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Spatial Repellents for Arbovirus Control

কেবল নিবন্ধিত ব্যবহারকারীরা নিবন্ধগুলি অনুবাদ করতে পারবেন
প্রবেশ করুন - নিবন্ধন করুন
লিঙ্কটি ক্লিপবোর্ডে সংরক্ষিত হয়েছে
স্থিতিসমাপ্ত
স্পনসর
University of Notre Dame
সহযোগী
University of California, Davis

কীওয়ার্ডস

বিমূর্ত

Dengue viruses are the most medically important arthropod-borne pathogens worldwide, with transmission occurring in most tropical and sub-tropical regions. An estimated 390 million infections occur yearly. Although, there are considerable ongoing efforts to develop a vaccine, vector control remains the only option for reducing dengue virus (DENV) transmission and disease burden. The recent emergence of Aedes-borne Zika (ZIKV) and Chikungunya viruses (CHIKV) highlight need for novel vector control tools. The goal of this project is to determine the efficacy of a spatial repellent (SR) product (active ingredient transfluthrin) for reducing contact between household residents and vector mosquitos and as a result reduce DENV, ZIKV, and/or other Aedes-borne virus transmission. Henceforth the investigators will designate the combined risk of Aedes-borne dengue, Chikungunya, Zika virus transmission by (DCZV). Spatial repellency is used here as a general term to refer to a range of insect behaviors caused by airborne chemicals that reduce contact between people and disease vectors. This can include movement away from a chemical stimulus, and interference with host detection (attraction-inhibition) and/or feeding response.

বর্ণনা

Protection provided by this product will be measured using entomological and virological approaches, comparing entomological indices will be measured through standard household monitoring of Aedes aegypti population densities, while DCZV transmission will be measured through door-to-door surveillance for active dengue disease and through serological monitoring for DCZV exposure in a randomized cluster trial.

The investigators will establish a cohort of 3,400 persons, primarily children 2-12 years of age and adults who have not been previously infected with DCZV who will provide annual blood samples when they are healthy (longitudinal cohort), whereas in the same clusters the investigators expect to monitor up to 27,500 residents for active dengue disease (febrile surveillance cohort). The cohort will be monitored for a period of 2 years. The use of spatial repellents has never been tested on a large scale to reduce disease and could change vector control practices worldwide, reducing the amount of chemical insecticides applied and also prevent the development of insecticide resistance. The investigators plan to implement a short questionnaire to determine levels of acceptability and perceived efficacy amongst participating households.

The project will be carried out in the Amazonia City of Iquitos, Peru, which has a well-established infrastructure for studying urban dengue fever. The study will generate rigorous evidence, documenting and evaluating the impact of SR products on human infection rates, to be considered and used by academia, industry and public health key stakeholders at the global, regional, national and/or local level and drive efforts to acquire full recommendation of SR products for inclusion in disease control programs.

তারিখ

সর্বশেষ যাচাই করা হয়েছে: 01/31/2019
প্রথম জমা দেওয়া: 01/22/2018
আনুমানিক তালিকাভুক্তি জমা দেওয়া হয়েছে: 06/10/2018
প্রথম পোস্ট: 06/11/2018
সর্বশেষ আপডেট জমা দেওয়া হয়েছে: 02/14/2019
সর্বশেষ আপডেট পোস্ট: 02/17/2019
আসল অধ্যয়ন শুরুর তারিখ: 05/31/2015
আনুমানিক প্রাথমিক সমাপ্তির তারিখ: 12/31/2018
আনুমানিক অধ্যয়ন সমাপ্তির তারিখ: 12/31/2018

অবস্থা বা রোগ

Arbovirus Infections

হস্তক্ষেপ / চিকিত্সা

Other: Transfluthrin

Other: Placebo

পর্যায়

-

বাহু গ্রুপ

বাহুহস্তক্ষেপ / চিকিত্সা
Experimental: Transfluthrin
transfluthrin
Other: Transfluthrin
passive emanator with formulated transfluthrin
Placebo Comparator: Placebo
inert ingredients
Other: Placebo
passive emanator with formulated inert ingredients

