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Trends, priorities and policy directions in the control of vector-borne diseases in urban environments

Bibliographic Data

ID11490306
AuthorsJO LINES (0000-0001-5380-4916, London School of Hygiene & Tropical Medicine), Trudy Harpham (0000-0003-4262-9352, London School of Hygiene & Tropical Medicine), COLIN LEAKE, C J Leake (London School of Hygiene & Tropical Medicine), CHRIS SCHOFIELD
Year1994
Volume9
Issue2
Pages113-129
Publication date1994-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Policy and Planning (JOURNAL)
Journal identifiersISSN: 0268-1080 • E-ISSN: 1460-2237
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/9.2.113
PMID15726774
OpenAlexW2071659246
LanguageEN
Citations received7
References cited2

The habitats available in urban environments tend to be rather lacking in diversity compared to those in the countryside, and relatively few species are able to exploit them. Those that can, however, often find themselves relatively well provided with food and places to live, and relatively free of competitors and predators. This applies not only to such well-known species as the house-sparrow, but also to most of the important mosquito vectors of human disease in urban areas. Human city dwellers thus tend to be exposed to a different spectrum of disease than their rural counterparts. This review describes how the physical and social changes associated with urbanization have altered the transmission of vector-borne disease. It concentrates on the important mosquito-borne infections: malaria, dengue and filariasis. Dengue virus vectors breed in relatively clean water in man-made containers, while urban filariasis vectors breed in highly polluted water, and these mosquitoes have now been spread by man's activities to almost every tropical city. With important exceptions, anopheline malaria vectors have not generally succeeded in adapting to urban life, but malaria can still be a problem where there are rural pockets in the middle of town. Each of these problems requires control using different technologies and timing. The following policy implications are stressed. The areas of responsibility between different sectors of the local services (health, water supply, sanitation), and between these and the public, need to be clearly defined. Due to the biological complexities of vector-borne disease, decentralized primary health care systems are generally incapable of ensuring that control efforts are adequately targeted in time and space. Community support is essential but specialized technical skills are also required.

Biology · Chikungunya · Dengue fever · Environmental health · Environmental planning · Filariasis · Geography · Malaria · Mosquito control · Political science · Public health · Rural area · Sanitation · Socioeconomics · Transmission (telecommunications) · Urbanization · Vector (molecular biology) · Water supply · Zoology · Ecology · Malaria Research and Control · Medicine · Mosquito-borne diseases and control · Virology · Zoonotic diseases and public health

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Unique citing works7
Citations per year0,25
Citation span1998 - 2020 (23)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 7

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