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PubMed2005

[Cost effectiveness study of a control program of congenital Chagas disease in Bolivia].

Cost effectiveness analysis of Chagas' vertical transmission control program in Bolivia: Today, Bolivia is the most concerned country in America by Chagas disease: Trypanosoma cruzi infection affects 20% of whole population, around 1800000 inhabitants, and mother-to-child transmission is around 5%, from 1.6 to 9.8%. Direct and indirect costs derived from disease complications and death, from birth to adulthood, add up around US$ 21 millions per year for 2,718 infected new-borns. This cost falls on individual, family and society, when the nation is struggling in a depressed economy. On the other side, an effective control program could detect and treat all cases with an investment of US$ 123 per infected new-born, or US$ 1.2 per new-born in Bolivia. Indirect benefits, apart of suffering relieve and improving of life quality, are related with Chagas vector control program, increasing the demand thanks to increasing risk awareness and also induced demand testing all pregnant women in endemic areas. So the conclusion is that such investment is profitable.

Animals↗
PubMed1997

Reduced prevalence of onchocerciasis in Uganda following either deforestation or vector control with DDT.

To determine the prevalence of onchocerciasis in western Uganda following deforestation and vector control, three foci were re-examined 20 years after previous surveys. In the Ruteete focus Simulium neavei had apparently disappeared and the prevalence of onchocerciasis declined in adults from about 70% in 1971 to a standardised prevalence of 12% in 1992. An increase of population density together with extended deforestation was assumed as cause of this strong reduction. In Bugoye, a S. damnosum s.l. focus, the standardised prevalence of microfilaria carriers declined from 62% in 1972 to 4.7% in 1992. Entomological data indicated the absence of man biting blackflies in the nineties. It can be suggested that the vector control using DDT performed during the seventies had lead to a change of the species composition from anthropophilic to non-anthropophilic S. damnosum s.l. In the focus Kicheche environmental changes were insignificant, deforestation was not progressive and S. neavei was abundant. Here the standardised prevalence of microfilaria carriers was still high (61%).

Adolescent↗
PubMedDate not supplied

Selective primary health care: strategies for control of disease in the developing world. XIV. Leishmaniasis.

The epidemiology of human leishmaniasis is most complex. Not only are there many species of the parasite in the tropics and subtropics, but each has different sand fly vectors and animal reservoirs and exhibits different behavior in humans. Where epidemiologic information is sufficient, one or more of four methods of control has been effectively used. These are spraying of houses with DDT to control domiciliated phlebotomines (southern Europe, India, Brazil), destruction of animal reservoirs (Brazil, USSR), mass treatment of patients (India, China), and vaccination (USSR, Israel). A drug replacing the pentavalent antimonials as the first-line treatment is a priority, since human infections resistant to currently available drugs occur in many countries and antimonials are difficult to give to outpatients. More research is needed on forest leishmaniasis in the tropical Americas; however, sand fly vectors and animal reservoirs seem inaccessible to control measures. If a vaccine can be developed, it might have great utility. There is an urgent need to map the distribution of predominant species infecting humans in Latin America, since treatment schedules differ for the various cutaneous infections.

Animals↗
PubMed2005

Onchocerciasis control and elimination: coming of age in resource-constrained health systems.

During the past three decades, onchocerciasis control has been successful in reducing blindness and skin disease in Africa and the Americas. In this article, I review the control and elimination of Onchocerca volvulus as a public health problem. The success of onchocerciasis control has been the result of secure financing, generous drug donation, effective partnership between stakeholders, and focused operational and implementation research. The future challenges are to ensure sustainability of existing programmes and to increase the level of integration with other health interventions in resource-deficient health systems.

Animals↗
PubMed2001

Sand fly feeding on noxious plants: a potential method for the control of leishmaniasis.

The sand fly Phlebotomus papatasi transmits Leishmania major, which causes cutaneous leishmaniasis, in vast regions of the Old World. In addition to blood, the sand flies feed on plants. In a study of this diet, we observed that one night of feeding on branches of Solanum jasminoides, Ricinus communis, or Bougainvillea glabra drastically shortened the life span of the sand flies. Flowering B. glabra attracted P. papatasi in the field. Nevertheless, in the region endemic for L. major in yards abounding with vector sand flies, the number of P. papatasi trapped near hedges of B. glabra was eight times less (62 versus 502 flies trapped) than in the control sites. The results imply that B. glabra affords local protection against sand fly bites and decreases the risk of leishmaniasis. We suggest that this and other ornamental plants that are harmful to sand flies can be used as a tool for this purpose.

