Factores socioambientales asociados a la persistencia del dengue y otras enfermedades transmitidas por vectores en comunidades de alta prevalencia de la zona sur de Manabí

Autores

DOI:

https://doi.org/10.61616/rvdc.v7i2.1810

Palavras-chave:

Aedes aegypti, cambio climático, educación comunitaria, perfil epidemiológico, salud pública

Resumo

Las enfermedades transmitidas por vectores se encuentran entre las principales preocupaciones de salud pública en todo el mundo y equivalen al 17% de los trastornos infecciosos. El objetivo de este estudio fue analizar los factores socioambientales asociados a la persistencia del dengue y otras enfermedades transmitidas por vectores en comunidades de alta prevalencia a través de un análisis sistemático de la literatura actual con base en la metodología PRISMA 2020, implicando estudios primarios publicados en bases de datos reconocidas como MEDLINE/PubMed, ScienceDirect, Cochrane Library y Google Scholar entre 2021 a 2026. Los resultados mostraron que la región latinoamericana presenta las mayores prevalencias del virus del dengue, chikungunya, zika y malaria, siendo Colombia y Ecuador los países más afectados. Las temperaturas altas, residir en zonas montosas, rurales, el cambio climático repentino y las lluvias torrenciales son los factores socioambientales más frecuentes. Por último, el estudio entomólogo de vectores, la educación comunitaria, el desarrollo tratamientos y la fumigación recurrente son las medidas de prevención efectivas contra estas patologías. Se concluye que las enfermedades transmitidas tienen un impacto radical en países en desarrollo y solo el trabajo en equipo de instituciones sanitarias y educativas podrían reducir su impacto.

Referências

George AM, Ansumana R, de Souza DK, Niyas VKM, Zumla A, Bockarie MJ. Climate change and the rising incidence of vector-borne diseases globally. Int J Infect Dis [Internet]. 2024; 139:143–5. Disponible en: http://dx.doi.org/10.1016/j.ijid.2023.12.004

de Souza WM, Weaver SC. Effects of climate change and human activities on vector-borne diseases. Nat Rev Microbiol [Internet]. 2024;22(8):476–91. Disponible en: http://dx.doi.org/10.1038/s41579-024-01026-0

Ma J, Guo Y, Gao J, Tang H, Xu K, Liu Q, et al. Climate change drives the transmission and spread of vector-borne diseases: An ecological perspective. Biology (Basel) [Internet]. 2022;11(11):1628. Disponible en: http://dx.doi.org/10.3390/biology11111628

Braun M, Andersen LK, Norton SA, Coates SJ. Dengue: updates for dermatologists on the world’s fastest-growing vector-borne disease. Int J Dermatol [Internet]. 2023;62(9):1110–20. Disponible en: http://dx.doi.org/10.1111/ijd.16739

Branda F, Nakase T, Maruotti A, Scarpa F, Ciccozzi A, Romano C, et al. Dengue virus transmission in Italy: historical trends up to 2023 and a data repository into the future. Sci Data [Internet]. 2024;11(1):1325. Disponible en: http://dx.doi.org/10.1038/s41597-024-04162-7

da Silva BCS, Guimarães RJ de PSE, Godoy BS, Parente AT, de Moraes BC, Pimentel MA da S, et al. Spatiotemporal dynamics of dengue in the state of Pará and the Socio-environmental determinants in eastern Brazilian Amazon. Infect Dis Rep [Internet]. 2025;17(4):99. Disponible en: http://dx.doi.org/10.3390/idr17040099

Kache P, Diuk-Wasser M, Santos-Vega M. Socio-environmental typologies of dengue risk at multiple spatial scales of the urban landscape [Internet]. medRxiv. 2026. Disponible en: http://dx.doi.org/10.64898/2026.03.24.26349225

Waskito A, Sutriyawan A, Romilian A, Darmanto D, Nugraheni SA. Unraveling the determinants of dengue fever incidence in Indonesia: A Systematic Review of environmental and behavioral factors. Publ Health Indones [Internet]. 2025;11(2):157–68. Disponible en: http://dx.doi.org/10.36685/phi.v11i2.987

