Evaluation of a community interventional strategy to reduce dengue
Keywords:
Aedes aegypti, prevention, dengue, environmental factor, intersectoral involvementAbstract
Introduction: the intervention to control Aedesaegypti, with intersectoral and population involvement, is a key element in the struggle with dengue and a powerful instrument to reduce arboviruses.
Objective: to design a community interventional strategy to reduce dengue in the Community Policlinic Guillermo Tejas Silva, of the municipality Las Tunas.
Materials and methods: an interventional strategy was designed to reduce the infestation indexes of Aedesaegypti in the Community Policlinic Guillermo Tejas Silva, in the period from January to December 2019. The universe was formed by 357 blocks from which 47, evaluated as highly risky, were chosen as a sample. In the design of the strategy, the following educational and technical components were combined: surveillance; focal, perifocal and adulticidal treatment. Simultaneously, a community and intersectoral treatment was carried out.
Results: with the application of the interventional strategy, 100 % of the health care staff and focal duos, and 97 % of the population were trained. Besides that the infestation index was reduced from 2 % to 0.07 % and the risk in 86.2 %. The 47 blocks that were in the stratus I, were reduced to 7, and dengue occurrence to 0.
Conclusions: the application of the strategy led to the community empowerment in the control of dengue, with changes in the environmental management, increment in the level of knowledge, and reduction of the infestation index.Downloads
References
2. Organización Mundial de la Salud. Dengue y dengue hemorrágico. Nota descriptiva N° 117 [Internet]. Ginebra: Organización Mundial de la Salud; 2017 abr [citado 24/11/2020]. Disponible en: http://www.who.int/mediacentre/factsheets/fs117/es/
3. Delgado-Martínez I. Historia del dengue en Cuba [Internet]. La Habana: Infomed-Centro Nacional de Información de Ciencias Médicas; 2017 [citado 24/11/2020]. Disponible en: http://www.sld.cu/sitios/dengue/verpost.php?blog=http://articulos.sld.cu/dengue/&post_id=66&c=2987&tipo=2&idblog=158&p=1&n=dff
4. Martín-Roque M, Machado-Mutis I, Morell-Batista E. Sec-dengue, sistema experto para la clasificación temprana de dengue severo. Márgenes [Internet]. 2016 [citado 24/11/2020];3(4):100-12. Disponible en: https://redib.org/Record/oai_articulo2428935-sec-dengue-sistema-experto-para-la-clasificaci%C3%B3n-temprana-de-dengue-severo
5. Martínez-Torres E. Dengue y dengue hemorrágico: aspectos clínicos. Salud Pública Mex [Internet]. 1995 [citado 24/11/2020];37(Spl 1). Disponible en: https://www.saludpublica.mx/index.php/spm/article/view/4562
6. El dengue. Blog Cuidados de Enfermería [Internet]. Callao, Perú: Universidad Nacional del Callao. 2015 Jun [citado 24/11/2020]. Disponible en: http://unac-enfermeria.blogspot.com/2015/06/el-dengue.html
7. Sousa ST, Da Encarnação-Sá-Guimarães T, de Alvarenga ESL, et al. History, epidemiology and diagnostics of dengue in the American and Brazilian contexts: a review: Parasit Vectors. 2018;11(1). Citado en PubMed; PMID: 29690895.
8. Policlínico Guillermo Tejas. Departamento Estadística: SE Arbovirosis. La Tunas: Policlínico Guillermo Tejas; 2018.
9. Tamayo-Escobar OE, García-Olivera TM, Escobar-Yénde NV, et al. La reemergencia del dengue: un gran desafío para el sistema sanitario latinoamericano y caribeño en pleno siglo XXI. Medisan [Internet]. 2019 [citado 24/11/2020];33(2):3-4. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192019000200308
10. Wilder-Smith A, Ooi EE, Horstick O, et al. Dengue. The Lancet [Internet]. 2019 [citado 24/11/2020];393(10169):350-63. Disponible en: https://doi.org/10.1016/s0140-6736(18)32560-1
11. López Santiso P, Robaina Castillo JI, Hernández-García F, et al. Comportamiento clínico-epidemiológico del dengue en Cuba. Una actualización necesaria. Universidad Médica Pinareña [Internet]. 2017 [citado 24/11/2020];13(1):44-64. Disponible en: http://www.revgaleno.sld.cu/index.php/ump/article/view/210
12. Gutiérrez-Albenda DA. Situación actual del dengue como enfermedad reemergente en Costa Rica. Rev Costarric Salud Pública [Internet]. 2018 [citado 24/11/2020];27(1):35-41. Disponible en: https://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1409-14292018000100035
13. Frantchez V, Fornelli R, Pérez-Sartori G, et al. Dengue en adultos: diagnóstico, tratamiento y abordaje de situaciones especiales. Rev Méd del Urug [Internet]. 2016 [citado 24/11/2020];32(1):43-51. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-03902016000100006&lng=en&tlng=pt
14. Martínez JD. Cárdenas-de-la-Garza JA, Cuéllar-Barboza A. Going Viral. Zika, Chikungunya, and Dengue. Dermatol Clin [Internet]. 2019 [citado 24/11/2020];37(1):95-105. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0733863518310994?via%3Dihub
15. Muller DA, Depelsenaire ACI, Young PR. Clinical and Laboratory Diagnosis of Dengue Virus Infection. The Journal of Infectious Diseases [Internet]. 2017 [citado 24/11/2020];215(suppl_2):S89-S95. Disponible en: https://academic.oup.com/jid/article/215/suppl_2/S89/3574518
Downloads
Published
How to Cite
Issue
Section
License
All content published in this journal is Open Access, distributed under the terms of the CC BY-NC 4.0 License.
It allows:
- Copy and redistribute published material in any medium or format.
- Adapt the content.
This will be done under the following terms:
- Attribute the authors' credits and indicate whether changes were made, in which case it must be in a reasonable way.
- Non-commercial use.
- Recognize the journal where it is published.
The copyrights of each article are maintained, without restrictions.
Guidelines to authors
