|
|
||||||||
| ABSTRACT |
|
|
|---|
| INTRODUCTION |
|
|
|---|
The pupal survey technique generates an estimate of pupal density of Ae. aegypti in containers as a proxy for the number of adults. The number of females emerging daily under steady-state conditions is the product of the number of pupae present in the area, the proportion of pupae emerging every day (inverse of the pupal development time), the proportion of female pupae, and the pupal survival rate. The standing crop (adults of all ages) is calculated by multiplying daily female emergence times the life expectancy of the female adult.3 The hypothetical minimum number of females Ae. aegypti required to cause a dengue outbreak (threshold density; female pupae per person) has been modeled based on environmental temperature, rate of virus introductions, and human population immunity. Contrasting the actual density of Ae. aegypti with the corresponding threshold gives an idea of the magnitude of vector population reduction that would be required to prevent dengue outbreaks.3 Although the concept of vector population threshold for dengue awaits field validation, using pupae as a proxy for the number of adults seems well-supported. Issues about practicality in vector control programs and reliability of pupal surveys are being investigated as part of the Special Program for Research and Training in Tropical Diseases multinational research project.
The pupal survey may be a feasible approach for vector control programs because preliminary observations in several urban areas suggested that most pupae of Ae. aegypti were produced in a few types of containers.1 Thus, vector control efforts can be concentrated on eliminating or treating the most productive types of containers to reduce mosquito density below a target threshold. Container abundance and productivity determine pupal standing crop, and it is thought that after identifying the most productive container types in a given area, further surveillance will only be needed for assessing the abundance of each container type. In other words, counting pupae would not be needed every time the same area is surveyed.2
We explored and expanded the following aspects of the hypothesis that most pupae of Ae. aegypti could be located in specific portions of the urban habitat. 1) Most pupae of Ae. aegypti are produced in a few types of containers, regardless of the way containers are grouped in classes (e.g., container name, householders container usage), 2) Most pupae of Ae. aegypti are found in a few containers of each type (aggregation) whereas most containers do not have pupae. 3) The most productive container types are the most abundant. 4) Most pupae of Ae. aegypti are found in a few key premises.4 5) There are significant differences in Ae. aegypti productivity between public areas (streets, parks, empty lots, etc.) and households. 6) Environmental conditions of containers and premises determine pupal productivity, and those conditions can be used as indicators of pupal productivity. 7) The most productive container types vary in time. 8) Assessing number of larvae per type of container, percentage of positive containers of each class, or Breteau Index per type of container is as efficient in detecting which types of containers have high pupal productivity as direct pupal counts.
| MATERIALS AND METHODS |
|
|
|---|
|
|
|
|
Statistical analyses. Summary values were expressed as the mean ± SE. Paired t-tests were conducted to test for mean differences in the number of males and females per container, and to compare female pupae of Ae. aegypti per premise that were found in the same premises in the two surveys. The null hypothesis that numbers of female pupae of Ae. aegypti did not differ among container types, container use, or among derived clusters was evaluated using Kruskal-Wallis analyses. Mean dry mass of emerging adults was compared among categories of container type, container use, or clusters by means of one-way analysis of variance (ANOVA).
The hypothesis that a few containers within each type had most of the pupae was evaluated by analyzing their variance/mean ratio, which is expected to be less than 1 for a uniform distribution, 1 for a random distribution, and more than 1 for an aggregated distribution (chi-square index of dispersion test).15 The null hypotheses stating that female pupae had a Poisson distribution (variance/mean = 1) or a negative binomial distribution (variance/mean > 1) were evaluated (chi-square goodness-of-fit test)15 for each type of container.
A two-step cluster analysis was used to classify containers with water based on the following variables: container use, source of container water, presence or absence of trees above the container, amount of exposure to the sun, container material, and water volume (transformed to four ranks with similar sample size: < 0.130, 0.1400.490, 0.5001.800, and > 1.800 liters). Two-step cluster analysis can show natural groupings or clusters, handle categoric and continuous variables, and automatically select the number of clusters (model) by means of information criteria (Bayesian Information Criterion). Once the groups were identified, we calculated statistics of female pupae per container for each group, and conducted a one-way ANOVA to compare mean pupae across groups.
