Innovation in Vector Control of Dengue Hemorrhagic Fever Using Portable Devices Mechanical Electric Methods
Innovation in Vector Control of Dengue Hemorrhagic Fever Using Portable Devices Mechanical Electric Methods
Corresponding Author:
Nur Alvira Pascawati
Department of Epidemiology, Faculty of Health Science, Respati University of Yogyakarta
Yogyakarta, Indonesia
Email: [email protected]; [email protected]
1. INTRODUCTION
Vector-borne diseases are still a problem in Indonesia, especially dengue hemorrhagic fever (DHF).
According to WHO data for 2004-2010, the Asia Pacific region bears 75% of the burden of dengue in the world.
Indonesia is reported as the 2nd country with the largest dengue cases among 30 countries in endemic areas [1]
because Indonesia is a tropical country that is a place for the main vectors of dengue transmission, namely Aedes
aegypti and Ae. albopictus [2]. In 2021, 73.5 thousand confirmed cases of DHF in Indonesia, and during 2017-
2021, the highest number of DHF cases occurred in 2019 with more than 137 thousand confirmed cases [3].
Dengue fever morbidity can be reduced by implementing good outbreak prediction and detection
through coordinated epidemiological and entomological surveillance [4]. Epidemiological and entomological
surveillance is a tool to comprehensively collect and track vectors based on place and time [5] by monitoring
vector densities to predict possible epidemics of mosquito-borne diseases and evaluate vector control [6]. This
activity is an important component of any integrated mosquito management (IMM) program because this
activity helps professionals determine what, when, and where control activities are needed, especially in
managing mosquito populations before they become adult mosquitoes [7], [8]. The survey results show that
vector control methods are still not optimal because the larva free rate (LFR) which is often used as an
epidemiological measure, never reaches the target of ≥95%, and even in 2018, it only reached 31.2% [9], [10].
Larva control is one of the main programs to control DHF transmission by increasing LFR, including
physical control, biological control, and chemical control because the death of the larvae can eliminate all
potential mosquitoes to transmit the disease and reproduce [11]. One of the main problems in larval surveillance
activities by field technicians is that the survey method for estimating the density of larvae in an area is still
less sensitive [12]. One of the main problems in larval surveillance activities by field technicians is that the
survey method for estimating larval density in an area is still less sensitive. Using a scoop is the most common
method for collecting mosquito larvae, but other techniques and devices are needed that are more useful and
effective for collecting larvae in large containers [13]. Chemical larval control techniques still provide good
results, but are hampered by the continuous evolution and spread of insecticide resistance [14], [15]. Biological
control methods using natural enemies of larvae, such as parasites and predators, are still less effective because
some predators cannot survive more than one generation in containers [16], [17].
A study we conducted on several larva-monitoring cadres ("Jumantik") to find out weaknesses in
determining LFR through larval surveys showed that the monitoring results were not valid because many
containers were difficult to reach visually, such as containers with large volumes and dark colors. Cadres also
take a long time to conduct surveys. Eradicating larvae by draining water in positive larvae containers is
considered inefficient, especially in areas experiencing water scarcity [18]. Many households store water to
meet basic needs related to washing, cooking, and drinking because water supplies are limited at certain times.
Water that is still used will be stored in containers for a long time so that it can become a potential mosquito
breeding site [16], [19]. To control the sources of DHF transmission through vector reduction, a
multidisciplinary response is needed that addresses water access, urban planning, behavior change strategies,
and methods of larval control at the household and community levels.
To help control Aedes sp larvae in the community, an innovation was created in the form of a portable
device that sucks Aedes sp larvae using an electrical-mechanical method. The working principle of this tool is to
overcome the weaknesses of several larval control methods described above. This tool uses a pump motor that
can rotate a fan in the water so that water and larvae can enter through the filter tank. The incoming water will be
recirculated into the reservoir in a clean condition, while the larvae that are sucked in with the water will be
trapped in the filter. Incoming larvae can be destroyed, counted, and identified for research needs. Research
objective: to test the effectiveness of portable electrical-mechanical methods in controlling Aedes aegypti larvae.
