 18 años con fiebre de chikungunya en Ibagué, Colombia. Materiales y métodos. Se hizo un estudio descriptivo con muestreo en bola de nieve de 368 adultos de todas las comunas de Ibagué que presentaban síntomas de la fiebre de chikungunya de más de 12 días de duración. Resultados. Las articulaciones que presentaban dolor en la fase subaguda y crónica de la enfermedad fueron las de manos (84,2 %), rodillas (72,8 %) y tobillos (69,3 %); además de las articulaciones, la planta de los pies fue el sitio en que más frecuentemente se presentó dolor (48,8 %). El dolor articular en manos (p=0,017) y tobillos (p=0,001) y el dolor en la planta de los pies (p=0,002) fueron significativos en las mujeres. La fatiga o el cansancio generalizado se presentaron en el 58,9 % de las personas y se prolongó por más de un año en el 2,4 % de ellas. Conclusiones. Los síntomas de la fase subaguda y crónica de la fiebre de chikungunya coincidieron con los descritos en la literatura médica, su duración se extendió hasta por un año o más en algunos de los casos y su intensidad disminuyó con el tiempo. Los síntomas referidos fueron más comunes en las mujeres que en los hombres.
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