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BACKGROUND: Thermal fogging of Insecticides is a vector control strategy used by the Medellin Secretary of Health to combat dengue. This method is employed during outbreaks to curb populations of potentially infectious adult mosquitoes and interrupt transmission cycles. While this strategy has been used in Medellin since 2007, in some years it has not reduced dengue cases as expected. Difficulties in the implementation of fumigation strategies, such as lack of opportunity for treatment and public perception may be factors that limit its utility. The objective of this study was to identify barriers that hinder the implementation of thermal fogging, as well as attitudes and beliefs that prevent its acceptance. METHODS: We used a cross-sectional observational study of mixed methods carried out in neighborhoods prioritized for fumigation treatment in Medellin, Colombia. First, we assessed the timeliness of treatment by determining the latency period between reported dengue cases and the implementation of fumigation in response to those cases. Next, we administered structured questionnaires to residents in the area of fumigation treatments (n = 4455 homes) to quantify acceptance and rejection, as well as factors associated with rejection. RESULTS: The median time between notification and treatment was 25 days (IQR 20.0-36.5). Fumigators were only able to treat 53.7% of total households scheduled for treatment; 9.6% rejected treatment, and treatment teams were unable to fumigate the remaining 36.7% of homes due to absent residents, no adults being present, and other reasons. The most frequent causes for rejection were residents being busy at the time of treatment (33.1%) and no interest in the treatment (24.5%). Other reasons for rejection include the perceptions that fumigation does not control pests other than mosquitoes (4.3%), that no mosquitoes were present in the home (3.3%), and that fumigation affects human health (3.1%). CONCLUSIONS: The high percentage of houses where it was not possible to perform fumigation limits control of the vector. Future strategies should consider more flexible treatment schedules and incorporate informational messages to educate residents about the safety and importance of treatment.

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BACKGROUND: The hospital acquired infections are very common in any health care setting due to certain bacteria, viruses and fungi. In order to find out a solution to this problem, this preliminary study was designed to find out the efficiency of hydrogen peroxide fumigation in reducing the number of microorganisms and improving the disinfection of hospital rooms. It was a prospective cross over study, conducted in Arar Central Hospital, North region, Arar, Kingdom of Saudi Arabia, for the period of one year, from March 2015 to February 2016. Objective of the study was to determine the efficacy of hydrogen peroxide fumigation in the improvement of disinfection of hospital rooms. METHODS: A total of 10 environmental samples were taken immediately after the patient was discharged (R1), 10 after terminal cleaning (R2), and 10 after the Bioxeco hydrogen peroxide fumigation (R3) in 20 different rooms of the hospital including ICU, general medical wards and operating rooms. (T=600). RESULTS: Almost 95% rooms cultured (environmental surfaces) after patient was discharged (R1) revealed microorganism growth, 80% after terminal cleaning (R2) and 2% after Bioxeco Hydrogen Peroxide fumigation revealed growths of microorganisms like bacteria and fungi on the culture plates (R3). The highest rate of room contamination was found in the rooms where the patients had stayed for a longer period of time. CONCLUSION: Hydrogen peroxide fumigation has been proved to be an efficient disinfectant in a health care setting.

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Background: This study focused on evaluating the fumigation scheme and identifying problems encountered during the operation in the Bangkok Metropolitan Administration area. Methods: Ten district health officers working in different fumigation teams of the dengue outbreak control programme around Bangkok had participated in an in-depth interview. Five predetermined themes, including (i) dengue surveillance and control strategy, (ii) quality and availability of equipment, (iii) delays, (iv) human resources, and (v) area coverage, and other emerging themes were addressed during the interviews. Results: Although the staff seemed to know the operation protocol of the dengue surveillance and control programmes well, they encountered some difficulties in accessing households for proper spraying, and a lack of human and material resources, especially during an outbreak. Other emerging themes concerned inefficient communications among the sectors from hospital to district offices, leading to inaccurate or missing patient addresses for spraying, and the lack of community networks and public cooperation for the dengue control programmes. Conclusions: The findings suggest that coordination among the relevant health sectors to acquire accurate and timely information about dengue cases is essential. Involving community networks should help to improve public engagement with and participation in the surveillance and outbreak control programmes.

