Optimal Timing of Insecticide Fogging to Minimize Dengue Cases Modeling Dengue Transmission among Various Seasonalities and Transmission Intensities 英文参考文献.docVIP
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Optimal Timing of Insecticide Fogging to Minimize Dengue Cases Modeling Dengue Transmission among Various Seasonalities and Transmission Intensities 英文参考文献
OptimalTimingofInsecticideFoggingtoMinimize
DengueCases:ModelingDengueTransmissionamong
VariousSeasonalitiesandTransmissionIntensities
MikaOki*,ToshihikoSunahara,MasahiroHashizume,TaroYamamoto
DepartmentofInternationalHealth,InstituteofTropicalMedicine,TheGlobalCenterofExcellence,NagasakiUniversity,Nagasaki,Japan
Abstract
Background:Dengueinfectionisendemicinmanyregionsthroughouttheworld.Whileinsecticidefoggingtargetingthe
vectormosquitoAedesaegyptiisamajorcontrolmeasureagainstdengueepidemics,theimpactofthismethodremains
controversial. A previous mathematical simulation study indicated that insecticide fogging minimized cases when
conducted soon after peak disease prevalence, although the impact was minimal, possibly because seasonality and
population immunity were not considered. Periodic outbreak patterns are also highly influenced by seasonal climatic
conditions.Thus,thesefactorsareimportantconsiderationswhenassessingtheeffectofvectorcontrolagainstdengue.We
usedmathematicalsimulations toidentifytheappropriatetimingofinsecticidefogging,consideringseasonalchangeof
vectorpopulations,andtoevaluateitsimpactonreducingdenguecaseswithvariouslevelsoftransmissionintensity.
Methodology/PrincipalFindings:WecreatedtheSusceptible-Exposed-Infectious-Recovered(SEIR)modelofdenguevirus
transmission. Mosquito lifespan was assumed to change seasonally and the optimal timing of insecticide fogging to
minimizedengueincidenceundervariouslengthsofthewetseasonwasinvestigated.Wealsoassessedwhetherinsecticide
fogging was equally effective at higher and lower endemic levels by running simulations over a 500-year period with
varioustransmissionintensitiestoproduceanendemicstate.Incontrasttothepreviousstudy,theoptimalapplicationof
insecticidefoggingwasbetweentheonsetofthewetseasonandtheprevalencepeak.Althoughithaslessimpactinareas
thathavehigherendemicityandlongerwetseasons,insecticidefoggingcanpreventaconsiderablenumberofdengue
casesifappliedattheoptimaltime.
Conclusions/Significance:Theo
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