Public Health Responses to a Dengue Outbreak in a Fragile State: A Case Study of Nepal
Objectives. The number of countries reporting dengue cases is increasing worldwide. Nepal saw its first dengue outbreak in 2010, with 96% of cases reported in three districts. There are numerous policy challenges to providing an effective public health response system in a fragile state. This paper...
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ftdoajarticles:oai:doaj.org/article:9561ce865229476f8c47f3c96cc8b985 2024-09-09T19:25:59+00:00 Public Health Responses to a Dengue Outbreak in a Fragile State: A Case Study of Nepal Karolina Griffiths Megha Raj Banjara T. O'Dempsey B. Munslow Axel Kroeger 2013-01-01T00:00:00Z https://doi.org/10.1155/2013/158462 https://doaj.org/article/9561ce865229476f8c47f3c96cc8b985 EN eng Wiley http://dx.doi.org/10.1155/2013/158462 https://doaj.org/toc/1687-9686 https://doaj.org/toc/1687-9694 1687-9686 1687-9694 doi:10.1155/2013/158462 https://doaj.org/article/9561ce865229476f8c47f3c96cc8b985 Journal of Tropical Medicine, Vol 2013 (2013) Arctic medicine. Tropical medicine RC955-962 article 2013 ftdoajarticles https://doi.org/10.1155/2013/158462 2024-08-05T17:48:47Z Objectives. The number of countries reporting dengue cases is increasing worldwide. Nepal saw its first dengue outbreak in 2010, with 96% of cases reported in three districts. There are numerous policy challenges to providing an effective public health response system in a fragile state. This paper evaluates the dengue case notification, surveillance, laboratory facilities, intersectoral collaboration, and how government and community services responded to the outbreak. Methods. Qualitative data were collected through 20 in-depth interviews, with key stakeholders, and two focus-group discussions, with seven participants. Results. Limitations of case recognition included weak diagnostic facilities and private hospitals not incorporated into the case reporting system. Research on vectors was weak, with no virological surveillance. Limitations of outbreak response included poor coordination and an inadequate budget. There was good community mobilization and emergency response but no routine vector control. Conclusions. A weak state has limited response capabilities. Disease surveillance and response plans need to be country-specific and consider state response capacity and the level of endemicity. Two feasible solutions for Nepal are (1) go upwards to regional collaboration for disease and vector surveillance, laboratory assistance, and staff training; (2) go downwards to expand upon community mobilisation, ensuring that vector control is anticipatory to outbreaks. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Journal of Tropical Medicine 2013 1 8 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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Arctic medicine. Tropical medicine RC955-962 |
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Arctic medicine. Tropical medicine RC955-962 Karolina Griffiths Megha Raj Banjara T. O'Dempsey B. Munslow Axel Kroeger Public Health Responses to a Dengue Outbreak in a Fragile State: A Case Study of Nepal |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 |
description |
Objectives. The number of countries reporting dengue cases is increasing worldwide. Nepal saw its first dengue outbreak in 2010, with 96% of cases reported in three districts. There are numerous policy challenges to providing an effective public health response system in a fragile state. This paper evaluates the dengue case notification, surveillance, laboratory facilities, intersectoral collaboration, and how government and community services responded to the outbreak. Methods. Qualitative data were collected through 20 in-depth interviews, with key stakeholders, and two focus-group discussions, with seven participants. Results. Limitations of case recognition included weak diagnostic facilities and private hospitals not incorporated into the case reporting system. Research on vectors was weak, with no virological surveillance. Limitations of outbreak response included poor coordination and an inadequate budget. There was good community mobilization and emergency response but no routine vector control. Conclusions. A weak state has limited response capabilities. Disease surveillance and response plans need to be country-specific and consider state response capacity and the level of endemicity. Two feasible solutions for Nepal are (1) go upwards to regional collaboration for disease and vector surveillance, laboratory assistance, and staff training; (2) go downwards to expand upon community mobilisation, ensuring that vector control is anticipatory to outbreaks. |
format |
Article in Journal/Newspaper |
author |
Karolina Griffiths Megha Raj Banjara T. O'Dempsey B. Munslow Axel Kroeger |
author_facet |
Karolina Griffiths Megha Raj Banjara T. O'Dempsey B. Munslow Axel Kroeger |
author_sort |
Karolina Griffiths |
title |
Public Health Responses to a Dengue Outbreak in a Fragile State: A Case Study of Nepal |
title_short |
Public Health Responses to a Dengue Outbreak in a Fragile State: A Case Study of Nepal |
title_full |
Public Health Responses to a Dengue Outbreak in a Fragile State: A Case Study of Nepal |
title_fullStr |
Public Health Responses to a Dengue Outbreak in a Fragile State: A Case Study of Nepal |
title_full_unstemmed |
Public Health Responses to a Dengue Outbreak in a Fragile State: A Case Study of Nepal |
title_sort |
public health responses to a dengue outbreak in a fragile state: a case study of nepal |
publisher |
Wiley |
publishDate |
2013 |
url |
https://doi.org/10.1155/2013/158462 https://doaj.org/article/9561ce865229476f8c47f3c96cc8b985 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Journal of Tropical Medicine, Vol 2013 (2013) |
op_relation |
http://dx.doi.org/10.1155/2013/158462 https://doaj.org/toc/1687-9686 https://doaj.org/toc/1687-9694 1687-9686 1687-9694 doi:10.1155/2013/158462 https://doaj.org/article/9561ce865229476f8c47f3c96cc8b985 |
op_doi |
https://doi.org/10.1155/2013/158462 |
container_title |
Journal of Tropical Medicine |
container_volume |
2013 |
container_start_page |
1 |
op_container_end_page |
8 |
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1809895700500054016 |