Search

Dengue has become an increasingly significant risk to global health. With up to 400 million cases annually, dengue constitutes the fastest growing vector-borne disease globally. In the western hemisphere, dengue, and more recently chikungunya and Zika, exist throughout much of Latin America. These diseases are spread by Aedes mosquitoes, which have been present in the region for centuries. While perceptions of mosquitoborne disease have been studied in Latin America, such qualitative literature on Costa Rica is relatively scarce. Therefore, this study uses qualitative methods to critically investigate the prevention of Aedes mosquito-borne diseases in Puntarenas and San José, Costa Rica. Specifically, this study examines local perceptions of policies and programs to combat Aedes mosquitoes and their associated diseases. Data were collected via household interviews (n=80); semi-structured interviews with public health officials, researchers, nonprofit organizations, and community leaders (n=22); and a focus group discussion in each of two study areas (Puntarenas and San José). Results are presented as place-specific narratives on mosquito and disease control among at-risk communities. Varying degrees of local knowledge on mosquitoes and mosquito-borne diseases exist both within and across the study areas. These differences include conflicting perceptions of mosquito control tech niques (e.g., fumigation, education campaigns) as well as disease source, habitat, and risk. Local narratives may inform public health actors on the perspectives of communities who confront, cope with, and manage issues of mosquito-borne disease. [ABSTRACT FROM AUTHOR]