Objective • General Provide the scientific framework of the OL Trap Program of Dengue vector control QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 2 Objective • Specific Explain QUITO OL-TRAP 8 April 2015 the concept of vector control Explain dengue vector control Explain Integrated Vector Control (IVC) and Integrated Vector Management (IVM) Discuss the components of IVC from vector biology to control measures DOST School-based O/L Trap Program 3 Objective • Specific Describe vector surveillance as it applies to dengue OL Trap in a classroom setting Answer the fourteen questions enumerated in the situationer QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 4 Objective • Specific Identify QUITO OL-TRAP 8 April 2015 the following Mosquito eggs in a lawanit paddle Ovitrap (black tumbler and paddle) Mosquito larva Pupae Positive/negative trap Adults Entomological forms (Ovitrap/OL Trap) Pellets DOST School-based O/L Trap Program 5 Situationer • Urban / semi-urban setting • Big public elementary school in City “X” • 3-story building (~30-35 feet) • 10 classrooms per floor 16x20 feet per QUITO OL-TRAP room) • 50-55 pupils occupy one classroom from 8am-5pm 8 April 2015 DOST School-based O/L Trap Program 6 Situationer • ~ 1,200-1,500 pupils • No electric fans in the classrooms • One aircon and/or electric fan at QUITO OL-TRAP principal’s office • Houses near the school • Presence of flower vases, water containers Click Here 8 April 2015 DOST School-based O/L Trap Program 7 Questions • How many ovitraps/OL Traps are QUITO OL-TRAP needed to be installed in the elementary school? • Where should the traps be installed? • When should the traps be installed? • How frequent should the traps be installed? 8 April 2015 DOST School-based O/L Trap Program 8 Questions • What is the procedure to be followed in QUITO OL-TRAP installing the traps? In servicing the traps? What is the meaning of servicing the traps? • Who will install and service the traps? 8 April 2015 DOST School-based O/L Trap Program 9 Questions • Who will monitor and check the traps? Monitor Empty tumbler Missing tumbler/paddle Check QUITO OL-TRAP If positive/negative? • Is there a form to be filled-out? 8 April 2015 DOST School-based O/L Trap Program 10 Questions • What index needs to be obtained? • What formula is to be used? • What is the meaning of the index QUITO OL-TRAP obtained? • Who will record and compute for the index? 8 April 2015 DOST School-based O/L Trap Program 11 Questions • To whom should the data be submitted to? Why? • For how long will this ovitrapping be done? QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 12 What’s inside? • Vector • Surveillance • Prevention and Control QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 13 Vector • An arthropod (insects, mites, ticks) that QUITO OL-TRAP are capable of: acquiring, supporting the development and transmitting a pathogenic agent (bacteria, viruses, parasites) from one host to another host Example: mosquito Aedes sp. transmitting dengue virus 8 April 2015 DOST School-based O/L Trap Program 14 Vector Control • suppression of a target population by using measures to alter the vector reproductive capacity or potential (Vector Genetics Course, 2010, India) QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 15 Dengue Vector Control • Application of various anti-DEN mosquito measures to alter the life cycle of the mosquito QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 16 Dengue Vector Control • Specific Targets Prevent and cut dengue transmission by: Targeting larval stage through QUITO OL-TRAP 8 April 2015 Trapping Larviciding Container management Environmental sanitation DOST School-based O/L Trap Program 17 Dengue Vector Control • Specific Targets Prevent and cut dengue transmission by: Targeting adult stage through Adulticiding » Space-spraying » Aerosol treatment QUITO OL-TRAP 8 April 2015 Genetic manipulation of reproductive capacity of mosquito DOST School-based O/L Trap Program 18 Dengue Vector Control • Specific Targets Prevent and cut dengue transmission by: Prevention of man-mosquito contact QUITO OL-TRAP 8 April 2015 curtains Screening of doors and windows Long pants Repellants DOST School-based O/L Trap Program 19 Integrated Vector Control • Combination of 2 or more vector control activities supplementary to each other towards reduction of dengue incidence QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 20 Integrated Vector Management • utilization of technical and managerial measures to bring about an effective degree of vector suppression to prevent and control transmission QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 21 Components of IVC • Vector biology/behavior • Surveillance tool (Ovitrap/OL Trap QUITO OL-TRAP surveillance index) • Critical Threshold Density Index (effective degree of vector suppression [Ovitrap index] • Control Measures • Monitoring and evaluation 8 April 2015 DOST School-based O/L Trap Program 22 The Vector QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 23 Vector Biology Aedes aegypti General characteristics - primary vector - involve in cases of epidemics - urbanized areas - lives indoors - secondary vector - maintains the virus in the environment - rural