EL CAMINO DEL GUERRERO PDF
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Having more than four water containers was associated with household infestation in both rural areas OR 1.
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Additional factors in rural areas were: household head without paid work 1. In urban areas only, presence of temephos was associated with a lower risk of household infestation 0.
Conclusion Concrete tanks and barrels accounted for the majority of pupal productivity. Covering water containers could be an effective means of Ae.
These findings were useful in planning and implementing the Camino Verde trial intervention in Mexico. Keywords: Aedes aegypti, Dengue, Pupal productivity, Temephos Background Dengue is an important neglected infectious disease in the Latin America and Caribbean region [ 1 ].
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Globally, there are an estimated million dengue infections a year, of which 96 million show clinical manifestations ranging from mild to the most severe [ 2 ]. The main dengue vector is the Aedes aegypti mosquito, which is drawn to urban habitats and reproduces mainly in artificial water containers inside or outside households [ 3 ]. Irregular or low-quality household water supplies compel households to store water in tanks, barrels or other containers, often open, thus creating a favourable environment for the female Ae.
Low quality urban development contributes to the proliferation of containers in which Ae. Many types of container can become breeding sites [ 8 ], and their contribution to mosquito production may vary depending on the season [ 9 , 10 ]. Certain household characteristics have been identified as adding to the risk of infestation by immature forms of Ae.
This article reports an analysis of data from the baseline survey for Camino Verde, a cluster-randomised controlled trial to reduce dengue risk in southern Mexico and Nicaragua through evidence-based community mobilisation, conducted in and described by Andersson et al.
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Other community mobilisation interventions have shown impact on entomological indicators; Camino Verde was the first to have demonstrated impact against dengue virus infection and reported cases of dengue illness. Additional analysis of the baseline study highlighted high amounts being spent by households in anti-mosquito products [ 33 ], and the Camino Verde intervention emphasized non-chemical methods of vector control.
In the mainly rural Costa Grande and Costa Chica regions, customs are more traditional and women spend more time at home where they may be more exposed to the Aedes aegypti mosquito which prefers to breed in domestic settings.
As it turned out, in Mexico women were much more active than men in community activities to reduce mosquitoes during the Camino Verde trial [ 34 ]; one reason for their greater involvement may be that they perceived themselves as more affected by dengue. Limitations We identified cases of dengue on the basis of self-reports from the household respondent in each household.
Such reports may not be fully reliable.
Under-reporting of dengue cases may have been more marked in some households, as discussed above. We did not ask about the severity of symptoms, although we did collect information about whether cases had been admitted to hospital for treatment [ 35 ]. As with all cross-sectional analyses, we cannot interpret the associations we identified in our analysis as being causal.
Conclusions Findings from the baseline study of the Camino Verde trial confirmed and highlighted associations with dengue virus infection and with self-reported dengue illness. Discussion and dissemination of evidence from the baseline survey were integral to the intervention in the trial communities.
The weakness of community leadership and the relatively low rates of self-reported dengue illness were challenges that the Mexican intervention team had to overcome. The higher occurrence of dengue illness among women in Costa Grande and Costa Chica noted in the baseline study may help explain why women participated more than men in achieving the successful outcome of the Camino Verde trial. Acknowledgments The authors thank Francisco Laucirica who translated the original Spanish draft into English.
Availability of data and materials No additional data available.
NA, the principal investigator for the Camino Verde trial, made significant contributions to the final manuscript. As pues ttulo completo puede traducirse como libro clsico del camino poder. El hecho que siga siendo best seller testimonio cun meditada meticulosa crtica socialismo las economas planificacin centralizada.
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