EcoHealth

, Volume 2, Issue 4, pp 273–290

Barriers and Bridges to Prevention and Control of Dengue: The Need for a Social–Ecological Approach

  • Jerry Spiegel
  • Shannon Bennett
  • Libby Hattersley
  • Mary H. Hayden
  • Pattamaporn Kittayapong
  • Sustriayu Nalim
  • Daniel Nan Chee Wang
  • Emily Zielinski-Gutiérrez
  • Duane Gubler
Original Contributions

DOI: 10.1007/s10393-005-8388-x

Cite this article as:
Spiegel, J., Bennett, S., Hattersley, L. et al. EcoHealth (2005) 2: 273. doi:10.1007/s10393-005-8388-x

Abstract

This article critically examines how programs for the prevention and control of dengue fever have been conducted in the absence of an integrated approach, and considers the social and ecological factors influencing their effectiveness. Despite recognition of dengue fever as the most important arboviral disease affecting humans, and in spite of a greater emphasis on community-based control approaches, the burden placed on the communities, countries, and regions affected by this disease continues to rise. In considering historical experience in the Americas and the Asia-Pacific region, as well as the global forces that are exerting new pressures, the important elements of successful control programs are identified as community ownership, partnership with government, leadership, scalability, and control of immature mosquitoes. The key barriers to the exchange of knowledge and the transdisciplinary cooperation necessary for sustainable dengue control are rooted in differences in values among policy-makers, citizens, and scientists and are repeatedly expressed in technical, economic, cultural, geographic, and political dimensions. Through consideration of case studies in Cuba, Guatemala, Singapore, Thailand, Indonesia, and Vietnam, the limitations of control approaches that fail to take into account the complexities of ecological and social systems are presented. Bridges to effective control are identified as the basis for adaptability, both of control programs to the mosquito vector’s changing behavior and of education programs to public, regional and local particularities, as well as transdisciplinarity, community empowerment, the ability to scale local experiences up to the macro-level, and the capacity to learn from experience to achieve sustainability.

Keywords

dengue fever Aedes aegypti mosquitoes social and ecological systems driving forces community-based partnership 

Copyright information

© EcoHealth Journal Consortium 2005

Authors and Affiliations

  • Jerry Spiegel
    • 1
  • Shannon Bennett
    • 2
  • Libby Hattersley
    • 3
  • Mary H. Hayden
    • 4
  • Pattamaporn Kittayapong
    • 5
  • Sustriayu Nalim
    • 6
  • Daniel Nan Chee Wang
    • 7
  • Emily Zielinski-Gutiérrez
    • 8
  • Duane Gubler
    • 2
  1. 1.Liu Institute for Global IssuesUniversity of British ColumbiaVancouverCanadaV6T 1Z2
  2. 2.Asia-Pacific Institute of Tropical Medicine and Infectious DiseasesUniversity of HawaiiHonolulu
  3. 3.Global Health Research ProgramUniversity of British ColumbiaVancouverCanada
  4. 4.CU Trauma Center, NISSCUniversity of ColoradoColorado Springs
  5. 5.Center for Vectors and Vector-Borne Diseases and Department of Biology, Faculty of ScienceMahidol UniversityBangkokThailand
  6. 6.Vector and Reservoir Control Research UnitNational Institute of Health Research and DevelopmentCentral JavaIndonesia
  7. 7.National Environment AgencySingaporeSingapore
  8. 8.Division of Vector-Borne Infectious DiseasesCenters for Disease Control and PreventionAtlanta

Personalised recommendations