Professional Documents
Culture Documents
Dr Raman Velayudhan
Coordinator,
World Health Organization
GenevaAND RESPONSE OPERATIONS
ALERT
Aedes-borne diseases are urban diseases
Aedes aegypti
•Vertically •Difficult to do
structured properly
•Disease •Difficult to sustain
prevention
REMOVAL OF EGGS - SCRUBBING
A Critical Assessment of Vector Control
for Dengue Prevention
Major Conclusions:
• Well implemented vector control programmes using existing tools and
strategies are effective in reducing the transmission of Aedes-borne
diseases, including Zika virus. These tools should be promoted and used
to control the Zika virus. They include: (i) targeted residual spraying; (ii)
space spraying; (iii) larval control; and (iv) personal protection measures.
• Full-scale programmatic deployment is not currently recommended for
any of the new potential tools reviewed by VCAG. However, the VCAG
recommended the carefully planned pilot deployment under operational
conditions of two tools (Wolbachia-based biocontrol and OX513A
transgenic mosquitoes) accompanied by rigorous independent
monitoring and evaluation.
• The VCAG concluded that more evidence is required before consideration
of the pilot deployment of the additional tools reviewed.
Vector control interventions
covered by existing policy/
recommendations
Insecticide-treated Indoor residual Mosquito Products Space spray Aircraft Molluscicide Rodenticide
nets sprays Larvicides providing personal products disinsection products products
protection products
Pyrethroid-only nets OP, organochlorine, OP, benzoylurea, Topical repellents Indoor space spray Pyrethroid based Single , fast acting Anticoagulants and
including LLINs: carbamate or spinosyn, juvenile for personal with OP and products (eg. d- compound fast acting products
pyrethroid hormone mimics, protection: pyrethroid phenothrin, 1R recommended applied with / just
formulations: bacterial compounds formulations trans-phenothrin (Niclosamide). New after insecticides
& larvicidal devices: and permethrin) similar products: (for flea control) in
outbreaks
• Covered by • Covered by • Covered by existing • Covered by • Covered by • Covered by • Covered by • Covered by
existing policy existing policy policy existing policy existing policy existing policy existing policy existing policy
• Eligible for PQT • Eligible for PQT • Eligible for PQT • Eligible for PQT • Eligible for PQT • Eligible for PQT • Eligible for PQT • Eligible for PQT
assessment assessment assessment assessment assessment assessment assessment assessment
Pyrethroid plus Fast-acting Larvicide not Products designed Space Spray Aircraft disinsection New molluscicide New rodent based
synergist (PBO) insecticide meeting above for personal products not products not products not strategies (eg.
nets: formulations: classification: protection not meeting above meeting above meeitng above endectocides
meeting above classification classification classification
classification:
• Covered by • Covered by • Not covered by • Not covered by • Not covered by • Not covered by • Not covered by • Not covered by
existing policy existing policy existing policy existing policy existing policy existing policy existing policy existing policy
limiting deployment • Eligible for PQT • To be assessed by • To be assessed by • To be assessed by • To be assessed by • To be assessed by • To be assessed by
to pilot exploratory assessment based VCAG VCAG VCAG VCAG VCAG VCAG
implementation on non-inferior
• To be reviewed by entomological
ERG in June 2017 performance
Non-pyrethroid Slow-acting
insecticide nets: insecticide
formulations: Environmental management
And they
are all
connected
New designs reduce indoor mosquito
entry & keep the house cool