areas - lives outdoors Breeding habitat - confined to artificial containers indoors - prefers to breed outdoor, in natural containers Resting habits - rests in cool, dark corners of the house - rests outdoors in clearings and vegetations QUITO OL-TRAP 8 April 2015 Aedes albopictus DOST School-based O/L Trap Program 24 Morphology Aedes aegypti Size - 3-4 mm - same Color - dark brown to black - same Thorax - lyre-shaped white marks or scales - single white marks Abdomen - with white scales - with white and dark marks Legs - with white marks - same QUITO OL-TRAP 8 April 2015 Aedes albopictus DOST School-based O/L Trap Program 25 Vector Characteristics • Biting Habits “daybiters” with two peaks of biting time: 1 to 2 hours after sunrise 1 to 2 hours before sunset only QUITO OL-TRAP 8 April 2015 female mosquitoes bite because of the requirement of blood for oviposition males do not bite but feed on plant juices and nectar of flowers man is the preferred host but in his absence, lower vertebrates serve as substitute DOST School-based O/L Trap Program 26 Vector Characteristics • Flying Habit do not fly great distances farthest flight distance is within 200 to 400 meters radius from their breeding places • Adults found around 50 meters from QUITO OL-TRAP 8 April 2015 the breeding sources DOST School-based O/L Trap Program 27 Bionomics • at temperatures <10oC and >40oC, no QUITO OL-TRAP developmental process takes place • females mates with male only once • Blood meal takes place after 48 hours from emergence and after mating for egg production 8 April 2015 DOST School-based O/L Trap Program 28 Bionomics • oviposition takes place about 2 to 5 QUITO OL-TRAP days from blood engorgement • prefers dark-colored background for oviposition • lays egg 3 to 4 times in its lifetime 60 to 100 eggs per batch • Survival potential: 20-30 days 8 April 2015 DOST School-based O/L Trap Program 29 Life Cycle (10-12 days) Eggs: - Black and oval in shape - Laid singly above water surfaces of containers - Without float - Viability: 6 months to 1 year due to the presence of chorion Adult -Maxillary pulps shorter than probosis -Wings uniformly grayish black -Body and legs are black with distinctive white patches throughout -Thorax has markings QUITO OL-TRAP 1 - 2 days Pupa -Non-feeding stage -Breeding trumpet is long, slender with narrow opening 8 April 2015 2 - 3 days 6 - 8 days DOST School-based O/L Trap Program Larva: - Feeding stage - Breeds in clean and non-polluted water - Short and stout siphon with one pair of hair tuft - Rests at an angle to the water surface 30 Surveillance QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 31 Vector Surveillance • Collection and interpretation of data QUITO OL-TRAP which can be used to guide mosquito vector control operations • Establish baseline • Presence or absence of vector Species? Density? Changes? 8 April 2015 DOST School-based O/L Trap Program 32 Dengue Surveillance Tool • Classical OVITRAP/LARVITRAP • QUITO OL-TRAP • 8 April 2015 (black tumbler, paddle, water) Modified OVITRAP is the OLTRAP (black container, paddle, water and organic larvicide) 2 adults (females) emerging per day (Malaysian experience) DOST School-based O/L Trap Program 33 Difference between tools Ovitrap QUITO OL-TRAP 8 April 2015 OL Trap Eggs on the paddle - Yes - Yes Live larva seen - Yes - No Action - Eggs trapped - Eggs trapped With organic larvicide Value-added - - Yes - Additional attractant (kills larva) Risk - with white marks - same Benefit - Breeds Aedes, if uncollected (set and collect) - Breeds Aedes, if uncollected after 7 days (set and collect) Index (CTDI) - Ovitrap index : 10% - OLTrap: 10% None None DOST School-based O/L Trap Program 34 Ovitrap Index Total Number of positive traps X 100% Total Number of traps planted QUITO OL-TRAP If OI is >10%, the place is vulnerable to dengue transmission. 8 April 2015 DOST School-based O/L Trap Program 35 Critical Threshold Density Index (CTDI) • Actual target for the degree of vector suppression • Predictive value for the prevention of dengue transmission QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 36 Remember: • A positive trap means there is at least one mosquito laying its eggs in the sampling site (surveillance site) • Aim is eliminate this one mosquito laying its eggs QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 37 What is DOST Mosquito Ovi/Larvicidal (OL) Trap System? • Is a system used to control the population of the dengue carrying Aedes mosquitoes. • It has three important parts: a black container, a small strip of lawanit measuring 1” x 6.5” for mosquitoes to lay their eggs on, and pellets as larvicide. QUITO OL-TRAP Tumbler •The OL-Trap’s ovicidal and larvicidal effect prevent the next generation of mosquitoes from reaching adulthood, thus curbing the Aedes mosquito population. Paddle 8 April 2015 DOST School-based O/L Trap Program Pellets 38 HOW THE OL-TRAP WORKS? The idea is to attract mosquitoes particularly the Aedes aegypti and albopictus (dengue carrier) to lay their eggs on the lawanit paddle. The trap creates optimum conditions for this species to lay its eggs: stagnant, clean, clear water, dark area and damp rough surface. QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 39 The