Animals↗
PubMed1991

[Control of human African trypanosomiasis in Luba in equatorial Guinea:evaluation of three methods].

The object of this study was to (a) reduce the prevalence of sleeping sickness by serological testing, parasitological examination, and treatment of every infected person; (b) determine the maximum acceptable interval between serological surveys; and (c) define the impact of vector control, using monopyramidal non-impregnated traps, on the transmission. For this sero-parasitological survey, the focus in Luba was divided into three zones as follows: Epicentre A (with high prevalence, 27.5%), Epicentre B (with average prevalence, 8.3%), and Peripheral C (with moderate prevalence, 3.0%). Differences in the prevalence rates in the Epicentres and Peripheral zone permitted the use of three different approaches for control and epidemiological follow-up of the disease: (1) Serological examination of the entire population was carried out by the indirect immunofluorescent antibody test (IFAT), with six-month intervals in Epicentres A and B and once a year in the Peripheral zone C. (2) DIAGNOSIS AND TREATMENT: all IFAT seropositives were examined in Luba hospital for parasites, and every parasitologically confirmed patient was treated according to the WHO protocol of 1983. Another serological test (CATT) was applied to cases in which trypanosomes were not present and if this was positive, the CSF was examined. Cases with parasites and abnormal CSF were treated with melarsoprol, and those with a normal CSF received pentamidine. CATT-negative and parasite-negative cases were considered to be false-positives by IFAT and free of the disease. (3) Vector control: 74 monopyramidal traps (18 traps per km2) were set up in Epicentre A. The flies captured were collected once a month and sent to the programme's laboratory where they were identified and counted.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed2003

[Plague control in Madagascar: evaluation of the efficacy of Kartman baitboxes in urban areas].

A method associating an anticoagulant rodenticide and an insecticide called Kartman bait-box aimed both at fighting reservoir and vectors of plague. It was evaluated in two neighbourhoods of Antananarivo (Madagascar) from October 2002 to May 2003. It involved the local community in the control. The study was carried out in Ambodirano-Ampefiloha refered as treated neighbourhood in which the Kartman bait box were laid out with an anticoagulant rodenticide and an insecticide with a rapid action versus a "pilot neighbourhood", Ankorondrano-Andranomahery in which the boxes were provided with non poisoning bait and non insecticidal white powder. The rodenticide used was Baraki (difethialone 25 ppm) and the insecticide was a powder of Propoxur 3%. The evaluation of effectiveness of this method was based on the four following parameters: (1) the number of dead rats collected daily inside and in the vicinity of the houses, (2) the daily number of baits non consumed in the Kartman bait box, (3) the cheopis index of the rats trapped using the BTS trap, and (4) the flea carrier index of the rats captured monthly with BTS trap. The cheopis index and the flea carrier index of the rats were calculated monthly. The number of rats that died in the treated neighbourhood was of 968 versus 3 in the pilot neighbourhood. The other parameters reached a stable level after 3 months. Between days 120 and 180, the mean number of unconsumed baits was 2.79 in the treated neighbourhood versus 0.14 in the pilot neighbourhood, the flea carriage (percentage of parasitized hosts) was 0% versus 61% in the pilot neighbourhood, and the cheopis index was 0.0 versus 5.0 in the pilot neighbourhood. This study demonstrates that Kartman bait-boxes reached the rat borne and the vectors of plague found in urban area. We propose to use this method extensively both during epidemic and inter-epidemic contexts.

4-Hydroxycoumarins↗
PubMed1995

Vector control in some countries of Southeast Asia: comparing the vectors and the strategies.

