Table.
Examples of preventive measures for diseases that have a modified epidemiology because of urban determinants
| Preventive measures for the community | Preventive measures for urban travellers | |
|---|---|---|
| Water-borne diseases | ||
| Bacterial dysentery, hepatitis A, cholera | Improvement of water supply, sanitation, and sewage systems | Food and water precautions Vaccination (hepatitis A and cholera) |
| Vector-borne diseases | ||
| Dengue; chikungunya | Promotion of actions to remove larval habitats of mosquito vectors | Protection against mosquito bites |
| Malaria | Elimination of mosquito breeding sites, use of mosquito nets, and indoor residual spraying with insecticides | Protection against mosquito bites Prophylactic drug |
| Leishmaniasis | According to the species: vector control, ±control of mammalian hosts | Protection against sandfly bites |
| Lymphatic filariasis | Elimination of mosquito breeding sites | Protection against mosquito bites |
| African trypanosomiasis | Reduction of the tsetse fly population Diagnosis and treatment of people who are infected |
Avoidance of affected regions Protection against tsetse fly bites |
| Chagas disease | Vector control (insecticide spraying) and housing improvement | Not sleeping in precarious dwellings Bednets |
| Yellow fever | Vector control Vaccination |
Vaccination Protection against mosquito bites |
| Plague | Improvement of waste management | Protection against flea bites |
| Leptospirosis | Improvement of sewerage systems and waste management | Avoidance of direct and indirect contact with animal urine |
| Air-borne diseases | ||
| Tuberculosis | Early diagnosis and treatment of patients who are infectious Reduction of social situations that increase the risk of infection |
Avoidance of exposure to patients with known tuberculosis in crowded environments |
| Pneumonia | Reduction of atmospheric pollution | |
| Sexually transmitted diseases | ||
| HIV | Health education in the public and in schools Access to condoms and treatment |
Condoms Avoidance of use of unsterilised material (eg, for medical and dental procedures, or tattooing) and blood products |