Choo Monica Seungah, Blackwood R Alexander
Department of Pediatrics, Division of Infectious Diseases, Office of Health Equity and Inclusion, University of Michigan, Ann Arbor, MI, USA.
Infect Dis Rep. 2017 May 31;9(2):6894. doi: 10.4081/idr.2017.6894.
The Chikungunya virus (CHIKV) has been rapidly spreading throughout Latin America, utilizing pre-existing vectors to infiltrate the immunologically naïve populations. With the current rise of the Zika Virus, there is an urgent need for more rigorous vector control efforts to prevent further Zika breakout. We designed a school-based education module on CHIKV and mosquito prevention and presented it to the local students of ages of 6-18 in a rural town called Sudzal in Yucatan, Mexico. We distributed questionnaires before and after education to test the students' knowledge of CHIKV and mosquito prevention. Chi-squared test was performed to determine the efficacy of the presentation in increasing their knowledge. The education presentation has proven to effectively educate the local residents in several critical methods of mosquito prevention, increasing the average test scores by 67% post-education. These include applying repellent, staying hydrated during recuperation, and cleaning indoor water containers to eliminate breeding sites (P<0.001). Furthermore, the questionnaire captured the residents' behavioral patterns regarding CHIKV and mosquito prevention and identified cultural, ecological, and socioeconomic factors hindering effective implementation of vector control.
基孔肯雅病毒（CHIKV）一直在拉丁美洲迅速传播，利用现有的病媒渗透到免疫未接触过该病毒的人群中。随着当前寨卡病毒的增多，迫切需要更严格的病媒控制措施来防止寨卡病毒进一步爆发。我们设计了一个关于基孔肯雅病毒和蚊虫预防的校本教育模块，并将其呈现给墨西哥尤卡坦州一个名为苏扎尔的农村小镇上6至18岁的当地学生。我们在教育前后分发问卷，以测试学生对基孔肯雅病毒和蚊虫预防的知识。进行卡方检验以确定该讲座在增加他们知识方面的效果。该教育讲座已证明能有效地向当地居民传授几种关键的蚊虫预防方法，教育后平均测试成绩提高了67%。这些方法包括涂抹驱虫剂、康复期间保持水分摄入以及清洁室内水容器以消除繁殖地（P<0.001）。此外，问卷记录了居民关于基孔肯雅病毒和蚊虫预防的行为模式，并确定了阻碍有效实施病媒控制的文化、生态和社会经济因素。
