Cost Effectiveness and Pattern of Personal Protective Measures used against Mosquitoes in a Rural Coastal Region of Ernakulam District in Kerala

  • Jishnu Sathees Lalu Station Health Organisation, Indian Navy
  • B Arjun Station Health Organisation, Indian Army
  • Aswathy Sreedevi Amrita Institute of Medical Sciences
  • Kumarankutty K Amrita Institute of Medical Sciences
  • Tinu K Narayanan Amrita Institute of Medical Sciences
  • T S Anish Amrita Institute of Medical Sciences
  • T K Prameela Amrita Institute of Medical Sciences
  • K Leelamoni Amrita Institute of Medical Sciences
Keywords: Mosquito Borne Diseases, Personal Protective Measures, Coastal Region, Kerala, Southern India, Cost Effective Analysis

Abstract

Background and Objectives: Mosquito borne diseases including Dengue, Chickungunya, Malaria, Japanese encephalitis, Filariasis, Zika fever and Yellow fever are a growing public health concern. The state of Kerala in Southern India has been a hot bed for vector borne diseases with epidemics of Dengue and Chikungunya in 2003 and 2006 respectively. The present study was undertaken in a rural panchayath in Ernakulam district with an aim to understand the pattern of use of personal protection measures against mosquitoes, its socio-demographic determinants and the economic burden it imposes.
Methods: A cross sectional study was conducted in June 2015 in Elamkunnapuzha Panchayath, a rural coastal area located in Ernakulam District of Kerala in Southern India. 200 households were visited using multistage sampling technique using pretested semi-structured questionnaire. Data was entered in MS Excel and data analysis done in Statistical Package for Social Science version 19. Ethical approval was obtained from the institutional ethical committee.
Results: Among the 194 families consented to share data, more than two-third (68%) of the study households experienced mosquito menace. 94.8 % of the households used PPM, but only 67.5% of the households used on a daily basis. The most commonly used PPM among the study households were vaporizer (52.1%) followed by coil (42.3%) and fumes (19.1%). Mosquito menace and expenditure showed association with various factors.
Conclusion: Personal protective measures remain the corner stone of integrated vector management. PPM shall remain significant even in the wake of development of vaccines against mosquito-borne diseases.

Author Biographies

Jishnu Sathees Lalu, Station Health Organisation, Indian Navy

 MD, Surgeon Lieutenant Commander

B Arjun, Station Health Organisation, Indian Army

 MBBS, MD, Major

Aswathy Sreedevi, Amrita Institute of Medical Sciences

MD, Professor, Department of Community Medicine

Kumarankutty K, Amrita Institute of Medical Sciences

 Health Supervisor, Department of Community Medicine

Tinu K Narayanan, Amrita Institute of Medical Sciences

Social Worker , Department of Community Medicine

T S Anish, Amrita Institute of Medical Sciences

Social Worker, Department of Community Medicine, 

T K Prameela, Amrita Institute of Medical Sciences

Junior Public Health Nurse, Department of Community Medicine

K Leelamoni, Amrita Institute of Medical Sciences

 
Professor & HOD, Department of Community Medicine

Published
2020-09-14
Section
Original Research