Dehecq J-S, Baville M, Margueron T, Mussard R, Filleul L
Agence de Santé Océan Indien, Délégation de l'ile de La Réunion, Service de Lutte Antivectorielle, 2bis, avenue Georges-Brassens, CS60050, F-97408, Saint-Denis cedex 09, France.
Bull Soc Pathol Exot. 2011 May;104(2):153-60. doi: 10.1007/s13149-010-0121-5. Epub 2010 Dec 22.
The re-emergence of local transmission of chikungunya virus caused by Aedes albopictus since March 2010 in the Réunion Island, French territory in the southwest Indian Ocean, calls for better epidemiological surveys, vector control, and community-based chikungunya control. This paper describes the strategy and the new ways of vector control applied since the last major chikungunya virus outbreak in 2005-2007, and the high levels of collaboration with mayors and local associations for community involvement. Between March 17, 2010 (first chikungunya case) and July 1, 2010, 313 cases were investigated, 13,036 premises inspected, and 34,393 premises concerned by spatial treatment. The traditional entomologic indices don't explain the distribution map of chikungunya cases, and many other factors have to be measured for evaluating the risk of transmission, such as lifestyle, habitat, and the kind of environment the people live in. A big information campaign was conducted beside the implementation of traditional mosquito control techniques. The two themes of this campaign are environmental management and individual protection, considered as important components of chikungunya prevention. The outcome of the mosquito control strategy demonstrates that community participation is not enough, and more studies are required to define new ways of communication for promoting community-oriented activities to prevent chikungunya epidemics.
自2010年3月起,印度洋西南部法国海外领地留尼汪岛上白纹伊蚊引发的基孔肯雅病毒本地传播再度出现,这就需要更好地开展流行病学调查、进行病媒控制以及实施以社区为基础的基孔肯雅热防控措施。本文描述了自2005 - 2007年上一次基孔肯雅病毒大爆发以来所采用的病媒控制策略和新方法,以及与市长和地方协会为促进社区参与而开展的高水平合作。在2010年3月17日(首例基孔肯雅热病例)至2010年7月1日期间,共调查了313例病例,检查了13,036处房屋,并对34,393处房屋进行了空间处理。传统的昆虫学指标无法解释基孔肯雅热病例的分布图,还必须测量许多其他因素以评估传播风险,如生活方式、栖息地以及人们居住的环境类型。在实施传统灭蚊技术的同时,还开展了大规模的宣传活动。此次活动的两个主题是环境管理和个人防护,它们被视为基孔肯雅热预防的重要组成部分。灭蚊策略的结果表明,仅有社区参与是不够的,还需要开展更多研究来确定新的沟通方式,以促进以社区为导向的活动,预防基孔肯雅热疫情。