03276nas a2200361   4500000000100000008004100001260001200042653002800054653001400082653002400096653001100120653001300131653003200144653002200176100001400198700001200212700001500224700001200239700002100251700002200272700001800294700001200312700002200324700001500346700001500361700001400376245011000390856015300500300001100653490000700664520222900671022001402900       2021                            d  c12/202110aArthropod-borne disease10aCaribbean10aInfectious Diseases10aInsect10aMosquito10aNeglected Tropical Diseases10aTropical medicine1 aFrancis S1 aFrank C1 aBuchanan L1 aGreen S1 aStennett-Brown R1 aGordon-Strachan G1 aRubio-Palis Y1 aGrant C1 aAlexander-Lindo R1 aNwokocha C1 aRobinson D1 aDelgoda R00aChallenges in the control of neglected insect vector diseases of human importance in the Anglo-Caribbean.  uhttps://www.sciencedirect.com/science/article/pii/S2352771421001063/pdfft?md5=4136c3e7024c6e52318e6c61bdad7ae4&pid=1-s2.0-S2352771421001063-main.pdf  a1003160 v133 a<p><b>Introduction: </b>Neglected tropical diseases (NTDs) in developing countries like the Caribbean, negatively affect multiple income-generating sectors, including the tourism industry upon which island states are highly dependent. Insect-transmitted NTDs include, but are not limited to, malaria, dengue and lymphatic filariasis. Control measures for these disease, are often ignored because of the associated cost. Many of the developing country members are thus retained in a financially crippling cycle, balancing the cost of prophylactic measures with that of controlling an outbreak.The purpose of the paper is to bring awareness to NTDs transmitted by insects of importance to humans, and to assess factors affecting such control, in the English-speaking Caribbean.</p><p><b>Method: </b>Comprehensive literature review on reports pertaining to NTDs transmitted by insects in the Caribbean and Latin America was conducted. Data search was carried out on PubMed, and WHO and PAHO websites.</p><p><b>Results and conclusion: </b>Potential risk factors for NTDs transmitted by arthropods in the English-speaking Caribbean are summarised. The mosquito appears to be the main insect-vector of human importance within the region of concern. Arthropod-vectors of diseases of veterinary importance are also relevant because they affect the livelihood of farmers, in highly agriculture based economies. Other NTDs may also be in circulation gauged by the presence of antibodies in Caribbean individuals. However, routine diagnostic tests for specific diseases are expensive and tests may not be conducted when diseases are not prevalent in the population. It appears that only a few English-speaking Caribbean countries have examined secondary reservoirs of pathogens or assessed the effectivity of their insect control methods. As such, disease risk assessment appears incomplete. Although continuous control is financially demanding, an integrated and multisectoral approach might help to deflect the cost. Such interventions are now being promoted by health agencies within the region and various countries are creating and exploring the use of novel tools to be incorporated in their insect-vector control programmes.</p>  a2352-7714