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Memórias do Instituto Oswaldo Cruz

Print version ISSN 0074-0276On-line version ISSN 1678-8060

Mem. Inst. Oswaldo Cruz vol.89 no.2 Rio de Janeiro Apr./Jun. 1994 

Dengue in Brazil - situation, transmission and control: a proposal for ecological control

Keyla Belízia Feldman Marzochi1 

Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública, Departamento de Ciências Biológicas, Rio de Janeiro, Brasil


This article discusses dengue in terms of its conceptual and historical aspects, epidemiological and clinical/pathological nature, and evolution up to the present situation in Brazil. The author discusses the ecological relationship in both the production of dengue and its control. Comparison is made between traditional dengue-control programs and a proposed socially-controlled program of an ecological nature without the use of insecticides. Stress is placed on interdisciplinary technical and scientific activity, broadbased participation by communities in discussing methodological aspects involving them, and prospective evaluation comparing the communities selected for intervention and control communities with regard to clinical and subclinical dengue cases and vector infestation rates in relation to climatic, socio-economic, and behavioural factors.

Key words: dengue fever; serotypes 1,2; ecology; epidemiology; control; community participation; Brazil


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