NDLI: Community Participation in Chagas Disease Vector Surveillance: Systematic Review

Content Provider	PubMed Central
Author	Fernando, Abad-franch Vega, M. Celeste Rolón, Miriam S. Santos, Walter S. Arias, Antonieta Rojas De
Editor	Gürtler, Ricardo E.
Copyright Year	2011
Abstract	Blood-sucking triatomine bugs are the vectors of Chagas disease, a potentially fatal illness that affects millions in Latin America. With no vaccines available, prevention heavily depends on controlling household-infesting triatomines. Insecticide-spraying campaigns have effectively reduced incidence, but persistent household reinfestation can result in disease re-emergence. What, then, is the best strategy to keep houses free of triatomines and thus interrupt disease transmission in the long run? We reviewed published evidence to (i) assess the effectiveness of insecticide-based vector control, gauging the importance of reinfestation; (ii) compare the efficacy of programme-based (with households periodically visited by trained staff) and community-based (with residents reporting suspect vectors found in their homes) surveillance strategies; and (iii) evaluate the performance of alternative vector-detection methods. The results confirm that insecticide-based vector control is highly effective, but also that persistent house reinfestation is a general trend across Latin America. Surveillance systems are significantly more effective when householders report suspect bugs than when programme staff search houses, either manually or using vector-detection devices. Our results clearly support the view that long-term vector surveillance will be necessary for sustained Chagas disease control – and that community participation can substantially contribute to this aim.
Related Links	http://dx.doi.org/10.1371/journal.pntd.0001207
Starting Page	1207
File Format	PDF
ISSN	19352735
e-ISSN	19352735
Journal	PLoS Neglected Tropical Diseases
Issue Number	6
Volume Number	5
Language	English
Publisher	Public Library of Science
Publisher Date	2011-06-01
Access Restriction	Open
Rights Holder	Public Library of Science
Subject Keyword	Pharmacology, Toxicology and Pharmaceutics(all) Public Health, Environmental and Occupational Health Infectious Diseases Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Public Health, Environmental and Occupational Health Pharmacology, Toxicology and Pharmaceutics

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