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Dengue Situation in Bangladesh

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Md Asif Hasan
Md Asif Hasan

Dengue is a viral disease transmitted by the Aedes mosquito. In 2019, Dhaka, Bangladesh saw increased cases of the more severe Dengue Hemorrhagic Fever. A survey found high Breteau Indices and House Indices in many wards, indicating widespread mosquito breeding. Meetings were held between government officials and health organizations to address the outbreak. Actions proposed included increasing dengue testing, beds, and monitoring. Training and awareness campaigns were conducted to educate medical professionals and the public.

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Dhaka Dengue Situation 2019 Prepared by Md Asif Hasan Md Rokibul Islam Md Abdul Ahad Sonjita Singh
Introduction  Dengue is a viral disease  Dengue Fever is a severe, flu-like illness  It is transmitted by the infective bite of Aedes Aegypti mosquito  Man develops disease after 5-6 days of being bitten by an infective mosquito named Aedes. Fig: Aedes Mosquito
Dengue occurs in two forms:  Dengue Fever  Dengue Haemorrhagic Fever(DHF) Dengue Haemorrhagic Fever (DHF) is a more severe form of disease, which may cause death. In 2019 , more people are affected by DHF in Dhaka city which is the main reason for the breakthrough
Fig: % of breeding sources of Dengue in Dhaka
Monsoon Aedes Survey 2019 • 100 sites of 98 wards in 2 city corporations surveyed and the following Density map of the potential breeding sources of Aedes mosquitos in Dhaka City was produced
 57% & 64% of total wards in DNCC & DSCC have BI>=20  75% & 83% of total wards in DNCC & DSCC have HI>=5 Breteau index (BI): number of positive containers per 100 houses inspected. ***As there is huge population movement around, the lower BI in any place doesn't necessarily mean lower risk of getting affected in that place. Extended Aedes survey in public places
Dengue Situation in Bangladesh
Latest Dengue Situation in Dhaka City
Dengue Situation in Bangladesh
 76% of total admitted patients released to home  Downtrend in new admission observed at the end of this week  Ratio of new admission and released patients 54:46 in this week  Huge population movement caused case uptrend outside Dhaka  However, 66% of total outside Dhaka cases released to home
Frontliner in combating Dengue: A high-profile meeting was called on 1st August 2019 in the Ministry of Health & Family Welfare (MOHFW) to overview the current dengue situation and activities undertaken. Mr. Zahid Maleque MP, Hon’ble Health Minister presided over the meeting. Mayors of both city corporations, Chief Coordinator for SDG Affairs, PMO, Secretaries of health and other ministries, DG, DGHS were present among others. Dr. Nagpal, Sr. Entomologist, WHO SEARO briefed the meeting on vector control management.
• Fixed fees of basic dengue tests for private sector • Open One-stop Dengue Helpdesk at all hospitals • Extend dengue service / beds in all hospitals • Prepare 3 govt. hospitals in Dhaka for emergency dengue response • Distribution of more than 42,000 dengue kit to all districts, DSCC • Monitoring cell opened in the ministry • Workshop on national treatment guideline review • Discussion on feasibility / prospect of dengue vaccine in Bangladesh • Stand against misleading viralposts in social media • Involve medical college students awareness campaign at schools Here are some proposals of actions to control dengue made in the meeting-
Dengue diagnosis fees in private sector fixed across the country As directed by the honorable health minister, Director General of Health Services called on a meeting with private hospitals and clinics and provided following instructions for immediate implementation: Fixed fees for basic dengue tests - NS1 Antigen – BDT 500 - IgG & IgM (together) – BDT 500 - CBC – BDT 400 Open One-stop Dengue Helpdesk Increase bed for dengue patient management Follow National guideline strictly 10 medical teams formed to monitor dengue service management in all hospitals.
Capacity building & Knowledge sharing  With technical support from MIS, doctors of 51 districts trained on dengue management through video conference on 07-08 Aug 2019  Doctors of other 13 districts trained in person on 5th Aug, 2019  Management training for child specialists organized in 2 big private hospitals on 10th Aug, 2019  Bangladesh Pediatric Association and Bangladesh Society of Medicine collaborated for these trainings  Sr. Entomologist, WHO SEARO conducted a training session for all entomologists of DGHS on 6th Aug, 2019  Knowledge sharing session with WHO Sri Lanka through video call on 6th Aug, 2019
Dengue awareness campaign in educational institutes Disease Control Division, DGHS organized dengue awareness campaigns in 240 primary and secondary schools at Dhaka city on 1st Aug’19. 1,67000 students and 2,500 teachers actively participated in this campaign. 1600 doctors and students of medical colleges and representatives of “Platform of Medical & Dental Society” volunteered the campaign. Employees of CDC, DGHS also took part in the program.
While ensuring proper treatment is the core moto, equally best to raise community awareness through mass media are also given.  Media briefing for journalists to disseminate information on preventive measures to mass population  Awareness messages in print and electronic media  Active collaboration with media and share all relevant information in daily basis Role of Mass Media
Government Awareness Campaign
Dengue Situation in Bangladesh
Dengue Situation in Bangladesh
Dengue Situation in Bangladesh
Dengue Situation in Bangladesh
References  Bangladesh Dengue Situation 2019 Health Bulletin - volume: 1, 27 July 2019  Bangladesh Dengue Situation 2019 Health Bulletin - volume: 2, 03 August, 2019  Bangladesh Dengue Situation 2019 Health Bulletin - volume: 3, 10 August, 2019  Bangladesh - Dengue outbreak (DGHS, Media) (ECHO Daily Flash of 8 August 2019)  icddr,b’s rapid response to the growing Dengue outbreak in Dhaka, Bangladesh 01 Aug 2019
Dengue Situation in Bangladesh

