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
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...
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
Morbidity and Mortality of Dengue, 1958-2015
0
2
4
6
8
10
12
14
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0
50
100
150
200
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350
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58
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62
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98
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Per
cen
tage
Per
10
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00
po
p
Morbidity Case fatality
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
0
1,000
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3,000
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6,000
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8,000
9,000
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53
2015 (123,169) 2014 (41,082) 2013 (154,444)
Dengue Case Reports, 2013-2015( Dec 1)
Median of 2010-2014 cases and Cases of 2013-2015
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5,000
10,000
15,000
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25,000
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35,000
Jan Feb Mar April May June July Aug Sep Oct Nov Dec
2015 2014 2013 Median(2010-2014)
Case reports by age groups, 2015
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
0-4 5-9 10-14 15-24 25-34 35-44 45-54 55-64 65+ Unknow
Case reports by sex, 2015
0
2,000
4,000
6,000
8,000
10,000
12,000
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov
Male Female
Case reports by occupations, 2015
0
10,000
20,000
30,000
40,000
50,000
60,000
Case reports by nationality, 2015
0
20,000
40,000
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140,000
Thailand Myanmar Malaysia Cambodia Laos Veitnam China Other
1992
2014
2013 2012
2011
DENV serotype circulation, 1973-2015
DEN-10
10
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40
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100
DEN-1 DEN-2 DEN-3 DEN-4
Week 45 Week 46 Week 47
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1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47
Bangkok
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1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47
Nonthaburi
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140
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Pathumthani
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1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47
Chachengsoa
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Nakornratchasima
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1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47
Nakornsawan
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1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47
Chaing Mai
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1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47
Rayong
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
• 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
No. (%) Hospital
(CI > 0)
(%) home of the
hospital's staff. (HI > 10)
(%) School
(CI > 0)
(%) religious
place
(CI > 0)
1
(Nov-Dec 2013) 18.41 12.11 33.89 55.88
2
(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
4
(July 2014) 15.82 13.29 35.68
69.85
Larvae Survey 2013-2014
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
ACTIVITIES
Dengue Campaign
TV Program
Community Participation
Thank you
