Community Involvement in Dengue Outbreak Control: An Integrated Rigorous Intervention Strategy

PLoS Negl Trop Dis. 2016 Aug 22;10(8):e0004919. doi: 10.1371/journal.pntd.0004919. eCollection 2016 Aug.

Abstract

Background: An explosive outbreak of dengue fever occurred in Guangdong Province, China in 2014. A community-based integrated intervention was applied to control this outbreak in the capital city Guangzhou, where dengue epidemic was mainly caused by imported cases.

Methodology/principal findings: We used a time series generalized additive model based on meteorological factors to assess the effectiveness of this intervention. The results showed that there was significant reduction in mosquito density following the intervention, and there was a 70.47% (95% confidence interval: 66.07%, 74.88%) reduction in the reported dengue cases compared with the predicted cases after 12 days since the beginning of the intervention, we estimated that a total of 23,302 dengue cases were prevented.

Conclusions: This study suggests that an integrated dengue intervention program has significant effects to control a dengue outbreak in areas where dengue epidemic was mainly caused by imported dengue cases.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • China
  • Community Participation*
  • Culicidae / virology
  • Dengue / epidemiology*
  • Dengue / prevention & control*
  • Dengue / transmission
  • Dengue / virology
  • Disease Outbreaks / prevention & control*
  • Disease Outbreaks / statistics & numerical data
  • Epidemics / prevention & control
  • Humans

Grants and funding

This study was supported by Guangdong Provincial Science and Technology Program (2013A020229005, 2013A020229006). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.