The use of information on malaria vector behaviour in vector control is discussed in relation to the area of Southeast Asia comprising Cambodia, Laos, Myanmar, Thailand and Vietnam. The major vectors in the region are Anopheles dirus, An. minimus, An. maculatus and An. sundaicus, of which An. dirus is the most important. Options for vector control and the biological features of mosquitoes, which would make them amenable to control by these measures, are listed. The methods with the greatest potential for controlling each of the four vector species are described. Experiences of vector control by residual spraying, insecticide-treated nets and larva control and of personal protection against the four vectors are outlined, and it is noted that choice of control strategy is often determined by epidemiological, economic and political considerations, whilst entomological observations may help to explain failures of control and to indicate alternative strategies. Future research needs include basic entomological field studies using the most appropriate indicators to detect changes related to rapidly changing environmental conditions, such as loss of forest and climate change. Further studies of the efficacy of insecticide-treated mosquito nets, with greater attention to study design, are needed before it can be assumed that they will work in Southeast Asia. At the same time, research to improve sustainable utilization of nets is important, bearing in mind that nets are not the only means to control malaria and should not drain resources from supervision and training, which improve access to diagnosis and treatment of malaria and other diseases. Research is needed to make decisions on whether vector control is appropriate in different environments, and, if so, how to carry it out in different health systems. Researchers need to play a greater role in making operational research (entomological, epidemiological, social, economic and health systems research) of good quality an integral component of implementation programmes.

Animals↗
PubMed2001

[Evaluation of the effect of Knox-Out microencapsulated V.O. 240 and K-othrine powder on rat lice in two villages in the Betafo region].

The effect of two different insecticides on flea control was tested from January to March 2000 in the Ivory village and the Ambatolahy village: Knox-Out, a microcapsulated formulation of diazinon, organophosphorous compound (240 gr/L) and the deltamethrin powder (2 g/kg ai), respectively. The villages are located 2.5 km apart in the Betafo region in Madagascar. Deltamethrin is a pyrethroid and is still used in the National Plague Control Program, whereas diazinon has not previously been applied in plague control in Madagascar. The flea index and the prevalence of rats carrying fleas in the two villages before and after (at one and two months follow-up, respectively) were measured to evaluate the effect of each insecticide. Flea index decreased significantly in both villages by at the first month follow-up. However, at the second month follow-up no significant differences in comparison to pre-treatment index values were observed in any of the villages. This study has demonstrated a similar immediate effect of deltamethrin and of diazinon, and confirmed the absence of remanent action of the two insecticides.

Animals↗
PubMed2005

Towards a rational policy for dealing with tsetse.

The past 20 years have seen the development of bait technologies that enable livestock keepers to control tsetse flies and, hence, African trypanosomiasis. The techniques have, however, often been applied on too small a scale, without due regard to the realities of tsetse population dynamics. The consequent lack of progress has led to calls for a return to large-scale operations. Analysis of successful programmes to control or eliminate tsetse in southern Africa suggests that the combined use of recently improved bait methods and insecticide spraying will provide the building blocks for achieving the wider objective of the African Union, which is to create large tsetse-free zones.

Animals↗
PubMed2005

Development of an adaptive tsetse population management scheme for the Luke community, Ethiopia.

Since 1996, tsetse (Glossina spp.) control operations, using odor-baited traps, have been carried out in the Luke area of Gurage zone, southwestern Ethiopia. Glossina morsitans submorsitans Newstead was identified as the dominant species in the area, but the presence of Glossina fuscipes Newstead and Glossina pallidipes Austen also was recorded. Here, we refer to the combined number of these three species and report the work undertaken from October 2002 to October 2004 to render the control system more efficient by reducing the number of traps used and maintaining the previously reached levels of tsetse occurrence and trypanosomiasis prevalence. This was done by the design and implementation of an adaptive tsetse population management system. It consists first of an efficient community-participatory monitoring scheme that allowed us to reduce the number of traps used from 216 to 127 (107 monitoring traps and 20 control traps). Geostatistical methods, including kriging and mapping, furthermore allowed identification and monitoring of the spatiotemporal dynamics of patches with increased fly densities, referred to as hot spots. To respond to hot spots, the Luke community was advised and assisted in control trap deployment. Adaptive management was shown to be more efficient than the previously used mass trapping system. In that context, trap numbers could be reduced substantially, at the same time maintaining previously achieved levels of tsetse occurrences and disease prevalence.

Animals↗
PubMedDate not supplied

Chagas disease in north-west Argentina: risk of domestic reinfestation by Triatoma infestans after a single community-wide application of deltamethrin.