Alcantara-Zapata DE, Ordoñez-Aquino C, Gonzales GF. The influence of Urban Heat Island and socio-environmental variables on the increase of dengue cases in Lima, Peru 2023-2024. Perspect Public Health [Internet]. 2025;145(6):322–31. Disponible en: http://dx.doi.org/10.1177/17579139251385875

Enfermedades transmitidas por vectores [Internet]. Organización Mundial de la Salud. [citado el 6 de agosto de 2026]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/vector-borne-diseases

Lim A, Shearer FM, Sewalk K, Pigott DM, Clarke J, Ghouse A, et al. The overlapping global distribution of dengue, chikungunya, Zika and yellow fever. Nat Commun [Internet]. 2025;16(1):3418. Disponible en: http://dx.doi.org/10.1038/s41467-025-58609-5

Chaves LF, Friberg MD, Pascual M, Calzada JE, Luckhart S, Bergmann LR. Community-serving research addressing climate change impacts on vector-borne diseases. Lancet Planet Health [Internet]. 2024;8(5):e334–41. Disponible en: http://dx.doi.org/10.1016/S2542-5196(24)00049-4

Molina-Guzmán LP, Gutiérrez-Builes LA, Ríos-Osorio LA. Models of spatial analysis for vector-borne diseases studies: A systematic review. Vet World [Internet]. 2022;15(8):1975–89. Disponible en: http://dx.doi.org/10.14202/vetworld.2022.1975-1989

Mohapatra RK, Bhattacharjee P, Desai DN, Kandi V, Sarangi AK, Mishra S, et al. Global health concern on the rising dengue and chikungunya cases in the American regions: Countermeasures and preparedness. Health Sci Rep [Internet]. 2024;7(1): e1831. Disponible en: http://dx.doi.org/10.1002/hsr2.1831

Arrubla-Hoyos W, Gómez JG, De-La-Hoz-Franco E. Differential classification of dengue, Zika, and Chikungunya using machine learning—Random Forest and decision tree techniques. Informatics (MDPI) [Internet]. 2024;11(3):69. Disponible en: http://dx.doi.org/10.3390/informatics11030069

Kiryluk HD, Beard CB, Holcomb KM. The use of environmental data in descriptive and predictive models of vector-borne disease in North America. J Med Entomol [Internet]. 2024;61(3):595–602. Disponible en: http://dx.doi.org/10.1093/jme/tjae031

Sansone NMS, Boschiero MN, Marson FAL. Dengue outbreaks in Brazil and Latin America: the new and continuing challenges. Int J Infect Dis [Internet]. 2024;147(107192):107192. Disponible en: http://dx.doi.org/10.1016/j.ijid.2024.107192

de Almeida MT, Merighi DGS, Visnardi AB, Boneto Gonçalves CA, Amorim VM de F, Ferrari AS de A, et al. Latin America’s dengue outbreak poses a global health threat. Viruses [Internet]. 2025;17(1):57. Disponible en: http://dx.doi.org/10.3390/v17010057

Barkhad A, Lecours N, Stevens-Uninsky M, Mbuagbaw L. The relationships between the Eco-bio-social determinants of dengue epidemiology in Latin America and the Caribbean: A scoping review of the literature. Ecohealth [Internet]. 2026;23(2):348–66. Disponible en: http://dx.doi.org/10.1007/s10393-025-01764-4

Nunez C, Eslick GD, Teutsch S, Khandaker G, Elliott EJ. Global epidemiology of dengue in paediatric and adolescent populations: a systematic review and meta-analysis. Infect Dis (Lond) [Internet]. 2026;58(3):317–43. Disponible en: http://dx.doi.org/10.1080/23744235.2025.2580966

Santos LLM, de Aquino EC, Fernandes SM, Ternes YMF, Feres VC de R. Dengue, chikungunya, and Zika virus infections in Latin America and the Caribbean: a systematic review. Rev Panam Salud Publica [Internet]. 2023;47: e34. Disponible en: http://dx.doi.org/10.26633/RPSP.2023.34

