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Dengue in the Americas: challenges for prevention and control.
- Source :
-
Cadernos de saude publica [Cad Saude Publica] 2009; Vol. 25 Suppl 1, pp. S19-31. - Publication Year :
- 2009
-
Abstract
- Dengue is the most important vector-borne disease in the Americas and threatens the lifes of millions of people in developing countries. Imprecise morbidity and mortality statistics underestimate the magnitude of dengue as a regional health problem. As a result, it is considered a low priority by the health sector with no timely steps for effective control. Dengue is perceived as a problem of 'others' (individually, collectively and institutionally), therefore responsibility for its control is passed on to others (neighbors, the community, municipality, health institutions, or other governmental agencies). With no precise risk indicators available there is little opportunity for timely diagnoses, treatment, health interventions or vector control (poor surveillance). Solutions only targeting the vector reduce the impact of interventions and there is no sustainable control. Without political commitment there are insufficient resources to face the problem. This paper discusses the challenges for prevention and control in the Americas.
- Subjects :
- Adolescent
Adult
Aedes virology
Aged
Aged, 80 and over
Animals
Child
Dengue prevention & control
Dengue transmission
Environmental Exposure
Female
Humans
Incidence
Infant
Insect Vectors virology
Latin America epidemiology
Male
Middle Aged
Risk Factors
Severe Dengue epidemiology
Severe Dengue mortality
Severe Dengue prevention & control
Severity of Illness Index
Young Adult
Communicable Disease Control
Dengue epidemiology
National Health Programs
Subjects
Details
- Language :
- English
- ISSN :
- 1678-4464
- Volume :
- 25 Suppl 1
- Database :
- MEDLINE
- Journal :
- Cadernos de saude publica
- Publication Type :
- Academic Journal
- Accession number :
- 19287863
- Full Text :
- https://doi.org/10.1590/s0102-311x2009001300003