A novel disease prevention strategy — targeting a mosquito that spreads the dengue virus — significantly reduces both the mosquito numbers and cases of disease across a community, finds a major new study. New England Journal of Medicine published the results of the large, randomized clinical trial — considered the gold standard for evaluating the effectiveness of an intervention — led by Emory University.
The research was conducted in Merida, a city of one million in the Mexican state of the Yucatan, through a close collaboration with the Autonomous University of the Yucatan, the Yucatan Ministry of Health and the Federal Ministry of Health of Mexico.
The project tested an intervention that previous Emory research found promising: Targeted indoor residual spraying of insecticide, or TIRS, conducted before an outbreak occurs. The method is aimed at a particular species of mosquito, Aedes aegypti, that is perfectly adapted to live with humans in an urban setting.
“Our study showed that the TIRS method reduced numbers of these mosquitos by 6o percent for a period of six months,” says Gonzalo Vazquez-Prokopec, senior author of the study and Emory professor of environmental sciences. “The results also quantified a 24 percent mean reduction community-wide in cases of dengue fever, even in the context of a record-breaking outbreak of dengue in Merida.”
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