scholarly journals Community Knowledge and Attitudes about the Transmission of Dengue Haemorrhagic Fever and Its Relationship to Prevention Behaviour in Palembang, South Sumatra, Indonesia

2021 ◽  
Vol 9 (E) ◽  
pp. 1534-1543
Author(s):  
Minarti Minarti ◽  
Chairil Anwar ◽  
Irfannuddin Irfannuddin ◽  
Chandra Irsan
Keyword(s):  
Vector Control ◽  
Control Measure ◽  
Public Awareness ◽  
Cost Effective ◽  
Hemorrhagic Fever ◽  
Control Measures ◽  
Good Knowledge ◽  
Effective Control ◽  
Control Practice ◽  
Prevention Behavior

BACKGROUND: PSN 3 M Plus is a long-running program in Indonesia for the prevention and control of dengue hemorrhagic fever (DHF). AIM: This study aimed to determine the knowledge, behavior, attitudes, and beliefs of the community toward PSN 3 M Plus in preventing and controlling the spread of DHF. METHODS: A cluster random sampling method was used to recruit 200 respondents in endemic areas and 100 respondents in sporadic locations of Indonesia from August 2020 to February 2021. The respondents were interviewed directly by interviewers and the relationships between demographics and characteristics with the practice of PSN 3M Plus prevention behavior on the incidence of DHF were analyzed. RESULTS: Most respondents had good knowledge regarding the cause of DHF. Although respondents recognized and understood the dangers of and how to control DHF, most did not follow PSN 3 M Plus and believed that fogging was the most effective control measure. There was a significant relationship between the characteristics of the respondents in terms of education, occupation, and attitude on vector control practice. CONCLUSION: Although community environmental modifications can be a cost-effective approach to reduce the incidence of DHF, there is a need to raise public awareness regarding preventive vector control measures as good knowledge does not guarantee good compliance with PSN 3M Plus recommendations.

Enterprise Digital Twin

2020 ◽  
pp. 68-89
Author(s):  
Souvik Barat
Keyword(s):  
Control Measure ◽  
Dynamic Environment ◽  
Cost Effective ◽  
Control Measures ◽  
Effective Control ◽  
Digital Twin ◽  
The Core ◽  
Specific Objective ◽  
Effective Manner ◽  
Predictive Analyses

Enterprises constantly aim to maximise their objectives while operating in a competitive and dynamic environment. This necessitates an enterprise to be efficient, adaptive, and amenable for transformation. However, understanding a complex enterprise and identifying effective control measure, adaptation choice, or transformation option to realise specific objective is not a trivial task. The digital twin that imitates the real enterprise provides an environment to conduct the necessary interrogative and predictive analyses to evaluate various control measures, adaptation choices, and transformation options in a safe and cost-effective manner without compromising the analysis precision. This chapter reflects on the core concept of the digital twin, evaluates the state-of-the-art modelling and analysis technologies, and presents a pragmatic approach to develop high-fidelity digital twin for large complex enterprises.

A model of cholera transmission with hyperinfectivity and its optimal vaccination control

2017 ◽  
Vol 10 (06) ◽  
pp. 1750084 ◽  
Author(s):  
Chairat Modnak
Keyword(s):  
Optimal Control Theory ◽  
Control Measure ◽  
Cost Effective ◽  
Control Measures ◽  
Equilibrium Analysis ◽  
Time Dependent ◽  
Effective Control ◽  
Health Control ◽  
Vaccination Strategies ◽  
Constant Control

The use of cholera vaccines has been increasingly recognized as an effective control measure in cholera endemic countries. Also, the disease transmissions are getting more complicated and thus comprehensive strategies to implement public health control measures are worthwhile to be investigated. In this paper, we aim to better understand the effects of HI states of vibrios from the environment and from human contacts that cause cholera outbreaks. We also present and analyze our cholera mathematical model with vaccine incorporated. Equilibrium analysis is conducted in the case with constant control for both epidemic and endemic dynamics. Optimal control theory is applied to seek cost-effective solutions of time-dependent vaccination strategies against cholera outbreaks. Our results show that using vaccination during cholera outbreaks at the very beginning of the onset can reduce the number of infections significantly.

