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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Meta-analysis of studies on chemical, physical and biological agents in the control of Aedes aegypti

Authors: Estelita Pereira Lima, Marília Oliveira Fonseca Goulart, Modesto Leite Rolim Neto

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Aedes aegypti is a vector of international concern because it can transmit to humans three important arboviral diseases: yellow fever, dengue and chikungunya. Epidemics that are repeated year after year in a variety of urban centers indicate that there are control failures, allowing the vector to continue expanding.

Methods

To identify the most effective vector control strategies and the factors that contributed to the success or failure of each strategy, we carried out a systematic review with meta-analysis of articles published in 12 databases, from 1974 to the month of December 2013. We evaluated the association between the use of whatever chemical substance, mechanical agent, biological or integrated actions against A. aegypti and the control of the vector, as measured by 10 indicators.

Results

We found 2,791 articles, but after careful selection, only 26 studies remained for analysis related to control interventions implemented in 15 countries, with 5 biological, 5 chemical, 3 mechanical and 13 integrated strategies. The comparison among all of them, indicated that the control of A. aegypti is significantly associated with the type of strategy used, and that integrated interventions consist of the most effective method for controlling A. aegypti.

Conclusions

The most effective control method was the integrated approach, considering the influence of eco-bio-social determinants in the virus-vector-man epidemiological chain, and community involvement, starting with community empowerment as active agents of vector control.
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Metadata
Title
Meta-analysis of studies on chemical, physical and biological agents in the control of Aedes aegypti
Authors
Estelita Pereira Lima
Marília Oliveira Fonseca Goulart
Modesto Leite Rolim Neto
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2199-y

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