Andrea monteiro trans-Brazil | INFORMAS

We also had the work about nutrient profile model presented at SLAN as a poster. The food promotion data collection ended in April , based on the recording during 8 days of the 3 most popular channels of the Brazilian open TV hours of recording. We finished the data entry with the help of researchers from the UFMG and started the data analysis and the development of scientific articles regarding the description of the all the food ads, food ads targeted at children, nutrient profile of the foods and beverages advertised on Brazilian TV. We also had the first two themes presented at SLAN as posters. The food prices data collection and data entry are finished.

Andrea monteiro trans

Andrea monteiro trans

Andrea monteiro trans

Andrea monteiro trans

TCD performed simultaneously with thigh cuff deflation was used for the first times by Aaslid[ 91 ] inafter this many different Andrea monteiro trans stimuli were adopted in order to provoke a pressure modification, Andrea monteiro trans pressure over carotid artery[ 92 ], Valsalva manoevre[ 93 ], head-up tilting[ 94 ], and application of negative pressure to lower portion of the body[ 8995 ]. Body temperature and interscapular temperature data were acquired trana day before sacrifice. Ruan, H. The trams decision issued by the single competent authority shall be the sole legally binding decision resulting from the statutory permit granting procedure. One of the community leaders said:. Detection of Hard anal teen strapon by transcranial Doppler sonography. Spencer Radcliffe - Slamming On the Brakes. Many peripheral signals are attributed to the regulation of energy expenditure through neuronal mechanisms, and there are some evidence indicating that BAT activity as well as promotion of browning phenomenon in WAT are regulated by the central nervous system 18192021

Foot tickle stories sorority. Recommandé

Shemale Cum Jouir de son cul Hot trio using sex toys. The country or state from which you are accessing this web site permits such material. Making of d'une star du porno Larissa banged by Renato. Larissa Monteiro with Nicolas Rodriguez. Making of - Ray Mattos - Occupy Ouvidor London South West London. Shemale Samba Mania 18 - Scene 2. Crazy shemales anal fucking orgy. Bikini Beach porno, Tanlines Andrea for free! Larissa with two guys Jelissa jaconi fuck btf. Larissa Monteiro Monteido Viktor Cowboy. Blonde kinky tranny gets her ass drilled.

Ordinary legislative procedure: first reading.

  • Larissa Monteiro with Nicolas Rodriguez..
  • Age
  • Transexuels Bia Spencer Making Off
  • Age
  • This site is strictly reserved for adults.
  • .

Ordinary legislative procedure: first reading. The European Parliament ,. Adopts its position at first reading hereinafter set out;. Calls on the Commission to refer the matter to Parliament again if it replaces, substantially amends or intends to substantially amend its proposal;.

Instructs its President to forward its position to the Council, the Commission and the national parliaments. Text proposed by the Commission. The trans-European transport networks TEN-T have a dual layer structure: the comprehensive network ensures connectivity of all regions of the Union whereas the core network consists of those elements of the network which are of the highest strategic importance for the Union.

The trans-European transport networks TEN-T have a dual layer structure: the core network comprises those parts of the network which have the greatest strategic significance for the Union, and the comprehensive network ensures connectivity between all regions in the Union.

The core network should serve as cross-border and multimodal accelerators for a single European transport and mobility area. This situation jeopardises the on time implementation of projects and in many cases results in significant delays and increased costs. In order to address these issues and make synchronised TEN-T completion possible,, harmonised action is necessary at Union level. This situation jeopardises the on-time implementation of projects , in many cases results in significant delays and increased costs , gives rise to uncertainty for project promoters and potential private investors, and can even lead to projects being abandoned in the middle of the process.

A Member State can also decide to broaden the scope to the comprehensive network. Priority treatment is characterised by shorter timelines, simultaneous procedures or limited timeframes for appeals while ensuring that the objectives of other horizontal policies are also reached.

Member States that do not have such rules on priority treatment should adopt them. Moreover, early scoping of environmental impacts and early discussion with the competent authority about the content of the environmental assessments may reduce delays during the permitting stage and generally improve the quality of assessments.

