Dengue/DHF

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WHO initiates bi-regional approach to tackle dengue fever in Asia Pacific

 

BANGKOK POST :

Doctors want dengue cooperation

Dengue experts, who are attending a World Health Organisation (WHO) meeting in Singapore to chart a roadmap to tackle dengue, agreed that regional collaboration is key to the success of dengue prevention.

According to Channel NewsAsia reports on Thursday, the WHO said the frequency of dengue outbreaks is increasing and spreading, with Asian countries experiencing such outbreaks every three to five years.

Experts said Singapore is a good example of a country that has successfully controlled the mosquito population. Just 3,100 dengue cases were reported in Singapore last year, dropping significantly from the previous year's number of 14,200, thanks to the dengue prevention campaign launched by the government.

"We need dengue control as part of public health policy. So before you start (any) development activity, you should be aware of the public health concerns," Jai P. Narain, director of communicable diseases in WHO Southeast Asia Regional Office, was quoted as saying. "So all these different measures have to be put in place. So this is what we are trying to do in the strategic plan. We have a framework for the whole region to be applied uniformly in different countries," he added.

Experts from some member countries, including Singapore, Thailand, India and Tonga, are meeting over the next few days until Saturday to work out a strategic plan for the region, the report said.

Singapore's National Environment Agency is hosting the WHO meeting to chart a roadmap to improve their ability to tackle the disease.

The participating countries come from a core group of the Asia-Pacific Dengue Partnership created by the WHO last year.

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THE STRAITS TIMES (SINGAPORE) :

Regional battle plan to fight dengue soon

Core group including Singapore working on framework to beef up collaboration

DENGUE experts and government officials from the Asia-Pacific are in Singapore - and they have wasted no time in acting on this 'most important emerging tropical disease'.

The World Health Organisation (WHO) is leading the regional battle plan to combat and control the disease.

By tomorrow, a core group, which includes Singapore, India, Thailand and Tonga, hopes to have a framework in place for the Asia-Pacific Dengue Partnership to try and strengthen collaboration on the disease.

Dr Jai Narain, communicable diseases director for WHO's South-east Asia regional office, said the framework will touch on three key areas: prevention; case management, including trying to reduce case fatality to less than 1 per cent; and monitoring and early forecasting.

The partnership was set up in March last year in response to what dengue expert Duane Gubler of the University of Hawaii observes as an emergent disease spreading to new geographic areas and whose frequency of outbreaks is on the upswing. 'To take a hard look at what we have done wrong and right is critical. Dengue has to be recognised for what it is. It has a tremendous social and economic impact that is not often appreciated,' he said. The approach needs to be a regional and not just on the country level, he added, because even if a country did an 'outstanding job' in controlling its problem, it would be useless if it sits in a 'sea of epidemics'.

The problems: some countries which have not allocated enough resources to put into place public health infrastructure to deal with dengue or to develop vaccines, or invested enough in training people. If other countries have a problem, so would Singapore, Professor Gubler said, pointing to the thousands of migrant workers who can bring in the disease, for instance.

Even those from non-dengue regions could cause outbreaks, exacerbating the 'penalty' Singapore is already paying for its effectiveness in dealing with dengue: the population has become more susceptible to infections because of the loss of immunity.

Still, Singapore could be the example for good vector control and case management methods, said Dr Narain.Dengue cases here have fallen from 14,209 in 2005 to 3,126 last year. Dr Narain said: 'It's not that we have to grope in the dark. But what we have to do is to scale up, involving various sectors in the coming years.'

 

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PEOPLE'S DAILY :

Experts call for Asia regional collaboration to tackle dengue

Dengue experts, who are attending a World Health Organization (WHO) meeting here to chart a roadmap to tackle dengue, agreed that regional collaboration is key to the success of dengue prevention. According to Channel NewsAsia reports on Thursday, the WHO said the frequency of dengue outbreaks is increasing and spreading, with Asian countries experiencing such outbreaks every three to five years. Experts said   Singapore is a good example of a country that has successfully controlled the mosquito population. Just 3,100 dengue cases were reported in Singapore last year, dropping significantly from the previous year's number of 14,200, thanks to the dengue prevention campaign launched by the government.

"We need dengue control as part of public health policy. So before you start (any) development activity, you should be aware of the public health concerns," Jai P. Narain, director of communicable diseases in WHO Southeast Asia Regional Office, was quoted as saying.

"So all these different measures have to be put in place. So this is what we are trying to do in the strategic plan. We have a framework for the whole region to be applied uniformly in different countries," he added.

Experts from some member countries, including SingaporeThailand, India and Tonga, are meeting over the next few days until Saturday to work out a strategic plan for the region, the report said. The participating countries come from a core group of the Asia-Pacific Dengue Partnership created by the WHO last year.

 

 

CHANNEL NEWSASIA :

WHO urges Asian countries to improve infrastructure to tackle dengue

Asian countries need to improve their infrastructure to prevent and manage outbreaks of dengue.

So Singapore's National Environment Agency is hosting a World Health Organisation (WHO) meeting to chart a roadmap to improve their ability to tackle the disease.

Dengue is a prevailing disease for the past two to three decades in Southeast Asia and in the Western Pacific.The WHO says the frequency of dengue outbreaks is increasing and spreading, with Asian countries experiencing such outbreaks every three to five years.

The challenge is to help them adopt policies from successful examples, like Singapore.

Dr Jai P Narain, Director, Communicable Diseases, WHO Southeast Asia Regional Office, said, "We need dengue control as part of public health policy. So before you start (any) development activity, you should be aware of the public health concerns.

"So all these different measures have to be put in place. So this is what we are trying to do in the strategic plan. We have a framework for the whole region to be applied uniformly in different countries."

Representatives from some member countries - including Singapore, Thailand and India and Tonga - are meeting over the next few days until Saturday to work out a strategic plan for the region.

It is felt that Asian countries are not investing enough money in hospitals and there are not enough medical professionals to deal with the disease. The participating countries make up the Asia-Pacific Dengue Partnership, which was formed in March last year at a meeting in Chiang Mai, Thailand. The countries come from WHO Regional Offices for Southeast Asia and Western Pacific.

Advisors to the WHO say countries have failed to put enough resources to develop vaccines. But it is difficult to develop a vaccine that is effective against all types of dengue. So what one company is doing is to develop an anti-viral drug, because it believes administering the drug to the affected people is more cost effective than mass vaccination. And even success stories, like Singapore's, may have a downside.

Professor D J Gubler, Director, Institute of Asia-Pacific for Tropical Medicine & Tropical Diseases, said, "Probably the success of the Singapore programme has resulted in the susceptibility in the Singapore population. A lot of people in Singapore have not experienced dengue and therefore are not immune to dengue and they're at a higher risk of infection."

The meeting hopes to agree on a regional framework and come up with a timetable to implement the ideas.

 

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