The risk of domestic reinfestation by Triatoma infestans after a single community-wide application of delta-methrin (2.5% suspension concentrate at 25 mg active ingredient/m2) was studied in Amamá, north-west Argentina, where no insecticide spraying had been done by official control services. The percentage of infested houses fell from 88% before spraying in 1985 to nil during the 6 months after spraying, and thereafter increased from 5% in 1986 to 96% before a second treatment in 1992, fitting closely to a logistic model (r2 = 0.997). Significant risk factors associated with domestic reinfestation determined from stepwise logistic regression and one-factor analysis were the density of T. infestans in bedrooms just before spraying and the surface structure of indoor walls. Peak densities of bugs in 1988-1989 significantly differed between levels of both risk factors. Our study suggests the existence of stable determinants of infestation linked to the household which, in the absence of effective control measures, would also determine the speed of house recolonization and the ensuing bug densities. Plastering of mud walls before application of insecticides to all domestic and peridomestic structures is supported by the study.

Animals↗
PubMed2000

[Xenopsylla cheopis (Siphonaptera: Xenopsyllinae), fleas in rural plague areas of high altitude Madagascar: level of sensitivity to DDT, pyrethroids and carbamates after 50 years of chemical vector control].

The resistance of Xenopsylla cheopis from urban area to pyrethroids, to DDT, and their susceptibility to carbamate are known. We have evaluated the susceptibility of X. cheopis collected from three rural localities: Ambodisiarivo (district of Antananarivo Avaradrano), Mandoto (district of Betafo), Analaroa (district of Anjozorobe) in the province of Antananarivo and in Besoa (district of Ambalavao) in the province of Fianarantsoa. The standard WHO protocol was used and four insecticides were tested: deltamethrin 0.025%, cyfluthrin 0.15% (pyrethroids), DDT 4% (organochlorine), propoxur 1% and bendiocarb 0.1% (carbamate). X. cheopis has been shown resistance to DDT 4%, to deltamethrin 0.025% but was susceptible in the rural area around Antananarivo City. They were tolerant to deltamethrin 0.025% and cyfluthrin 0.15% but susceptible to propoxur 0.1% and bendiocarbe 1% in the districts of Betafo and Anjozorobe. In Besoa, X. cheopis was resistant to DDT 4%, tolerant to deltamethrin 0.025% and cyfluthrin 0.15% but susceptible to propoxur 0.1% and bendiocarbe 1%. These results indicate that DDT and pyrethroids can not be recommended any more for the vector control in the rural area around the capital. The use of pyrethroids in the other districts of the central highland must be joined with a X. cheopis susceptibility control. In case of resistance to pyrethroids, carbamates would be proposed to control plague vector in the rural area. The high level of resistance to DDT and pyrethroid in the rural area around the capital confirms the importance of studying the flea population in different area of Madagascar and the possibility of the gene resistance propagation.

Altitude↗
PubMed1990

Epidemiological impact of vector control. II. Changes in ocular onchocerciasis.

The impact of 10-11 years of successful vector control on ocular onchocerciasis was evaluated in the population of 13 villages in the central part of the Onchocerciasis Control Programme area. The prevalence of ocular microfilariae was found to have reduced remarkably and loads over 20 microfilariae in the anterior chamber of the eye or the cornea which was rampant before the start of vector control, were rare. Whilst limited change in the age specific prevalence of lesions of the posterior segment of the eye was recorded, significant reduction in the prevalence of lesions of the anterior segment of the eye was found. The small decrease in the age specific prevalence of lesions of the posterior segment of the eye was partly explained by a reduced occurrence of the type of lesions of the anterior segment of the eye which previously obstructed the effective view of the fundus during examination. The prevalence of blindness was found to have reduced by 40% and onchocercal blindness was no longer found below the age of 20 years. It was concluded that 10-11 years of successful vector control has effectively reduced the incidence of onchocercal eye lesions, the deterioration of the existing eye lesions and the risk of developing an onchocercal eye lesion as well as going blind to virtually nil.

Adolescent↗
PubMed2004

[The effect of sandfly control on the transmission of visceral leishmaniasis].

