Why Did Zika Not Explode in Cuba? The Role of Active Community Participation to Sustain Control of Vector-Borne Diseases

Marta Castro Pedro Kouri Tropical Medicine Institute, Havana, Cuba

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Dennis Pérez Pedro Kouri Tropical Medicine Institute, Havana, Cuba

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Maria G. Guzman Pedro Kouri Tropical Medicine Institute, Havana, Cuba

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Clare Barrington Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina

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As the global public health community develops strategies for sustainable Zika prevention and control, assessment of the Cuban response to Zika provides critical lessons learned. Cuba’s early and successful response to Zika, grounded in the country’s long-standing dengue prevention and control program, serves as a model of rapid mobilization of intersectoral efforts. Sustaining this response requires applying the evidence generated within the Cuban dengue program that active community participation improves outcomes and is sustainable and cost-effective. There is also a need for implementation science efforts to assess the transferability of lessons learned from Zika prevention and control to other pathogens and from one context to another in addition to how to take these efforts to scale.

Author Notes

Address correspondence to Marta Castro, Instituto de Medicina Tropical Pedro Kouri, Autopista Novia del Mediodía, Km. 6 ½, La Lisa, P.O. Box 601, Marianao 13, Havana, Cuba. E-mail: martac@ipk.sld.cu

Authors’ addresses: Marta Castro and Dennis Pérez, Epidemiology, Instituto de Medicina Tropical Pedro Kouri, Havana, Cuba, E-mails: martac@ipk.sld.cu and dennis@ipk.sld.cu. María G. Guzmán, Virology Department, WHO Collaborating Center for Viral Diseases, Institute Tropical Medicine Pedro Kouri, Havana, Cuba, E-mail: lupe@ipk.sld.cu. Clare Barrington, Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, E-mail: cbarring@email.unc.edu.

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