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Kittayapong, Pattamaporn, Sim, Shuzhen, Ng, Lee Ching, Lindsay, Steve W and Wilson, Anne 
ORCID: https://orcid.org/0000-0001-7387-353X
(2020)
'A greener vision for vector control: The example of the Singapore dengue control programme'. PLoS Neglected Tropical Diseases, Vol 14, Issue 8, e0008428.
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Sim et al_2020_Plos NTDs_A greener vision for vector control.pdf - Published Version Available under License Creative Commons Attribution. Download (4MB) | Preview |
Abstract
Vector-borne diseases are a major cause of morbidity and mortality worldwide. Aedes-borne diseases, in particular, including dengue, chikungunya, yellow fever, and Zika, are increasing at an alarming rate due to urbanisation, population movement, weak vector control programmes, and climate change. The World Health Organization calls for strengthening of vector control programmes in line with the Global Vector Control Response (GVCR) strategy, and many vector control programmes are transitioning to this new approach. The Singapore dengue control programme, situated within the country’s larger vision of a clean, green, and sustainable environment for the health and well-being of its citizens, provides an excellent example of the GVCR approach in action. Since establishing vector control operations in the 1960s, the Singapore dengue control programme succeeded in reducing the dengue force of infection 10-fold by the 1990s and has maintained it at low levels ever since. Key to this success is consideration of dengue as an environmental disease, with a strong focus on source reduction and other environmental management methods as the dominant vector control strategy. The programme collaborates closely with other government ministries, as well as town councils, communities, the private sector, and academic and research institutions. Community engagement programmes encourage source reduction, and house-to-house inspections accompanied by a strong legislative framework with monetary penalties help to support compliance. Strong vector and epidemiological surveillance means that routine control activities can be heightened to specifically target dengue clusters. Despite its success, the programme continues to innovate to tackle challenges such as climate change, low herd immunity, and manpower constraints. Initiatives include development of novel vector controls such as Wolbachia-infected males and spatiotemporal models for dengue risk assessment. Lessons learnt from the Singapore programme can be applied to other settings, even those less well-resourced than Singapore, for more effective vector control.
| Item Type: | Article |
|---|---|
| Subjects: | WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WC Communicable Diseases > Virus Diseases > Infectious Mononucleosis. Arbovirus Infections > WC 528 Dengue WC Communicable Diseases > Tropical and Parasitic Diseases > WC 680 Tropical diseases (General) |
| Faculty: Department: | Biological Sciences > Vector Biology Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1371/journal.pntd.0008428 |
| Depositing User: | Samantha Sheldrake |
| Date Deposited: | 01 Sep 2020 12:11 |
| Last Modified: | 01 Sep 2020 12:11 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/15449 |
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