Dengue in Thailand - 首頁-衛生福利部疾病管制署...Dengue Case Reports of Y-Y Week 47...
Transcript of Dengue in Thailand - 首頁-衛生福利部疾病管制署...Dengue Case Reports of Y-Y Week 47...
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Dengue in Thailand
Sanchai Chasombat MD, EMBA
Bureau of Vector Borne Disease
Department of Disease Control, Ministry of Public Health
Thailand
December 7-8, 2015, Taiwan
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Morbidity and Mortality of Dengue, 1958-2015
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Dengue Case Reports of Y-Y Week 47 Comparisons, 2011-2015
2015 2014 2013 2012 2011
Reported Case 123,169 38,292 151,196 69,889 67,081
Death 116 35 131 69 56
Case/100,000 pop. 189.13 59.76 235.96 108.75 104.85
Case fatality 0.09 0.09 0.09 0.10 0.08
Source: Bureau of Epidemiology, Department of Disease Control
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2015 (123,169) 2014 (41,082) 2013 (154,444)
Dengue Case Reports, 2013-2015( Dec 1)
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Median of 2010-2014 cases and Cases of 2013-2015
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2015 2014 2013 Median(2010-2014)
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Case reports by age groups, 2015
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Case reports by sex, 2015
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Case reports by occupations, 2015
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Case reports by nationality, 2015
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Thailand Myanmar Malaysia Cambodia Laos Veitnam China Other
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1992
2014
2013 2012
2011
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DENV serotype circulation, 1973-2015
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DEN-1 DEN-2 DEN-3 DEN-4
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Week 45 Week 46 Week 47
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Key Dengue Control Measures
• Pre-endemic season(January-April) • Assess and determine of potential risk areas and risk populations • Proactive community engagement in vector control targeting households,
hotels, hospitals, temples, factories, and school levels • Prepare multi-sectoral partners and resources when larger outbreaks
anticipated • Monitor HI/CI • Training health staff
• Endemic Season(May-August) • Outbreak investigation and control • Set up the Fast Track OPD and Dengue Corner at IPD • The 3-3-1 and 0-3-7 Strategies
• To report within 3 hours • To control at index case’s house within the next 3 hours • To control at surrounding areas within 1 day after diagnosis by a vector
control team (Day 0, 3,7) • War room set up and run by the Provincial Governor • Risk communications • Public/local community campaigns
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• Post-endemic season(September-December)
• Monitoring of outbreaks/vectors
• Review pitfalls and lesson learned from endemic season
• Management of refractory areas by community empowerment
Key Dengue Control Measures
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No. (%) Hospital
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(%) home of the
hospital's staff. (HI > 10)
(%) School
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(%) religious
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(Nov-Dec 2013) 18.41 12.11 33.89 55.88
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(Jan-Feb 2014) 17.44 6.88 28.46 47.39
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(Jun 2014) 14.46 13.64 32.52 56.38
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(July 2014) 15.82 13.29 35.68
69.85
Larvae Survey 2013-2014
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Aedes aegypti Susceptibility Testing: Bangkok 2015
Month Area Chemical Concentration % death within
24 hr Status
June Wangthonglang Temephos 0.01 100
May Dindang Permethrin 0.25 3.85
May Dindang Deltamethrin 0.8 77.78
May Dindang Bifenthrin 0.09 22.22
May Dindang Propoxur 0.1 20.57
May Dindang Deltamethrin 0.05 68.18
May Dindang Cypermethrin 0.22 56
May Dindang Alpha-cypermethrin
0.08 33.33
May Dindang Deltamethrin 0.05 67.69
May Dindang Cypermethrin 0.22 50.3
May Dindang Alpha-cypermethrin
0.08 55.56
May Dindang Permethrin 0.25 11.54
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ACTIVITIES
Dengue Campaign
TV Program
Community Participation
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Thank you