San Martín José Luis, Brathwaite-Dick Olivia
Programa Regional de Dengue, Unidad de Control de Enfermedades Transmisibles, Organización Panamericana de la Salud/Organización Mundial de la Salud, 02862 Panamá, República de Panamá.
Rev Panam Salud Publica. 2007 Jan;21(1):55-63. doi: 10.1590/s1020-49892007000100011.
During the last 22 years, the Region of the Americas has seen an upward trend in dengue incidence, with epidemics peaking ever higher and recurring every 3-5 years, almost regularly. A major factor in the spread of the disease has been the diminished capacity of national programs to respond with dengue prevention and control. This paper evaluates the Integrated Strategy for Dengue Prevention and Control-approved by the 44th Directing Council of the Pan American Health Organization in September 2003- and its preliminary results. The Integrated Strategy for Dengue is a management model designed to strengthen national programs, with a focus on reducing morbidity, mortality, and the societal and economic burdens produced by outbreaks and epidemics. Currently, 11 of the countries in the Region have developed a plan for or implemented a national strategy. In addition, a sub-Regional plan has been developed for Central America and the Dominican Republic. The Integrated Strategy for Dengue is expected to produce a qualitative leap forward in prevention and control through stronger partnerships among the State, its various ministries, and governing bodies, at all levels; private companies; and the range of community and civil groups. Once implemented, this strategy will reduce risk factors for dengue transmission, establish an integrated epidemiological surveillance system, decrease Aedes aegypti mosquito populations, prepare laboratories to better detect and identify the virus, optimize diagnosis and treatment, and, as a result, decrease the frequency, magnitude, and severity of dengue outbreaks and epidemics.
在过去22年里，美洲地区登革热发病率呈上升趋势，疫情高峰不断攀升，几乎每隔3至5年就定期复发。该疾病传播的一个主要因素是国家项目应对登革热预防和控制的能力下降。本文评估了泛美卫生组织第44届指导委员会于2003年9月批准的登革热预防和控制综合战略及其初步成果。登革热综合战略是一种管理模式，旨在加强国家项目，重点是降低发病率、死亡率以及疫情和流行病造成的社会和经济负担。目前，该地区有11个国家制定了计划或实施了国家战略。此外，还为中美洲和多米尼加共和国制定了一项次区域计划。登革热综合战略有望通过国家及其各级部委、管理机构、私营公司以及各类社区和民间团体之间更紧密的伙伴关系，在预防和控制方面实现质的飞跃。一旦实施，该战略将降低登革热传播的风险因素，建立综合流行病学监测系统，减少埃及伊蚊数量，使实验室能够更好地检测和识别病毒，优化诊断和治疗，从而降低登革热疫情和流行病的发生频率、规模和严重程度。
