Passos A D, Rodrigues E M, Dal-Fabbro A L
Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Av. Bandeirantes, 3900, Ribeirão Preto, SP, 14049-900, Brasil.
Cad Saude Publica. 1998;14 Suppl 2:123-8. doi: 10.1590/s0102-311x1998000600011.
Following an epidemic of type I dengue in late 1990, the municipality of Ribeirão Preto (State of São Paulo, Brazil) assumed direct responsibility for the control of Aedes aegypti larvae. Control activities are presented in this report and are based on popular participation in environmental management. Massive use of the communications media, participation by schoolchildren, constant contact with the population, and integration of various public agencies are the program's priorities. Although the drop in the number of susceptibles may have played a role in the reduction of cases after the initial epidemic, the intense preventive campaign certainly helped quell the disease in the city, since changes were observed in the behavior of the population towards potential breeding sites. The occurrence of new cases in recent years appears to be related to greater circulation of the virus in both the State of São Paulo and Brazil as a whole, indicating the need for control measures at the national and continental level, without which it will be difficult to maintain low transmission rates, even in areas submitted to intense preventive work
1990年末，里贝朗普雷图市（巴西圣保罗州）爆发I型登革热疫情后，该市开始直接负责控制埃及伊蚊幼虫。本报告介绍了控制活动，这些活动基于民众参与环境管理。大规模利用传播媒体、学童参与、与民众保持持续联系以及整合各公共机构是该计划的重点。尽管易感人群数量的下降可能在最初疫情后病例减少中起到了一定作用，但密集的预防运动肯定有助于平息该市的疫情，因为观察到民众对潜在滋生地的行为发生了变化。近年来新病例的出现似乎与圣保罗州乃至整个巴西病毒传播增加有关，这表明需要在国家和大陆层面采取控制措施，否则即使在开展了密集预防工作的地区，也难以维持低传播率。
