VC1C VC WASH Cluster – Emergency Training 1 Vector Control Module 1C Dengue
VC1C VC WASH Cluster – Emergency Training 2 Blood borne viral disease spread by the bite of aedis aegypti mosquito 2 forms: Dengue fever + Dengue Hemorrhagic Fever Up to 40% fatality in epidemics No drugs or vaccines that work! Dengue
VC1C VC WASH Cluster – Emergency Training 3 Thrives in close proximity to humans Transmitted by infected female mosquito Aedes : The efficient vector Often bites several people for one blood meal. Found mainly in urban and semi urban areas Lays eggs in artificial water containers Short flight range of about 200 meters Feeds preferentially on human blood
VC1C VC WASH Cluster – Emergency Training 4 Behaviour of mosquitoes GenusBreeding siteDisease and distribution Aedes aegypti mosquito Biting period : DAY Small water containers: Cans, jars, gutters Yellow fever : Africa and Americas Dengue : Africa and Americas, Asia Filariasis : Pacific Anopeline mosquito Biting period : NIGHT Non polluted water: Edges of rivers, swamps, tanks, rice fields, saltwater without wave action Malaria : Tropical and sub-tropical Filariasis : Asia and Africa
VC1C VC WASH Cluster – Emergency Training 5 Dengue
VC1C VC WASH Cluster – Emergency Training 6 Breeding Sites
VC1C VC WASH Cluster – Emergency Training : 20 mega cities of > 10 mil. people; 75% developing world Emerging global threat
VC1C VC WASH Cluster – Emergency Training 8 Burden of Dengue/Dengue haemorrhagic fever world-wide reported to WHO
VC1C VC WASH Cluster – Emergency Training 9 Case study exercise Dengue, Burma Look at material Answer questions Feedback and discussion
VC1C VC WASH Cluster – Emergency Training 10 Dengue, Burma
VC1C VC WASH Cluster – Emergency Training 11
VC1C VC WASH Cluster – Emergency Training 12 Increased risk in Burma following Cyclone Nargis because of; –Overcrowded conditions –Fresh water was stored in unprotected containers –Debris permits water collection and forms breeding sites –Rural populations displaced to urban settings have lower herd immunity
VC1C VC WASH Cluster – Emergency Training 13
VC1C VC WASH Cluster – Emergency Training 14 Control Outdoor space spraying Larvicide