Dengue Surveillance and Response in Thailand

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1 Dengue Surveillance and Response in Thailand Dr.Sopon Iamsirithaworn, MD, MPH, PhD Office of Disease Prevention and Control 1, Department of Disease Control, Ministry of Public Health, Thailand 1 April 2014

2 Outline of Presentation Case-based surveillance for dengue (DF/DHF/DSS) Epidemiology of dengue in Thailand Dengue responses in Thailand,

3 Source of Dengue Surveillance Data Case-based surveillance and reported as DF/DHF/DSS District Hospitals Provincial hospitals

4 ผลล พธ ของการต ดเช อไวร สเด งก (Dengue infection) ม อาการป วย 10% ไม ม อาการ 90% Undifferential Dengue fever Fever syndrome (viral syndrome) (Fever 5%) Classical (DF4%) With unusual haemorrhage Dengue haemorrheagic fever Plasma leakage No shock With shock (DSS) * Severe dengue (DHF1%) unusual manifestation isolated organopathy Expanded dengue syndrome * CNS/Encephalitis - Hepatitis/FHF - Myocarditis - ARF - Eye involvement - IAHS - etc.

5 ผลล พธ ของการต ดเช อไวร สเด งก DSS DHF Dengue Fever Undifferentiated Fever No Symptom

6 Dengue Incidence Rate in Thailand, Rate per 100,000 pop Largest outbreak (325/100,000) nd largest outbreak (235/100,000) st Outbreak 1978 Every district Source: Bureau of Epidemiology, Ministry of Public Health, Thailand Year

7 Regional dengue surveillance WHO: Dengue Situation Updates as of 14 March Accessed at Health Security and Emergencies 7

8 Regional dengue surveillance WHO: Dengue Situation Updates as of 14 March Accessed at Health Security and Emergencies 8

9 Regional dengue surveillance WHO: Dengue Situation Updates as of 14 March Accessed at Health Security and Emergencies 9

10 Regional dengue surveillance WHO: Dengue Situation Updates as of 14 March Accessed at Health Security and Emergencies 10

11 Global Dengue Situation Incidence of dengue has increased dramatically around the world in recent decades Over 2.5 billion people (over 40% of the world's population) are at risk WHO currently estimates million dengue infections worldwide every year 2-5 yr epidemic cycles Health Security and Emergencies 11

12 DF/DHF/DSS Situation in Thailand, 2013 No. of cases: 150,934 Morbidity rate: 235 per 100,000 pop No. of deaths: 133 CFR: 0.09% Source: Bureau of Epidemiology, MoPH, Thailand

13 DF/DHF/DSS Situation in Thailand, 2013 Thailand Bangkok Source: Bureau of Epidemiology, MoPH, Thailand

14 Number of Reported DF/DHF/DSS by Month, Thailand January 2013 February 2014 No. of cases Week of disease onset Source: Bureau of Epidemiology, Ministry of Public Health, Thailand

15 Updated situation of DF/DHF/DSS, Thailand 1 January March 2014 Source: Bureau of Epidemiology, Ministry of Public Health, Thailand

16 Dengue Morbidity Rates and Case Fatality Rates, Thailand, Morbidity rate (per 100,000 pop) CFR (%) Source: Bureau of Epidemiology, Ministry of Public Health, Thailand

17 Percentage of reported DF/DHF/DSS cases, Thailand, % 2.0% 42.60% DF DHF DSS Source: Bureau of Epidemiology, Ministry of Public Health, Thailand

18 Seasonal Trend of Dengue in Thailand Fig. 4 Reported Cases of D.H.F,Total(26,27,66) by Month, Thailand, N u m b er o f C ases June - Aug Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Source: Bureau of Epidemiology, Ministry of Public Health, Thailand

19 Incidence rate of DF/DHF/DSS per 100,000 pop by age group, Thailand, 2013 Rate/100,000 pop Source: Bureau of Epidemiology, Ministry of Public Health, Thailand

20 Percentages of Dengue in Adults and Children, Thailand Source: Bureau of Epidemiology, Ministry of Public Health, Thailand

21 Percentage of Reported DF/DHF/DSS Cases by Gender, Thailand, Jan-Aug 2013 Source: Bureau of Epidemiology, Ministry of Public Health, Thailand

22 Dengue Serotypes Circulation in Thailand, % %Serotype Rate per 100,000 pop % % % % DEN-1 DEN-2 DEN-3 DEN-4 CR Source: 1.National Surveillance System, Bureau of Epidemiology, MOPH, Thailand 2. Serotype data: Department of Medical Sciences, MOPH, Thailand

23 Dengue control strategies in Thailand ผลการศ กษา

24 Dengue responses in Thailand, 2013 National agenda Public health crisis Emergency operation center Multi-sectoral collaboration Government, private, local administration, public sectors Intensive risk communication Strengthening dengue surveillance Improving clinical practice guidelines for dengue treatment in adult patients

25 Minister of Health and Public Education

26 Larval survey and breeding source reduction by community participation

27 Thank you for your attention

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