Success-Stories-on-Health-Sector

PunJab
DEnguE DEatH rEviEw
ProblEm statEmEnt
Suspected deaths due to Dengue are reported every
year. it had been observed that in many cases the
cause of death was not dengue but other illnesses while
dengue was just a co incidental infection.
ProgrammE DEsCriPtion
Punjab was the first State to initiate review of all the
deaths due to dengue. All the suspected/confirmed cases
of dengue are reviewed at district level followed by review
at State level. The following actions have been taken in this
regard:
a. Dengue Death Review Performa has been designed
with inputs form PgiMER and specialists from
discipline of Medicine, Paediatrics, Pathology, Chest
& TB Anaesthesia, Public Health. The Performa has
been designed keeping in view the case definition of
Dengue, Dengue Haemorrhagic Fever and Dengue
Shock Syndrome.
b. a case of dengue death is reviewed by the District
Dengue Death Review Committee (DDDRC) under the
chairpersonship of the Civil Surgeon of the district. The
committee comprises of specialists from disciplines
of Medicine, Paediatrics, Pathology, Chest & TB,
anaesthesia, Public Health, iMa and representatives
from scrutinized and events are recorded. The opinion
of the DDDRC along with the medical records is
submitted to the State.
c. The report of the DDDRC is then reviewed by the State
Dengue Death Review Committee (SDDRC) under the
chairpersonship of the Director Health Services. The
committee comprises of specialists from disciplines
of Medicine, Paediatrics, Pathology, Chest & TB
Anaesthesia, Public Health, PGIMER, ROHFW, IDSP
and representatives from private hospitals treating
the case.
d. after deliberations and discussion of each case record
the final opinion is given by the SDDRC.
ProgrammE outComEs
a. 97 deaths were reviewed in 2013 and 25 out of these
were confirmed as deaths due to dengue in 2013.
b. 17 deaths were reviewed in 2014 and 08 out of these
were confirmed as deaths due to dengue in 2014.
c. Strategies for Dengue Treatment Management were
reinforced.
FinanCial invEstmEnt
Out of the funds available under NVBDCP Programme.
imPlEmEnting PartnEr
Initiative of Department of Health & Family Welfare,
Punjab.
ConClusions/lEssons lEarnt
All death cases of dengue need to be audited on scientific
grounds because:
a. antibodies for dengue are positive for approximate
90 days post infection. Sometimes, the presence of
antibodies is mistaken by physicians for diagnosis of
dengue although the patient may be suffering from
other illness.
b. Contributing factors leading to death in case of dengue
fever or dengue haemorrhagic fever are identified
by death audit/review which helps the physicians
in identifying serious cases at the earliest in order to
decrease the mortality.
Contact
Director Health & Family Welfare, Punjab
State Programme Officer, NVBDCP
Email: punjabnvbdcp@gmail.com
DENGUE DEATH REVIEW PROFORMA
Instructions: Please fill only those details which are available in the medical records. If the information is not available, leave
them blank.
District: Dengue Death review done on (dated):
1. Name of the patient:
2. Age/sex of the patient:
3. Father’s/Husband’s Name:
4. Complete Address of the patient with contact no.:
5. Date of Onset of Illness:
6. consultation history: (Chronological Order till the date of Death)
Place of Medical Consultation
(name of the institute/address
7. Date of Birth:
Date of Consultation OPD/iPD Provisional Diagnosis
8. Place of Birth: (Home/govt. institution with name/Private Hospital with name).
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