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By the end of November , the Department of Health had confirmed dengue cases, with the HDHO response team working seven days a week spraying a total of properties and conducting mosquito surveys on more than 1, properties. The final major limitation identified as related to preparedness was a lack of equipment and supplies to respond to emergencies or even conduct routine surveillance and laboratory activities. Following the outbreak, HDHO self-assessment along with the US Centers for Disease Control and Prevention's CDC assessment of the response afforded opportunity to identify shortcomings and improve vector program operations to improve future response. In the past, efficacy was often limited in those types of locations because of a pesticide's interaction with construction material.

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In most instances properties will not require a second application within a known case's period of viremia, which frees manpower to focus on newly identified cases or to extend the area of treatment around the case. Rev Panam Salud Publica.

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Dec 8, [September 22, ]. Staff also conduct weekly trapping of mosquitoes to monitor population trends and identify immigrant species. We are grateful for these individuals and agencies that continue to be devoted to public health protection.

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A final area of prevention activities is directed towards residential housing for the elderly as well as school areas, where human populations deemed potentially more vulnerable are concentrated. These types of applications are commonly known as either barrier or residual applications and have demonstrated efficacy.

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Surveillance and control of Aedes aegypti and Aedes albopictus. It was evident early in the outbreak the initial 14 staff could not sustain the rigorous response demands; additional resources from across the state were requested. Community interactions are mostly positive, and the program has begun to implement mechanisms to assess lasting impact of these activities. Dec 8, [September 22, ].

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It was evident early in the outbreak the initial 14 staff could not sustain the rigorous response demands; additional resources from across the state were requested. These types of applications are commonly known as either barrier or residual applications and have demonstrated efficacy. Residents that decline treatment or are not at home during abatement activities will also gain some benefit since the spray strategy creates barriers to immigration and emigration of mosquitoes creating isolated populations.

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Dengue severity in the elderly in Puerto Rico. We are grateful for these individuals and agencies that continue to be devoted to public health protection.

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Not only is such knowledge important for on-site risk assessment and treatment considerations, but it is also important for educational outreach aspects of Vector Control program activities. Unfortunately, their contributions and activities are beyond the scope of this writing.

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