Member States should designate a competent authority in accordance with their national legal frameworks and administrative set-ups. Where necessary, the single competent authority can delegate its responsibilities, obligations and tasks to another authority at the appropriate regional, local or other administrative level. It should also enhance the cooperation between Member States where appropriate.

The procedures should promote a real cooperation between investors and the single competent authority and should therefore allow for the scoping in the pre-application phase of the permit granting procedure. This time limit should stimulate a more efficient handling of procedures and should, under no circumstances, compromise the Union's high standards for environmental protection and public participation. This time limit should ensure a more efficient handling of procedures and should, under no circumstances, compromise the Union's high standards for environmental protection , transparency, and public participation.

Projects should be evaluated in terms of the project selection maturity criteria established by the Connecting Europe Facility.

Compliance with the deadlines set out in this Regulation should be taken into account when carrying out such evaluations. The European Coordinators should be empowered to monitor these procedures and facilitate their synchronisation and completion.

However, in some cases, certain aspects of the project preparation are subject to clearance at Union level. Where the Commission is involved in the procedures, it will give priority treatment to the Union projects of common interest and ensure certainty for project promoters. In some cases State aid approval might be required. In line with the Best Practice Code for the conduct of State aid control procedures, Member States may ask the Commission to deal with projects of common interest on the core network of the TEN-T they consider to be of priority with more predictable timelines under the case portfolio approach or the mutually agreed planning.

Without prejudice to the deadlines set out in this Regulation and in line with the Best Practice Code for the conduct of State aid control procedures, Member States should be able to ask the Commission to deal with projects of common interest on the core network of the TEN-T they consider to be of priority with more predictable timelines under the case portfolio approach or the mutually agreed planning.

For example the Action Plan for nature, people and the economy 23 foresees such guidance to bring more clarity in view of respecting the Birds and Habitats Directives. Direct support related to public procurement should be made available for projects of common interests to ensure the best value for public money Additionally, appropriate technical assistance should be made available under the mechanisms developed for the Multi-Annual Financial Framework , with the aim of providing financial support for TEN-T projects of common interest.

Direct support related to public procurement should be made available for projects of common interests to ensure the minimising of external costs and the best value for public money This Regulation sets out requirements applicable to the administrative procedures followed by the competent authorities of Member States in relation to the authorisation and implementation of all projects of common interest on the core network of the trans-European transport network.

Member States may decide to extend the application of all provisions of this Regulation, as a block, to projects of common interest on the comprehensive network of the trans-European transport network. Article 2 — paragraph 1 — point e a new. Each project of common interest on the TEN-T core network shall be subject to an integrated permit granting procedure managed by a single competent authority designated by each Member State in accordance with Articles 5 and 6.

Each project of common interest on the TEN-T core network , including the pre-selected sections in Part III of the Annex to the Regulation establishing the Connecting Europe Facility, shall be subject to an integrated permit granting procedure managed by a single competent authority designated by each Member State in accordance with Articles 5 and 6.

To ensure efficient administrative procedures related to projects of common interest, project promoters and all authorities concerned shall ensure that the most rapid treatment legally possible is given to these projects, including as regards the resources allocated.

To ensure efficient and effective administrative procedures related to projects of common interest, project promoters and all authorities concerned shall ensure that the most rapid treatment legally possible is given to these projects, including as regards the evaluation of the project-selection maturity criteria and the resources allocated.

In order to meet the time limits set out in Article 6 and reduce the administrative burden related to the completion of projects of common interest, all the administrative procedures resulting from the applicable law, both national and of the Union, shall be integrated and result in only one comprehensive decision.

In order to meet the time limits set out in Article 6 and reduce the administrative burden related to the completion of projects of common interest, all the permit granting procedures resulting from the applicable law, including the relevant environmental assessments, both at national and Union level , shall be integrated and result in only one comprehensive decision , without prejudice to transparency, public participation, environmental and safety requirements under Union law.