Characterizing the effectiveness of COVID-19 mitigation measures: A data-centric approach (Preprint)

2020 ◽  
Author(s):  
Lukman Olagoke ◽  
Ahmet E. Topcu
Keyword(s):  
Control Measure ◽  
Control Measures ◽  
World Health ◽  
Mitigation Measures ◽  
Effective Control ◽  
The World ◽  
Decision Making Processes ◽  
And Performance ◽  
Health Organization ◽  
The Impact

BACKGROUND COVID-19 represents a serious threat to both national health and economic systems. To curb this pandemic, the World Health Organization (WHO) issued a series of COVID-19 public safety guidelines. Different countries around the world initiated different measures in line with the WHO guidelines to mitigate and investigate the spread of COVID-19 in their territories. OBJECTIVE The aim of this paper is to quantitatively evaluate the effectiveness of these control measures using a data-centric approach. METHODS We begin with a simple text analysis of coronavirus-related articles and show that reports on similar outbreaks in the past strongly proposed similar control measures. This reaffirms the fact that these control measures are in order. Subsequently, we propose a simple performance statistic that quantifies general performance and performance under the different measures that were initiated. A density based clustering of based on performance statistic was carried out to group countries based on performance. RESULTS The performance statistic helps evaluate quantitatively the impact of COVID-19 control measures. Countries tend show variability in performance under different control measures. The performance statistic has negative correlation with cases of death which is a useful characteristics for COVID-19 control measure performance analysis. A web-based time-line visualization that enables comparison of performances and cases across continents and subregions is presented. CONCLUSIONS The performance metric is relevant for the analysis of the impact of COVID-19 control measures. This can help caregivers and policymakers identify effective control measures and reduce cases of death due to COVID-19. The interactive web visualizer provides easily digested and quick feedback to augment decision-making processes in the COVID-19 response measures evaluation. CLINICALTRIAL Not Applicable

scholarly journals Long-lasting microbial larvicides for controlling insecticide resistant and outdoor transmitting vectors: a cost-effective supplement for malaria interventions

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Guofa Zhou ◽  
Eugenia Lo ◽  
Andrew K. Githeko ◽  
Yaw A. Afrane ◽  
Guiyun Yan
Keyword(s):  
Cost Effectiveness ◽  
Vector Control ◽  
Malaria Vector ◽  
Indoor Residual Spraying ◽  
Cost Effective ◽  
Control Measures ◽  
Malaria Vector Control ◽  
Potential Cost ◽  
Outdoor Transmission ◽  
Indoor And Outdoor

AbstractThe issues of pyrethroid resistance and outdoor malaria parasite transmission have prompted the WHO to call for the development and adoption of viable alternative vector control methods. Larval source management is one of the core malaria vector interventions recommended by the Ministry of Health in many African countries, but it is rarely implemented due to concerns on its cost-effectiveness. New long-lasting microbial larvicide can be a promising cost-effective supplement to current vector control and elimination methods because microbial larvicide uses killing mechanisms different from pyrethroids and other chemical insecticides. It has been shown to be effective in reducing the overall vector abundance and thus both indoor and outdoor transmission. In our opinion, the long-lasting formulation can potentially reduce the cost of larvicide field application, and should be evaluated for its cost-effectiveness, resistance development, and impact on non-target organisms when integrating with other malaria vector control measures. In this opinion, we highlight that long-lasting microbial larvicide can be a potential cost-effective product that complements current front-line long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS) programs for malaria control and elimination. Microbial larviciding targets immature mosquitoes, reduces both indoor and outdoor transmission and is not affected by vector resistance to synthetic insecticides. This control method is a shift from the conventional LLINs and IRS programs that mainly target indoor-biting and resting adult mosquitoes.

Water safety plans for small systems: a model for applying HACCP concepts for cost-effective monitoring in developing countries

2003 ◽  
Vol 47 (3) ◽  
pp. 215-220 ◽  
Author(s):  
G. Howard
Keyword(s):  
Risk Factors ◽  
Water Quality ◽  
Cost Effective ◽  
Control Measures ◽  
Effective Control ◽  
Performance Limits ◽  
Water Safety ◽  
Small Systems ◽  
Water Safety Plans ◽  
Contamination Events

The development of water safety plans (WSPs) for small systems should be based on a thorough understanding of the relationships between risk factors and contamination events. This can be achieved through the use of well-designed assessments of water quality that provide better evidence to support the identification of control measures, performance limits, monitoring parameters and verification procedures. Training of community operators is critical to the success of the WSP and the understanding gained from the assessments provides a sound basis for addressing these needs. The WSP approach provides for more effective control of water quality and the use of targeted assessments is cost-effective in improving the design of WSPs.

scholarly journals Nextgen Vector Surveillance Tools: sensitive, specific, cost-effective and epidemiologically relevant

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Robert Farlow ◽  
Tanya L. Russell ◽  
Thomas R. Burkot
Keyword(s):  
Decision Making ◽  
Vector Control ◽  
Malaria Control ◽  
Cost Effective ◽  
Effective Control ◽  
Next Generation ◽  
Vector Data ◽  
Vector Surveillance ◽  
Current Vector ◽  
Control Programmes

Abstract Background Vector surveillance provides critical data for decision-making to ensure that malaria control programmes remain effective and responsive to any threats to a successful control and elimination programme. The quality and quantity of data collected is dependent on the sampling tools and laboratory techniques used which may lack the sensitivity required to collect relevant data for decision-making. Here, 40 vector control experts were interviewed to assess the benefits and limitations of the current vector surveillance tools and techniques. In addition, experts shared ideas on “blue sky” indicators which encompassed ideas for novel methods to monitor presently used indicators, or to measure novel vector behaviours not presently measured. Algorithms for deploying surveillance tools and priorities for understanding vector behaviours are also needed for collecting and interpreting vector data. Results The available tools for sampling and analysing vectors are often hampered by high labour and resource requirements (human and supplies) coupled with high outlay and operating costs and variable tool performance across species and geographic regions. The next generation of surveillance tools needs to address the limitations of present tools by being more sensitive, specific and less costly to deploy to enable the collection and use of epidemiologically relevant vector data to facilitate more proactive vector control guidance. Ideas and attributes for Target Product Profiles (TPPs) generated from this analysis provide targets for research and funding to develop next generation tools. Conclusions More efficient surveillance tools and a more complete understanding of vector behaviours and populations will provide a basis for more cost effective and successful malaria control. Understanding the vectors’ behaviours will allow interventions to be deployed that target vulnerabilities in vector behaviours and thus enable more effective control. Through defining the strengths and weaknesses of the current vector surveillance methods, a foundation and initial framework was provided to define the TPPs for the next generation of vector surveillance methods. The draft TTPs presented here aim to ensure that the next generation tools and technologies are not encumbered by the limitations of present surveillance methods and can be readily deployed in low resource settings.

scholarly journals Development of a Sanitation Safety Plan for improving the sanitation system in peri-urban areas of Iringa, Tanzania

2017 ◽  
Vol 7 (2) ◽  
pp. 340-348 ◽  
Author(s):  
M. Domini ◽  
G. Langergraber ◽  
L. Rondi ◽  
S. Sorlini ◽  
S. Maswaga
Keyword(s):  
Urban Areas ◽  
Cost Effective ◽  
Control Measures ◽  
Effective Control ◽  
Safety Plan ◽  
First Results ◽  
Assessment Matrix ◽  
Planning Methodology ◽  
The Given

The Sanitation Safety Planning methodology is implemented within a cooperation project in Iringa, Tanzania. The study presents the methodology and its adaptation and use for the given context, in order to assess risks and to support stakeholders in improving the current sanitation system and validate the design of an improved one. First results of the application of the methodology, obtained in one of the four peri-urban wards of Iringa, demonstrated its efficacy and utility in prioritising risks and identifying cost-effective control measures. Risks were assessed by the use of a semi-quantitative approach, and a simplified risk assessment matrix was developed for the case study. A sensitivity analysis was carried out in order to evaluate criteria for prioritising control measures to be selected for the development of an achievable improvement plan.

scholarly journals Controlling sleeping sickness – a review

Parasitology ◽  
2009 ◽  
Vol 136 (14) ◽  
pp. 1943-1949 ◽  
Author(s):  
S. C. WELBURN ◽  
I. MAUDLIN ◽  
P. P. SIMARRO
Keyword(s):  
Rural Communities ◽  
Vector Control ◽  
Financial Support ◽  
Cost Effective ◽  
Sleeping Sickness ◽  
Sub Saharan Africa ◽  
Effective Control ◽  
Surveillance Systems ◽  
Health Authorities ◽  
Sub Saharan

SUMMARYFollowing a period characterized by severe epidemics of sleeping sickness, restoration of effective control and surveillance systems has raised the question of eliminating the disease from sub-Saharan Africa. Given sufficient political and financial support, elimination is now considered a reasonable aim in countries reporting zero or less than 100 cases per year. This success may lead health authorities across the affected region to downgrade the disease from ‘neglected’ to simply being ignored. In view of the significant levels of under-reporting of sleeping sickness mortality in rural communities, this could be a short-sighted policy. Loss of capacity to deal with new epidemics, which can arise as a consequence of loss of commitment or civil upheaval, would have serious consequences. The present period should be seen as a clear opportunity for public-private partnerships to develop simpler and more cost-effective tools and strategies for sustainable sleeping sickness control and surveillance, including diagnostics, treatment and vector control.

