Objective To implement sustainable vector control strategies and measures for Japanese encephalitis (JE) by carrying out integrated mosquito prevention and control (IMPC) in developing rural areas of Gansu province as a health, poverty alleviation, and public welfare activity in 2019, and to provide a IMPC package for mosquito control in high-prevalence areas of JE in China. Methods The activity was jointly proposed by professional institutes and social organizations, technically guided by disease control specialists, and implemented by several enterprises and voluntary teams engaged in pest control operation (PCO). Zhaoshi village in Bali town, Jingning county, Pingliang, Gansu province, with the highest incidence rate of JE in 2017, was selected, and integrated management strategies were carried out, including public education for villagers, thorough elimination of mosquito larvae breeding sites, and chemical control in key areas. During the activity, the lamp trapping method was used to monitor the change in mosquito density to evaluate the effect of integrated mosquito control. Results A total of 41 enterprises participated in the activity, and 19 technical specialists and 37 PCO volunteers formed the team of volunteers. Investigation before control showed that bonsai, aquatic plants, cisterns, tanks, and basins were the main containers for water accumulation, with a positive rate of water accumulation of 34.32% and a 100-household index of 85.33. Main mosquito breeding sites in the external environment within and around the village included pipe wells, sewer water, open channels, sewage lagoons, unused bowls/bottles/tanks/cans, and waste tires, with a positive rate of 17.31%. The results of monitoring before control showed that the density of adult mosquitoes was 50.33 mosquitoes/trap/night, and Culex tritaeniorhynchus was the dominant species accounting for 80.13%, followed by Cx. pipiens pallens accounting for 12.91% and Anopheles sinensis accounting for 5.96%. After the first time of prevention and control, the density of adult mosquitoes was reduced to 11.60 mosquitoes/trap/night, with Cx. pipiens pallens accounting for 43.11%, Cx. tritaeniorhynchus accounting for 17.24%, An. sinensis accounting for 5.17%, and other mosquito species accounting for 34.48%, and the mean reduction rate of mosquito density was 76.95%. After the second time of prevention and control, the total mosquito density was reduced to 6.67 mosquitoes/trap/night, with An. sinensis accounting for 42.50%, Cx. pipiens pallens accounting for 17.50%, Cx. tritaeniorhynchus accounting for 15.00%, and other mosquito species accounting for 25.00%; the mean reduction rate of mosquito density was 86.75%, and the reduction rate of peasant households reached 100%. With the implementation of integrated mosquito prevention and control measures, the composition ratio of Cx. tritaeniorhynchus decreased from 80.13% to 15.00%. There was a significant reduction in mosquito larvae breeding sites after on-site public education and treatment, with a reduction rate of 93.24% based on container index. Conclusion The sustainable mosquito control mode of monitoring, control, and evaluation has a good effect in spreading the knowledge of mosquito prevention and control and reducing mosquito density and can be widely used in the high-prevalence areas of JE in China. Such measures should be taken in accordance with local conditions to achieve a better effect.
MENG Feng-xia, SUN Yang-xin, WU Zhao, WU Hai-xia, ZHAO Chun-chun, JIA Yu-xin, LI Zhi-ping, MAO Wen-xiu, LUN Xin-chang, ZHANG Peng-ju, YAN Jun, LYU Wen, QIU Liu-yu, LIU Qi-yong
. Integrated mosquito prevention and control package and efficacy evaluation in the endemic area of Japanese encephalitis in Jingning county of Gansu province, China, 2019[J]. Chinese Journal of Vector Biology and Control, 2021
, 32(2)
: 144
-149
.
DOI: 10.11853/j.issn.1003.8280.2021.02.005
[1] Turtle L,Driver C. Risk assessment for Japanese encephalitis vaccination[J]. Hum Vaccin Immunother,2018,14(1):213-217. DOI:10.1080/21645515.2017.1380756.
[2] Kakoti G,Dutta P,Ram Das B,et al. Clinical profile and outcome of Japanese encephalitis in children admitted with acute encephalitis syndrome[J]. Biomed Res Int,2013,2013:152656. DOI:10.1155/2013/152656.
[3] 王旭霞. 甘肃省流行性乙型脑炎流行病学特征、后遗症及疾病负担研究[D]. 北京:中国疾病预防控制中心,2009.Wang XX. Epidemiological characteristics,sequelae and disease burden of Japanese encephalitis in Gansu province[D]. Beijing:Chinese Center for Disease Control and Prevention,2009.
[4] 吴丹,尹遵栋,李军宏,等. 中国2014-2018年流行性乙型脑炎流行病学特征[J]. 中国疫苗和免疫,2020,26(1):1-4.Wu D,Yin ZD,Li JH,et al. Epidemiology of Japanese encephalitis in China,2014-2018[J]. Chin J Vaccines Immun,2020,26(1):1-4.
[5] Wang XX,Su L,Zhu HW,et al. Long-term epidemiological dynamics of Japanese encephalitis infection in Gansu province,China:A spatial and temporal analysis[J]. Am J Trop Med Hyg,2020,103(5):2065-2076. DOI:10.4269/ajtmh.20-0179.
[6] 金娜,张晓曙,张秉玲,等. 甘肃省2004-2017年流行性乙型脑炎发病及流行特征[J]. 中国公共卫生,2020,36(2):210-214. DOI:10.11847/zgggws1121131.Jin N,Zhang XS,Zhang BL,et al. Incidence trend and prevalence status of Japanese encephalitis in Gansu province,2004-2017[J]. Chin J Publ Heal,2020,36(2):210-214. DOI:10.11847/zgggws1121131.
[7] 胡玉琨,王武松,刘建华,等. 2017年平凉市流行性乙型脑炎流行病学特征分析[J]. 疾病预防控制通报,2019,34(2):42-43,73. DOI:10.13215/j.cnki.jbyfkztb.1901002.Hu YK,Wang WS,Liu JH,et al. Epidemiological characteristics of Japanese encephalitis in Pingliang city in 2017[J]. Bull Dis Control Prev,2019,34(2):42-43,73. DOI:10.13215/j.cnki.jbyfkztb.1901002.
[8] 综合新华社. 中共中央国务院印发《"健康中国2030"规划纲要》对加强重大传染病防控、保障食品药品安全和完善公共安全体系提出明确要求[J]. 中国应急管理,2016(10):22-24.Comprehensive Xinhua News Agency.The outline of "Healthy China 2030" issued by the State Council of the CPC Central Committee puts forward clear requirements for strengthening the prevention and control of major infectious diseases,ensuring food and drug safety and improving the public safety system[J]. Chin Emerg Manag,2016(10):22-24.
[9] 刘小波,刘起勇,任东升,等. 两种多杀菌素剂型对三带喙库蚊幼虫现场防治评价[J]. 中华卫生杀虫药械,2014,20(2):115-118. DOI:10.19821/j.1671-2781.2014.02.005.Liu XB,Liu QY,Ren DS,et al. Field control evaluation of two spinosad formulations against Culex tritaeniorhynchus[J]. Chin J Hyg Insect Equip,2014,20(2):115-118. DOI:10.19821/j. 1671-2781.2014.02.005.
[10] 李春晓,郭晓霞,黄恩炯,等. 城市中三带喙库蚊新孳生地的发现[J]. 中国媒介生物学及控制杂志,2007,18(1):31. DOI:10.3969/j.issn.1003-4692.2007.01.034.Li CX,Guo XX,Huang EJ,et al. Discovery of new breeding ground of Culex tritaeniorhynchus in urban area[J]. Chin J Vector Biol Control,2007,18(1):31. DOI:10.3969/j.issn.1003-4692.2007.01.034.