2. METHOD
2.1. Research design, locations, and period of research
This type of research in laboratory tests uses a post-test-only design. The research was conducted in
the Entomology Laboratory, Faculty of Medicine, Gadjah Mada University, and Electrical Engineering
Laboratory, Faculty of Science and Technology, Respati University Yogyakarta. The tool trial was carried out
for 6 months from June to November 2023.
Water volume Formula: Container Circle Base Area x Container Cylinder Height (1)
Innovation in vector control of dengue hemorrhagic fever using portable … (Nur Alvira Pascawati)
1056 ISSN: 2252-8806
Int J Public Health Sci, Vol. 13, No. 3, September 2024: 1054-1062
Int J Public Health Sci ISSN: 2252-8806 1057
− The flashlight makes it easier to observe larvae in containers (3.6) has waterproof specifications, has a
10-watt white Cree Light-Emitting Diode (LED) lamp with a light intensity of 400 lumens, and a
maximum beam distance under water of 25 meters. This flashlight uses a rechargeable 18,650 battery
Figure 1. Tools and components for sucking Aedes sp larvae using electrical and mechanical methods
Innovation in vector control of dengue hemorrhagic fever using portable … (Nur Alvira Pascawati)
1058 ISSN: 2252-8806
Figure 3. Comparison of the time needed to suck all Aedes sp larvae in light-colored 80-liter and
90-liter containers
Figure 4 shows the results of testing the tool on a dark-colored 80-liter container. The test results
show the same time trend as a light-colored 80-liter volume container, but the suction time was longer, namely
47 seconds-89 seconds. When the container volume is increased to 90 liters, the suction time for all the larvae
increases compared to an 80-liter volume container of the same color and a light-colored 90-liter container,
namely 88 seconds-122 seconds.
Figure 4. Comparison of the time needed to suck all Aedes sp larvae in dark colored 80 liter and
90-liter containers
Table 1 shows that the time required for the tool to suck all the larvae in light and dark-colored
containers measuring 80 liters is not influenced by the volume of water (liters) and water height (cm)
(p-value>0.05). This is because high power makes the pump rotation in a container that is not too large faster
so that more larvae are sucked in in a shorter time. Previous research states that engine speed with high voltage
Int J Public Health Sci, Vol. 13, No. 3, September 2024: 1054-1062
Int J Public Health Sci ISSN: 2252-8806 1059
due to airflow and the use of more batteries will improve tool performance compared to low engine speed [23].
However, when the container size was increased to 90 liters, the larger water volume and higher water surface
affected the suction time of all larvae in the container (p-value<0.05). The high water level and dark color of
the container create difficulties when monitoring and moving equipment inside the container. Apart from that,
the larger the volume of water due to the larger size of the container and the higher the water level, the pressure
of the device below becomes greater than the pressure above, so the suction power becomes increasingly
reduced. This is to the principle of mechanical energy, namely if an object moves in the opposite direction
from the conservative force, then the potential energy increases, and if the object's speed changes, then the
kinetic energy also changes [24]. However, this tool is still more effective in controlling and collecting larvae
in large containers when compared to physical methods which are carried out visually or using single larvae
methods or by taking all the larvae in the container [25].
Table 1. Factors related to the effectiveness of the tool in sucking Aedes aegypti larvae in an 80-liter
container volume
Suction time of all larvae
Variable Bright color Dark color
p-value Pearson correlation p-value Pearson correlation
Water volume (Liters) 80-Liter 0.109 0.794 0.085 0.826
Water level height (cm)-80 Liter 0.080 0.833 0.056 0.835
Water volume (Liters) 90 -Liter 0.017 0.941* 0.012 0.954*
Water vevel height (cm)-90 Liter 0.018 0.940* 0.010 0.958*
Notes: *Correlation is significant at the 0.05 level (2-tailed)
Table 2 shows that there is no difference (p-value>0.05) in the speed of the tool when sucking larvae
in light-colored 80-liter containers (average time 38 seconds) and dark-colored (average 50.8 seconds) and in
containers the 90-liter volume is light-colored (average time 99.6 seconds) and dark colored (106.8 seconds).
