Dengue infection in Pakistan: not an isolated problem

Fatima, Zareen

doi:10.1016/s1473-3099(19)30621-8

Cited by 24 publications

(13 citation statements)

References 4 publications

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“…Most of these cases are reported from three World Health Organization (WHO) regions, including South East Asia, West Pacific, and Pan America (Bhatt et al, 2013). Countries neighboring Afghanistan, Pakistan and India experienced large dengue outbreaks in recent years (Fatima, 2019;Mutheneni et al, 2017;WHO, 2019a,b). In just a short time, from July 8 to November 12, 2019, a total of 47,120 confirmed dengue cases, with 75 deaths, were reported in Pakistan (WHO, 2019a,b).…”

Section: Introductionmentioning

confidence: 99%

Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported cases

Sahak

2020

International Journal of Infectious Diseases

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This paper aims to describe the epidemiological characteristics and clinical manifestations of the first 15 dengue fever cases reported in Afghanistan. Methods: A retrospective descriptive analysis of the data on confirmed dengue cases detected by the national disease surveillance system was conducted. Epidemiological, socio-demographic, clinical, laboratory and outcome data from the cases were analyzed. Results: Between May and December 2019, 62 samples were tested for DENV, among which 15 (24.2%) were positive. Seven of the cases were probable autochthonous with no travel history, the other seven cases had a travel history to dengue-endemic countries (five Pakistan, two India) and the travel history for one of the cases was not known. The 15 confirmed cases were reported from six provinces, seven cases (46.7%) were reported from Nangarhar Province, two (13%) from Paktya, and one (6.7%) from Paktika province, bordering with Pakistan, three (20%) were reported from Kabul, and one each (each 6.7%) from Faryab and Laghman provinces. All of the cases manifested fever, headache, myalgia, and arthralgia. Other clinical features were low platelet count (50%), pain behind eyes (36%), rash, and nausea/vomiting (each 21%). Conclusion: For the first time, the surveillance system detected and reported locally acquired DENV cases in Afghanistan, mostly in provinces bordering with Pakistan. Population movements between Afghanistan and Pakistan facilitate the cross-border spread of DENV between two countries.

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Section: Introductionmentioning

confidence: 99%

Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported cases

Sahak

2020

International Journal of Infectious Diseases

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“…Punjab is the highest populated province of Pakistan and has seen highest dengue incidences from the study time period. In 2017, KPK experienced an epidemic of dengue, with more than 18000 cases with high number of deaths [60].…”

Section: A Study Areamentioning

confidence: 99%

Spatio-Temporal Investigations of Dengue Fever in Pakistan Through an HL7 Based Public Health Framework for Hotspot Analysis

2020

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The importance of a standard based interoperability framework is now widely recognized. In order to understand the challenges, feasibility and impact of outcomes of such architectures for public health improvement, it is important to implement and demonstrate the usefulness of data analytics based on pathway provided by the framework. This work provides an implementation details and results of transferring dengue data from source database to data analytical programs used by public health authorities. Dengue fever, a mosquito-borne disease that occurs in tropical and subtropical areas of the world, is considered to be a significant threat in both developing and the developed countries. This study investigates the spatio-temporal distribution of dengue in Pakistan from the years 2014-2017 and identify the most frequently affected hotspots of dengue across the the 3 provinces in the country using data mining, clustering and GIS based analysis of data. In addition, the identification of most vulnerable dengue locations has led to investigation into the potential environmental or geographical conditions that may have contributed to dengue prevalence in the area. These investigations present interesting results that shows positive correlation for temperature, humidity and population density with the dengue incidences. In addition, the results are able to identify disease hotspots over time windows that can be mapped to any spatio-temporal scales. The outcome of this research is crucial for optimal use of resources for combating dengue fever at a regional or national scale by identifying the hotspots. The hotspots identified can be use to create a sentinel surveillance network for a pandemic disease. In addition, the work serves as a useful reference for a comprehensive national level early warning and rapid disease outbreak detection framework for any disease of public health context.

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“…Lahore was the epicentre with maximum number of cases followed by 4 other cities of Punjab and Sindh. In the following years, multiple occurrences of dengue virus have occurred in different parts of the country.…”

Section: Uncertainty Fear Of Dengue and Practice Of Preventive Measumentioning

confidence: 99%

Uncertainty, Fear of Dengue, and Practice of Preventive Measures: A Community-Based Survey in Lahore, Pakistan

Anjum

Kamran

Rafique

2020

KMUJ

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METHODS: This cross-sectional study was conducted in Lahore, Pakistan between September to November 2016. Multistage random sampling technique was used to enroll 400 adults from nine different towns. A self-constructed questionnaire was used to assess uncertainty, fear and practice of preventive measures. Data was analyzed using SPSS Version 21. RESULTS: Out of 400 participants, 214 (53.5%) were males and 186 (46.5%) were females, with age ranging between 16-65 years. In correlation analysis, fear had a slightly positive correlation with uncertainty (r=0.02), and preventive practice (r=0.01), whereas uncertainty had a negative correlation with preventive practice (r=-0.22). In demographic components, age had the best correlation with fear (r=0.12) as compared to others. Men reported to have greater uncertainty, t (1,198=2.11, p<0.04) and fear of having DF [t (1,198=3.71, p<0.001)], whereas women practised significantly more precautionary measures [t (1,198=-3.08, p<0.001)].The participants whose relative had suffered from DF reported greater fear, [t (1,198=2.78, p<0.01)] and uncertainty [t (1,198=2.04, p<0.05)]. Hierarchical regression analysis revealed that uncertainty (β=-0.34; p<0.001) and its interaction with gender (β=0.22; p<0.01) were significant predictors of practice of preventive measures. CONCLUSION: Being male, having fewer years of education and having relatives who had suffered from DF were correlated more with uncertainty and fear. Women practiced preventive measures for DF more than men practice and had a higher uncertainty as well.

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Dengue infection in Pakistan: not an isolated problem

Cited by 24 publications

References 4 publications

Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported cases

Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported cases

Spatio-Temporal Investigations of Dengue Fever in Pakistan Through an HL7 Based Public Health Framework for Hotspot Analysis

Uncertainty, Fear of Dengue, and Practice of Preventive Measures: A Community-Based Survey in Lahore, Pakistan

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