Evidence map›Paper›PMID 40480602›Full record

Trial reportActa tropica2025

Defining Aedes aegypti density thresholds for preventing human arboviral infections.

Roberto Barrera, Verónica Acevedo-Soto, Jose Ruiz-Valcarcel, Joanelis Medina, Reinaldo Rivera, Luisa Otero, Rafael Tosado, Freddy A Medina, Rafael Saavedra, Julieanne Miranda and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta tropica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Strategies for controllingCaribbean journal of science · 2026
    Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Roberto BarreraDengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Canada, San Juan, Puerto Rico 00920, USA. Electronic address: rbarrera@cdc.gov.
Verónica Acevedo-SotoDengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Canada, San Juan, Puerto Rico 00920, USA.
Jose Ruiz-ValcarcelDengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Canada, San Juan, Puerto Rico 00920, USA.
Joanelis MedinaPuerto Rico Vector Control Unit, 105 Carr. # 21, San Juan, Puerto Rico 00927, USA.
Reinaldo RiveraDengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Canada, San Juan, Puerto Rico 00920, USA.
Luisa OteroDengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Canada, San Juan, Puerto Rico 00920, USA.
Rafael TosadoDengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Canada, San Juan, Puerto Rico 00920, USA.
Freddy A MedinaDengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Canada, San Juan, Puerto Rico 00920, USA.
Rafael SaavedraPuerto Rico Vector Control Unit, 105 Carr. # 21, San Juan, Puerto Rico 00927, USA.
Julieanne MirandaPuerto Rico Vector Control Unit, 105 Carr. # 21, San Juan, Puerto Rico 00927, USA.
Kyle RyffDengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Canada, San Juan, Puerto Rico 00920, USA.
Grayson BrownPuerto Rico Vector Control Unit, 105 Carr. # 21, San Juan, Puerto Rico 00927, USA.
Zachary J MadewellDengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Canada, San Juan, Puerto Rico 00920, USA.
Stephen H WatermanDengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Canada, San Juan, Puerto Rico 00920, USA.
Gabriela Paz-BaileyDengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Canada, San Juan, Puerto Rico 00920, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Effective control of local dengue virus transmission requires reducing the population of mosquitoes below a critical density threshold. Aedes aegypti density thresholds can serve as targets for intervention effectiveness. Most thresholds have been identified by correlating vector densities with pathogen transmission events. However, despite previous descriptive research there is a need for rigorously controlled field studies to clarify the interactions between Ae. aegypti density and human infections. We report on a multi-arm cluster randomized field trial aimed at determining the number of female Ae. aegypti mosquitoes below which dengue outbreaks are limited. We implemented four mosquito control treatments in a dose-response trial, using zero to three Autocidal Gravid Ovitraps (AGO traps) per house across study neighborhoods in Caguas, Puerto Rico from January 2021 to June 2024. We anticipated that significant reductions in Ae. aegypti populations would indicate a threshold density if low or no prevalence of dengue viruses was observed in mosquitoes or antibodies in residents through IgM and IgG serological testing. Results showed that female Ae. aegypti densities decreased by 44 %, 60 %, and 80 % in clusters with one, two, and three traps/house, respectively. The expected number of dengue-infected mosquitoes per thousand were 2.01, 1.70, 0.60, and 0.36 in clusters with zero, one, two, and three traps/house, respectively. Increases in dengue IgG antibody prevalence from 2022 to 2023 were noted only among residents aged 1-10 years, with rates of 25 %, 18 %, 6 %, and 5.9 % corresponding to the number of traps used. To reduce dengue incidence, local populations of Ae. aegypti should be kept below 4 females per AGO trap per week.

Indexed as

AedesArbovirus InfectionsDengueMosquito ControlMosquito VectorsAdultAnimalsAntibodies, ViralDengue VirusFemaleHumansImmunoglobulin GMalePopulation DensityPuerto RicoAntibodies, ViralImmunoglobulin GAedes aegyptiCluster randomized trialDengueMosquito controlMosquito surveillanceThreshold density

Identifiers

PMID40480602
PMCPMC13207729

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.