A two-step cluster analysis was conducted to explore the existence of homogeneous groups of structures with Ae. aegypti. The variables included in the classification were the area of the premise (m2), mean water volume (liters) in containers on the premise, mean number of trees, whether the building was inhabited or vacant, type of structure as indicated earlier in this report, and total Ae. aegypti female pupae per premise. In this case, we did not make statistical comparisons among groups because we included the number of pupae in the classification criteria.
To evaluate if premises changed their status as producers (with pupae) or non-producers (without pupae) between surveys, we compared the premises sampled on both occasions (505 premises) using a 2 x 2 contingency table (pupae present/absent, 2 surveys) and a chi-square test (degrees of freedom [df] = 1).
| RESULTS |
|
|
|---|
Aedes aegypti pupae per type of container.
Seven types of containers (large and small buckets, plastic sheets used to cover large objects, discarded and implements, toys, and drums; Figure 3
) yielded 80.5% of all pupae and represented approximately half (53.1%; Figure 3
) of all containers surveyed. The null hypothesis stating that female pupae of Ae. aegypti did not differ among container types was rejected (
2 = 60, df = 9, P < 0.01, by Kruskal-Wallis analysis). A Spearman correlation between the rank orders of container abundance and pupal density was positive and significant (n = 18; rs = 0.69, P < 0.01) suggesting that the most productive containers were also common. The correlation was far from perfect because some unusual containers had comparatively high pupal productivity (e.g., plastic sheets used as covers and toys; Figure 3
). The seven most common types of containers had 60.4% of all pupae, which reflected the positive correlation between container abundance and productivity.
Mean individual dry mass of emerging Ae. aegypti males did not differ among the five types of most productive containers (range = 0.2330.351 mg; F4,118 = 2.18, P > 0.05, by ANOVA). Mean individual dry mass of emerging Ae. aegypti females differed significantly among those five container types (range = 0.3770.612 mg; F4,114 = 2.49, P < 0.05, by ANOVA). The largest females came from pockets of rain water accumulated on plastic sheets that were used to cover large objects on backyards or from discarded cover sheets. The total biomass per type of container (female pupae x average body mass) was larger for cover sheets (135.8 mg), followed in order by large buckets (122.9 mg), discarded containers (75.8 mg), small buckets (65.8 mg), and discarded utensils (59.4 mg).
The hypothesis that a few containers within each type had most of the pupae was evaluated by analyzing their statistical distributions and variance:mean ratios per type of container. The null hypothesis of a Poisson (random) distribution (variance/mean = 1) was evaluated (chi-square goodness-of-fit test) for each type of container. We concluded that the variance:mean ratio was significantly different from 1 (P < 0.01) for each type of container (variance:mean ratios = 3.462.9), and by inspecting the distributions and the ratios, it was concluded that female pupae had a clumped distribution. Container types with few samples were not evaluated. The distribution of female pupae per type of container was fitted to a negative binomial distribution (chi-square goodness-of-fit test) for discarded utensils, small buckets, discarded containers, other utensils, large buckets, tires, and plant pots. The null hypothesis that female pupae of Ae. aegypti had a negative binomial distribution could not be rejected (P > 0.05) for any of the container types studied. Aggregation of female pupae was evident, for example, since only 29 (24%) of 122 discarded implements contained pupae, and among those that were positive only 12 (10%) had approximately 80% of the pupae. The mean ± SE percentage of containers having 8090% of all pupae across the 11 most abundant types was 6.9 ± 1.3%, or 94 (7%) of 1,367 containers with water in the study area.
Alternate ways of classifying the containers.
