Center of Excellence for Vectors and Vector-Borne Diseases, Faculty of Science, Mahidol University at Salaya, Nakhon Pathom, Thailand.
Pathog Glob Health. 2012 Dec;106(8):446-54. doi: 10.1179/2047773212Y.0000000059.
Dengue is considered one of the most important vector-borne diseases in Thailand. Its incidence is increasing despite routine implementation of national dengue control programmes. This study, conducted during 2010, aimed to demonstrate an application of integrated, community-based, eco-bio-social strategies in combination with locally-produced eco-friendly vector control tools in the dengue control programme, emphasizing urban and peri-urban settings in eastern Thailand.
Three different community settings were selected and were randomly assigned to intervention and control clusters. Key community leaders and relevant governmental authorities were approached to participate in this intervention programme. Ecohealth volunteers were identified and trained in each study community. They were selected among active community health volunteers and were trained by public health experts to conduct vector control activities in their own communities using environmental management in combination with eco-friendly vector control tools. These trained ecohealth volunteers carried out outreach health education and vector control during household visits. Management of public spaces and public properties, especially solid waste management, was efficiently carried out by local municipalities. Significant reduction in the pupae per person index in the intervention clusters when compared to the control ones was used as a proxy to determine the impact of this programme.
Our community-based dengue vector control programme demonstrated a significant reduction in the pupae per person index during entomological surveys which were conducted at two-month intervals from May 2010 for the total of six months in the intervention and control clusters. The programme also raised awareness in applying eco-friendly vector control approaches and increased intersectoral and household participation in dengue control activities.
An eco-friendly dengue vector control programme was successfully implemented in urban and peri-urban settings in Thailand, through intersectoral collaboration and practical action at household level, with a significant reduction in vector densities.
登革热被认为是泰国最重要的虫媒传染病之一。尽管实施了常规的国家登革热控制计划，但该病的发病率仍在上升。本研究于 2010 年进行，旨在展示综合的、以社区为基础的、生态-生物-社会策略在结合当地生产的环保病媒控制工具的情况下在登革热控制项目中的应用，强调泰国东部的城市和城郊环境。
选择了三个不同的社区环境，并将其随机分配到干预组和对照组。请社区的主要领导人和相关政府当局参与这一干预项目。在每个研究社区都确定了生态健康志愿者并对他们进行培训。他们从积极参与社区卫生的志愿者中挑选出来，并由公共卫生专家进行培训，以便在自己的社区中利用环境管理和环保病媒控制工具进行病媒控制活动。这些经过培训的生态健康志愿者在上门探访时进行了户外健康教育和病媒控制。当地市政府有效地管理了公共空间和公共财产，特别是固体废物管理。通过对干预组和对照组进行每两个月一次的蚊虫调查，用每人的蛹指数的显著减少来作为该项目的影响的替代指标。
我们的社区登革热病媒控制项目在干预组和对照组的六个月期间，通过在两个月的间隔进行的昆虫学调查，展示了在登革热媒介控制方面的显著效果，每人的蛹指数显著降低。该项目还提高了对应用环保病媒控制方法的认识，并增加了部门间和家庭对登革热控制活动的参与。
通过部门间合作和家庭层面的实际行动，在泰国的城市和城郊环境中成功实施了环保登革热病媒控制项目，显著降低了病媒密度。