By … OP please insert the date one year of the entry into force of this Regulation , each Member State shall designate one single competent authority which shall be responsible for facilitating the permit granting process including for making the comprehensive decision.

By … [one year after the date of entry into force of this Regulation] and in any event no later than 31 December , each Member State shall designate one single competent authority which shall be responsible for facilitating the permit granting procedures necessary for making the comprehensive decision , in accordance with paragraph 3 of this Article. Article 5 — paragraph 2 — subparagraph 1 — introductory part. Article 5 — paragraph 2 — subparagraph 1 — point a.

Article 5 — paragraph 2 — subparagraph 1 — point b. Article 5 — paragraph 2 — subparagraph 1 — point c. Article 5 — paragraph 3 — subparagraph 2. The comprehensive decision issued by the single competent authority shall be the sole legally binding decision resulting from the statutory permit granting procedure.

Where other authorities are concerned by the project, they may give their opinion as input to the procedure, in accordance with national legislation. This opinion shall be taken into account by the single competent authority. The comprehensive decision issued by the single competent authority shall be the sole legally binding decision resulting from the permit granting procedure.

Without prejudice to the deadlines set out in Article 6 of this Regulation, where other authorities are concerned by the project, they may give their opinion as input to the procedure, in accordance with national legislation. When taking the comprehensive decision, the single competent authority shall ensure that the relevant requirements under international and Union law are respected and shall duly justify its decision. When taking the comprehensive decision, the single competent authority shall ensure that the relevant requirements under international and Union law are respected and shall duly justify its decision on the basis of the applicable legal provisions.

If a project of common interest requires decisions to be taken in two or more Member States, the respective competent authorities shall take all the necessary steps for efficient and effective cooperation and coordination among themselves.

Without prejudice to obligations arising under applicable Union and international law, Member States shall endeavour to provide for joint procedures, particularly with regard to the assessment of environmental impacts.

Where a project of common interest requires decisions to be taken in two or more Member States , or in one or more Member States and one or more third countries , the respective competent authorities shall take all the necessary steps for efficient and effective cooperation and coordination among themselves , or may establish a joint competent authority, without prejudice to the deadlines set out in Article 6, in charge of facilitating the permit granting procedure.

Without prejudice to obligations arising under applicable international and Union law, Member States shall endeavour to provide for joint procedures, particularly with regard to the assessment of environmental impacts. To ensure effective implementation of this Regulation and in particular of its Article 6 a, the single competent authority shall inform the Commission of the start date of the permit granting procedure and the comprehensive decision, as set out in Article 6.

The pre-application phase, covering the period from the start of the permit granting procedure to the submission of the complete application file to the single competent authority, shall in principle not exceed two years. The pre-application phase, covering the period from the start of the permit granting procedure to the submission of the complete application file to the single competent authority, shall in principle not exceed 18 months.

In order to launch the permit granting procedure, the project promoter shall notify the single competent authority of the Member States concerned about the project in writing , and shall include a detailed description of the project.

No later than two months following the receipt of the above notification, the single competent authority shall either acknowledge it or, if it considers that the project is not mature enough to enter the permit granting procedure, reject the notification in writing.

If the single competent authority decides to reject the notification, it shall justify its decision. The date of signature of the acknowledgement of the notification by the competent authority shall serve as the start of the permit granting procedure. If two or more Member States are concerned, the date of the acceptance of the last notification by the competent authority concerned shall serve as the date of the start of the permit granting procedure.

In order to launch the permit granting procedure, the project promoter shall notify in writing the single competent authority of the Member States concerned or, where appropriate, the joint competent authority, about the project, and shall include a detailed description of the project.

No later than one month following the receipt of the above notification, the single competent authority shall either accept it or, if it considers that the project is not mature enough to enter the permit granting procedure, reject the notification in writing.

Article 6 — paragraph 4 — introductory part. Within three months of the start of the permit granting procedure, the single competent authority, in close cooperation with the project promoter and other authorities concerned and taking into account the information submitted by the project promoter on the basis of the notification referred to in paragraph 3, shall establish and communicate to the project promoter a detailed application outline, containing:.

