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Effectiveness of Print Education at Reducing Urban Mosquito Infestation through Improved Resident-Based Management.

ABSTRACT: Improving resident-based management and knowledge of mosquitoes is often an integral component of integrated mosquito management, especially in urban landscapes with considerable mosquito habitat on privately owned lands. This study tested the effectiveness of print education materials at reducing urban mosquito exposure through improving resident knowledge of, and attitudes towards, mosquitoes and mosquito management in Washington DC, USA. There was a specific focus on the removal of water-filled containers that are utilized by the developmental stages of the two most common vector species in the region, Aedes albopictus and Culex pipiens. Households in six neighborhoods that varied in socio-economic status were administered knowledge, attitude, and practice (KAP) surveys in 2010 and 2012, and had their yards surveyed for container habitats and immature mosquitoes (larvae and pupae) in 2010, 2011, and 2012. Half the households (intervention, n = 120) received education materials in 2011 and 2012 to yield a before-after control-intervention (BACI) design. Unexpectedly, residents in intervention households were more likely to show decreased concern for mosquito-borne illnesses than residents in control households, which did not receive materials. Moreover, there was a greater probability that control households reduced containers in 2012 than intervention households, particularly when they had low numbers of baseline (2010) containers. Irrespective of control, reductions in containers were associated with decreased abundances of immature mosquitoes. Overall, our findings suggest that print education materials may have unintended negative effects on resident attitudes and household management of mosquito production. We recommend that mosquito control agencies need to carefully consider their content of print messages and the effectiveness of strategies that passively convey information with little or no engagement with control professionals.

SUBMITTER: Bodner D

PROVIDER: S-EPMC4865130 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature

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Effectiveness of Print Education at Reducing Urban Mosquito Infestation through Improved Resident-Based Management.

Bodner Danielle D LaDeau Shannon L SL Biehler Dawn D Kirchoff Nicole N Leisnham Paul T PT

PloS one 20160512 5

Improving resident-based management and knowledge of mosquitoes is often an integral component of integrated mosquito management, especially in urban landscapes with considerable mosquito habitat on privately owned lands. This study tested the effectiveness of print education materials at reducing urban mosquito exposure through improving resident knowledge of, and attitudes towards, mosquitoes and mosquito management in Washington DC, USA. There was a specific focus on the removal of water-fill ...[more]

PMID: 27171195

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Project description:BACKGROUND:Creating National Sanitary City (CNSC) promotes appearance, environment sanitation and public health including vector management of cities in China. However, vector management especially mosquito management and the related administrative productivity of Patriotic Health Campaign System (PHCS) of National Sanitary Cities (NSCs) were questioned by many pest control professionals and citizens. In this study, we studied mosquito management of NSCs taking Wuhan as an example. The study aimed to (1) determine the distribution and abundance of immature mosquito habitats in built-up areas of Wuhan and (2) better understand the related administration procedure in CNSC. METHODS:Immature mosquito habitat surveillance was carried out in randomly selected premises of driving schools (DSs), schools or kindergartens (SKs), property management residential areas (PMRAs), construction sites (CSs), wide roads with storm drains (WRSDs) and urban creeks (UCs) in built-up areas of Wuhan from July to October 2015 followed by questionnaire interviews with one each of premise occupants and district departments responsible for mosquito management in these premises. RESULTS:Total of 64.1 km of route were inspected in 36 DSs, 36 SKs, 36 PMRAs, 36 CSs and 36 segments of WRSD and 2,158 potential mosquito habitats with 749 (35%) mosquito-positive habitats were found. The route index (RI) was 11.7, which was 14.6 times higher than the grade C criteria for vector density control (RI = 0.8 positive habitats/km) in CNSC. Occupants of 36 DSs, 36 SKs, 36 PMRAs, 34 CSs were interviewed and 77% of them reported no difference in mosquito infestation in their premises since 2013 and 80% of them knew about the responsibility and arrangements of PHCS of mosquito management in their premises. Only 15% had the awareness of larval source reduction strategy and 14% had implemented it. Receipt the electronic/paper edition of CNSC vector management specifications from the PHCS was very low (13%) and an official notification or bulletin for rectification mosquito-positive habitats was also very low (5%). Of the 75 responsible district departments interviewed, about half (55%) reported that they had held training courses/meetings related to CNSC vector management, the majority (96%) reported that they had not carried out independent on-site supervision of premises under their jurisdiction. No differences in larval indices were found between premises which were administrative intervened and with no administrative intervention. CONCLUSIONS:The administrative intervention of PHCS had not evidently improved mosquito management of the premises in built-up areas in Wuhan. It is a violation of the original intention of the National Patriotic Health Campaign Committee in organizing CNSC programs. To combat mosquito borne diseases, and to improve the quality of life of residents, we recommend that PHCS honestly reveals defects in urban mosquito management and seriously takes those exposed defects. The PHCS should strengthen Patriotic Health Campaign activities by strict adherence to NSC standards. Further research on sustained promotion of urban mosquito management of NSCs, which focus on effective administration, as well as on improvement of related sectors of NSC standards should be carried out.

