Singh Narendra, Kiedrzynski Tom, Lepers Christelle, Benyon Elise Kamisan
Secretariat of the Pacific Community, Noumea, New Caledonia.
Pac Health Dialog. 2005 Sep;12(2):111-9.
Dengue continues to be a threat to Pacific Island countries and territories (PICTs). The last DEN-1 epidemic reached 16 PICTs and in some of them it affected as much as 20 per cent of the population, aside from the massive impact on their fragile economies. Dengue is mostly introduced into PICTs from global travel, and many experts believe that it has a 3-4 year cyclical pattern of occurrence. All four virus serotypes (DEN-1, 2, 3 and 4) have caused epidemics, but those caused by DEN-1 and 2 have been somewhat larger. In light of this, dengue rightly remains a priority for the Pacific Public Health Surveillance Network (PPHSN). The paper updates the situation regarding dengue outbreaks in PICTs over the last four decades, describes the pattern of presentations in the recent past, and provides an update on the potential risk to PICTs for the near future. It follows on from an earlier dengue update written in 1998. The utility of PPHSN services is also demonstrated in the paper: PacNet for alerts and communication about dengue outbreaks (raising awareness and preparedness levels in the region) and LabNet for investigations relating to dengue. Creative interventions towards dengue control and prevention are being tried in PICTs and early assessment and evaluations of their effectiveness in the field are being examined.
登革热仍然对太平洋岛国和领地构成威胁。上一次登革热-1疫情波及16个太平洋岛国和领地，在其中一些地方，除了对其脆弱经济造成巨大影响外，还影响了多达20%的人口。登革热大多通过全球旅行传入太平洋岛国和领地，许多专家认为其发病具有3至4年的周期性模式。所有四种病毒血清型（登革热-1、2、3和4）都引发过疫情，但由登革热-1和2引发的疫情规模更大。有鉴于此，登革热理所当然仍是太平洋公共卫生监测网络的工作重点。本文更新了过去四十年来太平洋岛国和领地登革热疫情的情况，描述了近期的发病模式，并提供了太平洋岛国和领地近期潜在风险的最新信息。它是在1998年撰写的一份早期登革热情况更新报告的基础上完成的。本文还展示了太平洋公共卫生监测网络服务的作用：用于登革热疫情警报和通信的PacNet（提高该地区的认识和防范水平）以及用于登革热相关调查的LabNet。太平洋岛国和领地正在尝试采取创新性的登革热控制和预防干预措施，并正在对其在实地的有效性进行早期评估。