Mulderij-Jansen V, Pundir P, Grillet ME, Lakiang T, Gerstenbluth I, Duits A, et al. Effectiveness of Aedes-borne infectious disease control in Latin America and the Caribbean region: A scoping review. PLoS One [Internet]. 2022;17(11): e0277038. Disponible en: http://dx.doi.org/10.1371/journal.pone.0277038

Ryan SJ, Lippi CA, Stewart-Ibarra AM. Mapping geographic and demographic shifts for container breeding mosquito-borne disease transmission suitability in Central and South America in a warming world. PLOS Clim [Internet]. 2024;3(5):e0000312. Disponible en: http://dx.doi.org/10.1371/journal.pclm.0000312

Acosta-España JD, Dueñas-Espín I, Grijalva Narvaez DF, Altamirano-Jara JB, Gómez-Jaramillo AM, Rodriguez-Morales AJ. Analysis of inpatient data on dengue fever, malaria and leishmaniasis in Ecuador: A cross-sectional national study, 2015-2022. New Microbes New Infect [Internet]. 2024;60–61(101421):101421. Disponible en: http://dx.doi.org/10.1016/j.nmni.2024.101421

Alvarado-Velez AK, Ibarra-Guevara JZ, Mosquera-Freire EG, Valverde-González CA. Factores epidemiológicos, sociales y ecológicos del dengue en Ecuador [Epidemiological, social and ecological factors of dengue in Ecuador]. Sanitas Revista arbitrada de ciencias de la salud [Internet]. 2024;3(especial Santo Domingo):46–53. Disponible en: http://dx.doi.org/10.62574/trrfd156

Muñoz Cabas D, Cando Caluña W, Cando Herrera F, Cando Herrera J. Epidemiología de la Malaria en Ecuador de 2018–2022. RECIAMUC [Internet]. 2023;7(1):151–62. Disponible en: http://dx.doi.org/10.26820/reciamuc/7.(1).enero.2023.151-162

Bezemer JM, Freire-Paspuel BP, Schallig HDFH, de Vries HJC, Calvopiña M. Leishmania species and clinical characteristics of Pacific and Amazon cutaneous leishmaniasis in Ecuador and determinants of health-seeking delay: a cross-sectional study. BMC Infect Dis [Internet]. 2023;23(1):395. Disponible en: http://dx.doi.org/10.1186/s12879-023-08377-8

Orlando Lopez JP, Merishell Daniela FP, Marías Paz VV, Gabriela Alejandra CN. Factores que Influyen en la Proliferación de Enfermedades Transmitidas por Vectores en Zonas Rurales. Veritas [Internet]. 2025;6(2):5469–91. Disponible en: http://dx.doi.org/10.61616/rvdc.v6i2.897

Enfermedades Transmitidas por Vectores [Internet]. Ministerio de Salud Pública del Ecuador. [citado el 6 de agosto de 2026]. Disponible en: https://www.salud.gob.ec/wp-content/uploads/2026/06/ETV_Gaceta_23.pdf

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviewsDeclaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Rev Panam Salud Publica [Internet]. 2022;46: e112. Disponible en: http://dx.doi.org/10.26633/RPSP.2022.112

Hilton M. JBI critical appraisal checklist for systematic reviews and research syntheses (product review). J Can Health Libr Assoc [Internet]. 2024;45(3). Disponible en: http://dx.doi.org/10.29173/jchla29801

Olivera MJ, Porras-Villamil JF, Fuentes MV. Outbreaks and incidence of vector-borne diseases in Colombia (2007-2024): Impact of climate change and deforestation. Biomedica [Internet]. 2025;45(Sp. 2):17–29. Disponible en: http://dx.doi.org/10.7705/biomedica.7897

Begum DA. Climate change and emerging infectious diseases: Investigating the influence on transmission dynamics of vector-borne diseases. Saudi J Med Pharm Sci [Internet]. 2024;10(10):766–75. Disponible en: http://dx.doi.org/10.36348/sjmps.2024.v10i10.009

