Khan Sakirul, Akbar Sheikh Mohammad Fazle, Mahtab Mamun Al, Yahiro Takaaki, Hashimoto Takehiro, Kimitsuki Kazunori, Nishizono Akira
Research Center for Global and Local Infectious Diseases, Oita University, Yufu, Japan.
Department of Microbiology, Faculty of Medicine, Oita University, Yufu, Japan.
IJID Reg. 2024 Jun 25;12:100395. doi: 10.1016/j.ijregi.2024.100395. eCollection 2024 Sep.
Dengue, a life-threatening disease caused by the mosquito-borne dengue virus, has become a severe problem in recent years in Bangladesh, a South Asian country. In this study, we have critically analyzed the factors contributing to the escalation of the dengue burden in recent years in Bangladesh and discussed the strategies for effective control.
This retrospective observational study analyzed the dengue data collected from the five most dengue-affected countries (Bangladesh, Brazil, Mexico, Peru, and the Philippines) from 2019 to 2023.
An increased number of dengue-related deaths has been recorded in Bangladesh since 2021. The year 2023 has witnessed a record high dengue-related deaths in Bangladesh, with cumulative deaths for the year surpassing all totals of the previous 23 years (2000-2022: 853 deaths vs 2023: 1705 deaths). Comparing the epidemiologic data of major dengue-endemic countries over the last 5 years, Bangladesh recorded higher dengue fatality rates consecutively for 3 years. Besides the environmental and viral host factors, which are also applicable to many other dengue-endemic countries, there is concern about the failures and mismanagement of authorities to manage dengue patients properly.
This study provided evidence that Bangladesh recorded higher dengue fatality rates in recent years. By implementing multi-pronged proactive approaches that can ensure proper prevention programs and appropriate patient management, Bangladesh or similar other countries can significantly reduce the current dengue burden and the associated deaths.
登革热是一种由蚊媒传播的登革病毒引起的危及生命的疾病，近年来在南亚国家孟加拉国已成为一个严重问题。在本研究中，我们严格分析了近年来导致孟加拉国登革热负担加重的因素，并讨论了有效控制的策略。
这项回顾性观察研究分析了2019年至2023年从五个登革热感染最严重的国家（孟加拉国、巴西、墨西哥、秘鲁和菲律宾）收集的登革热数据。
自2021年以来，孟加拉国登革热相关死亡人数有所增加。2023年，孟加拉国登革热相关死亡人数创历史新高，当年累计死亡人数超过了此前23年（2000 - 2022年：853例死亡 vs 2023年：1705例死亡）的总和。比较过去5年主要登革热流行国家的流行病学数据，孟加拉国连续3年登革热死亡率更高。除了环境和病毒宿主因素（这些因素也适用于许多其他登革热流行国家）外，人们还担心当局在妥善管理登革热患者方面存在失误和管理不善的情况。
本研究提供的证据表明，孟加拉国近年来登革热死亡率较高。通过实施多管齐下的积极措施，确保适当的预防计划和对患者的妥善管理，孟加拉国或其他类似国家可以显著减轻当前的登革热负担及相关死亡人数。