Within two months of the start of the permit granting procedure, the single competent authority , or where appropriate, the joint competent authority , in close cooperation with the project promoter and other authorities concerned and taking into account the information submitted by the project promoter on the basis of the notification referred to in paragraph 3, shall establish and communicate to the project promoter a detailed application outline, containing:.

Article 6 — paragraph 4 — point -a new. Article 6 — paragraph 4 — point b — point i. Article 6 — paragraph 4 — point b — point ii. Article 6 — paragraph 4 — point b — point iv. The project promoter shall submit the application file based on the detailed application outline within the period of 21 months from the receipt of that detailed application outline.

After the expiry of that period, the detailed application outline is no longer considered applicable, unless the single competent authority decides to prolong that period, on the basis of a justified request from the project promoter. The project promoter shall submit the application file based on the detailed application outline within the period of 15 months from the receipt of that detailed application outline. After the expiry of that period, the detailed application outline is no longer considered applicable, unless the single competent authority decides , on its own initiative, to prolong that period by a maximum of 6 months , on the basis of a justified request from the project promoter.

The single competent authority shall assess the application and adopt a comprehensive decision within the period of one year from the date of submission of the complete application file in accordance with paragraph 7. Member States may set an earlier time-limit, where appropriate. The single competent authority shall assess the application and adopt a comprehensive binding decision within the period of 6 months from the date of submission of the complete application file in accordance with paragraph 7 , unless the single competent authority decides, on its own initiative, to extend this period, by a maximum of 3 months, substantiating its decision.

Article 6 a. Permit granting procedure and final assistance from the Union. In accordance with the procedure set out in Article 6 of this Regulation, the state of progress of the project shall be taken into account when evaluating projects according to the selection maturity criteria of projects set out in Article 13 of Regulation EU Delays occurring with regard to the stages and deadlines set out in Article 6 will justify an investigation of the state of progress of the project and a revision of the financial assistance received by the Union under the Connecting Europe Facility, as provided for in Article 17 1 of Regulation EU For projects that involve two or more Member States, the competent authorities of the Member States concerned shall align their timetables and agree on a joint schedule.

For projects that involve two or more Member States or one or more Member States and one or more third countries , the competent authorities of the Member States concerned shall align their timetables and agree on a joint schedule. In such cases, in order to facilitate the permit granting procedure, single competent authorities from two or more Member States or one or more Member States and one or more third countries may, by mutual agreement, establish a joint competent authority, as provided for under article 5 5.

Without prejudice to the obligation to comply with the time limits under this Regulation, if the time-limit for the comprehensive decision is not observed, the competent authority shall immediately inform the European Coordinator concerned about the measures taken or to be taken to conclude the permit granting procedure with the least possible delay.

The European Coordinator may request the competent authority to regularly report on progress achieved. Without prejudice to the obligation to comply with the time limits under this Regulation, if the time-limit for the comprehensive decision is not observed, the single competent authority shall immediately inform the Commission, and where appropriate, the European Coordinator concerned about the measures taken or to be taken to conclude the permit granting procedure with the least possible delay.

The Commission, and where appropriate, the European Coordinator may request the single competent authority to regularly report on progress achieved. Such an agreement shall in any case provide for the application of a single national legislation in case of the procurement procedures conducted by a joint entity. Such an agreement shall in any case provide for the application of a single national legislation for the procurement procedures conducted by a joint entity and, where appropriate, its subsidiaries, across the whole of the project.

On the request of a project promoter or Member State, in accordance with the relevant Union funding programmes and without prejudice to the Multi-Annual Financial Framework, the Union shall make available technical assistance for the implementation of this Regulation and the facilitation of the implementation of projects of common interest.

Bikini Beach porno, Tanlines Andrea for free! Dark background and badge 3. Welcome to ShemaleLondon. Boneca loirinha se prepara para levar muita verga preta no rabo. Suzy and Larissa love hardcore.