Given the diversity of container types, we classified them by use or function in the household, thus reducing the number of classes to 10 (Figure 4
). Collectively, the most numerous containers were discarded containers, those used for animal drinking, ornamental purposes, and household cleaning (90%; Figure 4
). Discarded containers were the ones that produced most of the female pupae (44.6%). Discarded containers, ornamental vessels, cover sheets, and toys accounted for 77.2% of all pupae (Figure 4
). The null hypothesis that numbers of Ae. aegypti female pupae did not differ among classes of container usage was rejected (
2 = 47.4, df = 9, P < 0.01, by Kruskal-Wallis analysis). There was no significant correlation between the rank orders of container and pupal abundance (n = 10; rs = 0.39, P > 0.05) mainly because the second most abundant category of container use (animal drinking pans) did not produce many pupae (Figure 4
). However, the four most abundant containers classified by use (discarded, ornamental, cleaning, and animal drinking) had 69.6% of all pupae.
The distribution of female pupae per category of container usage was also clumped, with significant variance:mean ratios (2.8137.7) for each container usage. A negative binomial distribution could be fitted to discarded, ornamental, and cleaning containers but not to animal drinking and water storage containers. Aggregation was evident in the discarded containers. For example, female pupae were present in 114 (16.6%) of 686 discarded containers, but only 41 (6%) of all discarded containers contained 80% of the pupae.
Mean individual dry mass of emerging Ae. aegypti males did not differ among the four categories of container use containing most of the pupae (range = 0.2660.339 mg; F3,157 = 0.63, P > 0.05, by ANOVA). Mean individual dry mass of emerging Ae. aegypti females significantly differed among those container types (range = 0.421 0.600 mg; F3,148 = 3.34, P < 0.05, by ANOVA). The largest females came from pockets of rain water accumulated on plastic sheets that were used to cover large objects in backyards. Total biomass per type of container (female pupae x average body mass) was larger for discarded objects (272.3 mg), followed by covers (121.2 mg), cleaning utensils (57.7 mg), and ornamental containers (56.7 mg). The rank order of standing crop per category of container use was essentially the same as that for total number of female pupae.
Cluster analysis of containers.
The two-step cluster analysis produced four groups of containers (IIV; Table 1
). Cluster I (26.2% of samples) comprised most of the containers used for animal drinking, ornamental vessels, and containers used for cleaning (Figure 5
). Cluster I had 0.5 ± 0.2 female Ae. aegypti pupae per container, which represented 10.1% of all female pupae (Table 1
and Figure 5
). Cluster II included 12.5% of all containers, mostly ornamental receptacles and water storage containers (Figure 5
). This group had the largest mean ± SE water volume per container (19.7 ± 4.9 L) of the four clusters (Table 1
). Cluster II had 1.3 ± 0.4 female pupae per container and 13.9% of all female pupae. Clusters III (32.6% of all containers) and IV (28.7%) included 96.4% of the discarded containers (Figure 5
). Most containers in cluster III were exposed to the sun with the highest mean water temperature, no tree canopy, and received direct rainfall or rain draining off the roof (Table 1
). In contrast, containers in Cluster IV were mostly in the shade of trees, received rainfall through foliage, and had the lowest mean water temperature (Table 1
). Clusters III and IV had 26.6% and 49.4%, respectively, of all female pupae, and their female pupal densities were 1.0 ± 0.2 and 2.0 ± 0.3, respectively. It is readily appreciated (Figure 5
) that some uncommon containers had comparatively large numbers of Ae. aegypti pupae (cover sheets and toys), and that pupal productivity was higher when containers were under the environmental conditions of cluster IV (Table 1
). Also, as previously indicated, some rather common containers (animal drinking) had comparatively low productivity (Figure 5
). A one-way ANOVA (F3,1168= 5.95, P < 0.01) showed significant differences in the mean density of female Ae. aegypti pupae among clusters. Most containers in Clusters I and II were those frequently attended by humans in the process of sustaining plants and animals on their premises (24% of total female pupae), whereas those in Clusters III and IV were basically unattended and rain-filled (76% of total female pupae).
|
|
Variability in pupal production among premises.
