Towards sustainable management of arboviral diseases: A multidisciplinary mixed-methods approach in Curaçao and Venezuela

Jelte Elsinga

Towards sustainable management of arboviral diseases: A multidisciplinary mixed-methods approach in Curaçao and Venezuela

Vertaalde titel van de bijdrage: Naar een duurzaam beleid voor arbovirale ziektes: Een multidisciplinaire benadering en gemengde onderzoeksmethoden in Curaçao en Venezuela

Jelte Elsinga

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Samenvatting

Dengue en chikungunya zijn virussen die overgedragen worden door de tijgermug. De ziektes komen voor in tropische en subtropische gebieden. In de acute fase lijken de ziektes op griep. Dengue kan overgaan in een ernstige, levensbedreigende situatie. Chikungunya kan lang aanhoudende gewrichtspijnen veroorzaken. Jelte Elsinga onderzocht de klinische gevolgen van deze ziektes, en gedrag van mensen met betrekking tot deze ziektes. In zijn proefschrift worden de meeste onderzoeksvragen beantwoord gebaseerd op mixed-methods (kwalitatief en kwantitatief) onderzoek.
Hij onderzocht het gedrag van mensen in Venezuela als zij koorts of dengue zouden hebben. Mensen zouden eerder naar een dokter gaan als zij dengue sneller herkennen. Vroege medische hulp kan voorkomen dat een ernstige ziekte ontstaat, maar het vinden van adequate medische hulp is een uitdaging in Venezuela. Dit komt door logistieke en economische barrières, en overwegingen met betrekking tot de kwaliteit-van-zorg.
Ook werden muggenbroedplaatsen bij mensen thuis en de preventieve maatregelen tegen muggen die de bevolking in Venezuela en Curaçao neemt onderzocht. In het proefschrift worden verschillende strategieën voor om de bevolking te betrekken bij muggenpreventie voorgesteld.
Tot slot onderzocht Elsinga de gevolgen van de langdurige ziekte die kan volgen op een chikungunya infectie. Hij stelde dat chikungunya een langdurende impact op de kwaliteit van leven kan veroorzaken, maar dat dit ook afhangt van coping strategieën. Op basis van verschillende klinische analyses is een methode ontwikkeld om langdurige chikungunya te classificeren, welke toegepast kan worden door dokters. Daarnaast wordt een mogelijke link tussen een voorafgaande dengue infectie en ernstigere langdurige chikungunya geponeerd.

Vertaalde titel van de bijdrage	Naar een duurzaam beleid voor arbovirale ziektes: Een multidisciplinaire benadering en gemengde onderzoeksmethoden in Curaçao en Venezuela
Originele taal-2	English
Kwalificatie	Doctor of Philosophy
Toekennende instantie	Rijksuniversiteit Groningen
Begeleider(s)/adviseur	Friedrich, Alex, Supervisor Grobusch, Martin P., Supervisor, Externe Persoon Bailey, Ajay, Co-supervisor Tami, Adriana, Co-supervisor
Datum van toekenning	2-mei-2018
Plaats van publicatie	[Groningen]
Uitgever	University of Groningen
Gedrukte ISBN's	978-94-034-0627-5
Elektronische ISBN's	978-94-034-0626-5
Status	Published - 2018

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Title and contentsFinal publisher's version, 491 KB
Chapter 1Final publisher's version, 2,28 MB
Chapter 2Final publisher's version, 2,67 MB
Chapter 3Final publisher's version, 1,42 MB
Chapter 4Final publisher's version, 921 KB
Chapter 5Final publisher's version, 4,24 MB
Chapter 6Final publisher's version, 3,23 MB
Chapter 7Final publisher's version, 1,34 MB
Chapter 8Final publisher's version, 1,13 MB
Chapter 9Final publisher's version, 2,83 MB
Survey instruments and interview guidesFinal publisher's version, 2,24 MB
Nederlandse samenvattingFinal publisher's version, 1,01 MB
Word of thanksFinal publisher's version, 1,82 MB
About the authorFinal publisher's version, 484 KB
Complete thesisFinal publisher's version, 22,1 MB
PropositionsFinal publisher's version, 181 KB

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title = "Towards sustainable management of arboviral diseases: A multidisciplinary mixed-methods approach in Cura{\c c}ao and Venezuela",

abstract = "Dengue and chikungunya are viruses that are transmitted by mosquitoes of the Aedes species. Infections with these flu-like diseases occur in tropical and subtropical areas. Dengue can develop into a severe life-threatening condition, and chikungunya can cause a long-term disease characterised mainly by joint pains. Jelte Elsinga investigated clinical consequences of these diseases, and how communities behave regarding these diseases in Venezuela and Cura{\c c}ao. In his dissertation, most research questions were approached using mixed-methods and interdisciplinary research.The dissertation describes the intended behaviour of people in Venezuela when they were confronted with fever and a dengue infection. It was found that people would go earlier to a doctor if they recognized dengue earlier. Prompt medical care can prevent severe dengue disease, but finding appropriate medical care is a challenge in Venezuela. Participants struggled to find satisfying medical care due to logistic, economic, and quality of care barriers.Furthermore, investigation to mosquito breeding sites at people{\textquoteright}s houses and communities{\textquoteright} preventive practices against mosquitoes in Venezuela and Cura{\c c}ao was performed. Several strategies to engage communities in mosquito breeding site control are suggested.Finally, consequences of the long-term disease that chikungunya caused in Cura{\c c}ao were examined. It was found that chikungunya can result in severe and long-term impact on quality of life, influenced by coping strategies and disease manifestations. Using clinical parameters a classification tool was developed, to aid doctors with identifying seriousness of long-term chikungunya cases. Also, a possible link between proceeding dengue infection and more severe long-term chikungunya disease was suggested.",

author = "Jelte Elsinga",

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T1 - Towards sustainable management of arboviral diseases

T2 - A multidisciplinary mixed-methods approach in Curaçao and Venezuela

AU - Elsinga, Jelte

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N2 - Dengue and chikungunya are viruses that are transmitted by mosquitoes of the Aedes species. Infections with these flu-like diseases occur in tropical and subtropical areas. Dengue can develop into a severe life-threatening condition, and chikungunya can cause a long-term disease characterised mainly by joint pains. Jelte Elsinga investigated clinical consequences of these diseases, and how communities behave regarding these diseases in Venezuela and Curaçao. In his dissertation, most research questions were approached using mixed-methods and interdisciplinary research.The dissertation describes the intended behaviour of people in Venezuela when they were confronted with fever and a dengue infection. It was found that people would go earlier to a doctor if they recognized dengue earlier. Prompt medical care can prevent severe dengue disease, but finding appropriate medical care is a challenge in Venezuela. Participants struggled to find satisfying medical care due to logistic, economic, and quality of care barriers.Furthermore, investigation to mosquito breeding sites at people’s houses and communities’ preventive practices against mosquitoes in Venezuela and Curaçao was performed. Several strategies to engage communities in mosquito breeding site control are suggested.Finally, consequences of the long-term disease that chikungunya caused in Curaçao were examined. It was found that chikungunya can result in severe and long-term impact on quality of life, influenced by coping strategies and disease manifestations. Using clinical parameters a classification tool was developed, to aid doctors with identifying seriousness of long-term chikungunya cases. Also, a possible link between proceeding dengue infection and more severe long-term chikungunya disease was suggested.

AB - Dengue and chikungunya are viruses that are transmitted by mosquitoes of the Aedes species. Infections with these flu-like diseases occur in tropical and subtropical areas. Dengue can develop into a severe life-threatening condition, and chikungunya can cause a long-term disease characterised mainly by joint pains. Jelte Elsinga investigated clinical consequences of these diseases, and how communities behave regarding these diseases in Venezuela and Curaçao. In his dissertation, most research questions were approached using mixed-methods and interdisciplinary research.The dissertation describes the intended behaviour of people in Venezuela when they were confronted with fever and a dengue infection. It was found that people would go earlier to a doctor if they recognized dengue earlier. Prompt medical care can prevent severe dengue disease, but finding appropriate medical care is a challenge in Venezuela. Participants struggled to find satisfying medical care due to logistic, economic, and quality of care barriers.Furthermore, investigation to mosquito breeding sites at people’s houses and communities’ preventive practices against mosquitoes in Venezuela and Curaçao was performed. Several strategies to engage communities in mosquito breeding site control are suggested.Finally, consequences of the long-term disease that chikungunya caused in Curaçao were examined. It was found that chikungunya can result in severe and long-term impact on quality of life, influenced by coping strategies and disease manifestations. Using clinical parameters a classification tool was developed, to aid doctors with identifying seriousness of long-term chikungunya cases. Also, a possible link between proceeding dengue infection and more severe long-term chikungunya disease was suggested.

M3 - Thesis fully internal (DIV)

SN - 978-94-034-0627-5

PB - University of Groningen

CY - [Groningen]

ER -