যোগ্যতার মানদণ্ড

বয়স অধ্যয়নের জন্য যোগ্য 2 Years প্রতি 2 Years
লিঙ্গ অধ্যয়নের জন্য যোগ্যAll
স্বাস্থ্যকর স্বেচ্ছাসেবীদের গ্রহণ করেহ্যাঁ
নির্ণায়ক

LONGITUDINAL SEROCONVERSION Individual Level

Inclusion Criteria:

- ≥ 2 years of age

- plans to stay in study area for minimum of 12 months

- resident of household or frequent visitor (~20% of day hours in house/mo)

Exclusion Criteria:

- < 2 years of age

- temporary visitor to household

- plans to leave study area within next 12 months

FEBRILE SURVEILLANCE Household Level

Inclusion Criteria:

- adult head of households agree to health visits and census

- individuals spend a minimum of 4hrs per week during the daytime hours or sleep in the house. Temporary residents can be included.

Exclusion Criteria:

- households where study personnel identify a security risk (i.e., site where drugs are sold, residents are always drunk or hostile)

- sites where no residents spend time during the day (i.e., work 7d a week outside the home)

FEBRILE SURVEILLANCE Individual Level

Inclusion Criteria:

- individual who spends a minimum of 4 hours per week within the household

- ≥ 2 years of age

- fever at the time of presentation or report of feverishness within the previous 24 hours or presenting with a rash, arthralgia, arthritis or non-purulent conjunctivitis (suspicion of Zika determined by project physician)

Exclusion Criteria:

- <2 years of age

- individuals who have spent less than 4 hours in the household during the week prior to illness

ENTOMOLOGICAL MONITORING Household Level

Inclusion Criteria:

* adult head of households agrees to survey

Exclusion Criteria:

* properties where study personnel identify a security risk (i.e., site where drugs are sold, residents are always drunk or hostile)

SPATIAL REPELLENT INTERVENTION Household Level

Inclusion Criteria:

* adult head of households agrees to intervention deployment and to provide access to team member at 2-3 week intervals to change product

Exclusion Criteria:

* properties where study personnel identify a security risk (i.e., site where drugs are sold, residents are always drunk or hostile)

ফলাফল

প্রাথমিক ফলাফল ব্যবস্থা

1. Incidence of DCZV infections [2 years]

Compare incidence of DCZV infections in subjects residing in households with active and placebo product, receiving standard entomological surveillance and control procedures by the local ministry of health.

মাধ্যমিক ফলাফলের ব্যবস্থা

1. Aedes spp. pupal density [2 years]

Compare Aedes spp. pupal densities in households with active and placebo product as indicator for reduced mosquito egg-laying due to the product

2. Aedes spp. adult density [2 years]

Compare Aedes spp. indoor:outdoor adult densities in households with active and placebo product as indicator for reduced mosquito house entry due to effect of product

3. Aedes spp. female blood fed density [2 years]

Compare Aedes spp. blood fed female densities in households with active and placebo product as indicator for reduced mosquito human contact due to effect of product

4. Aedes spp. female parous density [2 years]

Compare Aedes spp. female parous densities in households with active and placebo product as indicator for reduced mosquito survival due to effect of product

5. Perception of product efficacy [2 years]

Compare perceived efficacy of product to reduce mosquito nuisance in households with active and placebo product as indicator for product acceptability. Scale ranges from 0 (no difference in mosquito nuisance from before product was installed), 1 (less mosquito nuisance then before the product was installed) and 2 (greater mosquito nuisance since the product has been installed). A value of 1 is considered the better outcome whereas a value of 2 is considered the worse outcome. Scores will be averaged for each treatment arm.

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