Andrea monteiro trans

Andrea monteiro trans

Andrea monteiro trans

Andrea monteiro trans. Live Cams Shemale - Models Online Now

Sammantha Monteiro - Making Of Sexy Patricia Monteiro Making of Playboy Minha Travesti Art Deux transsexuelle dominatrice Tranny and Amant Faire l'amour sauvage Avec prise de Pascal St James Making of - Ray Mattos - Occupy Ouvidor Making Of Porn sud de l'Inde Fabrication de porno amateur Making of d'une Trayeuse ultime Cock - Prototype Fabrication de kauane ferrari Paris Tranny Slut Loves sperme de sperme charge Making of - surprise, Creampie sur le train Making of d'une star du porno Transsexual Trio 5 - Scene 1.

Larissa with two guys - btf. Shemale Samba Mania 18 - Scene 2. Hot blonde sucked by brunette. Hot trio using sex toys. Tranny fucks asshole guy. Blonde shemale gets banged from behind. Cute Larissa solo. Larissa banged by Renato. Suzy and Larissa love hardcore. Pretty tranny sucked by blondie. Hungry tranny interracial stuffing. Skilful tranny pleases a girl. Skinny Blonde Tranny Ass Nailed. Piercinged pussy for shemales tool. Shemale and girl hot clip. Outdoor blonde shemale jerk.

This study intended to implement a novel intervention strategy, in Brazil, using an ecohealth approach and analyse its effectiveness and costs in reducing Aedes aegypti vector density as well as its acceptance, feasibility and sustainability.

The intervention was conducted from to in the municipality of Fortaleza, northeast Brazil. A cluster randomized controlled trial was designed by comparing ten intervention clusters with ten control clusters where routine vector control activities were conducted.

The intervention included: community workshops; community involvement in clean-up campaigns; covering the elevated containers and in-house rubbish disposal without larviciding; mobilization of schoolchildren and senior inhabitants; and distribution of information, education and communication IEC materials in the community.

Differences in terms of social participation, commitment and leadership were present in the clusters. The results showed the effectiveness of the intervention package in comparison with the routine control programme. Differences regarding the costs of the intervention were reasonable and could be adopted by public health services. Embedding social participation and environmental management for improved dengue vector control was feasible and significantly reduced vector densities.

Such a participatory ecohealth approach offers a promising alternative to routine vector control measures. Dengue is a serious infectious disease prevalent in tropical regions of Southeast Asia, the South Pacific, East Africa, the Caribbean and Latin America, putting about 2.

The incidence and severity of this disease depends on multiple factors such as the social context and the biological characteristics of the virus, vector and host. During the s, the magnitude of the dengue problem in the Americas increased considerably. Within the country, the northeastern region of Brazil reported the second highest number of dengue cases per year in Most importantly a particular hot spot was reported by Fortaleza with a total of 31 confirmed 9 dengue cases during that period Fortaleza is vulnerable to infestation by Aedes aegypti due to its tropical climate and high demographic density.

The rapid population growth 4. According to the Municipal Plan for Prevention and Control of Dengue 13 the municipality of Fortaleza currently has a total of professionals working on dengue control actions with an emphasis on mechanical, chemical and biological vector control.

Despite these efforts, the years from to were considered as a period of major epidemics 21 confirmed cases in municipalities and the capital with confirmed cases It has been repeatedly suggested 12 , 14 that dengue vector control requires interventions with intersectorial partnerships, the involvement of local communities and integrated vector management.

The study described in this article was part of a multicentre research initiative carried out in five Latin American countries to test novel approaches to dengue vector control.

In the initial project phase — a situational analysis was conducted to characterize and map the urban ecosystem, particularly the vector ecology. The analysis of vector's ecological patterns showed that This study intended to control both productive container types and discarded containers through an ecohealth approach ecosystem and analyze its effectiveness in reducing Aedes aegypti vector density. The rainy season is from January to May with an average annual rainfall of mm.