Project description:BackgroundIn high-resource settings, structured diabetes self-management education is associated with improved outcomes but the evidence from low-resource settings is limited and inconclusive.AimTo compare, structured diabetes self-management education to usual care, in adults with type 2 diabetes, in low-resource settings.Research design and methodsDesignSingle-blind randomised parallel comparator controlled multi-centre trial. Adults (> 18 years) with type 2 diabetes from two hospitals in urban Ghana were randomised 1:1 to usual care only, or usual care plus a structured diabetes self-management education program. Randomisation codes were computer-generated, and allotment concealed in opaque numbered envelopes. The intervention effect was assessed with linear mixed models.Main outcomeChange in HbA1c after 3-month follow-up. Primary analysis involved all participants.Clinicaltrialgov identifier:NCT04780425, retrospectively registered on 03/03/2021.ResultsRecruitment: 22nd until 29th January 2021. We randomised 206 participants (69% female, median age 58 years [IQR: 49-64], baseline HbA1c median 64 mmol/mol [IQR: 45-88 mmol/mol],7.9%[IQR: 6.4-10.2]). Primary outcome data was available for 79 and 80 participants in the intervention and control groups, respectively. Reasons for loss to follow-up were death (n = 1), stroke(n = 1) and unreachable or unavailable (n = 47). A reduction in HbA1c was found in both groups; -9 mmol/mol [95% CI: -13 to -5 mmol/mol], -0·9% [95% CI: -1·2% to -0·51%] in the intervention group and -3 mmol/mol [95% CI -6 to 1 mmol/mol], -0·3% [95% CI: -0·6% to 0.0%] in the control group. The intervention effect was 1 mmol/mol [95%CI:-5 TO 8 p = 0.726]; 0.1% [95% CI: -0.5, 0.7], p = 0·724], adjusted for site, age, and duration of diabetes. No significant harms were observed.ConclusionIn low-resource settings, diabetes self-management education might not be associated with glycaemic control. Clinician's expectations from diabetes self-management education must therefore be guarded.

Project description:PurposeAs the COVID-19 pandemic continues to evolve, the healthcare system has been forced to adapt in myriad ways. Residents have faced significant changes in work schedules, deployment to COVID-19 units, and alterations to didactics. This study aims to identify the effects of the COVID-19 pandemic on resident perception of their own education within the Nuvance Health Network.MethodsWe conducted an observational study assessing resident perception of changes in education and lifestyle during the COVID-19 pandemic. A survey was developed to assess the quality and quantity of resident education during this time and administered anonymously to all residents within the healthcare network.ResultsEighty-four (68%) residents responded to the survey from 5 different specialties, including general surgery, internal medicine, obstetrics and gynecology, pathology, and radiology. The average change in hours per week performing clinical work was -6 hours (SD = 17; P = .003), in time studying was +0 hours (SD = 5; P = .96), in weekly didactics was -2 hours (SD = 3; P < .001), and in attending involvement was -1 hours (SD = 2; P < .001). Additionally, 32% of residents expressed concern that the pandemic has diminished their preparedness to become an attending, 13% expressed concern about completing graduation requirements, and 3% felt they would need an additional year of training.ConclusionDuring the COVID-19 pandemic thus far, residents perceived that time spent on organized didactics/conferences decreased and that attending physicians are less involved in education. Furthermore, the majority of residents felt that the quality of didactic education diminished as a result of the pandemic. Surprisingly, while many residents expressed concerns about being prepared to become an attending, few were concerned about completing graduation requirements or needing an extra year of education. In light of these findings, it is critical to devote attention to the effects of the pandemic on residents' professional trajectories and create innovative opportunities for improving education during this challenging time.

Dataset Information

Effectiveness of Print Education at Reducing Urban Mosquito Infestation through Improved Resident-Based Management.

Publications

Effectiveness of Print Education at Reducing Urban Mosquito Infestation through Improved Resident-Based Management.

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