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Soil fumigation is an important pest management tool for many high value crops. To address the knowledge gap of how fumigant concentration in soil impacts dissipation, and thereby efficacy, this research determined the degradation characteristics of four fumigants as affected by application rate. Laboratory incubation experiments were conducted to determine degradation rates of 1,3-dichloropropene (both cis- and trans isomers), chloropicrin (CP), dimethyl disulfide (DMDS), and methyl iodide (MeI) in five agricultural soils. Fitted to pseudo first-order kinetics, the degradation rate constant (k) of CP, DMDS, and MeI decreased significantly as application rate increased while the 1,3-D isomers were the least affected by rate. Half-lives increased 12, 17, and 6-fold for CP, DMDS, and MeI, respectively, from the lowest to the highest application rate. At low application rates, the degradation rate of all fumigants in the Hueneme sandy loam soil was reduced by 50-95% in sterilized soil compared to the biologically active controls. However, this difference became much smaller or disappeared at high application rates indicating that biodegradation dominates at low concentrations but chemical degradation is more important at high concentrations. When co-applied, CP degradation was enhanced with biodegradation remained above 50%, while 1,3-D degradation was either reduced or not changed. Among the fumigants tested, the relative importance of biodegradation was DMDS>CP>MeI>1,3-D. These results are useful for determining effective fumigation rates and for informing regulatory decisions on emission controls under different fumigation scenarios.

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In the current study, probit and logistic models were employed to fit experimental mortality data of the Khapra beetle, Trogoderma granarium (Everts) (Coleoptera: Dermestidae), when fumigated with three plant oils of the gens Achillea. A generalized inverse matrix technique was used to estimate the mortality model parameters instead of the usual statistical iterative maximum likelihood estimation. As this technique needs to perturb the observed mortality proportions if the proportions include 0 or 1, the optimal perturbation in terms of minimum least squares (L2) error was also determined. According to our results, it was better to log-transform concentration and time as explanatory variables in modeling mortality of the test insect. Estimated data using the probit model were more accurate in terms of L2 errors, than the logistic one. Results of the predicted mortality revealed also that extending the fumigation period could be an effective control strategy, even, at lower concentrations. Results could help in using a relatively safe and effective strategy for the control of this serious pest using alternative control strategy to reduce the health and environmental drawbacks resulted from the excessive reliance on the broadly toxic chemical pesticides and in order to contribute safeguard world-wide grain supplies.

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Computer simulation models can provide a relatively fast, safe and inexpensive means to judge and weigh the merits of various pest control management options. However, the usefulness of such simulation models relies on the accurate estimation of important model parameters, such as the pest mortality under different treatments and conditions. Recently, an individual-based simulation model of population dynamics and resistance evolution has been developed for the stored grain insect pest Rhyzopertha dominica, based on experimental results showing that alleles at two different loci are involved in resistance to the grain fumigant phosphine. In this paper, we describe how we used three generalized linear models, probit, logistic and Cauchy models, each employing two- and four-parameter sub-models, to fit experimental data sets for five genotypes for which detailed mortality data was already available. Instead of the usual statistical iterative maximum likelihood estimation, a direct algebraic approach, generalized inverse matrix technique, was used to estimate the mortality model parameters. As this technique needs to perturb the observed mortality proportions if the proportions include 0 or 1, a golden section search approach was used to find the optimal perturbation in terms of minimum least squares (L2) error. The results show that the estimates using the probit model were the most accurate in terms of L2 errors between observed and predicted mortality values. These errors with the probit model ranged from 0.049% to 5.3%, from 0.381% to 8.1% with the logistic model and from 8.3% to 48.2% with the Cauchy model. Meanwhile, the generalized inverse matrix technique achieved similar results to the maximum likelihood estimation ones, but is less time consuming and computationally demanding. We also describe how we constructed a two-parameter model to estimate the mortalities for each of the remaining four genotypes based on realistic genetic assumptions.

