ArticleBMC infectious diseases2018
Construction sites as an important driver of dengue transmission: implications for disease control.
Article in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Predictive association between control measures and chikungunya fever incidence based on random forest and SHAP analysis.PLoS neglected tropical diseases · 2026Article
- Oviposition response of Aedes mosquitoes to different cement types: a field-based study in urban Sri Lanka.BMC research notes · 2025Article
- Highway paving increased dengue transmission in the Peruvian Amazon.medRxiv : the preprint server for health sciences · 2025Article
- Field investigation combined with modeling uncovers the ecological heterogeneity of Aedes albopictus habitats for strategically improving systematic management during urbanization.Parasites & vectors · 2023Article
- Projecting the future incidence and burden of dengue in Southeast Asia.Nature communications · 2023Article
- Singapore's 5 decades of dengue prevention and control-Implications for global dengue control.PLoS neglected tropical diseases · 2023Article
- Assessment of an enhanced COVID-19 case and contact management protocol in controlling a SARS-CoV-2 Alpha (B.1.1.7) variant outbreak on a construction site.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2022Article
- How do i bite thee? let me count the ways: Exploring the implications of individual biting habits of Aedes aegypti for dengue transmission.PLoS neglected tropical diseases · 2022Article
- Importance of Public Transport Networks for Reconciling the Spatial Distribution of Dengue and the Association of Socio-Economic Factors with Dengue Risk in Bangkok, Thailand.International journal of environmental research and public health · 2022Article
- Case-area targeted interventions (CATI) for reactive dengue control: Modelling effectiveness of vector control and prophylactic drugs in Singapore.PLoS neglected tropical diseases · 2021Article
- Decreased dengue transmission in migrant worker populations in Singapore attributable to SARS-CoV-2 quarantine measures.Journal of travel medicine · 2021Article
- Sociodemographic predictors of knowledge, mosquito bite patterns and protective behaviors concerning vector borne disease: The case of dengue fever in Chinese subtropical city, Hong Kong.PLoS neglected tropical diseases · 2021Article
- A greener vision for vector control: The example of the Singapore dengue control programme.PLoS neglected tropical diseases · 2020Review
- Preventing Dengue Epidemics during the COVID-19 Pandemic.The American journal of tropical medicine and hygiene · 2020Article
- Using Human Movement Data to Identify Potential Areas of Zika Transmission: Case Study of the Largest Zika Cluster in Singapore.International journal of environmental research and public health · 2019Article
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8 authors.
Funding
Abstract
backgroundIn 2013 and 2014, Singapore experienced its worst dengue outbreak known-to-date. Mosquito breeding in construction sites stood out as a probable risk factor due to its association with major dengue clusters in both years. We, therefore, investigated the contribution of construction sites to dengue transmission in Singapore, highlighting three case studies of large construction site-associated dengue clusters recorded during 2013-16.
methodsThe study included two components; a statistical analysis of cluster records from 2013 to 2016, and case studies of three biggest construction site-associated clusters. We explored the odds of construction site-associated clusters growing into major clusters and determined whether clusters seeded in construction sites demonstrated a higher tendency to expand into major clusters. DENV strains obtained from dengue patients residing in three major clusters were genotyped to determine whether the same strains expanded into the surroundings of construction sites.
resultsDespite less than 5% of total recorded clusters being construction site-associated, the odds of such clusters expanding into major clusters were 17.4 (2013), 9.2 (2014), 3.3 (2015) and 4.3 (2016) times higher than non-construction site clusters. Aedes premise index and average larvae count per habitat were also higher in construction sites than residential premises during the study period. The majority of cases in clusters associated with construction sites were residents living in the surroundings. Virus genotype data from three case study sites revealed a transmission link between the construction sites and the surrounding residential areas.
conclusionsSignificantly high case burden and the probability of cluster expansion due to virus spill-over into surrounding areas suggested that construction sites play an important role as a driver of sustained dengue transmission. Our results emphasise that the management of construction-site associated dengue clusters should not be limited to the implicated construction sites, but be extended to the surrounding premises to prevent further transmission.
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