Zika and Other Vector-Borne Diseases How Prepared Are We?

Dr. Kip R. Thompson

Vector Control Survey

• Summer of 2016, survey sent to all city and county health departments in Missouri • Notification through Missouri Department of Health and Senior Services

• 39 response survey with 26 questions related to vector related issues

• 115 surveys sent out • 86 departments responded

CDC Estimated Risk Map for Zika

Ministry of Health of Honduras - Health Surveillance Unit Alert-Response Daily Bulletin

Republic of Honduras – Epidemiological Bulletin Zika Reporting (Through Week 45, 2016)

100 Year Flood Areas

FEMA Portal - https://msc.fema.gov/portal/advanceSearch#searchresultsanchor

51 out of 79 (65%) of counties found in the 100 year flood region responded to the survey.

Training or Education in Vector Surveillance, Control or Biology Question No Training Tick Training Mosquito Training Both

Have you had any training or education in vector surveillance, vector control or vector biology greater than 5 years ago?

69.77%

19.77%

10.47%

0%

Have you had any training or education in vector surveillance, vector control or vector biology greater than 5 years ago?

68.60%

8.14%

23.26%

0%

Have other staff within your organization had any training or education in vector surveillance, vector control or vector biology within the last 5 years?

86.05%

3.49%

3.49%

6.98%

Have other staff within your organization had any training or education in vector surveillance, vector control or vector biology greater than 5 years ago?

74.42%

8.14%

17.44%

0%

Does your staff include anyone trained or experienced in vector identification?

74.42%

19.77%

10.47%

0%

Planning, Experience, Licensure

Question Yes No No Response

Do you have a written plan or standard operation procedures to address emergency vector surveillance or control?

77.91%

13.95%

11.46%

Has your organization ever had to conduct emergency vector surveillance or vector control?

80.23%

11.63%

8.14%

Does your agency maintain equipment required for emergency vector surveillance or control?

82.56%

9.30%

8.14%

Is anyone in your organization currently licensed to apply public health pesticides by the State of Missouri?

83.72%

8.14%

8.14%

Do you collect or have data to establish a baseline for vector or pest control during normal conditions?

84.88%

5.81%

9.30%

N = 86

Please provide the vector targeted or response for the emergency vector surveillance or control that your organization has conducted within the past 10 years. - Open-Ended Response

What kind of equipment required for emergency vector surveillance or control does your agency maintain?

Comparison of mean trap rates by Analysis of Variance (ANOVA) with a post hoc Bonferroni pairwise comparisons (α = 0.05). Based on pairwise comparisons, mean trap rates for Fay-Prince traps were significantly different from mean trap rates for all other trap types. Effects of bait type and habitat type were not included in the analysis.

87.61

13.9 15.5

61.38

0

10

20

30

40

50

60

70

80

90

Fay-Prince CDC Rugged CDC Standard BG Sentenel 2

Perc

ent

Mo

squ

ito

es T

rap

ped

Trap Type

P=0.02 *

Comparison of mean trap rates by trap while controlling for the effects of bait type and habitat type using a generalized linear model. All means were significantly different (α = 0.05).

85.64

12.71 15.42

40.57

0

10

20

30

40

50

60

70

80

90

Fay-Prince CDC Rugged CDC Standard BG Sentenel 2

Perc

ent

Mo

squ

ito

es T

rap

ped

Trap Type

P<0.001

If your jurisdiction had to perform emergency vector control, who would do it?

How many personnel are currently licensed as pesticide applicators?

Zika and Other Vector-Borne Diseases How Prepared Are We?

Dr. Kip R. Thompson

Do you have a written plan or standard operation procedures to address emergency vector surveillance or control?

Question CDC

WHO

DHHS

TX

CA

MO

Mosquito surveillance (larval and adult) X X X X

Mapping high risk areas (human cases or vector density)

X X X

Contact tracing for sexual partners X X X

Question CDC

WHO

DHHS

TX

CA

MO

Identify which parties are responsible for each task now X X X

Warn pregnant women of the risk

X X X X X X

Encourage infected persons to use repellent before going outside

X

Question CDC

WHO

DHHS

TX

CA

MO

Recommend pesticides and how to use them appropriately X X

Develop mosquito control work force

Warn pregnant women living near known cases (pax privacy) X

MU IPM Regions

Questions?