Mean ± SE female pupae of Ae. aegypti per type of structure (percentage of total pupae) were uninhabited house = 2.8 ± 1.9 (14.7%), inhabited house = 2.4 ± 0.4 (78.9%), abandoned building = 1.9 ± 0.9 (5%), store 0.7 ± 0.3 (1.4%), and church = 0. Three clusters were derived. The first cluster (103 premises) included abandoned structures (100%) and uninhabited houses (94.5%). Cluster II (76 premises) contained all commercial stores, two of the three churches, four uninhabited houses (5.5%), and a few inhabited houses (9.2%). Cluster III (396 premises) included only most of the inhabited houses (94.5%; Table 2
). Most female pupae of Ae. aegypti were present in premises of cluster II (62.3%). This group had large premises, a large number of trees, and container water volumes (Table 2
). Within cluster II, the 40 inhabited and 4 uninhabited premises yielded 97.6% of all Ae. aegypti female pupae in this cluster, which indicated that buildings used for commercial purposes (stores, and hotels) and churches were grouped in cluster II basically because of their large lot sizes, but otherwise contributed little to Ae. aegypti mosquito production. Most containers with water were in cluster III (inhabited premises; Figure 6
); however, a large proportion of all the female pupae were in cluster II (very few premises) in a few classes of uncommon (plastic cover sheets, toys, drums) and common (large buckets, discarded) highly productive containers (Figure 6
). For example, there were many more discarded containers and large buckets in the premises of cluster III than in cluster II, but the total number of female pupae was similar in discarded containers and larger in the large buckets of cluster II (Figure 6
). It can also be seen that the highly productive, uncommon containers were producing pupae almost only in premises of cluster II (covers, toys, drums; Figure 6
). Therefore, a few premises were highly productive because of the presence of those unusually productive vessels and a global higher productivity in containers in premises of cluster II, which was associated with larger lots, numerous trees, and larger container water contents.
|
|
To evaluate if premises changed their status from producers (with pupae) to non-producers (without pupae) between surveys, we compared the 505 premises sampled in both occasions using a 2 x 2 contingency table (pupae present/absent surveys). The test result was significant (
2 = 14.7, df = 1, P < 0.01), indicating changes in the status of premises as producers of Ae. aegypti between the two survey periods. For example, 71 premises that produced pupae in the first survey did not have pupae in the second one, whereas 51 premises that were negative in the first survey had pupae during the second sampling. Continued production occurred in 29 premises, but most houses (351) were negative in both periods.
The container types with most of female pupae of Ae. aegypti varied in rank in the second survey, as shown by the lack of statistical significance of the Spearmans rank correlation coefficient (n = 17; rs = 0.44, P > 0.05) between total pupae produced by each type of containers in each period (Figure 3
). The six container types with most female pupae (78.8%) were large buckets, discarded containers, small buckets, tires, other discarded utensils, and plastic pools (Figure 3
). The correlation between rank orders of container abundance and total pupal per container type in the second survey was significant (n = 18; rs = 0.88, P < 0.01). Targeting the six most common containers would bring about a similar (73%) reduction in pupal production as targeting the six most productive containers. Common, most productive container types in both surveys were small and large buckets and various types of discarded containers (Figure 3
).
Grouping containers by their use showed that 71.3% of all female pupae were in only one category of containers (discarded ones; Figure 3
). Some uncommon containers, such as the 4 plastic swimming pools had a large number of female pupae, but all 113 pupae were found in only 1 pool. Ornamental containers (plant pots and fountains) and objects used for cleaning purposes (buckets) were important in both sampling periods (Figure 3
). The correlation between rank orders of container and pupal abundance was not significant (n = 10; rs = 0.55, P > 0.05), as in the first sampling period for container usage, which reflected the importance of scarce containers (plastic pools) with a disproportionate number of female pupae (Figure 5
). Therefore, in both surveys we found at least one category of scarce container-usage that was producing a large number of pupae (plastic cover sheets and pools). It is also noteworthy that plastic covers, toys, and water storage containers exhibited rather low pupal productivity in the second survey.
Larval, Breteau, and positive-container counts as indicators of what types of containers had the most pupae of Ae. aegypti. Ranks of larval abundance per type of container correlated with the order of female pupal abundance per type of container (n = 18; rs = 0. 59; P < 0.01). Although 8 (44.4%) of 18 types of containers had 81.8% of the larvae and 70.9% of the female pupae, it was necessary to add the pupae in 11 types of containers with the largest number of larvae to account for 81.1% of the female pupae. In other words, 11 types of containers would have to be eliminated to achieve 81.1% control of female pupae based on larval counts, whereas direct counts of pupae that identified the most productive containers showed that eliminating 78 types of containers would bring about a reduction of 79.785.2%. Similarly, using the Breteau Indices per container type, we observed that 11 types of containers accounted for 81% of the female pupae. The ranks of percentage of positive containers did not correlate with pupal abundance ranks per type of container (n = 18; rs = 0.02; P > 0.05).
Using larval counts per class of container usage, 7 of 10 classes of containers had 80.1% of the pupae, compared with 4 classes of containers with 80.3% of the pupae if pupal counts were used. There were no correlations between larval abundance (n = 10; rs = 0.33; P > 0.05) or percentage of positive containers (n = 10; rs = 0.32; P > 0.05) and pupal abundance per class of container usage.
| DISCUSSION |
|
|
|---|
The hypothesis was also supported when the containers were classified by the use, function, or role that householders gave the containers (Figure 4
); in this case the total number of container uses that we identified was 10. During the first survey, four types of container use (discarded containers, plastic cover sheets, ornamental containers, and toys) had 80.3% of all pupae, while during the second survey a single class of container usage (discarded containers) produced 71.3% of all pupae. Therefore, controlling or eliminating Ae. aegypti immature forms in receptacles that have been discarded or used as covers, ornamental containers (plant pots and water fountains), or toys could substantially reduce the immature population. A rather abundant class of container use, animal drinking vessels, contained only 4.55.8% of all pupae. Similarly, the infrequent water storage vessels in our study area held only 1.44.3% of all pupae. It appears that classifying the containers by household use or function gave more parsimonious results and ease of interpretation than the classification by type or name (Figures 3
and 4
).
Additionally, we explored whether the most productive container types corresponded with the most abundant containers in the study area because in such a case it would not be necessary to target the most productive ones (with the associated costs of counting pupae). This hypothesis was not always supported by the data because a few types of scarce containers had large numbers of pupae, or because some rather common ones, such as the animal drinking pans, had few pupae. Reductions of pupae of 6080% could be accomplished by controlling the most common containers, but this would involve a larger number of total containers to be controlled compared with an understanding of pupal productivity. In practice, the costs of eliminating Ae. aegypti from some types of containers may significantly vary. For example, it may be more difficult to control immature forms in animal drinking pans than in containers that are possibly not as sensitive for householders. In this study, the low productivity observed in animal drinking pans may not justify targeting them for mosquito control, but this was a result of analyzing pupal productivity. Therefore, our recommendation is to understand local pupal productivity per type of container, then to target containers based on their abundance and productivity maximizing the impact on the mosquito population and minimizing operational costs and time.
The quantitative approach followed here to classify the containers (two-step cluster analysis) based on container variables (use of the container, source of water, presence of tree canopy, degree of exposure to the sun, type of container material, and water volume) showed that most (80%) pupae found in the study area were in unattended, rain-filled containers in yards. The most productive containers were those in the shade of trees that received rainfall through foliage and had lower water temperatures. The rest of pupae were in containers used for the residents mainly to sustain animals or plants or to store water (animal drinking pans, plant pots, ornamental fountains, barrels, buckets, etc.; Figure 5
). From this classification system, we concluded that a significant reduction in the Ae. aegypti population could be achieved by householder management (removing discarded containers and placing essential receptacles under a roof or upside down) of their backyards in Salinas, without necessarily having to deal with those containers to which water is added by people.