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Dengue Situation in Bangladesh

  • 1. Dhaka Dengue Situation 2019 Prepared by Md Asif Hasan Md Rokibul Islam Md Abdul Ahad Sonjita Singh
  • 2. Introduction  Dengue is a viral disease  Dengue Fever is a severe, flu-like illness  It is transmitted by the infective bite of Aedes Aegypti mosquito  Man develops disease after 5-6 days of being bitten by an infective mosquito named Aedes. Fig: Aedes Mosquito
  • 3. Dengue occurs in two forms:  Dengue Fever  Dengue Haemorrhagic Fever(DHF) Dengue Haemorrhagic Fever (DHF) is a more severe form of disease, which may cause death. In 2019 , more people are affected by DHF in Dhaka city which is the main reason for the breakthrough
  • 4. Fig: % of breeding sources of Dengue in Dhaka
  • 5. Monsoon Aedes Survey 2019 • 100 sites of 98 wards in 2 city corporations surveyed and the following Density map of the potential breeding sources of Aedes mosquitos in Dhaka City was produced
  • 6.  57% & 64% of total wards in DNCC & DSCC have BI>=20  75% & 83% of total wards in DNCC & DSCC have HI>=5 Breteau index (BI): number of positive containers per 100 houses inspected. ***As there is huge population movement around, the lower BI in any place doesn't necessarily mean lower risk of getting affected in that place. Extended Aedes survey in public places
  • 8. Latest Dengue Situation in Dhaka City
  • 10.  76% of total admitted patients released to home  Downtrend in new admission observed at the end of this week  Ratio of new admission and released patients 54:46 in this week  Huge population movement caused case uptrend outside Dhaka  However, 66% of total outside Dhaka cases released to home
  • 11. Frontliner in combating Dengue: A high-profile meeting was called on 1st August 2019 in the Ministry of Health & Family Welfare (MOHFW) to overview the current dengue situation and activities undertaken. Mr. Zahid Maleque MP, Hon’ble Health Minister presided over the meeting. Mayors of both city corporations, Chief Coordinator for SDG Affairs, PMO, Secretaries of health and other ministries, DG, DGHS were present among others. Dr. Nagpal, Sr. Entomologist, WHO SEARO briefed the meeting on vector control management.
  • 12. • Fixed fees of basic dengue tests for private sector • Open One-stop Dengue Helpdesk at all hospitals • Extend dengue service / beds in all hospitals • Prepare 3 govt. hospitals in Dhaka for emergency dengue response • Distribution of more than 42,000 dengue kit to all districts, DSCC • Monitoring cell opened in the ministry • Workshop on national treatment guideline review • Discussion on feasibility / prospect of dengue vaccine in Bangladesh • Stand against misleading viralposts in social media • Involve medical college students awareness campaign at schools Here are some proposals of actions to control dengue made in the meeting-
  • 13. Dengue diagnosis fees in private sector fixed across the country As directed by the honorable health minister, Director General of Health Services called on a meeting with private hospitals and clinics and provided following instructions for immediate implementation: Fixed fees for basic dengue tests - NS1 Antigen – BDT 500 - IgG & IgM (together) – BDT 500 - CBC – BDT 400 Open One-stop Dengue Helpdesk Increase bed for dengue patient management Follow National guideline strictly 10 medical teams formed to monitor dengue service management in all hospitals.
  • 14. Capacity building & Knowledge sharing  With technical support from MIS, doctors of 51 districts trained on dengue management through video conference on 07-08 Aug 2019  Doctors of other 13 districts trained in person on 5th Aug, 2019  Management training for child specialists organized in 2 big private hospitals on 10th Aug, 2019  Bangladesh Pediatric Association and Bangladesh Society of Medicine collaborated for these trainings  Sr. Entomologist, WHO SEARO conducted a training session for all entomologists of DGHS on 6th Aug, 2019  Knowledge sharing session with WHO Sri Lanka through video call on 6th Aug, 2019
  • 15. Dengue awareness campaign in educational institutes Disease Control Division, DGHS organized dengue awareness campaigns in 240 primary and secondary schools at Dhaka city on 1st Aug’19. 1,67000 students and 2,500 teachers actively participated in this campaign. 1600 doctors and students of medical colleges and representatives of “Platform of Medical & Dental Society” volunteered the campaign. Employees of CDC, DGHS also took part in the program.
  • 16. While ensuring proper treatment is the core moto, equally best to raise community awareness through mass media are also given.  Media briefing for journalists to disseminate information on preventive measures to mass population  Awareness messages in print and electronic media  Active collaboration with media and share all relevant information in daily basis Role of Mass Media
  • 22. References  Bangladesh Dengue Situation 2019 Health Bulletin - volume: 1, 27 July 2019  Bangladesh Dengue Situation 2019 Health Bulletin - volume: 2, 03 August, 2019  Bangladesh Dengue Situation 2019 Health Bulletin - volume: 3, 10 August, 2019  Bangladesh - Dengue outbreak (DGHS, Media) (ECHO Daily Flash of 8 August 2019)  icddr,b’s rapid response to the growing Dengue outbreak in Dhaka, Bangladesh 01 Aug 2019