Authors : Dr?Nata?Menabde ,
Edition :1
Year : 2014
Description :
Over the last five decades, dengue has emerged globally as a critical threat to population
health. The World Health Organization (WHO) estimates that 50–100 million dengue
infections occur each year and that almost half the world's population lives in countries
wheredengueisendemic.
Today, dengue ranks as the most important mosquito-borne viral disease in the world. The
emergence and spread of all four dengue viruses (serotypes) represent a global pandemic.
Whiledengueisaglobalconcern,currentlycloseto75%oftheglobalpopulationexposedto
dengueareintheAsia-Pacificregion.
Mortality from dengue can be reduced to zero by immediately implementing timely,
appropriate clinical management, which involves early clinical and laboratory diagnosis,
intravenous rehydration, staff training and hospital reorganization and training health
personnel,alongwithappropriatereferralsystems,atprimaryhealth-carelevels.
Dengue morbidity can also be reduced by implementing improved outbreak prediction and
detection through coordinated epidemiological and entomological surveillance; promoting
the principles of integrated vector management and deploying locally-adapted vector
control measures including effective urban and household water management. Effective
communicationcanachievebehavioraloutcomesthataugmentpreventionprogrammes.
InIndia,resurgenceofepidemicdengueactivityposesamajorpublichealthchallenge.This
upsurgehasbeenassociatedwiththegeographicalexpansionofboththemosquitovectors
andtheviruses.
A Joint Monitoring Mission (JMM) on vector-borne diseases was conducted from 01 to 10
March 2014 in New Delhi. It clearly noted the deficiency in the competence of clinicians in
clinicaldiagnosisandmanagementofdengueandrecommendedthatthecapacityofhealth
staff must be strengthened, especially to manage severe forms of the disease. The JMM
also recommended focus on effective triage and case management at primary and
secondarylevelsandadequatereferralmechanismsforcriticalcases.
This document on the new guidelines for the clinical management of dengue will address
manyoftheseissues.Iamcertainitwillstrengthenourabilityandpreparednesstoaddress
thisrecurrentepidemicinIndia.
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