The impact of insecticide-treated school uniforms on dengue infections in school-aged children: study protocol for a randomised controlled trial in Thailand

<p>Abstract</p> <p>Background</p> <p>There is an urgent need to protect children against dengue since this age group is particularly sensitive to the disease. Since dengue vectors are active mainly during the day, a potential target for control should be schools where c...

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Main Authors: Wilder-Smith Annelies, Byass Peter, Olanratmanee Phanthip, Maskhao Pongsri, Sringernyuang Luechai, Logan James G, Lindsay Steve W, Banks Sarah, Gubler Duane, Louis Valérie R, Tozan Yesim, Kittayapong Pattamaporn
Format: Article
Language:English
Published: BMC 2012-11-01
Series:Trials
Subjects:
Online Access:http://www.trialsjournal.com/content/13/1/212
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Summary:<p>Abstract</p> <p>Background</p> <p>There is an urgent need to protect children against dengue since this age group is particularly sensitive to the disease. Since dengue vectors are active mainly during the day, a potential target for control should be schools where children spend a considerable amount of their day. School uniforms are the cultural norm in most developing countries, worn throughout the day. We hypothesise that insecticide-treated school uniforms will reduce the incidence of dengue infection in school-aged children. Our objective is to determine the impact of impregnated school uniforms on dengue incidence.</p> <p>Methods</p> <p>A randomised controlled trial will be conducted in eastern Thailand in a group of schools with approximately 2,000 students aged 7–18 years. Pre-fabricated school uniforms will be commercially treated to ensure consistent, high-quality insecticide impregnation with permethrin. A double-blind, randomised, crossover trial at the school level will cover two dengue transmission seasons.</p> <p>Discussion</p> <p>Practical issues and plans concerning intervention implementation, evaluation, analysing and interpreting the data, and possible policy implications arising from the trial are discussed.</p> <p>Trial registration</p> <p>clinicaltrial.gov. Registration number: NCT01563640</p>
ISSN:1745-6215