Best Practices in Dengue Surveillance: A Report from the Asia-Pacific and Americas Dengue Prevention Boards

Dengue fever is a virus infection that is spread by the Aedes aegypti mosquito and can cause severe disease especially in children. Dengue fever is a major problem in tropical and sub-tropical regions of the world. We invited dengue experts from around the world to attend meetings to discuss dengue...

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Veröffentlicht in:PLoS neglected tropical diseases Jg. 4; H. 11; S. e890
Hauptverfasser: Beatty, Mark E., Stone, Amy, Fitzsimons, David W., Hanna, Jeffrey N., Lam, Sai Kit, Vong, Sirenda, Guzman, Maria G., Mendez-Galvan, Jorge F., Halstead, Scott B., Letson, G. William, Kuritsky, Joel, Mahoney, Richard, Margolis, Harold S.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Public Library of Science 16.11.2010
Public Library of Science (PLoS)
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ISSN:1935-2735, 1935-2727, 1935-2735
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Zusammenfassung:Dengue fever is a virus infection that is spread by the Aedes aegypti mosquito and can cause severe disease especially in children. Dengue fever is a major problem in tropical and sub-tropical regions of the world. We invited dengue experts from around the world to attend meetings to discuss dengue surveillance. We reviewed literature, heard detailed reports on surveillance programs, and shared expert opinions. Presentations by 22 countries were heard during the 2.5 day meetings. We describe the best methods of surveillance in general, the stakeholders in dengue surveillance, and the steps from mosquito bite to reporting of a dengue case to explore how best to carry out dengue surveillance. We also provide details and a comparison of the dengue surveillance programs by the presenting countries. The experts provided recommendations for achieving the best possible data from dengue surveillance accepting the realities of the real world (e.g., limited funding and staff). Their recommendations included: (1) Every dengue endemic country should make reporting of dengue cases to the government mandatory; (2) electronic reporting systems should be developed and used; (3) at minimum dengue surveillance data should include incidence, hospitalization rates, deaths by age group; (4) additional studies should be completed to check the sensitivity of the system; (5) laboratories should share expertise and data; (6) tests that identify dengue virus should be used in patients with fever for four days or less and antibody tests should be used after day 4 to diagnose dengue; and (7) early detection and prediction of dengue outbreaks should be goals for national surveillance systems.
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Analyzed the data: MEB. Wrote the paper: MEB. Organized the meeting, facilitated and presented, and synthesized the comments and recommendations: MEB. Assisted with organization of the meeting, facilitating discussions, synthesizing comments and recommendations, and revising and editing the recommendations: AS. Assisted with summarizing of data and editing of paper: DWF. Participated in the discussion, writing, and editing of the paper: JNH SKL SV MGG JFM-G SBH GWL JK RM HSM.
Membership of The Asia-Pacific and Americas Dengue Prevention Boards Surveillance Working Group is provided in the Acknowledgments.
ISSN:1935-2735
1935-2727
1935-2735
DOI:10.1371/journal.pntd.0000890