[Control of Aedes aegypti in Martinique. Contribution of entomology studies]

The dengue prevention activities in Martinique are based on: Entomological surveillance (including the use of insecticide in all parts of the Island). Epidemiological (clinical, serological and virological) surveillance. Health Education (radio, TV, exhibitions, talks in primaries and secondaries schools, in associations,...). The main breeding sites of Aedes aegypti are maintained by human practices: flowers vases, containers, used tyres, waste... The role of those human practices in the standing of Aedes aegypti populations at high level in Martinique have lead us to emphasize entomological observations and Health education. The calculation of classical Breteau Index abstracts the nature and the productivity of the breeding sites (f.e.: no difference between a flower vase and a drum). In operational way, we have introduced a new approach for calculating the Breteau index value which includes the breeding sites nature and productivity. This approach permit us to adapt the Health education message in each geographical sector.