Dengue

Dengue Bulletin Volume 28 (2004)

 

Book Review 1

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A Review of Entomological Sampling Methods and Indicators for Dengue Vectors

Dana A. Focks

Infectious Disease Analysis, Gainsville, Florida, USA

TDR / IDE / Den / 03.1


This review was developed in response to a recommendation of the WHO Informal Consultation on Strengthening Implementation of the Global Strategy for Dengue Fever/ Dengue Haemorrhagic Fever Prevention and Control, held in October of 1999, urging “the refinement of existing entomological indicators and/or the development of new indicators that better reflect transmission potential.” The Consultation “recommended that such indicators should provide clear, meaningful information for communities as well as for programme managers and policy-makers.” Whereas the traditional Stegomyia indices (the House, Container, and Breteau indices, and various related derivations) are of some operational value for measuring the entomological impact of larval control interventions against the mosquito vectors of dengue virus, they are not proxies for adult vector abundance. Neither are they useful for assessing transmission risk because they do not take into consideration the epidemiologically important variables, including adult vector and human abundance, temperature, and sero-conversion rates in the human population.

The document reviews and critiques current methods, focusing especially on sampling methods that provide information on (1) the risk of transmission as a function of vector abundance, and (2) the relative or absolute importance of the various types of containers in the environment. This second aspect is essential when considering a suppression strategy designed to minimize costs or to improve sustainability by targeting only a subset of the breeding containers for control or elimination – specifically those container types that are responsible for the majority of adult production. In reviewing current and generally-used sampling methods, each is discussed with respect to transmission risk assessment and evaluated in terms of being useful for either “research or special studies” or as a practical operational tool providing useful information for planning and management of vector control programmes.

 

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