The burden of dengue, source reduction measures, and serotype patterns in Myanmar, 2011 to 2015–R2
Abstract Background Myanmar is currently classified as a high burden dengue country in the Asian Pacific region. The Myanmar vector-borne diseases control (VBDC) program has collected data on dengue and source reduction measures since 1970, and there is a pressing need to collate, analyze, and inter...
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ftdoajarticles:oai:doaj.org/article:f3e076e4740b4e66b5e0e0518be68cd5 2023-05-15T15:18:30+02:00 The burden of dengue, source reduction measures, and serotype patterns in Myanmar, 2011 to 2015–R2 Pwint Mon Oo Khin Thet Wai Anthony D. Harries Hemant Deepak Shewade Tin Oo Aung Thi Zaw Lin 2017-11-01T00:00:00Z https://doi.org/10.1186/s41182-017-0074-5 https://doaj.org/article/f3e076e4740b4e66b5e0e0518be68cd5 EN eng BMC http://link.springer.com/article/10.1186/s41182-017-0074-5 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-017-0074-5 1349-4147 https://doaj.org/article/f3e076e4740b4e66b5e0e0518be68cd5 Tropical Medicine and Health, Vol 45, Iss 1, Pp 1-11 (2017) Children Dengue Dengue hemorrhagic fever Dengue case fatality Dengue virus serotypes Health education Arctic medicine. Tropical medicine RC955-962 article 2017 ftdoajarticles https://doi.org/10.1186/s41182-017-0074-5 2022-12-31T15:54:49Z Abstract Background Myanmar is currently classified as a high burden dengue country in the Asian Pacific region. The Myanmar vector-borne diseases control (VBDC) program has collected data on dengue and source reduction measures since 1970, and there is a pressing need to collate, analyze, and interpret this information. The aim of this study was to describe the burden of hospital-based dengue disease, dengue control measures, and serotype patterns in Myanmar between 2011 and 2015. Methods This was a cross-sectional study using annual records from the Dengue Fever/Dengue Hemorrhagic Fever Prevention and Control Project in Myanmar. Results Between 2011 and 2015, there were a total of 89,832 cases and 393 deaths in hospitals, with 97% of cases being in children. In 2013 and 2015, there was an increased number of cases, respectively at 21,942 and 42,913, while during the other 3 years, numbers ranged from 4738 to 13,806. The distribution of dengue deaths each year mirrored the distribution of cases. Most cases (84%) occurred in the wet season and 54% occurred in the delta/lowlands. Case fatality rate (CFR) was highest in 2014 at 7 per 1000 dengue cases, while in the other years, it ranged from 3 to 5 per 1000 cases. High CFR per 1000 were also observed in infants < 1 year (CFR = 8), adults ≥ 15 years (CFR = 7), those with disease severity grade IV (CFR = 17), and those residing in hilly regions (CFR = 9). Implementation and coverage of dengue source reduction measures, including larval control, space spraying, and health education, all increased between 2012 and 2015, although there was low coverage of these interventions in households and schools and for water containers. In the 2013 outbreak, dengue virus serotype 1 predominated, while in the 2015 outbreak, serotypes 1, 2, and 4 were those mainly in circulation. Conclusion Dengue is a serious public health disease burden in Myanmar. More attention is needed to improve monitoring, recording, and reporting of cases, deaths, and vector control activities, and ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Pacific Tropical Medicine and Health 45 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Children Dengue Dengue hemorrhagic fever Dengue case fatality Dengue virus serotypes Health education Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Children Dengue Dengue hemorrhagic fever Dengue case fatality Dengue virus serotypes Health education Arctic medicine. Tropical medicine RC955-962 Pwint Mon Oo Khin Thet Wai Anthony D. Harries Hemant Deepak Shewade Tin Oo Aung Thi Zaw Lin The burden of dengue, source reduction measures, and serotype patterns in Myanmar, 2011 to 2015–R2 |
