WHO South-East Asia Journal of Public Health
  • 337
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
PERSPECTIVE
Year : 2016  |  Volume : 5  |  Issue : 2  |  Page : 106-112

Sustainable dengue prevention and control through a comprehensive integrated approach: the Sri Lankan perspective


1 Epidemiology Unit; National Dengue Control Unit, Ministry of Health, Nuitrition and Indigenous Medicine, Sri Lanka
2 National Dengue Control Unit, Ministry of Health, Nuitrition and Indigenous Medicine, Sri Lanka
3 Epidemiology Unit, Ministry of Health, Nutrition and Indigenous Medicine, Sri Lanka

Correspondence Address:
Hasitha Tissera
Epidemiology Unit, Ministry of Health, Nutrition and Indigenous Medicine, 231 De Saram Place, Colombo 01000
Sri Lanka
Login to access the Email id


DOI: 10.4103/2224-3151.206246

PMID: 28607237

Rights and Permissions

Dengue is a leading public health problem in Sri Lanka. All 26 districts and all age groups are affected, with high disease transmission; the estimated average annual incidence is 175/100 000 population. Harnessing the World Health Organization Global strategy for dengue prevention and control, 2012–2020, Sri Lanka has pledged in its National Strategic Framework to achieve a mortality from dengue below 0.1% and to reduce morbidity by 50% (from the average of the last 5 years) by 2020. Turning points in the country's dengue-control programme have been the restructuring and restrategizing of the core functions; this has involved establishment of a separate dengue-control unit to coordinate integrated vector management, and creation of a presidential task force. There has been great progress in disease surveillance, clinical management and vector control. Enhanced real-time surveillance for early warning allows ample preparedness for an outbreak. National guidelines with enhanced diagnostics have significantly improved clinical management of dengue, reducing the case-fatality rate to 0.2%. Proactive integrated vector management, with multisector partnership, has created a positive vector-control environment; however, sustaining this momentum is a challenge. Robust surveillance, evidence-based clinical management, sustainable vector control and effective communication are key strategies that will be implemented to achieve set targets. Improved early detection and a standardized treatment protocol with enhanced diagnostics at all medical care institutions will lead to further reduction in mortality. Making the maximum effort to minimize outbreaks through sustainable vector control in the three dimensions of risk mapping, innovation and risk modification will enable a reduction in morbidity.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1483    
    Printed8    
    Emailed0    
    PDF Downloaded242    
    Comments [Add]    
    Cited by others 2    

Recommend this journal