title: Challenges and future perspective for dengue vector control in the Western Pacific Region.
abstract: Dengue remains a significant public health issue in the Western Pacific Region. In the absence of a vaccine, vector control is the mainstay for dengue prevention and control. In this paper we describe vector surveillance and vector control in the Western Pacific countries and areas. Vector surveillance and control strategies used by countries and areas of the Western Pacific Region vary. Vector control strategies include chemical, biological and environmental management that mainly target larval breeding sites. The use of insecticides targeting larvae and adult mosquitoes remains the mainstay of vector control programmes. Existing vector control tools have several limitations in terms of cost, delivery and long-term sustainability. However, there are several new innovative tools in the pipeline. These include Release of Insects Carrying a Dominant Lethal system and Wolbachia, an endosymbiotic bacterium, to inhibit dengue virus in the vector. In addition, the use of biological control such as larvivorous fish in combination with community participation has potential to be scaled up. Any vector control strategy should be selected based on evidence and appropriateness for the entomological and epidemiological setting and carried out in both inter-epidemic and epidemic periods. Community participation and interagency collaboration are required for effective and sustainable dengue prevention and control. Countries and areas are now moving towards integrated vector management.
authors.affiliation: Malaria, Other Vectorborne and Parasitic Diseases, World Health Organization Regional Office for the Western Pacific, Manila, the Philippines .
authors.forename: Moh Seng
authors.initials: MS
authors.lastname: Chang
authors.forename: Eva Maria
authors.initials: EM
authors.lastname: Christophel
authors.forename: Deyer
authors.initials: D
authors.lastname: Gopinath
authors.forename: Rashid Md
authors.initials: RM
authors.lastname: Abdur
authors.forename: Other
authors.initials: O
authors.lastname: Vectorborne
authors.forename: Parasitic
authors.initials: P
authors.lastname: Diseases
references.citation: Lancet. 2005 Feb 12-18;365(9459):613-7
references.pmid: 15708107
references.citation: Adv Exp Med Biol. 2008;627:93-103
references.pmid: 18510017
references.citation: Trans R Soc Trop Med Hyg. 2010 Jun;104(6):379-86
references.pmid: 20400169
references.citation: Am J Trop Med Hyg. 2010 Sep;83(3):664-71
references.pmid: 20810836
references.citation: Southeast Asian J Trop Med Public Health. 2008 Jul;39(4):601-9
references.pmid: 19058596
references.citation: J Med Entomol. 2009 Nov;46(6):1245-55
references.pmid: 19960667
references.citation: PLoS Negl Trop Dis. 2009 Nov 24;3(11):e552
references.pmid: 19956588
references.citation: Am J Trop Med Hyg. 2000 Jan;62(1):5-10
references.pmid: 10761718
references.citation: Southeast Asian J Trop Med Public Health. 2010 Sep;41(5):1071-81
references.pmid: 21073027
references.citation: J Vector Ecol. 2008 Dec;33(2):333-41
references.pmid: 19263854
references.citation: PLoS Negl Trop Dis. 2009;3(4):e411
references.pmid: 19399163
references.citation: Trop Med Int Health. 2007 Sep;12(9):1026-36
references.pmid: 17875014
references.citation: J Vector Ecol. 2008 Jun;33(1):139-44
references.pmid: 18697316