•What feedback loops exist between vector abundance, human behaviour, and control measures?

•What feedback loops exist between vector abundance, human behaviour, and control measures?

•What feedback loops exist between vector abundance, human behaviour, and control measures?

Use social media to spread the message, focused on the vector (breading sites, personal protection) and the disease (early symptoms)

1 action : educating people to use larvaecides could be a vector control method that can decrease mosquito abundance (feedback loop)

Some people could think to eat the fishes because of lack of food (for groups that are poorer)

Action: climate-resilient health system

Which interventions are robust under climatic uncertainty?

• Community awareness

• Surveillance, continues monitoring and evaluation

• Water management, improving wastewater disposal

• Urban planning (developing and maintaining public parks and waters)

Entomological approch:

• vector competency (identification of mosquito in the field ; Search and follow the breeding areas, identification of the pathogen ex salivar glands analyse, strains analysis in the field and in patient samples)

Climatic approch

• Suit able meteorolical patterns (Is there a link between the spread and the rain season ?

Epidemio approach

• identify the previous years pattern ?

• identify the presence of an outbreak somewhere ? How it move from place to place ? Identify the déterminant of an disease

  
  

Question 2

- Change in vector behaviour, societal behavior and relationship between vector and host.

- Genetic modification of dengue strains -seeing more DENV 3&4 than before

• reporting of the cases

Mass distribution of lid provided containers,

active research regarding acceptability of dengue intervention over specific population

= So we have to focus on this to make the interventions comprehensibles to all groups

Climate is an important driver, because it impacts entomological and epidemiological drivers (but important interaction between all of them): important= vector capacity, influencing factors eg temperature rise, more breeding sites (rainfall, urbanization), new areas affected

Question 2:

• Multifactorial: e.g. 'optimal' climate environment for the mosquito, but still no outbreak

• Interventions can alternate your previous made predictions

• Extreme wheater events can both improve or decrease vector habitat

• Different ecosystems have different temperature thresholds

• Limitations on meteorological and disease data

• Other factor affecting the relationship between climate and incidence of dengue, not linear!

2 . Raising awareness on vector borne disease measures and controls , the knowledge oh the people, strengthen public health vector surveillance systems, establishing early warning mechanisms for climate sensitive diseases, integrating innovation methods to vector control with the traditional methods.