Ecology of the maize stalk borer, Busseola fusca (Fuller) (Lepidoptera: Noctuidae)

1987 ◽  
Vol 77 (2) ◽  
pp. 255-269 ◽  
Author(s):  
J. B. J. Van Rensburg ◽  
M. C. Walters ◽  
J. H. Giliomee
Keyword(s):  
Plant Development ◽  
Busseola Fusca ◽  
Cost Effective ◽  
Control Measures ◽  
Effective Control ◽  
Planting Dates ◽  
Plant Parts ◽  
New Information ◽  
Repeated Sampling ◽  
Definite Pattern

AbstractNew information on the intraseasonal progression of larval infestations of Busseola fusca (Fuller) in South Africa was obtained through repeated sampling in maize plantings of different planting dates over various seasons. Due to the occurrence of distinct periods of moth flight, variation in planting date had a marked influence on levels of larval infestation. Also, plants were found to be most attractive as sites for oviposition between three and five weeks after emergence, resulting in a definite pattern in the time distribution of different larval instars in different plant parts. In the pre-tassel stage of plant development, most larvae occurred in localized groups within the whorls, reaching maximum numbers eight weeks after plant emergence. The emergence of the tassel forced some larvae to migrate to adjacent plants, resulting in an increase of internally damaged plants without an increase in larval numbers. It is shown that scouting for eggs over a limited period of plant development can lead to better timing of spray applications and thus to more cost-effective control measures.

scholarly journals Changing malaria fever test positivity among paediatric admissions to Tororo district hospital, Uganda 2012–2019

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Arthur Mpimbaza ◽  
Asadu Sserwanga ◽  
Damian Rutazaana ◽  
James Kapisi ◽  
Richard Walemwa ◽  
...  
Keyword(s):  
Vector Control ◽  
District Hospital ◽  
Cost Effective ◽  
Interrupted Time Series ◽  
Control Measures ◽  
World Health ◽  
Interrupted Time Series Analysis ◽  
High Coverage ◽  
Tororo District ◽  
Malaria Test

Abstract Background The World Health Organization (WHO) promotes long-lasting insecticidal nets (LLIN) and indoor residual house-spraying (IRS) for malaria control in endemic countries. However, long-term impact data of vector control interventions is rarely measured empirically. Methods Surveillance data was collected from paediatric admissions at Tororo district hospital for the period January 2012 to December 2019, during which LLIN and IRS campaigns were implemented in the district. Malaria test positivity rate (TPR) among febrile admissions aged 1 month to 14 years was aggregated at baseline and three intervention periods (first LLIN campaign; Bendiocarb IRS; and Actellic IRS + second LLIN campaign) and compared using before-and-after analysis. Interrupted time-series analysis (ITSA) was used to determine the effect of IRS (Bendiocarb + Actellic) with the second LLIN campaign on monthly TPR compared to the combined baseline and first LLIN campaign periods controlling for age, rainfall, type of malaria test performed. The mean and median ages were examined between intervention intervals and as trend since January 2012. Results Among 28,049 febrile admissions between January 2012 and December 2019, TPR decreased from 60% at baseline (January 2012–October 2013) to 31% during the final period of Actellic IRS and LLIN (June 2016–December 2019). Comparing intervention intervals to the baseline TPR (60.3%), TPR was higher during the first LLIN period (67.3%, difference 7.0%; 95% CI 5.2%, 8.8%, p < 0.001), and lower during the Bendiocarb IRS (43.5%, difference − 16.8%; 95% CI − 18.7%, − 14.9%) and Actellic IRS (31.3%, difference − 29.0%; 95% CI − 30.3%, − 27.6%, p < 0.001) periods. ITSA confirmed a significant decrease in the level and trend of TPR during the IRS (Bendicarb + Actellic) with the second LLIN period compared to the pre-IRS (baseline + first LLIN) period. The age of children with positive test results significantly increased with time from a mean of 24 months at baseline to 39 months during the final IRS and LLIN period. Conclusion IRS can have a dramatic impact on hospital paediatric admissions harbouring malaria infection. The sustained expansion of effective vector control leads to an increase in the age of malaria positive febrile paediatric admissions. However, despite large reductions, malaria test-positive admissions continued to be concentrated in children aged under five years. Despite high coverage of IRS and LLIN, these vector control measures failed to interrupt transmission in Tororo district. Using simple, cost-effective hospital surveillance, it is possible to monitor the public health impacts of IRS in combination with LLIN.

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