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Incentivizing optimal risk map use for Triatoma infestans surveillance in urban environments

Bibliographic Data

ID19594370
AuthorsClaudia Arevalo-Nieto (0000-0002-3701-193X, Universidad Peruana Cayetano Heredia), Justin Sheen (0000-0001-7842-1364, University of Pennsylvania), Gian Franco Condori-Luna (Universidad Peruana Cayetano Heredia), Carlos Condori-Pino (Universidad Peruana Cayetano Heredia), Julianna Shinnick (0000-0001-7927-2815, University of Pennsylvania), Jennifer K Peterson (0000-0002-0274-6143, University of Pennsylvania), Ricardo Castillo-Neyra (0000-0001-6629-2139, University of Pennsylvania), Michael Z Levy (0000-0002-4661-3764, University of Pennsylvania, corresponding author)
EditorsSrinivasa Rao Mutheneni
Year2022
Volume2
Issue8
Pagese0000145
Publication date2022-08-03
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0000145
PMID36962496
OpenAlexW4289637475
LanguageEN
References cited38

In Arequipa, Peru, a large-scale vector control campaign has successfully reduced urban infestations of the Chagas disease vector, Triatoma infestans . In addition to preventing new infections with Trypanosoma cruzi (etiological agent of Chagas disease), the campaign produced a wealth of information about the distribution and density of vector infestations. We used these data to create vector infestation risk maps for the city in order to target the last few remaining infestations, which are unevenly distributed and difficult to pinpoint. Our maps, which are provided on a mobile app, display color-coded, individual house-level estimates of T . infestans infestation risk. Entomologic surveillance personnel can use the maps to select homes to inspect based on estimated risk of infestation, as well as keep track of which parts of a given neighborhood they have inspected to ensure even surveillance throughout the zone. However, the question then becomes, how do we encourage surveillance personnel to actually use these two functionalities of the risk map? As such, we carried out a series of rolling trials to test different incentive schemes designed to encourage the following two behaviors by entomologic surveillance personnel in Arequipa: (i) preferential inspections of homes shown as high risk on the maps, and (ii) even surveillance across the geographical distribution of a given area, which we term, ‘spatial coverage.’ These two behaviors together constituted what we termed, ‘optimal map use.’ We found that several incentives resulted in one of the two target behaviors, but just one incentive scheme based on the game of poker resulted in optimal map use. This poker-based incentive structure may be well-suited to improve entomological surveillance activities and other complex multi-objective tasks

Biology · Chagas disease · Environmental health · Geography · Incentive · Infestation · Parasite hosting · Triatoma · Triatoma infestans · Triatominae · Trypanosoma cruzi · Computer Science · Insect symbiosis and bacterial influences · Medicine · Mosquito-borne diseases and control · Trypanosoma species research and implications · Immunology

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