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dc.contributor.authorJerry Spiegelen_US
dc.contributor.authorShannon Bennetten_US
dc.contributor.authorLibby Hattersleyen_US
dc.contributor.authorMary H. Haydenen_US
dc.contributor.authorPattamaporn Kittayapongen_US
dc.contributor.authorSustriayu Nalimen_US
dc.contributor.authorDaniel Nan Chee Wangen_US
dc.contributor.authorEmily Zielinski-Gutiérrezen_US
dc.contributor.authorDuane Gubleren_US
dc.contributor.otherThe University of British Columbiaen_US
dc.contributor.otherUniversity of Hawaii at Manoaen_US
dc.contributor.otherUniversity of Colorado at Colorado Springsen_US
dc.contributor.otherMahidol Universityen_US
dc.contributor.otherBadan Penelitian Dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesiaen_US
dc.contributor.otherNational Environment Agency, Singaporeen_US
dc.contributor.otherNational Center for Emerging and Zoonotic Infectious Diseasesen_US
dc.identifier.citationEcoHealth. Vol.2, No.4 (2005), 273-290en_US
dc.description.abstractThis article critically examines how programs for the prevention and control of dengue fever have been conducted in the absence of an integrated approach, and considers the social and ecological factors influencing their effectiveness. Despite recognition of dengue fever as the most important arboviral disease affecting humans, and in spite of a greater emphasis on community-based control approaches, the burden placed on the communities, countries, and regions affected by this disease continues to rise. In considering historical experience in the Americas and the Asia-Pacific region, as well as the global forces that are exerting new pressures, the important elements of successful control programs are identified as community ownership, partnership with government, leadership, scalability, and control of immature mosquitoes. The key barriers to the exchange of knowledge and the transdisciplinary cooperation necessary for sustainable dengue control are rooted in differences in values among policy-makers, citizens, and scientists and are repeatedly expressed in technical, economic, cultural, geographic, and political dimensions. Through consideration of case studies in Cuba, Guatemala, Singapore, Thailand, Indonesia, and Vietnam, the limitations of control approaches that fail to take into account the complexities of ecological and social systems are presented. Bridges to effective control are identified as the basis for adaptability, both of control programs to the mosquito vector's changing behavior and of education programs to public, regional and local particularities, as well as transdisciplinarity, community empowerment, the ability to scale local experiences up to the macro-level, and the capacity to learn from experience to achieve sustainability. © 2005 EcoHealth Journal Consortium.en_US
dc.rightsMahidol Universityen_US
dc.subjectEnvironmental Scienceen_US
dc.titleBarriers and bridges to prevention and control of dengue: The need for a social-ecological approachen_US
dc.typeConference Paperen_US
Appears in Collections:Scopus 2001-2005

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