Environmental methods for dengue vector control - A systematic review and meta-analysis

Background Vector control remains the primary method to prevent dengue infections. Environmental interventions represent sustainable and safe methods as there are limited risks of environmental contamination and toxicity. The objective of this study is to perform a systematic review and meta-analysis of the effectiveness of the following environmental methods for dengue vector control. Methodology/Principal findings Following the PRISMA guidelines, a systematic literature search was conducted using the databases PubMed, EMBASE, LILACS, the Cochrane Library and Google Scholar. Quality assessment was done using the CONSORT 2010 checklist. For the meta-analysis the difference-in-differences (DID) and the difference-of-endlines (DOE) were calculated according to the Schmidt-Hunter method for the Breteau index (BI) and the pupae per person index (PPI). Nineteen studies were eligible for the systematic review, sixteen contributed data to the meta-analysis. The following methods were evaluated: (a) container covers with and without insecticides, (b) waste management and clean-up campaigns, and (c) elimination of breeding sites by rendering potential mosquito breeding sites unusable or by eliminating them. Study quality was highest for container covers with insecticides, followed by waste management without direct garbage collection and elimination of breeding places. Both, systematic review and meta-analysis, showed a weak effect of the interventions on larval populations, with no obvious differences between the results of each individual method. For the meta-analysis, both, container covers without insecticides (BI: DID -7.9, DOE -5) and waste management with direct garbage collection (BI: DID -8.83, DOE -6.2) achieved the strongest reductions for the BI, whereas for the PPI results were almost opposite, with container covers with insecticides (PPI: DID -0.83, DOE 0.09) and elimination of breeding places (PPI: DID -0.95, DOE -0.83) showing the strongest effects. Conclusions Each of the investigated environmental methods showed some effectiveness in reducing larval and pupal densities of Aedes sp. mosquitoes. However, there is a need for more comparable high-quality studies at an adequate standard to strengthen this evidence. Author summary Dengue is an emerging mosquito-borne viral disease, which is transmitted through the bite of Aedes sp. mosquitoes. The dengue virus causes 390 million infections and 96 million cases every year, and represents a major public health problem in the tropics and subtropics. Although a dengue vaccine was licensed in late 2015, it does not represent a general solution due to significant imperfections. Vector control remains still the primary method to prevent dengue infections. Environmental interventions to control dengue vectors represent sustainable and safe methods as there are limited risks of environmental contamination and toxicity. We provide a systematic review and meta-analysis of the effectiveness of the following environmental methods for dengue vector control: container covers with and without insecticides, waste management with and without direct garbage collection, elimination of breeding places. Both, systematic review and meta-analysis, showed a weak effect of the interventions on larval Aedes sp. populations, with no obvious differences between the results of each individual method. However, there is a need for more comparable high-quality studies at an adequate standard to strengthen this evidence

Use of pyriproxyfen in control of Aedes mosquitoes: A systematic review.

Dengue is the most rapidly spreading arboviral disease in the world. The current lack of fully protective vaccines and clinical therapeutics creates an urgent need to identify more effective means of controlling Aedes mosquitos, principally Aedes aegypti, as the main vector of dengue. Pyriproxyfen (PPF) is an increasingly used hormone analogue that prevents juvenile Aedes mosquitoes from becoming adults and being incapable of transmitting dengue. The objectives of the review were to (1) Determine the effect of PPF on endpoints including percentage inhibition of emergence to adulthood, larval mortality, and resistance ratios; and (2) Determine the different uses, strengths, and limitations of PPF in control of Aedes. A systematic search was applied to Pubmed, EMBASE, Web of Science, LILACS, Global Health, and the Cochrane database of Systematic Reviews. Out of 1,369 records, 90 studies met the inclusion criteria. Nearly all fit in one of the following four categories 1) Efficacy of granules, 2) Auto-dissemination/horizontal transfer, 3) use of ultra-low volume thermal fogging (ULV), thermal fogging (TF), or fumigant technologies, and 4) assessing mosquito resistance. PPF granules had consistently efficacious results of 90-100% inhibition of emergence for up to 90 days. The evidence is less robust but promising regarding PPF dust for auto-dissemination and the use of PPF in ULV, TF and fumigants. Several studies also found that while mosquito populations were still susceptible to PPF, the lethal concentrations increased among temephos-resistant mosquitoes compared to reference strains. The evidence is strong that PPF does increase immature mortality and adult inhibition in settings represented in the included studies, however future research should focus on areas where there is less evidence (e.g. auto-dissemination, sprays) and new use cases for PPF. A better understanding of the biological mechanisms of cross-resistance between PPF, temephos, and other insecticides will allow control programs to make better informed decisions

