1. Epidemiological profile of dengue in Champasak and Savannakhet provinces, Lao People's Democratic Republic, 2003-2020
- Author
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Zafar, Sumaira, Overgaard, Hans, Pongvongsa, Tiengkham, Vannavong, Nanthasane, Phommachanh, Sysavanh, Shipin, Oleg, Rocklöv, Joacim, Paul, Richard, Rahman, Md Siddikur, Mayxay, Mayfong, Asian Institute of Technology [Pathumthani] (AIT), Norwegian University of Life Sciences (NMBU), Khon Kaen University [Thailand] (KKU), Savannakhet Provincial Health Department [Lao People’s Democratic Republic], Savannakhet Province [Lao People’s Democratic Republic], Champasak Provincial Health Office [Pakse, Lao Democratic People’s Republic], University of Health Sciences [Vientiane, Laos] (UHS), Umeå University, Génétique fonctionnelle des maladies infectieuses - Functional Genetics of Infectious Diseases, Institut Pasteur [Paris] (IP)-Centre National de la Recherche Scientifique (CNRS), Begum Rokeya University [Rangpur, Bangladesh], Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Mahidol University [Bangkok]-Mahosot Hospital, University of Oxford, and This research was supported by the Research Council of Norway (DENCLIM project, grant number 281077).
- Subjects
disease burden ,seasonal variation ,Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi ,Laos ,[SDV]Life Sciences [q-bio] ,epidemiology ,Public Health, Global Health, Social Medicine and Epidemiology ,General Medicine ,epidemiologic surveillance ,disease notification ,dengue - Abstract
International audience; Dengue is a public health issue in tropical south-eastern Asia responsible for significant morbidity and mortality. Information on dengue epidemiology is necessary for developing strategies to control infections effectively. In the Lao People’s Democratic Republic (Lao PDR), Champasak and Savannakhet provinces account for around 30% of the national dengue burden. In this study, the dengue epidemiological profile in these two southern provinces of Lao PDR was described by analysing seasonal and spatial dengue notification data from 2003–2020 using the long-term mean (LTM) method. Savannakhet had a higher LTM (132.0 cases/month, 95% confidence interval [Cl]: 92.2–171.7) than Champasak (113.3 cases/month, 95% CI: 86.0–140.5), with peaks in dengue notifications following the rainy season in both provinces. The highest notification rates were observed in July to September; these months were also when the LTM was most frequently exceeded. Previously, dengue notifications were largely confined to the western districts of Savannakhet and the northern districts of Champasak, but more recently, notifications have increased in the eastern districts of Savannakhet and southern districts of Champasak. While the notification rate remained high in children and young adults (5–30 years), especially among students and farmers, a shift in the age structure of dengue cases was observed, with a greater proportion of notifications now occurring in those aged over 30 years. Community-based vector control and prevention programmes are needed to restrict the spread of dengue into new geographical areas in the southern provinces of Lao PDR.
- Published
- 2022