Integrated Management Preventing the Proliferation of Dengue and Visceral Leishmaniasis Vectors and Scorpions. Region of Presidente Prudente, State of São Paulo

Abstract

 Dengue, Visceral Leishmaniasis (VL) and the proliferation of scorpions are related to the environment of urban areas that demand intervention of the local population in order to achieve an adjusted domiciliary sanitation. We selected eight cities of the Region of Presidente Prudente for implantation of the proposal of integrated domiciliary visit with emphasis in environmental handling, previously collecting information on the sanitary conditions of the houses allowing their classification according to levels of risk for occurrence of the vectors of dengue, VL and of scorpion. 48,155 houses were visited for the initial diagnosis and 2,852 (5.92%) protocols were elaborated, in critical houses, in which the necessary recommendations were presented to the dwellers. In the five cities that had carried through comparison of the classification, reduction was verified in the risk between first and second visit for the presence of Aedes aegypti, scorpion and Lutzomyia longipalpis. The results obtained showed that the proposal is feasible, due to the good results obtained from the established recommendations, in small and medium cities, that constitute the majority of those located in the Region. It is important to emphasize the compromise of municipal leaderships in the process, from the organization of the collection of the resulting residues and their environmentally correct handling to the resolution of problems that result from vacant lots and uninhabited houses and the role of the public administration, represented by Sucen, offering aid for the assessment, and the evaluation of actions, contributing to integrated efforts for the implementation of public politics according to the epidemiological situation of vector transmitted diseases and the control of harmful animals.