Chowdhury SS, Vinod R, Sabaritha B, Anand K. Prevalence and seasonal patterns of vector-borne diseases in patients presenting with acute febrile illness in a tertiary care hospital in Puducherry, India: A prospective observational study. J Vector Borne Dis [Internet]. 2025;62(3):303–9. Disponible en: http://dx.doi.org/10.4103/jvbd.jvbd_151_24

Ardiansyah Akbar K, Kumala Fatma R, Elamouri F, Rockstroh JK. Climate change and dengue Fever: A 14-year study of mortality trends during 2010-2023 in Indonesia. Travel Med Infect Dis [Internet]. 2025;67(102893):102893. Disponible en: http://dx.doi.org/10.1016/j.tmaid.2025.102893

Acosta-España JD, Morales-Gualotuña M, Pazmiño-Villaseñor J, Dueñas-Espín I. Dengue and malaria mortality in Ecuador: A population analysis of hospital deaths across 24 provinces, 2015-2023. New Microbes New Infect [Internet]. 2026;69(101670):101670. Disponible en: http://dx.doi.org/10.1016/j.nmni.2025.101670

Sánchez JD, Álvarez Ramírez C, Cevallos Carrillo E, Arias Salazar J, Barros Cevallos C. Time series analysis of dengue, Zika, and Chikungunya in Ecuador: Emergence patterns, epidemiological interactions, and climate-driven dynamics (1988-2024). Viruses [Internet]. 2025;17(9):1201. Disponible en: http://dx.doi.org/10.3390/v17091201

León-Figueroa DA, Garcia-Vasquez EA, Diaz-Torres M, Aguirre-Milachay E, Villanueva-De La Cruz JP, Saldaña-Cumpa HM, et al. Prevalence of dengue in febrile patients in Peru: A systematic review and meta-analysis. PLoS One [Internet]. 2025;20(6): e0310163. Disponible en: http://dx.doi.org/10.1371/journal.pone.0310163

Forero-Peña DA, Carrión-Nessi FS, Lopez-Perez M, Sandoval-de Mora M, Amaya ID, Gamardo ÁF, et al. Seroprevalence of viral and bacterial pathogens among malaria patients in an endemic area of southern Venezuela. Infect Dis Poverty [Internet]. 2023;12(1):33. Disponible en: http://dx.doi.org/10.1186/s40249-023-01089-w

Navarro Valencia VA, Díaz Y, Pascale JM, Boni MF, Sanchez-Galan JE. Using compartmental models and Particle Swarm Optimization to assess Dengue basic reproduction number R 0 for the Republic of Panama in the 1999-2022 period. Heliyon [Internet]. 2023;9(4): e15424. Disponible en: http://dx.doi.org/10.1016/j.heliyon.2023.e15424

Lamarão LM, Corrêa ASM, de Castro RBH, de Melo Amaral CE, Monteiro PDJ, Palmeira MK, et al. Prevalence of dengue, Chikungunya and Zika viruses in blood donors in the state of Pará, Northern Brazil: 2018-2020. Medicina (Kaunas) [Internet]. 2022;59(1):79. Disponible en: http://dx.doi.org/10.3390/medicina59010079

Kuchelkar SP, Dias A, Gomes E, Dias L. Study of the clinical manifestations and risk factors in people affected during the first Kyasanur Forest Disease outbreak in Goa, India: A mixed method study. J Vector Borne Dis [Internet]. 2024;61(1):23–8. Disponible en: http://dx.doi.org/10.4103/0972-9062.383650

Sousa VD, Simeone D. Mapping Socio-environmental drivers of zoonotic diseases in Brazil. Zoonotic Dis [Internet]. 2025;5(4):36. Disponible en: http://dx.doi.org/10.3390/zoonoticdis5040036

Abbasi E. Climate change and vector ecology: A comprehensive review of environmental drivers of insect-borne disease dynamics and public health implications. Exp Parasitol [Internet]. 2026;(109115):109115. Disponible en: http://dx.doi.org/10.1016/j.exppara.2026.109115