Implementing and scaling verbal autopsies: into the unknown

Well-functioning civil registration and vital statistics (CRVS) systems provide policymakers and stakeholders with accurate and timely information regarding the number of births, deaths, and specific causes of mortality within a population. Ideally, this information is used to guide the effective delivery of health and social development programs [1]. These systems can also facilitate efforts to promote equity and justice by demonstrating the needs of the poorest and most vulnerable groups

Reply to Gautret et al

To the Editor—We thank Gautret et al for their comments and interest in our work. We found it compelling to see the Web of Science data that illustrated the ac-celeration of scholarly publications at the intersection of climate change and vec-tor-borne disease. This trend is perhaps unsurprising, considering that each of the last 3 decades has been successively warm-er at the Earth’s surface than any preced-ing decade since 1850, and well-accepted science has demonstrated the devastating ecologic effects of these changes [1]

The Importance of Taking a Military History

The most important action a provider can take to ensure that a veteran receives optimal health care is perhaps the easiest and, ironically, the most neglected: asking if a patient has served in the military and taking a basic military history. In previously published articles, Jeffrey Brown1 and Ross Boyce,2 physicians with prior military service, reported that their own health care providers had rarely asked about their service. For Dr Brown, in the four decades since his combat service in Vietnam, he noted

Learning from LMICs: best practices for leveraging sentinel surveillance systems to track the US COVID-19 pandemic

FRAMING How is the USA like a low-income and middle-income countries (LMICs)? With limited treatment options, no vaccine and a chronically underfunded public health infrastructure, the USA is confronting the COVID-19 pandemic hampered by adversities typically faced by LMICs. In particular, obtaining reliable and timely surveillance data to inform public health policy has been impeded by persistent shortages of testing supplies and inequitable access to testing. SARS-CoV-2 testing in March and April 2020 likely identified only 2%–17% of US infections.

Building the evidence base for dengue vector control: searching for certainty in an uncertain world

This review discusses biological and chemical methods for dengue vector control, using recently emerging summary evidence, meta–analyses and systematic reviews to conclude on practical public health recommendations for Aedes control, which is increasingly relevant in an era of widespread Chikungunya, yellow feer and Zika outbreaks. The analysis follows an a priori framework of systematic reviews by the authors on vector control methods, distinguishing vector control methods into biological, chemical and environmental methods. Findings of each published systematic review by the authors, following each individual vector control method, are summarised and compared in the discussion against the findings of existing meta–analyses covering all vector control methods. Analysing nine systematic reviews and comparing to two existing meta–analyses provided low-to-moderate evidence that the control of Aedes mosquitoes can be achieved using 1) chemical methods, particularly indoor residual spraying and insecticide treated materials, and 2) biological methods, where appropriate. The level of efficacy and community effectiveness of the methods in most studies analysed is low, as was the overall assessment of study quality. Furthermore, the results show that too optimise results, larvae and adults should be targeted simultaneously. The quality of service delivery is probably one of the most important features of this analysis–and including high coverage. The analysis also highlights the urgent need for standards to guide the design and reporting of vector control studies, ensuring the validity and comparability of results. These studies should aim to include measurements of human transmission data–where and when possible

Community effectiveness of indoor spraying as a dengue vector control method: A systematic review

The prevention and control of dengue rely mainly on vector control methods, including indoor residual spraying (IRS) and indoor space spraying (ISS). This study aimed to systematically review the available evidence on community effectiveness of indoor spraying

The Australian Space Eye: studying the history of galaxy formation with a CubeSat

The Australian Space Eye is a proposed astronomical telescope based on a 6U CubeSat platform. The Space Eye will exploit the low level of systematic errors achievable with a small space based telescope to enable high accuracy measurements of the optical extragalactic background light and low surface brightness emission around nearby galaxies. This project is also a demonstrator for several technologies with general applicability to astronomical observations from nanosatellites. Space Eye is based around a 90 mm aperture clear aperture all refractive telescope for broadband wide field imaging in the i and z bands.Comment: 19 pages, 14 figures, submitted for publication as Proc. SPIE 9904, 9904-56 (SPIE Astronomical Telescopes & Instrumentation 2016

Severe Flooding and Malaria Transmission in the Western Ugandan Highlands: Implications for Disease Control in an Era of Global Climate Change

Background. There are several mechanisms by which global climate change may impact malaria transmission. We sought to assess how the increased frequency of extreme precipitation events associated with global climate change will influence malaria transmission in highland areas of East Africa