Dengue Bulletin

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Eco-epidemiological Factors Associated with Hyperendemic DHF in Maracay City, Venezuela urbanos con deficiencia en el suministro de agua. Acta Biológica Venezuélica, 1996, 16: 23-35. 15. Pan American Health Organization. Dengue y dengue hemorrágico en las Américas: guías para su prevención y control. Publicación Científica No. 548, 1995. Washington, DC. 16. Clark GG, Seda H and Gubler DJ. Use of the ‘CDC Backpack Aspirator’ for surveillance of Aedes aegypti in San Juan, Puerto Rico. Journal of the Mosquito Control Association, 1994, 10: 119-124. 17. Kuno G. Factors influencing the transmission of dengue viruses. In: Gubler DJ and Kuno G, eds. Dengue and dengue hemorrhagic fever. Cab International, 1997, pp. 61-88. New York. 18. Barata, EAMS, Costa, AIP, Neto, FC, Glasser, CM, Barata, JMS and Natal, D. População de Aedes aegypti (L.) em área endêmica de dengue, Sudeste do Brasil. Revista de Saúde Pública, 2001, 35: 237-242. Dengue Bulletin – Vol 26, 2002 95
How Effectively is Epidemiological Surveillance Used for Dengue Programme Planning and Epidemic Response? by Duane J Gubler # Division of Vector-Borne Infectious Diseases, National Center for Infectious Diseases, Centres for Disease Control and Prevention, Public Health Service, US Department of Health and Human Services, PO Box 2087, Fort Collins CO 80522, USA Abstract Most dengue-endemic countries classify dengue/dengue haemorrhagic fever (DF/DHF) as a high priority disease in their planning and response documents. Very few of them, however, allocate the resources required to deal with DF/DHF as a high priority disease. A review of the surveillance activities in dengueendemic countries and how surveillance data are used for planning and response revealed that few of them had effective surveillance systems for DF/DHF, and even fewer used available surveillance data in an effective manner for planning and response. The surveillance systems in selected countries with good surveillance are reviewed here. Issues of active vs passive surveillance and case definitions for DF and DHF are discussed, and recommendations made to improve the use of surveillance for planning and response. Keywords: Dengue/dengue haemorrhagic fever, surveillance, epidemiology, epidemic response. Introduction Epidemic dengue fever/dengue haemorrhagic fever (DF/DHF) has emerged as a major global public health problem in the past 20 years, with an increased incidence of the disease and expanding geographical distribution of both the viruses and mosquito vectors (1-2) . Factors responsible for this dramatic resurgence in the waning years of the 20th century are primarily demographic, societal and technical changes that have # For correspondence: djg2@cdc.gov occurred in the past 50 years (1-5) . Prospects are that the changes responsible for increased epidemic disease will continue indefinitely in future. Thus, effective prevention and control strategies are essential if we want to reverse the trend of more frequent and larger epidemics of DF/DHF. Surveillance is an important component of any prevention and control programme (6) . Unfortunately, most dengue endemic 96 Dengue Bulletin – Vol 26, 2002
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Dengue Bulletin Volume 26 December
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E From the Editor’s desk pidemic
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Contents 10. Eco-epidemiological Fa
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Contents 4. Vaccines and Biological
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Sero-epidemiological Study of Dengu
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Dengue Control in North Queensland,
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Status of Dengue Control Programme
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Time-Series Analysis of Dengue Feve
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Dengue Patients at the Children’s
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Dengue in the Americas by Mary E Wi
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Dengue in the Americas through 1963
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Dengue in the Americas Year DEN-1 D
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Dengue in the Americas (xxx) Travas
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Dengue in the Americas Table 2b: In
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Dengue in the Americas Country or R
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Dengue in the Americas circulation
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Dengue in the Americas numbers of w
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Dengue in the Americas 13. Guzman M
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Page 143 and 144: Identification of Genetic Variation
Page 151 and 152: Rapid Detection of Dengue Viral RNA
Page 157 and 158: Detection of Dengue Viral RNA in Pa
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Page 169 and 170: Inflammatory Mediators in Dengue Vi
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Inflammatory Mediators in Dengue Vi
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The Interdomain Region of Dengue NS
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Study of Dengue Fever among Israeli
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The Features of Imported Dengue Fev
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Use of Temephos for Control of Fiel
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Use of Temephos for Control of Fiel
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The Use of Ovitraps Baited with Hay
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Mechanisms of DDT and Permethrin Re
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Mechanisms of DDT and Permethrin Re
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Effect of Midgut Bacterial Flora of
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Study of Child-Invented Health Educ
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Dengue Prevention and Control Befor
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Dengue Prevention and Control new a
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Dengue Net - WHO’s Internet-based
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Dengue Net - WHO’s Internet-based
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Revision of International Health Re
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Revision of International Health Re
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Vaccines and Biologicals Recommenda
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Dengue Prevention and Control Repor
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Dengue Prevention and Control impro
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Dengue Fever and Dengue Haemorrhagi
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Instructions for Contributors Artic
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