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N/A N=4,461 Randomized Prevention

Quantifying the Epidemiological Impact of Targeted Indoor Residual Spraying on Aedes-borne Diseases

Aedes-borne Diseases · Dengue · Chikungunya · Zika

Enrolled (actual)
4,461
Serious AEs
0.0%
Results posted
Sep 2025
Primary outcome: Primary: Number of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or Serologically — 213; 209; 151; 146 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Targeted Indoor Residual Spraying (TIRS) (Other)
Age
Pediatric · 2+ yrs
Sex
All
Sponsor
Emory University
Primary completion
Apr 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Symptomatic Participants Testing Positive for Aedes-borne Virus Infections That Are Laboratory Confirmed or Serologically
213; 209; 151; 146; 1; 0
SECONDARY
Number Positive Tests of Laboratory Confirmed Aedes-borne Viruses Infections By Season
36; 39; 216; 166; 169; 204
SECONDARY
Ae. Aegypti Mosquito Infection Rate With Aedes-borne Viruses (DENV, CHIKV and ZIKV)
0; 0
SECONDARY
Ae. Aegypti Indoor Entomological Index of Adult Mosquito Abundance
0.61; 1.39
SECONDARY
Ae. Aegypti Indoor Entomological Index of Female Mosquito Abundance
0.29; 0.65
SECONDARY
Ae. Aegypti Indoor Entomological Index of Bloodfed Female Mosquito Abundance
0.25; 0.53
SECONDARY
Number of Households Where the Head of Household Would Recommend the Intervention
2160
SECONDARY
Number of Households With a Resident That Had a Reaction to the Insecticide
2

Summary

The objective of this trial is evaluate the efficacy of Targeted Indoor Residual Spraying (TIRS) in preventing symptomatic disease caused by Aedes-borne diseases (ABDs) in children 2 to 15 years of age in the city of Merida, Yucatan State, Mexico.

Eligibility Criteria

Inclusion Criteria

Household Level Inclusion Criteria:

  • Household is located within the bounds of a study cluster (5x5 city-block clusters)
  • City block has at least 60% premises that are residential

Individual Level Inclusion Criteria:

  • 2 or more and up to 15 years of age at the time of initial enrollment
  • Living in a house that consented to TIRS (for children in TIRS cluster)

Exclusion Criteria

Household Level Exclusion Criteria:

  • Households where study personnel identify a security risk (i.e., site where drugs are sold, residents are always drunk or hostile)
  • Sites where no residents spend time during the day (i.e. work 7days a week outside the home)
  • Inability for a resident to provide informed consent
  • Non-residential places (e.g., businesses, schools, markets, etc.)

Individual Level Exclusion Criteria:

  • Less than 2 years of age or more than 15 years of age at the time of enrollment
  • Not living in a house that consented to TIRS (for children in TIRS cluster)
  • Having a medical condition that prevents implementation of study procedures
  • Temporary visitor to household
  • Plans to leave study area within next 12 months
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04343521). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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