Vector control is implemented in several situations: to eliminate a dengue vector species that has invaded a new area and prevent its spread; to contain an ATV that may spread following its introduction to an area (through travel, for example); to prevent outbreaks in regions where dengue vectors are already established; and to manage impending or declared dengue epidemics.
Effective vector control requires an integrated vector management programme. This programme trains vector control personnel, implements vector control activities, maintains and analyses data, produces reports, and is responsible for the efficacy of these activities. It also coordinates inter-governmental and agency collaboration, maintains liaisons with nongovernmental organizations, recommends policies and legislation, and develops educational materials for the public.
The programme should be directed by a doctoral-level professional or somebody with equivalent experience (entomologist/biologist/ecologist), with the capacity to manage all aspects of the programme whilst supported by a high-level administrator. The programme should have doctoral and master-level personnel responsible for training control personnel, supervising control activities in the field, and conducting operational research and evaluation activities, such as testing novel vector control tools. Field personnel (supervisors, inspectors) to carry out vector surveillance and control should be based within the regions (districts, municipalities). Other key personnel include health educators to develop educational and training materials for vector control professionals and the public/communities, promote community participation in vector control activities, maintain intra- and inter-agency collaboration and coordination, and interact with the press.
This chapter details strategies for effective dengue vector control. Success depends on the quality of the control agent, efficiency of the delivery system, coverage, and impact evaluation, considering the resilience of Aedes mosquitoes.
Pre-adult control targets aquatic habitats, where immature mosquitoes develop, through environmental management (eliminating containers) and larvicides (bio-rational options like Bti and Spinosad, insect growth regulators, and monomolecular films). Biological control uses aquatic predators. In order to evaluate the success of pre-adult control, both immature and adult populations should be monitored.
Adult control involves chemical methods like residual insecticide spraying (indoor/outdoor spraying, barrier treatments) and space spraying. Mosquito traps employ ‘pull’ strategies, such as ovitraps/gravid traps (sticky, insecticide-treated, or larvicide-containing) or attractive toxic sugar baits (ATSBs). Mass trapping with gravid traps shows promise in reducing vector populations and disease transmission, contingent on trap efficacy and coverage.
Effective vector control necessitates an integrated approach targeting all life stages, with community involvement and continuous evaluation, due to the adaptability of dengue vectors. The selection of appropriate methods depends on the local ecology of vectors and the specific goals of the control programme.