OBJECTIVE: To observe the effect of Phlebotomus chinensis control including insecticide residual spraying in the habitats and bathing for dogs on the transmission of visceral leishmaniasis in Nanping of Sichuan Province. METHODS: Alpha-methrin with a dosage of 50 mg/m2 was sprayed in the wild caves and 2.5% deltamethrin wettable power at a concentration of 250 mg/L was applied for dog bathing in the villages. The density of sandflies in the natural caves was examined and data on the incidence of visceral leishmaniasis were collected from epidemiological survey following the sandfly control measures. RESULTS: The density of sandflies has been considerably reduced after the chemical spraying in caves, the important habitats of the sandflies. By both the cave spraying and bathing for dogs since 1993, the reported human cases of leishmaniasis also decreased. CONCLUSION: Measures for sandfly control including insecticide spraying in the habitats and bathing for dogs with insecticide solution can significantly reduce the sandfly density, and can contain the transmission of visceral leishmaniasis in the endemic area.

Adolescent↗
PubMed1999

Gut colonization by an ice nucleation active bacterium, Erwinia (Pantoea) ananas reduces the cold hardiness of mulberry pyralid larvae.

To evaluate the suitability of using ice nucleation active (INA) bacteria for the biological control of insect pests, the supercooling point (SCP) of larvae of mulberry pyralid, Glyphodes duplicalis, and silkworm, Bombyx mori, ingesting INA strains of Erwinia (Pantoea) ananas and Pseudomonas syringae was determined. Mean SCP of the guts of silkworm larvae ingesting INA strains of E. ananas ranged from -2.5 to -2.8 degrees C, being 5 degrees C higher than that in control treatments. Similarly, mean SCP of mulberry pyralid larvae ingesting INA strain of E. ananas, which can grow well in the gut, was -4.7 degrees C at 3 days after treatment, being 6.5 degrees C higher than that in control treatments. On the other hand, mean SCP of the larvae-ingesting INA strain of P. syringae, which cannot grow in the gut, was -9.0 degrees C at 3 days after treatment, rising by only 2.5 degrees C higher than that in the control treatments. In addition, more than 80% of the larvae of mulberry pyralid ingesting the INA strain of E. ananas froze and eventually died when exposed to -6 degrees C for 18 h, while only 36% of the larvae ingesting the INA strain of P. syringae, or approximately 20% of the control larvae, froze and died. Thus, the gut colonization by INA strains of E. ananas reduced remarkably the cold hardiness of the insects. These findings suggest that INA strains of E. ananas could be effective as a potential biological control agent of insect pests.

Animals↗
PubMed2000

[Focal and total residual insecticide spraying to control Triatoma brasiliensis and Triatoma pseudomaculata in Northeast Brazil].

To efficiently control the triatomines Triatoma brasiliensis and Triatoma pseudomaculata, a field trial was performed to compare conventional versus focal spraying of deltamethrin 5% SC at 25 mg a. i./m2 and the slow-release organophosphate malathion 8.3% SR at 2g a. i./m2. The assay took place in the county of Boa Viagem, Ceará State, with 1541 households, randomly separated into 4 groups. Two of them received focal spraying: PT, treated with deltamethrin indoors and in the peridomicile, and PL, which received slow-release malathion in the same circumstances. The other groups received conventional, i.e., total application: PT with deltamethrin in the intra- and peridomicile, and PL, which was treated with deltamethrin indoors and slow-release malathion in the peridomicile. Entomological surveys at 6 and 12 months post-treatment showed better results for mixed treatment, the PL group, probably due to good indoor performance for the pyrethroid and better performance of the slow-release formulation under the hostile peridomiciliary conditions. Domestic animal shelters underwent numerous modifications over the course of the year, fostering reduced insecticide performance in the peridomicile.

Animals↗
PubMed2000

Distribution of African malaria mosquitoes belonging to the Anopheles gambiae complex.

The distribution of malaria vector mosquitoes, especially those belonging to species complexes that contain non-vector species, is important for strategic planning of malaria control programmes. Geographical information systems have allowed researchers to visualize distribution data on maps together with environmental parameters, such as rainfall and temperature. Here, Maureen Coetzee, Marlies Craig and David le Sueur review our current knowledge on the distribution of the members of the Anopheles gambiae complex.

Africa South of the Sahara↗