College of Medicine, Hadhramout University, Mukalla, Yemen.
University of Medical Sciences and Technology, Khartoum, Sudan.
BMC Public Health. 2023 Oct 30;23(1):2122. doi: 10.1186/s12889-023-17020-9.
Dengue fever (DF) is a mosquito-borne viral disease transmitted by Aedes mosquito species and has been considered a major public health problem in Kassala State for tens of years. This study aimed to assess the level of readiness and response toward the 2019 dengue fever outbreak in Kassala at the state and community levels.
This exploratory cross-sectional study was conducted in Kassala State, Sudan, from January to March 2020. The researcher conducted interviews with the key respondents at the state level to assess the level of readiness and response and to reflect the capacity of institutions-public health authorities, health systems, and emergency response bodies.
The surveillance system reported 3961 DF cases in Kassala State, representing 93.5% of the total cases in Sudan between August 2019 and January 2020. This outbreak was identified by passive surveillance, 51 samples were tested during the outbreak period, and private clinics and labs were not included in the surveillance system. According to the WHO checklist of outbreak readiness and response, Kassala's surveillance system and public health laboratory received the lowest scores.
The study concludes that outbreak readiness and response could be considered below standards, mainly in the surveillance system and laboratory diagnostic facilities, due to the absence of intersectoral collaboration with a regulatory framework in terms of financial and operational participation.
登革热（DF）是一种由伊蚊传播的病毒性疾病，几十年来，一直被认为是卡萨拉州的一个主要公共卫生问题。本研究旨在评估卡萨拉州在州和社区两级对 2019 年登革热疫情的准备和应对水平。
这是一项 2020 年 1 月至 3 月在苏丹卡萨拉州进行的探索性横断面研究。研究人员对州一级的主要受访者进行了访谈，以评估准备和应对水平，并反映各机构（公共卫生当局、卫生系统和应急机构）的能力。
监测系统报告卡萨拉州有 3961 例登革热病例，占 2019 年 8 月至 2020 年 1 月期间苏丹登革热总病例数的 93.5%。此次疫情是通过被动监测发现的，在疫情期间检测了 51 个样本，私人诊所和实验室未被纳入监测系统。根据世卫组织疫情准备和应对检查表，卡萨拉的监测系统和公共卫生实验室得分最低。
研究得出结论，由于缺乏部门间合作以及在财务和运营参与方面缺乏监管框架，疫情准备和应对情况可能被认为低于标准，主要是在监测系统和实验室诊断设施方面。
