title: An integrated ecosystem approach for sustainable prevention and control of dengue in Central Havana.
abstract: The authors developed and evaluated a comprehensive participatory ecosystem health approach for preventing the transmission of dengue, the most prevalent vector-borne disease in Cuba and the Latin America-Caribbean region. The integrated surveillance system central to this initiative encompassed three main subsystems (environmental; entomological; clinical-epidemiologic), relying on extensive community involvement. The study was conducted in Central Havana, Cuba. Indicators from each subsystem were selected and mapped using a GIS procedure providing instant visualization by city block in the municipality. To elucidate the factors affecting control and prevention efforts, perceived needs and risks, as well as knowledge, attitudes, and behaviors related to dengue, were assessed. Specific factors associated with the presence of mosquito breeding sites and risks of dengue were examined in a case-control study.
authors: Instituto Nacional de Higiene, Epidemiología y Microbiología (INHEM), Havana, Cuba. director@inhem.sld.cu
authors: Mariano
authors: M
authors: Bonet
authors: Jerry M
authors: JM
authors: Spiegel
authors: Ana Maria
authors: AM
authors: Ibarra
authors: Gustavo
authors: G
authors: Kouri
authors: Alfredo
authors: A
authors: Pintre
authors: Annalee
authors: A
authors: Yassi
mesh_terms: D000330:Aedes; D000818:Animals; D003256:Community Participation / Q000379:methods*; D003462:Cuba / Q000453:epidemiology; D003715:Dengue / Q000517:prevention & control* / Q000635:transmission; D017753:Ecosystem; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods; D006801:Humans; D007303:Insect Vectors; D009032:Mosquito Control / Q000379:methods / Q000458:organization & administration; D018570:Risk Assessment; D018571:Sentinel Surveillance