Which of the following is most effective in controlling the spread of dengue fever?

A Regular use of insecticide spraying in mosquito breeding areas

B Administration of antiviral drugs to infected patients

C Routine vaccination of all children under 5 years

D Prophylactic use of antibiotics during outbreaks

Solution

Correct Answer: Option A

- Regular use of insecticide spraying in mosquito breeding areas is most effective in controlling dengue fever because dengue is transmitted by Aedes mosquitoes, primarily Aedes aegypti.
- Interrupting the mosquito lifecycle by targeting breeding sites with insecticides reduces the vector population, thereby decreasing transmission rates.
- There are no specific antiviral drugs or universally recommended vaccines for dengue prevention applicable to all populations, and antibiotics have no role as dengue is a viral illness.
- Vector control remains the cornerstone of dengue prevention and outbreak control.

Reference: Davidson’s Principles and Practice of Medicine, 23rd Edition, Chapter: Tropical Medicine and Infectious Disease, Page 805.

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