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Community Outreach and Education: Chikungunya, Dengue, and Zika Lauren Salmo, MPH, CHES California Department of Public Health Vector-Borne Disease Section.

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Presentation on theme: "Community Outreach and Education: Chikungunya, Dengue, and Zika Lauren Salmo, MPH, CHES California Department of Public Health Vector-Borne Disease Section."— Presentation transcript:

1 Community Outreach and Education: Chikungunya, Dengue, and Zika Lauren Salmo, MPH, CHES California Department of Public Health Vector-Borne Disease Section March 1, 2015

2 Educational materials created by the California Department of Public Health Educational materials created by the Centers for Disease Control and Prevention Best practices for material dissemination and community education Case study Presentation Overview

3 CDPH Educational Materials New releases and health advisories Chikungunya fact sheet Dengue fact sheet Zika fact sheet Information for clinicians fact sheet Aedes aegypti fact sheet/hoja informativa sobre Aedes aegypti Eliminating Aedes aegypti brochure and flyer

4 CDPH Website: Aedes Mosquitoes https://www.cdph.ca.gov/HEALTHINFO/DISCOND/Pages/Aedes-albopictus-and-Aedes-aegypti-Mosquitoes.aspx

5 CDPH News, Hot Topics, and Updates https://www.cdph.ca.gov/HealthInfo/discond/Pages/Aedes- albopictus-and-Aedes-aegypti-Mosquitoes.aspx

6 CDPH News Release: February 1, 2016 http://www.cdph.ca.gov/Pages/NR16-005.aspx

7 CDPH Chikungunya Fact Sheet https://www.cdph.ca.gov/HealthInfo/discond/ Documents/ChikungunyaFactSheet.pdf https://www.cdph.ca.gov/HealthInfo/discond/Documents /HojadeInformaci%C3%B3nSobreChikungunya.pdf

8 CDPH Dengue Fact Sheet https://www.cdph.ca.gov/He althInfo/discond/Documents /DengueFactSheet.pdf https://www.cdph.ca.gov/He althInfo/discond/Documents /DengueFactSheet.pdf Spanish version coming soon

9 CDPH Zika Fact Sheet https://www.cdph.ca.gov/HealthInfo/discond/ Documents/ZikaPreguntasyRespuestas.pdf https://www.cdph.ca.gov/HealthInfo/discond/ Documents/ZikaQandA.pdf

10 CDPH Weekly Update Number of Laboratory-Positive Zika Cases in California This table provides the number of travel-associated cases of Zika in California residents since 2013. Cases are categorized by date of onset of symptoms. Case numbers are updated every Friday. https://www.cdph.ca.gov/HealthInfo/discond/Documents/TravelAssociatedCaseso fZikaVirusinCA.pdf

11 Information for Clinicians: Aedes mosquitoes, Chikungunya, and Dengue https://www.cdph.ca.gov/HealthInfo/discond/ Documents/DengueorCHIKInformationForClinic iansinCA.pdf Aedes vector overview and geographic distribution Role of clinicians Disease epidemiology Clinical presentation Lab testing Resources

12 Aedes aegypti Fact Sheet Hoja Informativa Sobre Aedes aegypti

13 Eliminating Aedes aegypti

14 CDC Educational Materials Chikungunya http://www.cdc.gov/chikungunya/fact/index.html Dengue http://www.cdc.gov/dengue/educationTraining/index.html Zika http://www.cdc.gov/zika/fs-posters/index.html Mosquito bite prevention http://www.cdc.gov/features/stopmosquitoes/

15 CDC Chikungunya Fact Sheet Available in English, Spanish, Arabic, Dutch, and Haitian Creole http://www.cdc.gov/chikungunya/pdfs/factsheet_chikungunya-what-you-need-to-know.pdf

16 CDC Dengue Fact Sheet Available in English only http://www.cdc.gov/dengue/resources/factSheets/factsheet_dengue-what-you-need-to-know.pdf

17 CDC Zika Multi-Page Infographic Available in English and Spanish Information for pregnant women, travelers, and general public http://www.cdc.gov/zika/pdfs/zikapregnancyinfograp hic.pdf http://www.cdc.gov/zika/pdfs/zikapregnancyinfograp hic.pdf

18 CDC Zika Information What we know, and what we don’t know Available in English http://www.cdc.gov/zika/pdfs/Zika-What- We-Know-Infographic.pdf http://www.cdc.gov/zika/pdfs/Zika-What- We-Know-Infographic.pdf

19 http://www.cdc.gov/zika/pdfs/zika-pregnancy-sp.pdf http://www.cdc.gov/zika/pdfs/zika-pregnancy.pdf CDC Zika Prevention for Pregnant Women

20 http://www.cdc.gov/zika/pdfs/sick_with_chikv_denv_zika.pdf

21 http://www.cdc.gov/zika/es/pdfs/16_262715 -a_soto_protectyourself_sp_508.pdf http://www.cdc.gov/zika/pdfs/protect _yourself_from_mosquito_bites.pdf CDC Mosquito Bite Prevention Information

22 Available in English and Spanish http://www.cdc.gov/chikungunya/pdfs/fs_mosquito_bite_prevention_us.pdf

23 CDC Mosquito Bite Prevention for Travelers http://www.cdc.gov/chikungunya/pdfs/fs_mosquito_bite_prevention_travelers.pdf

24 CDC Mosquito Control Information Available in English and Spanish http://www.cdc.gov/chikungunya/pdfs/control_mosquitoes_chikv_denv_zika.pdf

25 Members of the community are approached by trained peer-volunteers who provide: Best Practices: Active Community Organization Public Health Approach to Mosquito Source Reduction Verbal information about public health threats regarding mosquitoes and mosquito-borne diseases Active demonstrations of ways to minimize the occurrence of periodomestic mosquitoes

26 Evidence-Based Practice Community members in Indonesia provided education to 500 homes. After 3 months there was a 56% reduction in larval indices (Soedarmo 1993). Community volunteers in Thailand were trained in mosquito control. Their community education resulted in a significant reduction in mosquito infestations (Phanthumachinda, et al. 1995). In Texas, high school students proved to be an excellent resource for teaching members of the community about health behaviors (Warner, et al. 2005). In New Jersey, active education by community peers led to a significant reduction in mosquito container habitats (Healy, et al. 2014).

27 “Rather than creating additional external structures, interventions at local level should be inserted in the pre-existing social structures, organizations and institutions” -Pérez, et al., 2007 “Community participation in Aedes aegypti control: a sociological perspective on five years of research in the health area ‘‘26 de Julio’’, Havana, Cuba

28 Key Partners in Community Engagement Local residents/citizen scientists Community leaders Community health workers/promotoras AmeriCorps volunteers (Healy, et al. 2014) High school students Medical Reserve Corps Boy Scouts and Girl Scouts Religious groups Community service organization chapters Agricultural extension programs

29 Case Study Results: Significant reduction in container habitats in the sites where the volunteers actively engaged the community compared to untreated control areas.

30 Volunteer Training Mosquito biology Basic skills training: source reduction of containers Practice with “backyard scenarios” Role play in simulated backyard habitats How to promote and encourage backyard source reduction

31 Points of Community Engagement Door to door outreach campaigns – Walk around yard with residents – Provide verbal and written information Community workshops Tabling at community events – Tire pick-up days – Trash can drilling days Social media posts Media releases

32 Questions? Lauren Salmo, MPH, CHES Public Health Educator California Department of Public Health Vector-Borne Disease Section Lauren.salmo@cdph.ca.gov 916-552-9784

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