However, there is a difference (p-value<0.05) in the speed of the tool when sucking larvae in light-colored
containers with a volume of 80 liters (average time 38 seconds) with containers with a volume of 90 liters
(average time 99.6 seconds). In containers dark colored with a volume of 80 liters (average time 50.8 seconds)
with a container with a volume of 90 liters (106.8 seconds).
Table 2. The number of Aedes aegypti larvae sucked based on the characteristics of the container
Time to suck all the larvae
Variable p-value
Mean (Second) Standard deviation (Second)
Volume 80 liters Bright color 38.00 8.22
0.278
Dark color 50.80 23.19
Volume 90 liters Bright color 99.60 14.74
0.445
Dark color 106.80 13.55
Light 80 Liter 38.00 8.22
0.000
90 Liter 99.600 14.74
Dark 80 Liter 50.80 23.19
0.002
90 Liter 106.80 13.55
The test results show that the portable larva suction device using the electrical-mechanical method is
effective in speeding up the process of monitoring, collecting, and controlling larvae in large, uncovered
containers. The results of the investigation identified that large containers (≥60 L), mainly used in household
activities and generally owned by urban residents, were the most productive containers in containing Aedes
aegypti larvae [26], [27]. Reports from several studies in various countries and regions of Indonesia state that
many people are still accustomed to storing clean water in containers for long periods [16], [28]. People also
never cover large containers such as bathtubs so that they have the potential to become breeding places for
mosquitoes and there is a habit in Asian communities of holding large amounts of water when bathing without
using a shower to meet the needs of family members [29]. These results are consistent with research in
Venezuela testing innovations in the use of insecticide-treated container covers, which found that only 21.5%
of households received the covers, and only 10% were still using them after 22 months. Their main reason is
the discontinuation of use that the cover becomes soiled or soiled, damaged, and ineffective every time it is
used [19]. This shows that the method of controlling Aedes sp larvae through draining containers still has to be
carried out at the household level.
This tool is effective for use on dark and light-colored containers because Aedes sp larvae can breed
in both types of containers. Several research results show that the number of larvae found in dark-colored
containers is greater than in light-colored containers. This is related to the behavior of the Aedes aegypti
Innovation in vector control of dengue hemorrhagic fever using portable … (Nur Alvira Pascawati)
1060 ISSN: 2252-8806
mosquito which prefers dark colors as a resting place [30] and breeds because it provides a sense of security
and calm to mosquitoes while laying eggs [31]. Research conducted in Denpasar, Jakarta, and Yogyakarta
reported that certain container characteristics such as material, color, texture, and the nature of closed or open
containers are very suitable for the breeding of Aedes larvae [32]. However, other research also shows that
light-colored containers have the potential to become a breeding ground for Aedes sp larvae if they are never
cleaned or closed tightly [33]. This tool is also effective for use for 4-5 hours, which is by the results of previous
research which states that cadres need observation time between 10-15 minutes per house to five hours per day
or 20-30 home per day [34]. This tool can suck up 50 larvae in just 38 seconds-106.8 seconds or 0.63 minutes-
1.78 minutes, meaning that using this tool can shorten the survey time for cadres in every house or public place
that has a large container. This tool can increase the accuracy of monitoring results and eradicate larvae in
large, dark-colored containers by Community Health Center Staff and Cadres faster time. Monitoring accuracy
can affect the validity of the LFR report which is an indicator of the success of the dengue fever control program
through the implementation of the Mosquito Nest Eradication system [35]. The results of previous research
explain that not all officers and cadres can plan and monitor larvae well, which has an impact on the accuracy
of vector surveillance data [36].
4. CONCLUSION
The portable tool for sucking Aedes sp larvae using the electric-mechanical method effectively
reduces the presence and density of larvae quickly. In light-colored 80-liter volume containers, namely
28 seconds-57 seconds (mean: 38 seconds), dark-colored 80-liter volume containers, namely 31 seconds-89
seconds (mean: 50.8 seconds), a light-colored 90-liter volume container is 80 seconds-119 seconds (mean: 99.6
seconds), and a light colored 90-liter volume container is 88 seconds-122 seconds (mean: 106.8 seconds). This
tool sucks larvae faster in containers with a volume of 80 liters compared to a volume of 90 liters. The greater
the volume of water and the higher the water surface, the longer it takes to suck the larvae. This tool is effective
and efficient in speeding up the process of monitoring, collecting, and controlling larvae in large containers
without having to drain the water, so it can help increase the accuracy of the larval-free rate. For the next stage,
we still need to test the readiness of the equipment for full production, through 4 stages, namely: i) Low-rate
initial production (LRIP) test in the community; ii) validate the calculation of estimated equipment production
costs (design to cost), iii) Carry out tests and evaluations (DT&E) of the system to meet qualifications.
