Background dengue risk was highest in areas of dense built-up development, JE in agricultural peri-urban locations, while malaria was near semi-rural water bodies. Monsoon rainfall and post-monsoon humidity were the two most significant drivers of MBD risk, although temperature variation had a considerable impact on vector activity. Spatial analyses indicated maximum disease vulnerability during the monsoon and post-monsoon seasons and revealed an ecological zonation of disease transmission patterns. Resource gap analysis indicated access to medical resources was highly fragmented in high-risk areas, particularly in the southern and peripheral wards of the city. Interpretation & conclusion: These findings, presented in an integrated risk-accessibility framework, suggest interventions that might improve health equity through the seasonally targeting of vector control, improved urban drainage and waste management, and strategically equitably diversifying access to health care. The methodology employed offers a standard, easy-to-replicate approach to sustainable MBD management practices in mid-sized Indian cities.
Bag et al. (Sat,) studied this question.
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