Lalangui-Vivanco K, Quentin E, Sánchez-Murillo M, Cotera-Mantilla M, Loor L, Espinoza M, et al. Spatial modeling of the potential distribution of dengue in the city of Manta, Ecuador. Int J Environ Res Public Health [Internet]. 2025;22(10):1521. Disponible en: http://dx.doi.org/10.3390/ijerph22101521

Fletcher IK, Grillet ME, Moreno JE, Drakeley C, Hernández-Villena J, Jones KE, et al. Synergies between environmental degradation and climate variation on malaria re-emergence in southern Venezuela: a spatiotemporal modelling study. Lancet Planet Health [Internet]. 2022;6(9):e739–48. Disponible en: http://dx.doi.org/10.1016/S2542-5196(22)00192-9

Jaramillo-Ramirez GI, Budhwar S, Ford E, Parra-Henao G, Cortes-Gonzalez LF, Saldarriaga-Gomez LA, et al. Social perception and environmental risk factors for dengue in an endemic municipality in eastern Colombia: a mixed method study. Sci Rep [Internet]. 2025;15(1):12736. Disponible en: http://dx.doi.org/10.1038/s41598-025-96549-8

Glidden C, Southworth EK, Shragai T, Rojas-Araya D, Troyo A, Chaves-González LE, et al. Rural dengue dynamics: the interplay of climate, built environment, and agriculture in Costa Rica [Internet]. medRxiv. 2026. Disponible en: http://dx.doi.org/10.64898/2026.02.12.26346219

Benavides Céspedes I, Linero Barrios J, Herrera Cabrera L, Ardila Chávez MM. Conocimientos y factores de riesgo socioambientales en relación con arbovirosis urbanas en Barranquilla (Colombia). Salud Uninorte [Internet]. 2022;38(03):693–710. Disponible en: http://dx.doi.org/10.14482/sun.38.3.614.58

Matías-Pérez D, Guerra-Martínez A, Hernández-Bautista E, Pérez-Santiago AD, Antonio-Cruz AL, García-Montalvo IA. Impact of migratory flows and socio-environmental factors on dengue epidemiology in Oaxaca, Mexico. Front Sociol [Internet]. 2025;10(1617789):1617789. Disponible en: http://dx.doi.org/10.3389/fsoc.2025.1617789

Sopbué Kamguem I, Kirschvink N, Wade A, Linard C. Determinants of viral haemorrhagic fever risk in Africa’s tropical moist forests: A scoping review of spatial, socio-economic, and environmental factors. PLoS Negl Trop Dis [Internet]. 2025;19(1): e0012817. Disponible en: http://dx.doi.org/10.1371/journal.pntd.0012817

Nunes JB, Gurgel-Gonçalves R, Cruvinel VRN, da Silva EN, Obara MT, Mota NO, et al. Multisectoral approaches to the prevention and control of vector-borne diseases: lessons learned from case studies. Parasit Vectors [Internet ]. 2025;18(1):501. Disponible en: http://dx.doi.org/10.1186/s13071-025-07181-4

Guerrero LM, Briones GM, Briones BA, Merino JM, Cordero RA, Alejandro CR. Leishmaniasis in Santa Ana, Ecuador: knowledge assessment and control strategies. Rev Gregoriana Cienc Salud [Internet]. 2025;2(2):59–66. Disponible en: http://dx.doi.org/10.36097/rgcs.v2i2.3192

Instituto Nacional de Investigación en Salud Pública, Quito, Ecuador. Fortalecimiento del Sistema de Vigilancia Entomológica y Control de Enfermedades Transmitidas por Vectores en Ecuador. Revista Ecuatoriana de Ciencia, Tecnología e Innovación en Salud Pública [Internet]. 2022;19–25. Disponible en: http://dx.doi.org/10.31790/inspilip.v6i2.298

