Key findings

Risk stratification map

The application of Geographic Information Systems (GIS) allowed for a quick and effective analysis to determine the most appropriate interventions to prevent or reduce the development of dengue epidemics.

In urban areas designated as high-risk or very high-risk, mosquitoes are consistently present and exhibit typical daytime biting behavior. This study identified a high population density in these areas, with more than a third of the mosquito population in the highest-risk areas.

Knowledge, attitudes and practices surveys (KAP)

Knowledge about diseases spread by Aedes vectors was found in 80% of the population. This knowledge was acquired through family and personal gatherings. A favorable attitude towards disease control was evident, but risky practices that promote the development of the disease, such as incorrect water storage, were still practiced.

To enhance prevention and control efforts, it is essential to bolster programs aimed at increasing awareness and fostering behavioral changes among the population, communities, and local authorities regarding the issue.

Proposal for the establishment and operation of a consortium of institutions for arboviral vector control

The Instituto Nacional de Investigación en Salud Pública (INSPI) National Vector Reference Center formed a multisectoral consortium with public and private institutions, which were generating information. This was used for the arbovirus transmission risk stratification analysis.

The establishment and operation of a consortium of institutions for arboviral vector control can significantly strengthen the collective efforts to combat mosquito-borne diseases. This proposal provides a framework for consortium formation and outlines key objectives and strategies for successful implementation.

Insecticide resistance monitoring

Insecticide resistance monitoring in high-risk arbovirus transmission areas identified mosquito resistance to the larval-stage insecticide temephos and deltamethrin. These findings underscore the ineffectiveness of the Ministry of Health's current insecticide use and highlight the need for a change in the active ingredient in insecticides. Conversely, mosquito populations assessed for susceptibility to the insecticide malathion, commonly used for environmental spraying, still exhibit susceptibility.

Entomological surveillance

The implementation of entomological surveillance at the local level brought about significant improvements in the planning of control activities streamlined the deployment of technical personnel, optimized the judicious use of insecticides, and enabled the comprehensive evaluation of vector control initiatives.

Vector control analysis

The formation of the multisectoral consortium contributed to mosquito prevention and control actions. The collaboration was able to identify the specific activities in which each institution can support and thus adequately eliminate mosquito breeding sites.

Elaboration of the educational campaign Con Pablito Adios a los Mosquitos

An educational campaign Con Pablito Adios a los Mosquitos was developed in accordance with the guidelines of the Ministry of Health.

Community mosquito breeding site surveillance

A user-friendly mobile application, Busca Mosquitos, was designed for the reporting of mosquito breeding sites. This application was made accessible to a broad spectrum of users within the community. Implementing this application has proven highly effective in encouraging community engagement and timely reporting of potential breeding sites.

The Busca Mosquitos mobile application represents an innovative and efficient approach to engage civil society in mosquito-borne disease prevention and control.

Community participation and intercollegiate competition

Community involvement, through activities such as an intercollegiate competition, has strengthened the population's commitment to dengue prevention and created a favorable environment for implementating preventive actions.

Post-intervention CAP surveys

This community education intervention on the management and confrontation of arboviral diseases has had a positive impact on the population's knowledge. The results show an increase in awareness of disease transmission and preventive measures.