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This study assessed public acceptance for two new vectorial control techniques for Chagas' disease: insecticidal paint and fumigant canisters. The study compared the two with traditional fenitrothion insecticide spraying. An experimental field study was performed in an endemic area of central Honduras from August to November 1992, a year after the initial application of the treatments. The objectives of the study were to determine the acceptability of the tools on the part of the population whose homes were treated, and on the part of the personnel applying the treatments. The sample size was drawn up according to a uniform protocol applied in six Latin American countries. For this study a total of 651 persons were surveyed in 15 rural communities. Along with the surveys, focus groups were used to collect information to learn the reasons for accepting or rejecting particular treatments. The survey was done with heads of households. Focus groups were done with heads of households and also with the field operators who applied the treatments. The research showed that insecticidal paint had a low level of community acceptance (28.8 percent). Field operators strongly disliked the paint because of problems with its transport, application, unpleasant smell, and very low effectiveness against triatomines and pest insects. The results showed that in order to increase the public acceptance for insecticidal paint, it would be necessary to make the paint easier to transport and apply and to increase its effectiveness. Because of their very low effectiveness, fumigant canisters did not represent an acceptable alternative for triatomine vector control. A public educational effort should be a component of any new control method developed (AU)

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El objetivo del estudio fue identificar el origen y estudiar la dinámica de la reinfestación por Triatoma infestans ocurrida después de rociar con deltametrina el domicilio y peridomicilio de 94 casas de tres comunidades rurales el noroeste argentino. La efectividad del rociamiento se evaluó inmediatamente después y al segundo mes de rociar las viviendas. Además, se detectaron y rociaron 5 focos residuales peridomiciliarios y 3 preexistentes que no habían sido rociados. Para monitorizar la reinfestación, se colocaron biosensores en los domicilios, se solicitó a cada familia que capturase triatominos y los guardara en bolsas de plástico, y se buscaron triatominos en domicilios y peridomicilios usando un aerosol para desalojar a los insectos de sus refugios. Solo se realizaron rociamientos selectivos donde se encontró alguna colonia de T. infestans. Durante 30 meses de seguimiento, el porcentaje de casas donde se capturó algún T. infestans osciló entre 3% y 9%. En 6 casas se capturaron T. infestans en más de una evaluación. El número de peridomicilios infestados (19) fue el doble que el de domicilios (9). Solo se detectaron colonias de T. infestans en peridomicilios. La cifra de T. infestans capturados en peridomicilios fue seis veces más alta que la de los domicilios. Las gallinas fueron el hospedador más frecuentemente asociado con los focos peridomiciliarios. El peridomicilio constituyó el origen y la principal fuente de reinfestación. Para reducir la velocidad de reinfestación y la frecuencia de rociamientos es preciso combinar medidas de manejo ambiental y control químico en los peridomicilios: reducir los refugios para triatominos; restringir la cría de aves a estructuras no colonizables por triatominos; aplicar un insecticida menos degradable por agentes climáticos o realizar un segundo rociamiento de 6 a 12 meses después del primero, y emplear un dispositivo para detectar tempranamente la presencia de T. infestans en peridomicilios

The purpose of this study was to identify the origin of Triatoma infestans reinfestation and study its dynamics following spraying with deltamethrin inside and around 94 houses in three rural communities in northwestern Argentina. The effectiveness of the spraying was evaluated immediately after the houses were sprayed and two months later. In addition, five residual peridomiciliary foci were found and sprayed, as well as three preexisting ones that had not been sprayed. To monitor reinfestation, biosensors were placed in the houses and each family was also asked to capture triatomines and keep them in plastic bags; in addition, triatomines were searched for in and around houses, using an aerosol that dislodged them from their hiding places. Selective sprayings were carried out only where a colony of T. infestans was found. During the 30 months of follow-up, the percentage of houses in which any T. infestans were captured varied between 3% and 9%. In six houses, T. infestans were captured during more than one evaluation. The number of peridomiciliary areas found to be infested (19) was double the number of infested houses (9). Colonies of T. infestans were found only in the peridomiciliary areas, where the number of T. infestans captured was six times higher than in the houses. Chickens were the host most frequently associated with peridomiciliary foci. This area was the origin and principal source of reinfestation. To reduce the speed of reinfestation and the frequency with which sprayings are needed, the following environmental and chemical control methods must be combined in the peridomiciliary area: reduce the number of hiding places of triatomines; restrict the raising of birds to structures that cannot be colonized by triatomines; apply an insecticide that is less likely to be degraded by exposure to the elements, or perform a second spraying 6 to 12 months after the first; and employ a device for early detection of the presence of T. infestans around houses.

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