México
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Acapulco is a major seaport in Guerrero State. Tourism is the main economic activity; most inhabitants are involved in commerce, touristic/hotel/restaurant services & transport. 34.6% of dengue cases in Guerrero state occurred in Acapulco (1556 of 4493). The study area “Ciudad Renacimiento” is on the north side of Acapulco built as a “social project” for people living on the hills. It is primarily residential, but also with schools, small businesses, markets, automobile & tyre repair shops. It is a high-risk area for dengue.
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Mainly lower middle class residents in satisfactory housing conditions. Mixed commercial (restaurants, and shops) and residential neighborhoods. The one-floor houses had usually open windows (one quarter with glass), most had indoor flush toilets and half of them backyards. Water storage was frequent, mainly for washing and cleaning but also for drinking (35%). Green areas in the neighborhood and recreational areas were rare. Public infrastructure and waste collection was good.
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Colombia
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Girardot is a municipality in the department of Cundinamarca. It is the second most important city of the department, located along Magdalena river which makes it a central spot for commerce, communication and tourism. Due to its proximity to Bogota (129 km), particularly on weekends many visitors are in the city. Day temperatures vary between 25–30. The Department belongs to the areas with highest dengue endemicity in the country. Girardot reported 50% of all dengue cases in the department.
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Mainly lower middle-class residents in good housing conditions. Mainly residential areas. Some multi-storey buildings. The one-floor buildings had usually glass windows, indoor flush toilets and more than 80% had back yards. Water storage was frequent, mainly for washing and cleaning. Recreational areas and green areas were frequent. Public infrastructure and waste collection was good.
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Ecuador
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Machala, the capital of El Oro Province, lies on the Pacific Coast, is situated within an agricultural region (banana, cacao, shrimp), intensive production has contaminated the environment and watershed with agrochemicals. The Greater Municipality of Machala is marked by patchy provision of adequate basic sanitary infrastructure (piped water, sewers and paved roads often lacking in peri-urban communities) and continued rapid, unplanned urbanization; 41.4% of the population lives below the poverty line. Peri-urban neighbourhoods continue to expand into “unauthorized” territory. Dengue is a major Public Health issue.
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Mainly lower middle-class residents in satisfactory housing conditions. Mainly residential areas. Some multistory buildings. The one floor buildings often had indoor flush toilets (68%), glass windows (61%) and a back yard. Water storage was frequent, mainly for drinking (67%) but also for washing and cleaning. Half of the neighborhoods had green and recreational areas. Public infrastructure and waste collection was good some with poor access roads.
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Brazil
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Fortaleza is the Capital of Ceara State in Northeast Brazil. The city has a high-income concentration, with huge differences between the poorest and the richest. The city is located in a hot semi-arid region. The city is a high risk area for dengue.
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Mainly lower middle-class residents in satisfactory housing conditions. Mixed commercial (restaurants, shops) and residential areas. The one-floor buildings had almost all indoor flush toilets but no glass windows (only 22%). Most had backyards. Recreational and green areas were very rare. Public infrastructure and waste collection was good.
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Uruguay |
Salto is located in the North-east of Uruguay on the Argentinian border. It has the characteristics of a “border-city” with heavy traffic of private vehicles, international passenger transport and truckload transportation from areas in which the vector is present and cases of dengue are reported. |
Mainly lower middle-class residents in satisfactory housing conditions. Mainly residential areas; some multistory buildings. The onefloor buildings had almost all indoor flush toilets, glass windows and back yards. Green and recreational areas were frequent. |