Using the same multivariate technique, we classified the premises in the study area using several structural variables of the premises (surface area, number of trees, whether or not the building was inhabited, type of building) and containers (volume of water, total female pupae). A single 76 premise cluster contained 62% of all female pupae (Table 2
). Those premises were characterized by having the largest surface areas, number of trees, and containers with large volumes of water. Recognizing the existence of a reduced number of premises with such large pupal yields is an important additional criterion to guide eventual control efforts. Those premises were the ones containing the uncommon (plastic cover sheets, toys) or common (discarded, large buckets) highly productive vessels. It has been observed in Queensland, Australia that a small percentage of premises contained a large percentage of positive containers4 and that poorly-maintained houses with untidy, shaded yards were 2.5 times more likely to be positive for Ae. aegypti immature forms (Premise Condition Index).16 The Premise Condition Index was significantly associated with the percentage of positive premises and the number of positive containers per premise in Colima, Mexico.17 Two of the three qualitative variables that make up the Premise Condition Index are yard conditions (trash and lawn maintenance) and tree shade conditions.16 Therefore, our results agree with previous observations that premises with more trees and an accumulation of discarded containers in the yards produce more Ae. aegypti.
With one exception, the individual biomass of emerging Ae. aegypti adults did not differ between types of containers. Female adults emerging from plastic cover sheets were significantly heavier than in other types of containers. This result underscores the importance of some uncommon containers, which could be overlooked in surveillance and control programs. The rank order of pupal standing crop (pupal density x individual weight) was similar to the rank order of the total number of pupae per type of container use and per clusters of containers.
The results presented are consistent with a general theme: that most pupae are present in a small fraction of all containers or premises. This pattern is usually characterized by statistical distributions that take into account over-dispersal (aggregation and contagion), where most samples are empty and a few samples contain most of the individuals. The hypothesis that regardless of the type or category of containers only a few receptacles within each class had most of the individuals was supported by the data collected in this study. The distribution of female pupae per container for the most abundant containers was adjusted to a negative binomial distribution. The parameter k of the negative binomial was low and the variance:mean ratio was large, showing that Ae. aegypti immature forms were highly aggregated in the containers. Evidence suggests that larva of Ae. aegypti were not just aggregated but probably overcrowded. We have observed that the number of larvae and pupae of Ae. aegypti per container in Salinas were positively correlated, but the body mass of emerging females was negatively correlated with larval density (Barrera R. and others, unpublished data). Concurrent observations led us to conclude that food limitation or intraspecific competition were limiting factors for Ae. aegypti in a large fraction of the containers in the study area (Barrera R. and others, unpublished data). Conversely, lack of negative density-dependent effects of larvae on emerging adults seemed to exist in a smaller fraction of the containers with larger volumes of water and lower temperatures.
A similar pattern of aggregation was demonstrated for the number of female pupae per premise. Reuben and others18 found that the pupal population of Ae. aegypti per premise in Sonepat, India followed a negative binomial distribution, with values of the aggregation parameter (k) ranging from 0.021 to 0.095 in several surveys of the same area in time. The k values for female pupae per premise in the present study were 0.058 and 0.038 for the first and second surveys, respectively. With some exceptions, aggregation of immature forms and pupae has been commonly observed in a number of mosquito species.19
Aggregation was observed in both surveys, in spite of the temporal changes observed in the relative abundance of the most productive containers and the mean number of pupae per container. Aggregation is largely a result of lack of individuals in most samples. For example, of 505 premises sampled in both periods, 351 (70%) had no pupae at the time of the survey either because those premises did not have containers with water or because the containers had no pupae. Conditions associated with pupal production changed in premises over time because 14% of the premises with pupae in the first survey did not have pupae in the second survey, and 10% of the premises without pupae in the first survey period did have pupae in the second survey. These results and the observed changes in the abundance of the most productive containers between surveys emphasize that these aquatic habitats are dynamic and the need for frequent assessments of premises.