topic_facet |
Children Dengue Dengue hemorrhagic fever Dengue case fatality Dengue virus serotypes Health education Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract Background Myanmar is currently classified as a high burden dengue country in the Asian Pacific region. The Myanmar vector-borne diseases control (VBDC) program has collected data on dengue and source reduction measures since 1970, and there is a pressing need to collate, analyze, and interpret this information. The aim of this study was to describe the burden of hospital-based dengue disease, dengue control measures, and serotype patterns in Myanmar between 2011 and 2015. Methods This was a cross-sectional study using annual records from the Dengue Fever/Dengue Hemorrhagic Fever Prevention and Control Project in Myanmar. Results Between 2011 and 2015, there were a total of 89,832 cases and 393 deaths in hospitals, with 97% of cases being in children. In 2013 and 2015, there was an increased number of cases, respectively at 21,942 and 42,913, while during the other 3 years, numbers ranged from 4738 to 13,806. The distribution of dengue deaths each year mirrored the distribution of cases. Most cases (84%) occurred in the wet season and 54% occurred in the delta/lowlands. Case fatality rate (CFR) was highest in 2014 at 7 per 1000 dengue cases, while in the other years, it ranged from 3 to 5 per 1000 cases. High CFR per 1000 were also observed in infants < 1 year (CFR = 8), adults ≥ 15 years (CFR = 7), those with disease severity grade IV (CFR = 17), and those residing in hilly regions (CFR = 9). Implementation and coverage of dengue source reduction measures, including larval control, space spraying, and health education, all increased between 2012 and 2015, although there was low coverage of these interventions in households and schools and for water containers. In the 2013 outbreak, dengue virus serotype 1 predominated, while in the 2015 outbreak, serotypes 1, 2, and 4 were those mainly in circulation. Conclusion Dengue is a serious public health disease burden in Myanmar. More attention is needed to improve monitoring, recording, and reporting of cases, deaths, and vector control activities, and ... |
format |
Article in Journal/Newspaper |
author |
Pwint Mon Oo Khin Thet Wai Anthony D. Harries Hemant Deepak Shewade Tin Oo Aung Thi Zaw Lin |
author_facet |
Pwint Mon Oo Khin Thet Wai Anthony D. Harries Hemant Deepak Shewade Tin Oo Aung Thi Zaw Lin |
author_sort |
Pwint Mon Oo |
title |
The burden of dengue, source reduction measures, and serotype patterns in Myanmar, 2011 to 2015–R2 |
title_short |
The burden of dengue, source reduction measures, and serotype patterns in Myanmar, 2011 to 2015–R2 |
title_full |
The burden of dengue, source reduction measures, and serotype patterns in Myanmar, 2011 to 2015–R2 |
title_fullStr |
The burden of dengue, source reduction measures, and serotype patterns in Myanmar, 2011 to 2015–R2 |
title_full_unstemmed |
The burden of dengue, source reduction measures, and serotype patterns in Myanmar, 2011 to 2015–R2 |
title_sort |
burden of dengue, source reduction measures, and serotype patterns in myanmar, 2011 to 2015–r2 |
publisher |
BMC |
publishDate |
2017 |
url |
https://doi.org/10.1186/s41182-017-0074-5 https://doaj.org/article/f3e076e4740b4e66b5e0e0518be68cd5 |
geographic |
Arctic Pacific |
geographic_facet |
Arctic Pacific |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Tropical Medicine and Health, Vol 45, Iss 1, Pp 1-11 (2017) |
op_relation |
http://link.springer.com/article/10.1186/s41182-017-0074-5 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-017-0074-5 1349-4147 https://doaj.org/article/f3e076e4740b4e66b5e0e0518be68cd5 |
op_doi |
https://doi.org/10.1186/s41182-017-0074-5 |
container_title |
Tropical Medicine and Health |
container_volume |
45 |
container_issue |
1 |
_version_ |
1766348694232236032 |