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PLoS Negl Trop Dis. 2019 May 30;13(5):e0007255. doi: 10.1371/journal.pntd.0007255. eCollection 2019 May.

Estimating the impact of city-wide Aedes aegypti population control: An observational study in Iquitos, Peru.

Author information

Institute for Health Metrics and Evaluation, Department of Global Health, Schools of Medicine and Public Health, University of Washington, WA, United States of America.
Fogarty International Center, National Institutes of Health, Bethesda, MD, United States of America.
School of Public Health, San Diego State University, San Diego, CA, United States of America.
Department of Environmental Sciences, Emory University, Atlanta, GA, United States of America.
U.S. Naval Medical Research Unit N0.6, Lima, Peru.
Department of Biological Sciences and Eck Institute for Global Health, University of Notre Dame, Notre Dame, IN, United States of America.
Hospital Apoyo, Iquitos, Peru.
Department of Entomology, University of California, Davis, CA, United States of America.


During the last 50 years, the geographic range of the mosquito Aedes aegypti has increased dramatically, in parallel with a sharp increase in the disease burden from the viruses it transmits, including Zika, chikungunya, and dengue. There is a growing consensus that vector control is essential to prevent Aedes-borne diseases, even as effective vaccines become available. What remains unclear is how effective vector control is across broad operational scales because the data and the analytical tools necessary to isolate the effect of vector-oriented interventions have not been available. We developed a statistical framework to model Ae. aegypti abundance over space and time and applied it to explore the impact of citywide vector control conducted by the Ministry of Health (MoH) in Iquitos, Peru, over a 12-year period. Citywide interventions involved multiple rounds of intradomicile insecticide space spray over large portions of urban Iquitos (up to 40% of all residences) in response to dengue outbreaks. Our model captured significant levels of spatial, temporal, and spatio-temporal variation in Ae. aegypti abundance within and between years and across the city. We estimated the shape of the relationship between the coverage of neighborhood-level vector control and reductions in female Ae. aegypti abundance; i.e., the dose-response curve. The dose-response curve, with its associated uncertainties, can be used to gauge the necessary spraying effort required to achieve a desired effect and is a critical tool currently absent from vector control programs. We found that with complete neighborhood coverage MoH intra-domicile space spray would decrease Ae. aegypti abundance on average by 67% in the treated neighborhood. Our framework can be directly translated to other interventions in other locations with geolocated mosquito abundance data. Results from our analysis can be used to inform future vector-control applications in Ae. aegypti endemic areas globally.

Conflict of interest statement

The authors have declared that no competing interests exist.

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