Gutierrez-Barbosa Hernando, Medina-Moreno Sandra, Zapata Juan C, Chua Joel V
Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Grupo de Virología, Vicerrectoría de Investigaciones, Universidad El Bosque, Bogotá 110121, Colombia.
Trop Med Infect Dis. 2020 Oct 3;5(4):156. doi: 10.3390/tropicalmed5040156.
Dengue is a major public health problem in hyperendemic countries like Colombia, the understanding of the epidemiological trends is important for the development of efficient public health policies. We conducted a systematic review of the epidemiologic data on dengue in Colombia from 1971 to 2020. A total of 375 relevant citations were identified, 36 of which fulfilled the inclusion criteria. The data of dengue and severe dengue cases, infection fatality rate, and serotype distribution were used to understand and identify gaps in the epidemiological knowledge in Colombia. The epidemiology of dengue in this country was characterized by five main outbreaks in 1998, 2002, 2010, 2013, and 2019 with high fatality rates in comparison with the average values reported in the Americas. The case fatality rate of severe dengue exceeded 2% and all four serotypes co-circulate throughout the country with some regional variations. Overall, the behavior of dengue in Colombia is influenced by multiple factors including seasonal temperature variation and socioeconomic conditions. Additionally, the most important barriers in the epidemiological surveillance of dengue may be due to the insufficient notification rate in some regions and the low active search for the circulation of different serotypes.
登革热是哥伦比亚等高度流行国家的一个主要公共卫生问题，了解其流行病学趋势对于制定有效的公共卫生政策很重要。我们对1971年至2020年哥伦比亚登革热的流行病学数据进行了系统综述。共识别出375条相关文献，其中36条符合纳入标准。利用登革热和重症登革热病例数据、感染死亡率以及血清型分布情况来了解和识别哥伦比亚流行病学知识方面的差距。该国登革热流行病学的特点是在1998年、2002年、2010年、2013年和2019年出现了五次主要疫情，与美洲报告的平均值相比死亡率较高。重症登革热的病死率超过2%，所有四种血清型在全国共同流行，存在一些区域差异。总体而言，哥伦比亚登革热的流行情况受多种因素影响，包括季节性温度变化和社会经济状况。此外，登革热流行病学监测中最重要的障碍可能是一些地区报告率不足以及对不同血清型传播的主动搜索力度较低。