ACKNOWLEDGEMENTS
We express our appreciation to the Minister of Education, Culture, Research, and Technology for the
funding provided for the 2023 prototype development scheme, with contract number:
4687/UN1/DITLIT/DitLit/PT.01.03/2023
REFERENCES
[1] W. Anggraini, A. Arwanto, and S. P. Danda, “Effectiveness of Bundo Peduli Jentik Program in Controlling the Dengue Hemorrhagic
Fever,” J. Kebijak. Pemerintah., vol. 4, no. 1, pp. 23–31, 2021, doi: 10.33701/jkp.v4i1.1684.
[2] H. Harapan, A. Michie, M. Mudatsir, R. T. Sasmono, and A. Imrie, “Epidemiology of dengue hemorrhagic fever in Indonesia:
Analysis of five decades data from the National Disease Surveillance,” BMC Research Notes, vol. 12, no. 1, Jun. 2019, doi:
10.1186/s13104-019-4379-9.
[3] H. N. Wolff, “Number of dengue cases in Indonesia 2017-2021,” State of Health. Accessed: Mar. 24, 2023. [Online]. Available:
https://www.statista.com/statistics/705200/number-of-dengue-cases-in-indonesia/
[4] WHO, “Global Strategy for dengue prevention and control 2012–2020,” Geneva, Jan. 2012. [Online]. Available:
http://scholar.google.com/scholar?hl=en&btnG=Search&q=intitle:Global+strategy+for+dengue+prevention+and+control#8
[5] M. Braks, G. Giglio, L. Tomassone, H. Sprong, and T. E. Leslie, “Making vector-borne disease surveillance work: New
opportunities from the SDG perspectives,” Frontiers in Veterinary Science, vol. 6, no. JUN, p. 232, 2019, doi:
10.3389/fvets.2019.00232.
[6] Z. Lai et al., “Development and evaluation of an efficient and real-time monitoring system for the vector mosquitoes, Aedes
albopictus and Culex quinquefasciatus,” PLoS Neglected Tropical Diseases, vol. 16, no. 9, p. e0010701, Sep. 2022, doi:
10.1371/JOURNAL.PNTD.0010701.
[7] Center for Disease Control and Prevention, “Integrated mosquito management,” Center for Disease Control and Prevention.
Accessed: Mar. 24, 2023. [Online]. Available: https://www.cdc.gov/mosquitoes/mosquito-control/professionals/integrated-
Int J Public Health Sci, Vol. 13, No. 3, September 2024: 1054-1062
Int J Public Health Sci ISSN: 2252-8806 1061
mosquito-management.html
[8] V. S. Aryaprema, M. R. Steck, S. T. Peper, R. De Xue, and W. A. Qualls, “A systematic review of published literature on mosquito
control action thresholds across the world,” PLoS Neglected Tropical Diseases, vol. 17, no. 3, p. e0011173, Mar. 2023, doi:
10.1371/journal.pntd.0011173.
[9] M. Arisanti and N. H. Suryaningtyas, “Incidence of dengue hemorrhagic fever (DHF) in Indonesia in 2010-2019,” (in Indonesia),
Spirakel, vol. 13, no. 1, pp. 34–41, 2021, doi: 10.22435/spirakel.v13i1.5439.
[10] Ministry of Health of the Republic of Indonesia, National Dengue Control Strategy 2021-2025, (in Indonesia), 1st ed., vol. 1.
Jakarta: Direktorat Jenderal Pencegahan dan Pengendalian Penyakit, Kementerian Kesehatan RI, 2021. [Online]. Available:
https://p2pm.kemkes.go.id/storage/publikasi/media/file_1631494745.pdf
[11] C. J. Meier, M. F. Rouhier, and J. F. Hillyer, “Chemical control of mosquitoes and the pesticide treadmill: a case for photosensitive
insecticides as larvicides,” Insects, vol. 13, no. 12, 2022, doi: 10.3390/insects13121093.
