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Effectiveness of adulticides in preventing dengue transmission in temperate non endemic metropolitan areas

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Effectiveness of adulticides in preventing dengue

transmission in temperate non endemic metropolitan areas

Giovanni Marini

1*

, Giorgio Guzzetta

2,3

, Cecilia A. Marques Toledo

4

, Mauro Teixeira

4

, Roberto Rosà

1,3,5

, Stefano Merler

2,3

1) Department of Biodiversity and Molecular Ecology, Research and Innovation Centre, Fondazione Edmund Mach, San Michele all’Adige (Trento), Italy;

2) Center for Information Technology, Bruno Kessler Foundation, Trento, Italy; 3) Epilab-JRU, FEM-FBK Joint Research Unit, Province of Trento, Italy;

4) Departamento de Bioquimica e Imunologia do Instituto de Ciencias Biologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil;

5) Center Agriculture Food Environment, University of Trento, San Michele all’Adige (TN), Italy.

Conclusions

ULV has been rarely evaluated in terms of its

impact on DENV transmission in real-life settings.

Current ULV protocol avoided approximately one

fourth of all symptomatic cases.

Performance of ULV intervention was negatively

affected by the low estimated efficiency in killing

existing mosquitoes in the treated area.

Control outcomes could be improved by

increasing the targeted area and including

private premises, but trade-offs against increased

efforts need to be carefully analyzed.

*[email protected]

Computational framework

Ae. Aegypti

captures

Temperature

Recorded DENV

cases

Entomological

model

Epidemiological

model

WNV

Spatialized

mosquito

abundance

ULV effectivness

evaluation

DENV

ULV protocol

1.

Entomological capture data was used to

estimate the spatiotemporal distribution of

mosquito abundance.

2.

DENV dynamics was implemented by

considering a standard SEIR-SEI model with

distance-dependent kernel.

3.

We simulate single transmission clusters (all

human infections directly and indirectly

generated by a single index case) to

compare the number of symptomatic DENV

cases obtained with and without treatment

and with different control protocols.

Study area (A): Central neighborhoods of Porto Alegre (South of Brazil, 600,000

inhabitants).

Study period: December 1, 2015 - June 30, 2016.

891 reported dengue (DENV) infections (B).

Ultra-Low-Volume (ULV) insecticide spraying in public spaces within an area of radius of

200m around the residence of the patient.

Ae. aegypti

mosquitoes were collected through 776 sticky traps deployed in the study area

(C, red line).

Background

Results

• ULV kills 40% of mosquitoes (estimated)

• Average cluster size: 11.9 → 9.1 (23.9% reduction)

• Peak reduction of 38.0% for clusters starting at the end of

December.

Marini G, Guzzetta G, Marques Toledo CA, Teixeira M, Rosà R, Merler S (2019) Effectiveness of Ultra-Low Volume insecticide spraying to prevent dengue in a non-endemic metropolitan area of Brazil. PLoS

Comput Biol 15(3): e1006831.

A

B

C

Riferimenti

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