A5089417415- Mosquito-borne diseases and control
- Malaria Research and Control
- Viral Infections and Vectors
- COVID-19 impact on air quality
- Insect Pest Control Strategies
- COVID-19 epidemiological studies
- Global Maternal and Child Health
- Trypanosoma species research and implications
- Public Health and Social Inequalities
- Community Health and Development
- Urban Green Space and Health
- COVID-19 and Mental Health
- Healthcare Systems and Reforms
- Health, psychology, and well-being
- Urban and Rural Development Challenges
- Historical and socio-economic studies of Spain and related regions
- Innovation and Socioeconomic Development
- Primary Care and Health Outcomes
Durham University
2019-2024
Pontificia Universidad Católica del Ecuador
2023-2024
Ohio University
2022-2023
In sub-Saharan Africa, most transmission of mosquito-transmitted diseases, such as malaria or dengue, occurs within around houses. Preventing mosquito house entry and reducing production the home would help reduce these diseases. Based on recent research, we make key recommendations for threat diseases through changes to built environment. The mnemonic, DELIVER, recommends following best practices: (i) Doors should be screened, self-closing without surrounding gaps; (ii) Eaves, space between...
In sub-Saharan Africa, cooler houses would increase the coverage of insecticide-treated bednets, primary malaria control tool. We examined whether improved ventilation, using windows screened with netting, cools at night and reduces mosquito house entry in The Gambia. Identical were constructed, badly fitting doors only points. Two men slept each mosquitoes captured light traps. First, temperature density compared four 0, 1, 2 3 windows. Second, carbon dioxide (CO ), a major attractant, was...
Most malaria infections in sub-Saharan Africa are acquired indoors, thus finding effective ways of preventing mosquito house entry should reduce transmission. Since most mosquitoes fly less than 1 m from the ground, we tested whether raising buildings off ground would prevent Anopheles gambiae , principal African vector, rural Gambia. Nightly collections were made using light traps four inhabited experimental huts, each which could be moved up or down. Mosquito declined with increasing...
Abstract Background Access to professional health care providers in Loja Province, Ecuador can be difficult for many citizens. The Health Care Barrier Model (HCAB) was established provide a framework classification, analysis, and reporting of modifiable access barriers. This study uses the HCAB identify barriers themes impacting southern rural Ecuador. Methods research team interviewed 22 participants completed 15 participant observation studies area. Interviews single focus group session...
Rural houses in sub-Saharan Africa are typically hot and allow malaria mosquitoes inside. We assessed whether passive or active ventilation can reduce house entry of cool a bedroom at night rural Gambia. Two identical experimental were used: one ventilated unventilated (control). evaluated the impact (i) (solar chimney) (ii) (ceiling fan) on number collected indoors environmental parameters (temperature, humidity, CO 2 , evaporation). Although solar chimney did not Anopheles gambiae sensu...
Abstract Background In rural sub-Saharan Africa, thatch roofs are being replaced by metal roofs. Metal roofing, however, increases indoor temperatures above human comfort levels, and thus makes it more likely that residents will not use an insecticide-treated bed net (ITN) at night. Whether the colour of a roof affects temperature was assessed. Methods Two identical, experimental houses were constructed with in Gambia. Roof types were: (1) original bare-metal, (2) painted red oxide primer or...
The World Health Organization recommends house screening as a tool for malaria control, yet evidence of the long-term durability, functionality and acceptability this intervention is lacking. In study, sustainability use novel types screened doors windows was examined 4 years after installation in Gambian village.A survey 31 houses, each with two windows, conducted rainy season. There were four door window. Trained staff carried out interviews room owners local language before translation...
Anopheles gambiae, the major malaria mosquito in sub-Saharan Africa, feed largely indoors at night. Raising a house off ground with no barriers underneath reduces mosquito-house entry. This experiment tested whether walling space under an elevated hut affects mosquito-hut
Mosquito-transmitted diseases are a major threat to health in sub-Saharan Africa, but could be reduced through modifications the built environment. Here we report findings from workshop held identify research gaps this area, namely: (1) evidence of benefits changes environment, (2) understanding how mosquitoes enter buildings, (3) novel methods for reducing mosquito-house entry, (4) sustainable approaches mosquito habitats, (5) case studies micro-financing healthy homes and (6) increasing...
Chagas disease (CD) is a neglected tropical that affects 6 to 7 million people worldwide. In South America, CD major health problem in several regions, causing more than 12 000 deaths per year. caused by parasite called Trypanosoma cruzi, mostly transmitted through the contaminated feces of certain species triatomine bug, commonly known as 'kissing bug'. endemic Loja province southern region Ecuador, where triatomines have been found 68% communities. Previous promotion healthy practices...
Background: Chagas disease (CD) is a tropical parasitic spread by triatomine bugs, which are bugs that tend to infest precarious housing in rural and impoverished areas. Reducing exposure the thus parasite they can carry, essential preventing CD these One promising long-term sustainable solution reconstruct houses. Implementing home reconstruction requires an understanding of how householders construct barriers facilitators might encounter when considering whether rebuild their homes....
Mental health in adolescence is a very important topic worldwide, especially rural areas. The implementation of Participatory Action Research (PAR) through the photo-voice method was way to encourage adults recognize problematic situations (at personal, family or community levels) that threaten well-being adolescents, but everyday life may go unnoticed by parents and caregivers. Our study aimed identify risk factors for mental adolescents living communities Ecuador from parental perspective...
El porche y el peridomicilio de las viviendas Guara, Chaquizhca Bellamaría, sur Ecuador, desafían diariamente la división tradicional espacial labores por género. La configuración permite que se extienda hacia peridomicilio, fundiéndose funcionalmente. Juntando vivienda con paisaje en un solo espacio. Esto una reconfiguración esferas pública privada, lo podría replicarse contextos urbanos donde sea necesario flexibilizar funcionalidad los espacios crear lugares inclusivos. Formalmente, es...
This study described the entry of mosquitoes entering houses at different heights in rural Gambia. We also show data for temperature and carbon dioxide huts during experiment. include a video experimental being moved up down transcript focus group discussions held with men that slept huts.
Abstract Background: The World Health Organization recommends house screening as a tool for malaria control, yet evidence of the long-term durability, functionality and acceptability this intervention is lacking. Here we examined sustainability use novel types screened doors windows four years after installation in Gambian village. Methods: A survey 31 houses, each with two windows, was conducted rainy season. There were door window. Trained staff carried out interviews room owners local...
Abstract Background In rural sub-Saharan Africa, thatch roofs are being replaced by metal roofs. Metal roofing, however, increases indoor temperatures above human comfort levels, and thus makes it more likely that residents will not use an insecticide-treated bednet (ITN) at night. We assessed whether the colour of a roof affects temperature comfort. Methods Two identical, experimental houses were constructed with in Gambia. Roof types were: (1) original bare-metal, (2) painted red oxide...