Aedes Mosquito Control
Context
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Aedes-borne viral diseases (ABVD): Dengue, Zika, Chikungunya.
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Challenge: Persisting reliance on fumigation, though evidence shows it is ineffective.
Nature of the Aedes Mosquito
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Adapts to human settings; feeds indoors during day and under artificial light.
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Short flight range: 100–200 metres → local actions are highly effective.
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Traditional methods (fumigation, vaporizers, bed nets) ineffective.
Current & Emerging Strategies
A. Top-Down Approaches
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Wolbachia mosquitoes: Bacteria reduces transmission capacity; promising but costly.
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Dengue vaccines: Under trial, but no coverage for Zika/Chikungunya.
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Spatial emanators (transfluthrin-coated sheets): 15-day indoor protection; Peru study showed 34% reduction in ABVD risk.
B. Personal Protection (First Line of Defence)
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Clothing: Loose, full-body covering (esp. Sept–Nov).
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Repellents:
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Approved globally: DEET (20%), picaridin, 2-undecanone, IR3535.
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Plant-based (OLE/PMD): Effective but not for children <3 yrs.
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Citronella & similar oils: Unreliable, short-lasting, risk of irritation.
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C. Community Mobilisation (Bottom-Up)
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Larval Source Reduction:
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Removal of stagnant water (pots, vases, coolers, tyres, plastics).
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Use of lids on water containers (cuts larval odds by 94%).
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Evidence-based studies:
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Camino Verde RCT (Latin America): 29% reduction in dengue infections via community-led action.
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Chennai RCT: Reduced larval breeding.
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Temephos larvicide: Shown to increase risk due to false security + resistance.
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Plastic pollution: Strong predictor of dengue outbreaks.
Policy & Campaigns in India
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MoHFW 2017 Monograph – India Fights Dengue: India-specific guidelines (coconut shells, coolers, etc.).
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ASHA workers: Potential to implement larval control at community level.
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Delhi Campaign – Rule of 10: “10 Weeks, 10 AM, 10 Minutes” → weekly household water-check routine (Sept–Nov).
Way Forward
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Shift from fogging-centric approaches → larval control + personal protection.
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Ensure availability of safe repellents (DEET, picaridin, PMD, IR3535) in Indian markets.
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Integrate bottom-up community mobilisation with top-down innovations (Wolbachia, spatial emanators, vaccines).
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Address plastic pollution & waste management as part of dengue prevention.
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Build public awareness to fight misinformation about repellents.