[12] R. Farlow, T. L. Russell, and T. R. Burkot, “Nextgen vector surveillance tools: sensitive, specific, cost-effective and
epidemiologically relevant,” Malaria Journal, vol. 19, no. 1, p. 432, Dec. 2020, doi: 10.1186/s12936-020-03494-0.
[13] B. Amusan and S. Ogbogu, “Surveillance of mosquito larvae in various microhabitats in a University Campus in Southwestern
Nigeria,” UNED Research Journal, vol. 12, no. 1, p. e2605, Mar. 2020, doi: 10.22458/urj.v12i1.2605.
[14] H. Onen et al., “Mosquito-borne diseases and their control strategies: An overview focused on green synthesized plant-based
metallic nanoparticles,” Insects, vol. 14, no. 3, 2023, doi: 10.3390/insects14030221.
[15] C. Antonio-Nkondjio, N. N. Sandjo, P. Awono-Ambene, and C. S. Wondji, “Implementing a larviciding efficacy or effectiveness
control intervention against malaria vectors: key parameters for success,” Parasites & Vectors, vol. 11, no. 1, p. 57, Dec. 2018, doi:
10.1186/s13071-018-2627-9.
[16] J. Pinchoff, M. Silva, K. Spielman, and P. Hutchinson, “Use of effective lids reduces presence of mosquito larvae in household
water storage containers in urban and peri-urban Zika risk areas of Guatemala, Honduras, and El Salvador,” Parasites and Vectors,
vol. 14, no. 1, Dec. 2021, doi: 10.1186/s13071-021-04668-8.
[17] D. D. Vinogradov, A. Y. Sinev, and A. V. Tiunov, “Predators as control agents of mosquito larvae in micro-reservoirs (Review),”
Inland Water Biology, vol. 15, no. 1, pp. 39–53, Feb. 2022, doi: 10.1134/S1995082922010138.
[18] M. A. Nurjana et al., “Water containers and the preferable conditions for laying eggs by Aedes mosquitoes in Maros Regency,
South of Sulawesi, Indonesia,” J. Water Health, vol. 21, no. 11, pp. 1741–1746, Nov. 2023, doi: 10.2166/wh.2023.270.
[19] T. Respati and Y. Feriandi, “Breeding places of mosquito larvae and pupae in Bandung City,” Journal of Physics: Conference
Series, vol. 1469, no. 1, pp. 1–6, 2020, doi: 10.1088/1742-6596/1469/1/012119.
[20] Saut Situmorang, “Application of roboduino ATMega 2560 in the manufacturing of goods moving beetle robots,” Journal of Science
Technology (JoSTec), vol. 2, no. 1, pp. 48–53, 2020, doi: 10.55299/jostec.v2i1.52.
[21] S. mojtaba Fazli Qomi, M. reza Danaeefard, A. bahador Farhang, S. P. Hosseini, and Y. Arast, “Effect of temperature on the
breeding black soldier fly larvae in vitro for basic health-oriented research,” Archives of Hygiene Sciences, vol. 10, no. 1,
pp. 67–74, Jan. 2021, doi: 10.52547/archhygsci.10.1.67.
[22] M. V. Evans et al., “Microclimate and larval habitat density predict adult aedes albopictus abundance in urban areas,” American
Journal of Tropical Medicine and Hygiene, vol. 101, no. 2, pp. 362–370, 2019, doi: 10.4269/ajtmh.19-0220.
[23] S. H. Susilo and N. Nurhadi, “The effect of cyclone surface area towards engine performance, intake manifold pressure and exhaust
gas emission,” International Journal of Mechanical and Production Engineering Research and Development, vol. 10,
no. 3, pp. 13721–13730, 2020, doi: 10.24247/ijmperdjun20201307.
[24] D. Halliday, R. Resnick, and J. Walker, Fundamentals of Physics, 11th ed. New York: Yale University Press, 2018. doi:
10.12987/9780300206791.