A cluster randomized controlled trial was designed comparing 10 randomly selected intervention clusters with 10 control clusters. A geographical grid sampling method using satellite images was employed to randomly select 10 grid cells using geographic information system GIS technology and the ArcView GIS 17 that allows the visualisation and analysis of GIS information. A cluster of approximately households was identified in each grid The 10 clusters were paired with 10 others 10 pairs according to similar ecological and sociological parameters.

Then the clusters in each pair were randomly assigned to either the intervention or control arm of the study. During the pre-intervention dry season June to December , the total rainfall was The pre-intervention entomological survey was conducted in November and December The rainy season January to May , in which the intervention was developed, had a total rainfall of The intervention was developed from January to April and the entomological survey was carried out in May during the post-intervention period.

At the initial stage of the project, key individuals were identified in each cluster: community members C , community leaders L , professionals related to the municipal endemic diseases control program E and professionals working at the health centres S. The intervention focused on different principles of the ecohealth approach such as sustainability, based on removing discarded small recipients, cleaning backyard areas and covering large water containers without the utilization of larvicides or insecticides.

Another important ecohealth principle, 16 applied in the research, was community participation: community groups elders' groups, students, community members were mobilized and empowered at different levels see below. The intervention targeted productive container types, mainly small discarded and unused water containers stored in backyards and large water tanks as determined by the situational analysis.

The strategy included: establishing partnerships, meeting with intersectorial groups to explain the objectives and procedures of the activities in the homes; requesting the Regional Secretariat for a truck for waste collection; organizing social mobilization through groups formed by National Health Service professionals, educators and Endemic Disease Agents EDAs who made home visits, delivered garbage bags, informed the community about the date on which the garbage truck was going to collect the trash and provided general health information.

The aim was to empower the community and establish a co-management group, stressing the individual and collective responsibility for dengue prevention, so that they could act as multipliers in the community. To this end, invitations were sent to individuals professionals from the Family Health Strategy and the Department for Endemic Disease Control, Social Educators, community leaders, and community members to participate in workshops, in which the group discussed the results of the situational analysis and planned actions.

At each meeting the stakeholders themselves planned, monitored and participated in new actions in accordance with the needs of each locality. The community helped to organize the meetings, was actively involved during clean-up campaigns, and took responsibility for cleaning the surrounding areas of public spaces. Partnerships were developed with schools on dengue control and solid waste management under the assumption that these spaces naturally inspire the adherence of social actors and enable the understanding that health is the responsibility of different sectors of society.

All the households in the intervention clusters received an educational calendar made by the research group together with the health authorities, which was intended to act as a reminder throughout the year of the actions that should be carried out by the residents in their homes to support dengue prevention. Multidisciplinary research methods led to a triangulation of evidence.

Standard entomological survey methodologies resulted in quantitative evidence on vector densities. Participatory research facilitated the design and conduct of community-based interventions. Social and anthropological field research key informant interviews and participant observations led to mainly qualitative data and evidence about social participation and community empowerment in the intervention clusters.

For the cost analysis, data collection tools were developed to measure resource consumption in physical units and gather data to value each resource item unit cost. The local team in charge of the research project collected the information based on direct observation, field reports, expenditure reports and interviews.

Comparable information was requested from the agencies in charge of the routine activities, however, obtaining such information proved challenging. During the intervention period, the researchers were able to analyse the process of empowerment-collaboration-mobilization by means of indicators applied by Draper K, Hewitt G and Rifkin S.

The scores are marked on a scale of 1—5 for each question. The researchers applied the scores that mapped the respective intensity of community participation. Subsequently these indicators permitted the construction of spidergrams. The entomological surveys, conducted by 10 trained professionals of the vector control services included the following: during the dry season a pre-intervention survey was carried out in all 20 study clusters; 4 weeks after completing the intervention, during the rainy season, the post-intervention survey was conducted using the same methodology.

Each text transcript was then coded and coding categories were derived through identifying common responses in the clusters. Cost items were classified according to the resources consumed personnel, consumables, transport operating costs, and other costs incurred in meetings with the community and then descriptively analysed and aggregated to calculate total costs and costs per house reached.