eggs will either be trapped in the lawanit paddle or find its way into organic solution, where they are killed before transforming into adults. Eggs QUITO OL-TRAP Larvae 8 April 2015 DOST School-based O/L Trap Program 40 Distribution of OL Trap QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 41 CLASSROOM 1 OL Trap –indoor and 1 OL Trap-outdoor CLASSROOM 1 OL Trap –indoor and 1 OL Trap-outdoor CLASSROOM 1 OL Trap –indoor and 1 OL Trap-outdoor CLASSROOM 1 OL Trap –indoor and 1 OL Trap-outdoor SCHOOL CLASSROOM 1 OL Trap –indoor and 1 OL Trap-outdoor 1 OL Trap indoor 1 Tumbler (Black Container) 1 sachet of pellet per week 1 pc paddle per month 1 OL Trap outdoor CLASSROOM 1 Tumbler (Black Container) 1 sachet of pellet per week 1 pc paddle per month Servicing the OL Trap • OVITRAPS are installed and serviced every seven days in locations where transmission of dengue is probable QUITO OL-TRAP 8 April 2015 nursery schools pre-schools elementary schools Hospitals community with confirmed dengue cases Ovitrap Index = > 10% DOST School-based O/L Trap Program 44 Before OL Trap Installation • Clean-up all possible breeding sites/containers found inside/outside the classrooms – DO SEARCH and DESTROY QUITO OL-TRAP Artificial containers (man-made) 1. Flower vases and pot plates 2. Pails, water-storage jars, basins 3. Discarded receptacles 4. Choked roof gutters 5. Gully Traps 6. Unused toilet bowls and cisterns 7. Aircon Tray and dish rack tray 8. Concrete drains 8 April 2015 Natural containers 1. Tree Holes, bamboo stumps 2. Leaf axils, fallen leaves 3. Ground Depressions DOST School-based O/L Trap Program 45 Where to set up the DOST OL-Trap? A. Indoor: QUITO OL-TRAP 8 April 2015 Under the sink Corner of the room Under the cabinet Under the bed Inside the comfort room B. Outdoor (covered area): Corner of the classroom Near vegetation Piles of woods/hollow blocks Garden DOST School-based O/L Trap Program 46 Setting the OL Trap • Step 1 Fill the plastic tumbler with tap water up to the lined mark just above the DOST logo (~250 ml) QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 47 Setting the OL Trap • Step 2 Pour one pack OL pellets into the plastic cup Stir thoroughly to ensure pellets are dissolved QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 48 Setting the OL Trap • Step 3 Place the lawanit stick in the solution with the rough surface facing up QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 49 Setting the OL Trap • Step 4 Place 1 cup each inside and outside the classroom in a low-lying and dark area QUITO OL-TRAP 8 April 2015 If outside, protect from direct sunlight and rainfall Take care not to spill the contents Keep out of reach of children and animals DOST School-based O/L Trap Program 50 Setting the OL Trap • Step 5 Collect trap and note for the following on the seventh (one week after installation (every Monday) day QUITO OL-TRAP 8 April 2015 Eggs on the paddle Live larva/pupa The presence of even one larvae indicates a positive trap Record in the OL Trap Monitoring Sheet (3 copies) DOST School-based O/L Trap Program 51 Setting the OL Trap • Step 6 Repeat QUITO OL-TRAP 8 April 2015 steps 1-5 every 7 days Set and collect the traps every Monday Finalize report every Tuesday Note: If collection period falls on a holiday, please collect traps a day before DOST School-based O/L Trap Program 52 Cleaning the Trap • Vigorously brush-off into QUITO OL-TRAP the solution eggs stuck into the lawanit creases • Kill the larva/eggs by pouring hot water into the black tumbler • Dispose contents properly by pouring contents on dry ground 8 April 2015 DOST School-based O/L Trap Program 53 Identifying a POSITIVE/NEGATIVE Trap QUITO OL-TRAP Presence (+)/ absence (-) of eggs in the paddle Presence (+)/ absence (-) of larvae in the container/tumbler with water 8 April 2015 DOST School-based O/L Trap Program 54 An OL Trap is positive or negative if; Paddle QUITO OL-TRAP Tumbler RESULT Positive (+) Positive (+) = POSITIVE (+) Positive (+) Negative (-) = POSITIVE (+) Negative (-) Positive (+) = POSITIVE (+) Negative (-) Negative (-) = NEGATIVE (-) 8 April 2015 DOST School-based O/L Trap Program 55 OL Trap Monitoring Sheet QUITO OL-TRAP Click here 8 April 2015 DOST School-based O/L Trap Program 56 Filling Out of Monitoring Sheet QUITO OL-TRAP Click Here 8 April 2015 DOST School-based O/L Trap Program 57 Prevention / Control QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 58 School Assemblies QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 59 School Dengue Brigade QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 60 Search and Destroy Activities QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 61 Brigada Iskwela (School Clean-ups) QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 62 Installation of Long-lasting Insecticide-treated Nets (LLINs) QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 63 Space-spraying Activities QUITO OL-TRAP 8 April 2015 DOST School-based O/L Trap Program 64 “Dengue prevention and control rests primarily on the people who live in the houses where the problems occur and by the people who help create the mosquito larval habitats QUITO OL-TRAP 8 April 2015 by their lifestyles.” DOST School-based O/L Trap Program 65