Izquierdo-Condoy JS, Naranjo-Lara P, Vásconez-Gonzalez J, Fernandez-Naranjo R, Placencia-André R, Davila MG, et al. A nationwide epidemiological and geodemographic analysis of lymphatic filariasis in Ecuador: a neglected and often forgotten disease in Ecuador. Front Public Health [Internet]. 2023; 11:1270015. Disponible en: http://dx.doi.org/10.3389/fpubh.2023.1270015

Calvopiña M, Izquierdo-Condoy JS, Vasconez-Gonzalez J, Gaibor-Pazmiño A, Cevallos W, Bravo L, et al. Knowledge and perceptions on dengue among internship medical students and rural physicians in Ecuador: a cross-sectional study, 2025. BMC Med Educ [Internet]. 2026;26(1). Disponible en: http://dx.doi.org/10.1186/s12909-026-09120-y

Desjardins MR, Casas I, Victoria-Castro AM, Hammelman C, Dávalos DM, Varela A, et al. Utilizing perceptions of public health officials in Cali, Colombia to support the surveillance of co-circulating vector-borne diseases. Soc Sci Med [Internet]. 2026;391(118890):118890. Disponible en: http://dx.doi.org/10.1016/j.socscimed.2025.118890

de Brito RN, Tanner S, Runk JV, Gottdenker NL, Reina A, Rodríguez A, et al. Putting behaviors into context for vector-borne diseases: Examining behaviors that may reduce exposure to disease vectors. PLoS Negl Trop Dis [Internet]. 2025;19(8): e0013365. Disponible en: http://dx.doi.org/10.1371/journal.pntd.0013365

Escalante-Pérez IA, Alviares AA, Omaña-Ávila ÓD, Carrión-Nessi FS, Mendoza-Millán DL, Erimee-Vieira G de J, et al. Prevalence, knowledge, attitudes, and practices regarding Chagas disease in Guanare, Venezuela: a cross-sectional study. Parasit Vectors [Internet]. 2025;18(1):215. Disponible en: http://dx.doi.org/10.1186/s13071-025-06846-4

Hasemann-Lara JE. Looking beyond vector control to address mosquito-borne diseases: Critical approaches to public health in Honduras. Lat Am Perspect [Internet]. 2025;52(1):198–215. Disponible en: http://dx.doi.org/10.1177/0094582x241299733

Pacheco-Zapata M, Pérez-Lombardini F, Roche B, Arnal A, Marcé E, Suzán G. One health and social research in disease ecology: A social contextual study of vector-borne diseases in the Yucatan Peninsula, Mexico. Soc Sci Med [Internet]. 2024;362(117415):117415. Disponible en: http://dx.doi.org/10.1016/j.socscimed.2024.117415

Carbajal-de-la-Fuente AL, Sánchez-Casaccia P, Piccinali RV, Provecho Y, Salvá L, Meli S, et al. Urban vectors of Chagas disease in the American continent: A systematic review of epidemiological surveys. PLoS Negl Trop Dis [Internet]. 2022;16(12): e0011003. Disponible en: http://dx.doi.org/10.1371/journal.pntd.0011003

Abbasi E. The impact of climate change on travel-related vector-borne diseases: A case study on dengue virus transmission. Travel Med Infect Dis [Internet]. 2025; 65:102841. Disponible en: http://dx.doi.org/10.1016/j.tmaid.2025.102841

Alsharif B, Melo-Santos MAV, Barbosa RMR, Junqueira Ayres CF. A brief history of the use of insecticides in Brazil to control vector-borne diseases, and implications for insecticide resistance. Trop Med Infect Dis [Internet]. 2025;10(12):336. Disponible en: http://dx.doi.org/10.3390/tropicalmed10120336

Downloads

Publicado

2026-09-23

Como Citar

Ponce Pincay, R. A., Magallan Chilan, B. X., Parraga de la Cruz, L. A., & Angulo Zuña, R. A. (2026). Factores socioambientales asociados a la persistencia del dengue y otras enfermedades transmitidas por vectores en comunidades de alta prevalencia de la zona sur de Manabí. Revista Veritas De Difusão Científica, 7(2), 4230–4258. https://doi.org/10.61616/rvdc.v7i2.1810

Edição

Seção

Artigos