Community Outreach and Education Chikungunya Dengue and Zika

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

Presentation Overview • 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

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 • • •

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

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

CDPH News Release: February 1, 2016 http: //www. cdph. ca. gov/Pages/NR 16 -005. aspx

CDPH Chikungunya Fact Sheet https: //www. cdph. ca. gov/Health. Info/discond/ Documents/Chikungunya. Fact. Sheet. pdf https: //www. cdph. ca. gov/Health. Info/discond/Documents /Hojade. Informaci%C 3%B 3 n. Sobre. Chikungunya. pdf

CDPH Dengue Fact Sheet • https: //www. cdph. ca. gov/He alth. Info/discond/Documents /Dengue. Fact. Sheet. pdf • Spanish version coming soon

CDPH Zika Fact Sheet https: //www. cdph. ca. gov/Health. Info/discond/ Documents/Zika. Qand. A. pdf https: //www. cdph. ca. gov/Health. Info/discond/ Documents/Zika. Preguntasy. Respuestas. pdf

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/Health. Info/discond/Documents/Travel. Associated. Cases of. Zika. Virusin. CA. pdf

Information for Clinicians: Aedes mosquitoes, Chikungunya, and Dengue • Aedes vector overview and geographic distribution • Role of clinicians • Disease epidemiology • Clinical presentation • Lab testing • Resources https: //www. cdph. ca. gov/Health. Info/discond/ Documents/Dengueor. CHIKInformation. For. Clinic iansin. CA. pdf

Aedes aegypti Fact Sheet Hoja Informativa Sobre Aedes aegypti

Eliminating Aedes aegypti

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

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

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

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

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

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

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

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

CDC Mosquito Bite Prevention Information • • Available in English and Spanish http: //www. cdc. gov/chikungunya/pdfs/fs_mosquito_bite_prevention_us. pdf

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

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

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

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).

“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

Key Partners in Community Engagement • • • Local residents/citizen scientists Community leaders Community health workers/promotoras Ameri. Corps 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

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

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

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

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