Assistant Professor, Department of Community Medicine, Armed Forces Medical College, Pune, Maharashtra, India.
Scientist G, Department of Community Medicine, Armed Forces Medical College, Pune, Maharashtra, India.
Indian J Public Health. 2019 Oct-Dec;63(4):324-329. doi: 10.4103/ijph.IJPH_296_18.
Major determinant of dengue incidence is interaction between ecology, vector bionomics, and social factors.
The objective of the study is to find out bio-eco-social determinants of Aedes breeding.
Background, household, entomological, and knowledge, attitude, and practice (KAP) surveys were undertaken post- and premonsoon showers from May to June 2016 in urban and rural practice area of medical college.
A total of 181 and 204 households, 131 and 137 individuals, and 1250 and 1268 water-holding containers were included in household survey, KAP survey, and larval survey in urban slum and rural area, respectively. In both locations, maximum water-holding containers were indoors (41.4% and 61.8%, respectively); however, maximum positivity was peridomestic (63.6% and 83.1%, respectively). Pupae per container were 0.9 and 1.9 in respective locations and pupae per person were 1.2 and 2.3, respectively. Container positivity was seen in containers with rain as water source (8.8%) as well as among those who were never used (10.7%). Irregular water supply was significantly more in rural area (P < 0.05). KAP survey revealed that majority (90.1% and 71.5%, respectively) had heard about dengue, with significantly higher knowledge in urban slum, and television was the main source of information. Majority (89% and 83%, respectively) were unaware that peak biting time of Aedes is daytime. Use of mosquito repellent coils was the predominant preventive practice (46.6% and 61.2%, respectively). Pupae were reared; all were found to be Aedes aegypti.
Despite enhanced awareness campaigns, an integrated vector management approach is required for prevention of dengue.
登革热发病率的主要决定因素是生态、媒介生物学和社会因素之间的相互作用。
本研究旨在找出蚊虫滋生的生物-生态-社会决定因素。
2016 年 5 月至 6 月，在后季风和前季风降雨后，在医学院的城市和农村实践区进行了背景、家庭、昆虫学和知识、态度和实践（KAP）调查。
在城市贫民窟和农村地区的家庭调查、KAP 调查和幼虫调查中，分别纳入了 181 户和 204 户、131 人和 137 人、1250 个和 1268 个储水容器。在这两个地方，最大的储水容器都在室内（分别为 41.4%和 61.8%）；然而，最高的阳性率是家庭周围（分别为 63.6%和 83.1%）。每个容器的蛹数分别为 0.9 和 1.9，每人的蛹数分别为 1.2 和 2.3。容器阳性见于雨水为水源的容器（8.8%）和从未使用过的容器（10.7%）。农村地区的不规则供水明显较多（P < 0.05）。KAP 调查显示，大多数人（分别为 90.1%和 71.5%）听说过登革热，城市贫民窟的知识水平明显较高，电视是主要的信息来源。大多数人（分别为 89%和 83%）不知道伊蚊的叮咬高峰时间是白天。使用蚊香是主要的预防措施（分别为 46.6%和 61.2%）。培养了蛹，全部都是埃及伊蚊。
尽管开展了增强意识运动，但仍需要采取综合的病媒控制方法来预防登革热。
