Bonna Atia Sharmin, Pavel Shahed Rafi, Mehjabin Tajnuva, Ali Mohammad
Department of Public Health, North South University.
Department of Public Health, Bangladesh University of Health Sciences, Mirpur, Dhaka, 1216.
Int J Infect Dis. 2023 Jun 29. doi: 10.1016/j.ijid.2023.06.020.
Dengue is one of the prominent public health concerns in tropical and subtropical regions globally. The dengue epidemic was first observed in the 1780s, mainly in Asia, Africa, and America; however, this virus was found in Bangladesh in 1964. Rapid and unplanned urbanization, global warming, and prolonged rainy season promoted dengue outbreaks in recent years in Bangladesh. Additionally, household hazards contribute to producing an increased number of Aedes mosquitoes. The presence of four subtypes of dengue viruses (DENV) intensified the dengue outbreak and fatalities, especially since the reemergence of dengue DENV 4 caused more death in 2022. Dhaka city and Rohingya refugee camps witnessed the highest prevalence of dengue patients and fatalities. Furthermore, the cocreation of the dengue outbreak and COVID-19 pandemic-related hazards overwhelmed the health system in Bangladesh. The measures previously taken by the Bangladesh government and City Corporation authorities proved inadequate to face the surge of dengue patients during the pandemic. The government of Bangladesh should stress the proper management of a high volume of dengue patients and raise public concern to fight mosquito proliferation in hot spots such as Dhaka city and Rohingya refugee camps.
登革热是全球热带和亚热带地区主要的公共卫生问题之一。登革热疫情最早于18世纪80年代被观察到,主要发生在亚洲、非洲和美洲;然而,1964年在孟加拉国发现了这种病毒。近年来,快速且无规划的城市化、全球变暖和漫长的雨季促使孟加拉国登革热疫情爆发。此外,家庭中的危险因素导致埃及伊蚊数量增加。登革热病毒(DENV)的四种亚型的存在加剧了登革热的爆发和死亡人数,特别是自2022年登革热DENV 4再次出现导致更多死亡以来。达卡市和罗兴亚难民营的登革热患者和死亡人数最为普遍。此外,登革热疫情和与COVID-19大流行相关的危险因素共同出现,使孟加拉国的卫生系统不堪重负。孟加拉国政府和城市公司当局此前采取的措施证明不足以应对疫情期间登革热患者的激增。孟加拉国政府应强调对大量登革热患者的妥善管理,并提高公众对在达卡市和罗兴亚难民营等热点地区抗击蚊虫繁殖的关注。