SciELO - Scientific Electronic Library Online

vol.13 issue3Zoonosis transmission risk factors according to population habits inIlha Solteira city, BrazilResilience in old age author indexsubject indexarticles search
Home Page  

Services on Demand




Related links

  • Have no similar articlesSimilars in SciELO


Revista de Salud Pública

Print version ISSN 0124-0064


CASTANEDA, Oneida; SEGURA, Omar  and  RAMIREZ, Alba N. Knowledge, attitudes and community practice during an outbreak of dengue in a town in Colombia, 2010. Rev. salud pública [online]. 2011, vol.13, n.3, pp.514-527. ISSN 0124-0064.

Objective 17 cases of dengue were reported from the town of El Playón (7°28'15"-N/73°12'00"-W/altitude 510 masl) during epidemiological study weeks 5-6 and 12-13/2010. The Santander Department's Health Secretariat sought outbreak investigation and community knowledge-attitudes-practice (KAP) assessment on 16-4-2010 concerning a dengue fever outbreak in the town after an epidemiological surveillance committee had met; this was to strengthen local action regarding Aedes aegypti vector promotion-prevention-control. Methods This was a descriptive outbreak investigation study using an active search for cases having clinical manifestations of dengue according to protocol definitions, an entomological survey and a KAP survey of 47 people selected by simple-random-sampling. Data was systematised and analysed using Epi-INFO (3.5.1) with measures of central tendency-male ratio, in-house Aegypti (IA), water-storage (WI) and Breatau (BI) indexes. Results 4,774 clinical records were examined. There were 67 records compatible with dengue, 24 cases were notified (75 % town-25 % department), 15 (63 %) being women and 9 (38 %) men. 20 (83 %) cases occurred in the urban area and 4 (17 %) in rural areas. Attack rate/cumulated incidence: initial=0.3 % (17/6 303), final=0.4 % (24/6 303), male ratio=1.5. 47 houses and 142 water-storage items proved positive: low water-stores=8.7 %(4/46), rubber tyres=8.3 %(1/12), others=4.4 %(2/45), plants=2.9 %(1/34). IA=5 %, WI=6%, BI=17%, taxonomy confirmed=15 %(7/47). 47 KAP, 36 (77 %) women, 11 (23 %) men; knowledge on disease, symptoms and signs 44 (94 %), eliminating larvae deposits 32(68 %), asked about dengue 3(6 %), informed about responsibilities related to control 25(53 %). Conclusions: The local community knows about risk factors and is aware of its responsibility regarding vector control. Community participation should be promoted using the ecosystem as a strategy for mosquito and dengue transmission control.

Keywords : Dengue; Aedes; risk factor; community participation; Colombia.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )