Rising Dengue Cases Pose Challenge for Insect Vector Control in the Caribbean
As the threat of dengue fever escalates in the Caribbean, health authorities are grappling with an increased demand for mosquito control measures. The Insect Vector Control Division in Trinidad and Tobago is at the forefront of this battle, responding to a significant uptick in reported dengue cases this year.
Current Situation and Challenges
Health Minister Terrence Deyalsingh recently confirmed a sharp rise in dengue cases for 2024 compared to the previous year. The confirmed cases have surged from 11 in 2023 to 123 this year, with suspected cases also showing a significant increase. Despite the alarming rise, no deaths have been reported so far, which the minister attributes to the effective early response and public health measures implemented.

The Pan American Health Organization (PAHO) has issued warnings about a widespread increase in dengue cases across the Americas, noting over 3.5 million cases and more than 1,000 deaths reported as of March 2024. The situation is particularly dire in countries like Brazil, Paraguay, and Argentina, which account for the majority of cases and deaths. PAHO attributes this increase to environmental factors such as rising temperatures, extreme weather events, and the El Niño phenomenon.
Insect Vector Control Strategies
Dr. Osafo Fraser, Medical Officer of Health for the Insect Vector Control Division, emphasized that while mosquito spraying is a critical tool, it is not the sole solution. The division is equipped to meet the increased demand for spraying but cautions against overuse of insecticides, which can lead to mosquito resistance and environmental harm. Dr. Fraser highlighted that spraying is done based on confirmed case reports within a specific radius to ensure effective control without causing undue resistance in mosquito populations.
Minister Deyalsingh echoed these sentiments, stressing that community-level interventions are crucial. This includes eliminating standing water where mosquitoes breed, such as in flower pots, gutters, and water barrels. The Ministry of Health plans to launch a series of activities aimed at educating the public on dengue prevention and encouraging proactive measures to reduce mosquito breeding sites.
The PAHO Director, Dr. Jarbas Barbosa, underscored the importance of community engagement in combating dengue. He called for intensified efforts to eliminate mosquito breeding sites and protect against bites, along with strengthening health services for early diagnosis and timely treatment. Dr. Barbosa emphasized that facing the dengue problem requires a collective effort from all sectors of society.
As dengue continues to pose a significant public health challenge, it is imperative that both government agencies and communities work together to implement effective control measures and prevent further spread of the disease.