Interventions against Aedes/dengue at the household level: a systematic review and meta-analysis
Background - Because the evidence for the role of structural housing and combinations of interventions (domestic or peri-domestic) against Aedes mosquitoes or dengue is still lacking, this systematic review and meta-analysis aimed to analyse and synthesize research focusing on the household as the u...
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| Hauptverfasser: | , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
21 June 2023
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| In: |
EBioMedicine
Year: 2023, Jahrgang: 93, Pages: 1-16 |
| ISSN: | 2352-3964 |
| DOI: | 10.1016/j.ebiom.2023.104660 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.ebiom.2023.104660 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S2352396423002256 
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| Verfasserangaben: | Carlos Alberto Montenegro-Quiñonez, Valérie R. Louis, Olaf Horstick, Raman Velayudhan, Peter Dambach, Silvia Runge-Ranzinger |
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| 245 | 1 | 0 | |a Interventions against Aedes/dengue at the household level |b a systematic review and meta-analysis |c Carlos Alberto Montenegro-Quiñonez, Valérie R. Louis, Olaf Horstick, Raman Velayudhan, Peter Dambach, Silvia Runge-Ranzinger |
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| 520 | |a Background - Because the evidence for the role of structural housing and combinations of interventions (domestic or peri-domestic) against Aedes mosquitoes or dengue is still lacking, this systematic review and meta-analysis aimed to analyse and synthesize research focusing on the household as the unit of allocation. - Methods - We searched MEDLINE, LILACS, and Web of Science databases until February 2023 using three general keyword categories: (1) “Aedes” or “dengue”; (2) structural housing interventions including “house”, “water”, or “drainage”; and (3) vector control interventions of potential relevance and their combinations. We performed a qualitative content analysis and a meta-analysis for 13 entries on dengue seroconversion data. - Findings - 14,272 articles were screened by titles, 615 by abstracts, 79 by full-text. 61 were selected. Satisfactory data quality allowed for detailed content analysis. Interventions at the household level against the immature mosquito stages (21 studies, 34%) showed positive or mixed results in entomological and epidemiological outcomes (86% and 75% respectively). Combined interventions against immature and adult stages (11 studies, 18%) performed similarly (91% and 67%) while those against the adult mosquitoes (29 studies, 48%) performed less well (79%, 22%). A meta-analysis on seroconversion outcomes showed a not-statistically significant reduction for interventions (log odds-ratio: −0.18 [−0.51, 0.14 95% CI]). - Interpretation - No basic research on housing structure or modification was eligible for this systematic review but many interventions with clear impact on vector indices and, to a lesser extent, on dengue were described. The small and not-statistically significant effect size of the meta-analysis highlights the difficulty of proving effectiveness against this highly-clustered disease and of overcoming practical implementation obstacles (e.g. efficacy loss, compliance). The long-term success of interventions depends on suitability, community commitment and official support and promotion. The choice of a specific vector control package needs to take all these context-specific aspects into consideration. - Funding - This work was funded by a grant from the World Health Organization (2021/1121668-0, PO 202678425, NTD/VVE). | ||
| 650 | 4 | |a Aedes | |
| 650 | 4 | |a Aedes-borne diseases | |
| 650 | 4 | |a Dengue | |
| 650 | 4 | |a Housing | |
| 650 | 4 | |a Meta-analysis | |
| 650 | 4 | |a Systematic review | |
| 650 | 4 | |a Vector control | |
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| 787 | 0 | 8 | |i Ergänzung |a Montenegro Quiñonez, Carlos Alberto |t Corrigendum to: Interventions against Aedes/dengue at the household level: a systematic review and meta-analysis. EBioMedicine, 93. https://doi.org/10.1016/j.ebiom.2023.104660 |d 2024 |w (DE-627)1903737265 |
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