Exploring the utility of social-ecological and entomological risk factors for dengue infection as surveillance indicators in the dengue hyper-endemic city of Machala, Ecuador.

The management of mosquito-borne diseases is a challenge in southern coastal Ecuador, where dengue is hyper-endemic and co-circulates with other arboviral diseases. Prior work in the region has explored social-ecological factors, dengue case data, and entomological indices. In this study, we bring t...

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Main Authors: Catherine A Lippi, Anna M Stewart-Ibarra, Timothy P Endy, Mark Abbott, Cinthya Cueva, Froilán Heras, Mark Polhemus, Efraín Beltrán-Ayala, Sadie J Ryan
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-03-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0009257&type=printable
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author Catherine A Lippi
Anna M Stewart-Ibarra
Timothy P Endy
Mark Abbott
Cinthya Cueva
Froilán Heras
Mark Polhemus
Efraín Beltrán-Ayala
Sadie J Ryan
author_facet Catherine A Lippi
Anna M Stewart-Ibarra
Timothy P Endy
Mark Abbott
Cinthya Cueva
Froilán Heras
Mark Polhemus
Efraín Beltrán-Ayala
Sadie J Ryan
author_sort Catherine A Lippi
collection DOAJ
description The management of mosquito-borne diseases is a challenge in southern coastal Ecuador, where dengue is hyper-endemic and co-circulates with other arboviral diseases. Prior work in the region has explored social-ecological factors, dengue case data, and entomological indices. In this study, we bring together entomological and epidemiological data to describe links between social-ecological factors associated with risk of dengue transmission at the household level in Machala, Ecuador. Households surveys were conducted from 2014-2017 to assess the presence of adult Aedes aegypti (collected via aspiration) and to enumerate housing conditions, demographics, and mosquito prevention behaviors. Household-level dengue infection status was determined by laboratory diagnostics in 2014-2015. Bivariate analyses and multivariate logistic regression models were used to identify social-ecological variables associated with household presence of female Ae. aegypti and household dengue infection status, respectively. Aedes aegypti presence was associated with interruptions in water service and weekly trash collection, and household air conditioning was protective against mosquito presence. Presence of female Ae. aegypti was not associated with household dengue infections. We identified shaded patios and head of household employment status as risk factors for household-level dengue infection, while window screening in good condition was identified as protective against dengue infection. These findings add to our understanding of the systems of mosquito-borne disease transmission in Machala, and in the larger region of southern Ecuador, aiding in the development of improved vector surveillance efforts, and targeted interventions.
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spelling doaj-art-29e2cf05f7bf472ca4e23e21b80ad8462025-08-20T02:00:54ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352021-03-01153e000925710.1371/journal.pntd.0009257Exploring the utility of social-ecological and entomological risk factors for dengue infection as surveillance indicators in the dengue hyper-endemic city of Machala, Ecuador.Catherine A LippiAnna M Stewart-IbarraTimothy P EndyMark AbbottCinthya CuevaFroilán HerasMark PolhemusEfraín Beltrán-AyalaSadie J RyanThe management of mosquito-borne diseases is a challenge in southern coastal Ecuador, where dengue is hyper-endemic and co-circulates with other arboviral diseases. Prior work in the region has explored social-ecological factors, dengue case data, and entomological indices. In this study, we bring together entomological and epidemiological data to describe links between social-ecological factors associated with risk of dengue transmission at the household level in Machala, Ecuador. Households surveys were conducted from 2014-2017 to assess the presence of adult Aedes aegypti (collected via aspiration) and to enumerate housing conditions, demographics, and mosquito prevention behaviors. Household-level dengue infection status was determined by laboratory diagnostics in 2014-2015. Bivariate analyses and multivariate logistic regression models were used to identify social-ecological variables associated with household presence of female Ae. aegypti and household dengue infection status, respectively. Aedes aegypti presence was associated with interruptions in water service and weekly trash collection, and household air conditioning was protective against mosquito presence. Presence of female Ae. aegypti was not associated with household dengue infections. We identified shaded patios and head of household employment status as risk factors for household-level dengue infection, while window screening in good condition was identified as protective against dengue infection. These findings add to our understanding of the systems of mosquito-borne disease transmission in Machala, and in the larger region of southern Ecuador, aiding in the development of improved vector surveillance efforts, and targeted interventions.https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0009257&type=printable
spellingShingle Catherine A Lippi
Anna M Stewart-Ibarra
Timothy P Endy
Mark Abbott
Cinthya Cueva
Froilán Heras
Mark Polhemus
Efraín Beltrán-Ayala
Sadie J Ryan
Exploring the utility of social-ecological and entomological risk factors for dengue infection as surveillance indicators in the dengue hyper-endemic city of Machala, Ecuador.
PLoS Neglected Tropical Diseases
title Exploring the utility of social-ecological and entomological risk factors for dengue infection as surveillance indicators in the dengue hyper-endemic city of Machala, Ecuador.
title_full Exploring the utility of social-ecological and entomological risk factors for dengue infection as surveillance indicators in the dengue hyper-endemic city of Machala, Ecuador.
title_fullStr Exploring the utility of social-ecological and entomological risk factors for dengue infection as surveillance indicators in the dengue hyper-endemic city of Machala, Ecuador.
title_full_unstemmed Exploring the utility of social-ecological and entomological risk factors for dengue infection as surveillance indicators in the dengue hyper-endemic city of Machala, Ecuador.
title_short Exploring the utility of social-ecological and entomological risk factors for dengue infection as surveillance indicators in the dengue hyper-endemic city of Machala, Ecuador.
title_sort exploring the utility of social ecological and entomological risk factors for dengue infection as surveillance indicators in the dengue hyper endemic city of machala ecuador
url https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0009257&type=printable
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