At the end of the intervention all of the large tanks in the intervention clusters were covered with the help of the EDAs. Water tanks covered by the eco-bio-social integrated intervention to control Aedes aegypti in Fortaleza, Ceara state, Brazil, Aedes aegypti infestation, before dry season and after rainy season the intervention. It is noteworthy that, the intervention was delivered by staff routinely working in the vector control programme and required a similar team and staff-time as the routine activities.

Two cross-sectional larvae and pupae surveys were carried out between January and June in both control and intervention areas. Characteristics of the study area before the eco-bio-social integrated intervention to control Aedes aegypti in Fortaleza, Ceara state, Brazil. Entomological indices in the intervention and control areas, in the dry and rainy season, achieved by the eco-bio-social integrated intervention to control Aedes aegypti in Fortaleza, Ceara state, Brazil, Empowerment is related to the process of giving groups or communities autonomy and a progressive and self-sustained improvement of their lives.

The indicators helped in the analysis of the intervention of each locality. For example, in cluster 3 the spider graph illustrated high levels of leadership. This was due to the specific socio-cultural context of that community where historically the community organization was strong to deal with local issues.

On the other hand, cluster 6 had the lowest level of leadership, which reflects the dynamics of a community that does not have a community organization. Cluster 9 showed high gender initiative and frequently mentioned in their discussions the crucial role of the women living in the neighbourhood in actively preventing transmission of dengue through neighbourhood mobilization.

Spidergrams assessing five indicators of community participation. This figure is available in black and white in print and in color at Transactions online. Differences in terms of social participation, commitment, and leadership capacity were observed and documented in the clusters. Some clusters e. In cluster 6 the community leadership was weak or almost non-existent 21 as demonstrated in the speech of this health educator cluster 6 :.

I felt the difficulty of the population involvement since the beginning. People are separate, they don't unite, I see people as selfish, I might be extreme but I see each one in his or her corner. I think your work is very interesting, but I see their lack of interest …. In clusters 5 and 6 these factors hindered the presence of social actors in the meetings, showing a moderate participation of women and a weak participation of health professionals.

In other clusters particularly 1 and 9 female participation was strong to very strong underlining their key role in the process of controlling dengue, because most of the time they are in charge of all the household activities. In clusters 2, 4, 9 it was observed that the community leadership, external support, monitoring and evaluation scored 1. However, the presence of women scored widely from 4 to 5. In clusters 5 and 10, community leadership, planning and management, monitoring and evaluation scored poorly, but external support had a strong score, denoting a contradiction regarding the scenario when taking into consideration the absence of health and education professionals from the meetings in this cluster.

For the yard clean-up actions, individuals from other sectors assisted to collect the small discarded containers and unused materials. The EDAs seemed well motivated; the residents took their brooms and garbage bags and gathered the materials. The company hired by the town hall for waste collection picked up the garbage which had been collected by the household members; they also helped to clean the public spaces in the clusters, removing rubble, disposable materials, and street garbage.

Comments like this were frequent:. I thought it was magnificent. It was organized as a social action, but it's always a big challenge. We can't always do this activity, but we know that there are many yards with buckets, bottles and other types of trash. It's a big challenge, because if you do it today and don't do it again it's complicated. But the idea remains of looking at the yard and recognizing breeding grounds for the vector cluster 3. This comment illustrates that cleaning backyards as a social event results not only in the elimination of breeding sites for the vector, but also as a form of creating awareness and motivation for the continuing care of the yard.

One of the community leaders said:. There's a man who has a huge yard in his house, in the past we would get together and clean the yard for him. We have to teach because it's him who has to clean it. I can't leave my house and do it for him cluster 3. With the intervention, community participation was strengthened and elderly people and schools planned continuous actions together with the municipal workers.

Current dengue control is a complex activity, in view of the diverse factors external to the health sector, which are important determinants in the maintenance and dispersal of both the disease and its vector.

Andrea monteiro trans