[25] A. A. Dheandri, S. Yuliawati, R. Hestiningsih, M. Martini, and S. Jayanti, “Density and potential place of the Aedes sp. larvae in
public places mijen district Semarang City,” (In Indonesia), Jurnal Riset Kesehatan Masyarakat, vol. 1, no. 1, pp. 1–5, 2021, doi:
10.14710/jrkm.2021.10982.
[26] K. K. Paul et al., “Risk factors for the presence of dengue vector mosquitoes, and determinants of their prevalence and larval site
selection in Dhaka, Bangladesh,” PLoS ONE, vol. 13, no. 6, pp. e0199457–e0199457, Jun. 2018, doi:
10.1371/journal.pone.0199457.
[27] N. A. Pascawati and T. B. T. Satoto, “Determinant factor affected the presence of Aedes sp. in a customary village,” International
Journal of Public Health Science (IJPHS), vol. 12, no. 3, pp. 940–949, Sep. 2023, doi: 10.11591/ijphs.v12i3.22996.
[28] H. D. Hahury, F. H. Louhanapessy, and A. Rumalolas, “The poor’s coping strategies in overcoming water scarcity in small island,
Eastern Seram Regency, Maluku,” (In Indonesia), Jurnal Sosiologi Pedesaan, vol. 10, no. 01, pp. 2022–2066, 2022,doi:
10.22500/10202238241
[29] R. Daswito and K. Samosir, “Physical environments of water containers and Aedes sp larvae in dengue endemic areas of
Tanjungpinang Timur District,” Berita Kedokteran Masyarakat, vol. 37, no. 1, p. 13, Jan. 2021, doi: 10.22146/bkm.57738.
[30] M. Sazali, R. C. Hidayat Soesilohadi, N. Wijayanti, and T. Wibawa, “Surveillance and oviposition behavior of Aedes aegypti based
on difference container colours at Mataram City,” in AIP Conference Proceedings, AIP Publishing, 2020, pp. 020007-1-020007–5.
doi: 10.1063/5.0015677.
[31] M. E. De Obaldia et al., “Differential mosquito attraction to humans is associated with skin-derived carboxylic acid levels,” Cell,
vol. 185, no. 22, pp. 4099-4116.e13, Oct. 2022, doi: 10.1016/j.cell.2022.09.034.
[32] D. M. Yuliani, U. K. Hadi, S. Soviana, and E. B. Retnani, “Habitat characteristic and density of larva aedes albopictus in curug,
tangerang district, banten province, indonesia 2018,” Biodiversitas, vol. 22, no. 12, pp. 5350–5357, 2021, doi:
10.13057/biodiv/d221216.
[33] S. Nurjanah, T. Atmowidi, U. K. Hadi, D. D. Solihin, and W. Priawandiputra, “Density and habitat characterization of Aedes sp.
breeding places in dengue Endemic Area in Bandar Lampung,” in IOP Conference Series: Earth and Environmental Science, Nov.
2021, vol. 886, no. 1, p. 012065, doi: 10.1088/1755-1315/886/1/012065.
[34] R. Kusumawardani, “Effect of jumantik cadre formation on the presence of Aedes spp mosquito vectors in Indonesia,” (in
Indonesia), Surakarta, 2020. [Online]. Available: http://eprints.ums.ac.id/87250/3/NASKAH PUBLIKASI.pdf
[35] M. Azam, M. Azinar, and A. I. Fibriana, “Needs analysis and design of ‘ronda jentik’ as a model of community empowerment in
mosquito nest eradication,” (in Indonesia), Unnes Journal of Public Health, vol. 5, no. 4, p. 294, 2016, doi:
10.15294/ujph.v5i4.12592.
[36] A. Sutriyawan, A. A. Yusuff, F. Fardhoni, and P. A. Cakranegara, “Analysis of dengue hemorrhagic fever (DHF) epidemiological
surveillance system: a mixed method study,” (in Indonesia), Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo, vol. 8, no. 1,
p. 137, 2022, doi: 10.29241/jmk.v8i1.935.
Innovation in vector control of dengue hemorrhagic fever using portable … (Nur Alvira Pascawati)
1062 ISSN: 2252-8806
BIOGRAPHIES OF AUTHORS
Int J Public Health Sci, Vol. 13, No. 3, September 2024: 1054-1062