Health System Preparedness, Response, and Incidence of Dengue in District Mianwali
Health System Preparedness, Response, and Incidence of Dengue
DOI:
https://doi.org/10.54393/pjhs.v5i02.1312Keywords:
Health System, Dengue, Public HealthAbstract
Dengue is a mosquito-borne viral infection caused by the dengue virus. It has 4 different serotypes and is mainly spread by Aedes mosquitoes. The disease is a significant public health problem worldwide. Objective: Assess district health system preparedness for Dengue outbreaks, identify gaps, strengthen surveillance, and determine incidence post-preventive measures. Methods: The study was a mixed-method design, using both qualitative and quantitative approaches. A cross-sectional design was used to assess the incidence of dengue. Results: A total of 118 participants were selected for questionnaire-based interviews out of which 47.9% were male and 51.3% were females. The average age of the participants was 38.58 ± 9.63 with a minimum age of 24 years and minimum age of 55 years was observed. Overall 8.4% of the participants belonged to the Supervisor cadre, 5.9% were entomologists, 32.8% were CDC supervisors and 52.1% were clinical doctors. Most healthcare professionals find it easy to diagnose and report a case of dengue fever. Only 0.85% of the participants felt it very difficult to diagnose and report a dengue case, 45.76% felt somewhat easy and 44.07% felt very easy in reporting a dengue case. Some of the participants 9.32% neither felt it easy nor difficult to report dengue cases. Conclusions: Punjab, Pakistan's dengue surveillance system has improved but needs further enhancements in case detection, reporting, communication, and stakeholder collaboration. The province has established dengue monitoring units and implemented a comprehensive reporting system.
References
Khan NU, Danish L, Khan HU, Shah M, Ismail M, Ali I, et al. Prevalence of dengue virus serotypes in the 2017 outbreak in Peshawar, KP, Pakistan. Journal of Clinical Laboratory Analysis. 2020 Sep; 34(9): e23371. doi: 10.1002/jcla.23371. DOI: https://doi.org/10.1002/jcla.23371
Carro SD and Cherry S. Beyond the surface: Endocytosis of mosquito-borne flaviviruses. Viruses. 2020 Dec; 13(1): 13. doi: 10.3390/v13010013. DOI: https://doi.org/10.3390/v13010013
Ordonez-Sierra G, Sarmiento-Senior D, Gomez JF, Giraldo P, Ramírez AP, et al. Multilevel analysis of social, climatic and entomological factors that influenced dengue occurrence in three municipalities in Colombia. One Health. 2021 Jun; 12: 100234. doi: 10.1016/j.onehlt.2021.100234. DOI: https://doi.org/10.1016/j.onehlt.2021.100234
Bloom DE and Cadarette D. Infectious disease threats in the twenty-first century: strengthening the global response. Frontiers in Immunology. 2019 Mar; 10: 549. doi: 10.3389/fimmu.2019.00549. DOI: https://doi.org/10.3389/fimmu.2019.00549
Wiyono L, Rocha IC, Cedeño TD, Miranda AV, Lucero-Prisno III DE. Dengue and COVID-19 infections in the ASEAN region: a concurrent outbreak of viral diseases. Epidemiology and Health. 2021 Sep; 43: e2021070. doi: 10.4178/epih.e2021070. DOI: https://doi.org/10.4178/epih.e2021070
Zahir A, Ullah A, Shah M, Mussawar A. Community participation, dengue fever prevention and control practices in Swat, Pakistan. International Journal of MCH and AIDS. 2016; 5(1): 39. doi: 10.21106/ijma.68. DOI: https://doi.org/10.21106/ijma.68
Mcgonagle D. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company‘s public news and information. 2020. 10.1186/1478-4491-7-87.
Dubois CA, Singh D. From staff-mix to skill-mix and beyond: towards a systemic approach to health workforce management. Human Resources for Health. 2009 Dec; 7(87): 1-9. doi: 0.1016/j.puhe.2012.09.006. DOI: https://doi.org/10.1186/1478-4491-7-87
Rasheed SB, Butlin RK, Boots M. A review of dengue as an emerging disease in Pakistan. Public Health. 2013 Jan; 127(1): 11-7. doi: 10.1186/s12985-016-0603-6. DOI: https://doi.org/10.1016/j.puhe.2012.09.006
Ali A, Ahmad H, Idrees M, Zahir F, Ali I. Circulating serotypes of dengue virus and their incursion into non-endemic areas of Pakistan; a serious threat. Virology Journal. 2016 Dec; 13(1): 1-8. doi: 10.1186/s41182-022-00410-x. DOI: https://doi.org/10.1186/s12985-016-0603-6
Khatri G, Hasan MM, Shaikh S, Mir SL, Sahito AM, Priya, Rocha IC, Elmahi OK. The simultaneous crises of dengue and COVID-19 in Pakistan: a double hazard for the country’s debilitated healthcare system. Tropical Medicine and Health. 2022 Feb; 50(1): 18. doi: 10.1073/pnas.1718945115. DOI: https://doi.org/10.1186/s41182-022-00410-x
Colón-González FJ, Harris I, Osborn TJ, Steiner São Bernardo C, Peres CA, Hunter PR, et al. Limiting global-mean temperature increase to 1.5–2 C could reduce the incidence and spatial spread of dengue fever in Latin America. Proceedings of the National Academy of Sciences. 2018 Jun; 115(24): 6243-8. doi: 10.1007/s11908-010-0102-7. DOI: https://doi.org/10.1073/pnas.1718945115
Dengue - Global situation [Internet]: World Health Organization; 2023. Available from: https://www.who.int/emergencies/disease-outbreak-news/item/2023-DON498.
Wilder-Smith A, Ooi EE, Vasudevan SG, Gubler DJ. Update on dengue: epidemiology, virus evolution, antiviral drugs, and vaccine development. Current Infectious Disease Reports. 2010 May; 12: 157-64. doi: 0.1186/s12889-020-8394-5. DOI: https://doi.org/10.1007/s11908-010-0102-7
Disease Surveillance System [Internet]: Punjab Information Technology Board. Available from: https://pitb.gov.pk/dss.
Regional plan of action 2019−2023 for implementation of the Global vector control response 2017−2030 [Internet]: World Health Organization. 2017. Available from: https://applications.emro.who.int/docs/EMROPub.
Waewwab P, Sungvornyothin S, Potiwat R, Okanurak K. Impact of dengue-preventive behaviors on Aedes immature production in Bang Kachao, Samut Prakan Province, Thailand: A cross-sectional study. BMC Public Health. 2020 Dec; 20(1): 1-6. doi: 0.1080/17441692.2014.951870. DOI: https://doi.org/10.1186/s12889-020-8394-5
Needs Assessment Primary Health Care: Sub-national Governance Programme. Available from: https://prmp.punjab.gov.pk/system/files/need_assesment_bahawalnagar.pdf.
Mackenzie JS, Drury P, Arthur RR, Ryan MJ, Grein T, Slattery R, et al. The global outbreak alert and response network. Global Public Health. 2014 Oct; 9(9): 1023-39. doi: 10.4324/9780203808801. DOI: https://doi.org/10.1080/17441692.2014.951870
Saez L. The South Asian association for regional cooperation (SAARC): An Emerging Collaboration Architecture. Routledge. 2012 May. USA and Canada: Routledge; 2011. doi: 10.4324/9780203808801. DOI: https://doi.org/10.4324/9780203808801
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Pakistan Journal of Health Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments