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Evaluación de una estrategia de intervención comunitaria para reducir el dengue


 
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Revista Médica Electrónica

 ISSN 1684-1824

APARICIO-MENESES, Lilian María; HERNANDEZ-MENDEZ, Orlando; IGARZA-VARONA, Roberto    RAFAEL-CRUZ, Yurisel Miguel. Evaluation of a community interventional strategy to reduce dengue. []. , 44, 1, pp. 56-68.   28--2022. ISSN 1684-1824.

Introduction:

the intervention to control Aedes aegypti, with intersectoral and population involvement, is a key element in the struggle with dengue and a powerful instrument to reduce arboviruses.

Objective:

to design a community interventional strategy to reduce dengue in the Community Policlinic Guillermo Tejas Silva, of the municipality Las Tunas.

Materials and methods:

an interventional strategy was designed to reduce the infestation indexes of Aedes aegypti in the Community Policlinic Guillermo Tejas Silva, in the period from January to December 2019. The universe was formed by 357 blocks from which 47, evaluated as highly risky, were chosen as a sample. In the design of the strategy, the following educational and technical components were combined: surveillance; focal, perifocal and adulticidal treatment. Simultaneously, a community and intersectoral treatment was carried out.

Results:

with the application of the interventional strategy, 100 % of the health care staff and focal duos, and 97 % of the population were trained. Besides that the infestation index was reduced from 2 % to 0.07 % and the risk in 86.2 %. The 47 blocks that were in the stratus I, were reduced to 7, and dengue occurrence to 0.

Conclusions:

the application of the strategy led to the community empowerment in the control of dengue, with changes in the environmental management, increment in the level of knowledge, and reduction of the infestation index.

: Aedes aegypti; prevention; dengue; environmental factor; intersectoral involvement.

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