The use of counts of developed larvae (third and fourth instars), the presence or absence of immature forms, or the Breteau Index did not substantially improve our perception of which and how many classes of containers had most female pupae (roughly 80%), compared with direct determination of the most productive containers by counting pupae. Using pupal counts, control efforts could concentrate in the elimination of fewer classes of containers to achieve a relatively large reduction in the production of adults. The pupal survey approach would not be of much use if pre-adult control will be applied to every type of container in the study area. Therefore, the pupal survey is a precise way to stratify the environment with the purpose of guiding and making the control of pre-adult Ae. aegypti more effective and economical.
From the various approaches we followed here to understand pupal productivity, we conclude that a significant reduction in the Ae. aegypti population could be achieved by householder management of their backyards in Salinas (removing discarded containers and placing essential receptacles under a roof or upside down), without necessarily having to deal with those containers to which water is added by people. It was also evident in Salinas that inhabited premises with larger lot sizes and more trees are likely to produce more pupae, thus providing the means to prioritize areas for rapid abatement of much of the population of immature forms. The usefulness of the pupal survey approach, with varying composition of aquatic habitats of Ae. aegypti, is to be reported by the multinational research group financed by the Special Program for Research and Training in Tropical Diseases (TDR; UNICEF/UNDP/World Bank/WHO), who is evaluating the generalizability of this technique in several countries.
Received August 1, 2005. Accepted for publication September 4, 2005.
Acknowledgments: We thank Gilberto Felix, Ariana Muñoz, José Aponte, Khristian Pizarro, Abraham Rivera, Alejandro Rodríguez, and José Torres for their laboratory and field assistance, and Marcos Rodríguez for his help with the identification of the tree species. We also thank the Municipality of Salinas and Centro de Recaudación de Impuestos Municipales for providing maps of the study area.
Financial support: This study was partly supported by the Tropical Disease Research Council (Tropical Disease Research/World Health Organization) (OD/TS-03-00523) and the Centers for Disease Control and Prevention.
* Address correspondence to Roberto Barrera, Dengue Branch, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920. E-mail: rbarrera{at}cdc.gov ![]()
Authors address: Roberto Barrera, Manuel Amador, and Gary G. Clark, Dengue Branch, Division of Vector-Borne Infectious Diseases, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920, Telephone: 787-706-2399, Fax: 787-706-2496, E-mails: rbarrera{at}cdc.gov, mamador{at}cdc.gov, and gclark{at}cdc.gov.
Reprint requests: Roberto Barrera, Dengue Branch, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920, E-mail: rbarrera{at}cdc.gov.
| REFERENCES |
|
|
|---|
This article has been cited by other articles:
![]() |
A. Tsuzuki, V. T. Duoc, Y. Higa, N. T. Yen, and M. Takagi Effect of Peridomestic Environments on Repeated Infestation by Preadult Aedes aegypti in Urban Premises in Nha Trang City, Vietnam Am J Trop Med Hyg, October 1, 2009; 81(4): 645 - 650. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Tsuzuki, T. Huynh, T. Tsunoda, L. Luu, H. Kawada, and M. Takagi Effect of Existing Practices on Reducing Aedes aegypti Pre-adults in Key Breeding Containers in Ho Chi Minh City, Vietnam Am J Trop Med Hyg, May 1, 2009; 80(5): 752 - 757. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. A. Medronho, L. Macrini, D. M. Novellino, M. T. F. Lagrotta, V. M. Camara, and C. E. Pedreira Aedes aegypti Immature Forms Distribution According to Type of Breeding Site Am J Trop Med Hyg, March 1, 2009; 80(3): 401 - 404. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |