1.Identification of Essential Containers for Aedes Larval Breeding to Control Dengue in Dhaka, Bangladesh
Farhana Ferdousi ; Shoji Yoshimatsu ; Enbo Ma ; Nazmul Sohel ; Yukiko Wagatsuma
Tropical Medicine and Health 2015;43(4):253-264
Dengue fever (DF), one of the most important emerging arboviral diseases, is transmitted through the bite of container breeding mosquitoes Aedes aegypti and Aedes albopictus. A household entomological survey was conducted in Dhaka from August through October 2000 to inspect water-holding containers in indoor, outdoor, and rooftop locations for Aedes larvae. The objective of this study was to determine mosquito productivity of each container type and to identify some risk factors of households infested with Aedes larvae. Of 9,222 households inspected, 1,306 (14.2%) were positive for Aedes larvae. Of 38,777 wet containers examined, 2,272 (5.8%) were infested with Aedes larvae. Containers used to hold water, such as earthen jars, tanks, and drums were the most common containers for larval breeding. Tires in outdoor and rooftop locations of the households were also important for larval breeding. Although present in abundance, buckets were of less importance. Factors such as independent household, presence of a water storage system in the house, and fully/partly shaded outdoors were found to be significantly associated with household infestation of Aedes larvae. Identification and subsequent elimination of the most productive containers in a given area may potentially reduce mosquito density to below a level at which dengue transmission may be halted.
2.Identification of essential containers for Aedes larval breeding to control dengue in Dhaka, Bangladesh
Farhana Ferdousi ; Shoji Yoshimatsu ; Enbo Ma ; Nazmul Sohel ; Yukiko Wagatsuma
Tropical Medicine and Health 2015;advpub(0):-
Dengue fever (DF), one of the mostimportant emerging arboviral diseases, is transmitted through the bite ofcontainer breeding mosquitoes Aedesaegypti and Aedes albopictus. Ahousehold entomological survey was conducted in Dhaka from August throughOctober 2000 to inspect water-holding containers in indoor, outdoor, androoftop for Aedes larvae. Theobjective of this study was to determine mosquito productivity of eachcontainer type and to identify some risk factors of the households to beinfested with Aedes larvae. Of 9222 households inspected, 1306(14.2%) were positive for Aedes larvae. Of 38 777wet containers examined, 2272 (5.8%)were infested with Aedes larvae. Containers used for reserving water,such as earthen jars, tanks, and drums were the most essential containers forlarval breeding. Tires in outdoor and rooftop of the households were alsoimportant for larval breeding. Although present in abundant, less importancewas indicated for buckets. Independent household, having water storage systemin the house, and having fully/partly shaded outdoor premise were foundsignificantly associated with household infestation of Aedes larvae. Identification and subsequent elimination of the most productive containers ina given area may potentially reduce mosquito density below a level at whichdengue transmission may be halted.
3.Visceral Leishmaniasis Eradication is a Reality: Data from a Community-based Active Surveillance in Bangladesh
Farhana Ferdousi ; Mohammad S. Alam ; Mohammad S. Hossain ; Enbo Ma ; Makoto Itoh ; Dinesh Mondal ; Rashidul Haque ; Yukiko Wagatsuma
Tropical Medicine and Health 2012;40(4):133-139
More than 20 million people in Bangladesh are considered at risk of developing visceral leishmaniasis (VL). A community-based active surveillance was conducted in eight randomly selected villages in a highly endemic area of Bangladesh from 2006 to 2008. A total of 6,761 individuals living in 1,550 mud-walled houses were included in the active surveillance. Rapid rK39 dipstick tests were conducted throughout the study period to facilitate the case diagnosis. Individuals with previous or current clinical leishmaniasis were identified on the basis of the case definition of the VL elimination program. Untreated cases of suspected VL were referred to the hospital for treatment. Socioeconomic and environmental information including bed net use was also collected. In 2006, the annual incidence of clinical leishmaniasis in the study area was 141.9 cases per 10,000 population, which was significantly increased by the following year owing to community-based active surveillance for case detection and reporting. However, early case detection and early referral for treatment led to a significant decrease in incidence in 2008. This study suggests that community-based active surveillance using a simple diagnostic tool might play a role in achieving the goal of the VL elimination program.