Mulderij-Jansen Vaitiare, Pundir Prachi, Grillet Maria E, Lakiang Theophilus, Gerstenbluth Izzy, Duits Ashley, Tami Adriana, Bailey Ajay
Department of Medical Microbiology and Infection Prevention, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Faculty of Geosciences, Department of Human Geography and Spatial Planning, International Development Studies, Utrecht University, Utrecht, Netherlands.
PLoS One. 2022 Nov 2;17(11):e0277038. doi: 10.1371/journal.pone.0277038. eCollection 2022.
BACKGROUND: Aedes aegypti and Aedes albopictus are primary vectors of emerging or re-emerging arboviruses that threaten public health worldwide. Many efforts have been made to develop interventions to control these Aedes species populations. Still, countries in the Latin America and the Caribbean (LAC) region struggle to create/design/develop sustainable and effective control strategies. This scoping review synthesises evidence concerning the effectiveness of Ae. aegypti and Ae. albopictus prevention and control interventions performed in LAC (2000-2021). The findings can be used to evaluate, compare and develop more effective control strategies. METHODOLOGY: The review is based on the methodology by Joanna Briggs Institute for conducting a scoping review. The MEDLINE (via PubMed and Web of Science), Cochrane Library, Scopus, EMBASE and ScienceDirect databases were used to search for articles. Grey literature was searched from governmental and non-governmental organisation websites. Four reviewers independently screened all titles and abstracts and full-text of the articles using the Rayyan web application, based on pre-defined eligibility criteria. RESULTS: A total of 122 publications were included in the review. Most studies focused on dengue virus infection and data on Ae. aegypti. Entomological data were mainly used to determine the intervention's effectiveness. An integrated control intervention was the most commonly employed strategy in both regions. Biological control measures, environmental management, and health education campaigns on community participation achieved more sustainable results than an intervention where only a chemical control measure was used. Challenges to implementing interventions were insufficient financial support, resources, workforce, intersectoral collaboration and legislation. CONCLUSIONS: Based on the synthesised data, an integrated vector (Aedes) management focused on community participation seems to be the most effective approach to mitigate Aedes-borne infectious diseases. Maintaining the approach's effect remains challenging as it requires multisectoral and multi-disciplinary team engagement and active community participation. Future research needs to address the barriers to program implementation and maintenance as data on this topic is lacking.
背景：埃及伊蚊和白纹伊蚊是新出现或重新出现的虫媒病毒的主要传播媒介，这些病毒威胁着全球公共卫生。人们已经做出了许多努力来开发控制这些伊蚊种群的干预措施。然而，拉丁美洲和加勒比地区的国家仍在努力制定可持续且有效的控制策略。本范围综述综合了有关拉丁美洲和加勒比地区（2000 - 2021年）实施的埃及伊蚊和白纹伊蚊预防与控制干预措施有效性的证据。这些研究结果可用于评估、比较和制定更有效的控制策略。 方法：本综述基于乔安娜·布里格斯研究所进行范围综述的方法。使用MEDLINE（通过PubMed和科学网）、考科蓝图书馆、Scopus、EMBASE和ScienceDirect数据库搜索文章。从政府和非政府组织网站搜索灰色文献。四名评审员根据预先定义的纳入标准，使用Rayyan网络应用程序独立筛选所有文章的标题、摘要和全文。 结果：本综述共纳入122篇出版物。大多数研究聚焦于登革病毒感染以及埃及伊蚊的数据。昆虫学数据主要用于确定干预措施的有效性。综合控制干预是两个地区最常用的策略。生物控制措施、环境管理以及关于社区参与的健康教育活动比仅使用化学控制措施的干预取得了更可持续的成果。实施干预措施面临的挑战包括资金支持不足、资源短缺、劳动力不足、部门间协作以及立法问题。 结论：基于综合数据，以社区参与为重点的综合病媒（伊蚊）管理似乎是减轻伊蚊传播传染病的最有效方法。维持该方法的效果仍然具有挑战性，因为这需要多部门和多学科团队的参与以及社区的积极参与。由于缺乏关于这一主题的数据，未来的研究需要解决项目实施和维持的障碍。
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