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Updated: May 25, 2026

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Testing the effectiveness of community-based dengue vector control interventions using semiparametric mixed models.

Lizet Sanchez1, Jonh Maringwa, Ziv Shkedy

  • 1Epidemiology Division, Institute of Tropical Medicine "Pedro Kouri," Havana City, Cuba. lsanchez@ipk.sld.cu

Vector Borne and Zoonotic Diseases (Larchmont, N.Y.)
|January 14, 2012
PubMed
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Intersectoral coordination and community empowerment strategies significantly reduced Aedes aegypti larval indices in Cuba. This integrated approach proved effective in dengue vector control over a six-year period.

Area of Science:

  • Public Health
  • Vector-Borne Disease Control
  • Community Health Interventions

Background:

  • Dengue fever, transmitted by Aedes aegypti mosquitoes, poses a significant public health challenge globally.
  • Traditional vector control methods often require enhancement through integrated strategies.
  • Sustained control necessitates community involvement and intersectoral collaboration.

Purpose of the Study:

  • To evaluate the effectiveness of intersectoral coordination and community empowerment for Aedes aegypti control.
  • To assess the impact of a multi-stage intervention on entomologic indices over six years.
  • To provide evidence for sustainable dengue vector control strategies in Cuba.

Main Methods:

  • A longitudinal study design comparing intervention and control areas in Playa Municipality, Cuba (1999-2005).

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  • Intervention involved two stages: initial intersectoral coordination (2000) followed by community empowerment (2003).
  • Entomologic surveillance measured Breteau Index (BI); statistical analysis included confidence intervals and a semiparametric mixed model.
  • Main Results:

    • The intervention area showed a significant reduction in BI following the implementation of intersectoral coordination.
    • Community empowerment strategy further enhanced control, leading to significant BI differences between areas.
    • Entomologic surveillance data demonstrated sustained effectiveness of the combined strategy.

    Conclusions:

    • The integrated strategy combining intersectoral coordination and community empowerment is effective for Aedes aegypti control.
    • This approach demonstrates potential for sustainable dengue vector management in similar settings.
    • Longitudinal data analysis confirmed the positive impact of the intervention on larval indices.