WHO South-East Asia Journal of Public Health

PERSPECTIVE
Year
: 2016  |  Volume : 5  |  Issue : 2  |  Page : 106--112

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


Hasitha Tissera1, Nimalka Pannila-Hetti3, Preshila Samaraweera3, Jayantha Weeraman2, Paba Palihawadana2, Ananda Amarasinghe2 
1 Epidemiology Unit; National Dengue Control Unit, Ministry of Health, Nuitrition and Indigenous Medicine, Sri Lanka
2 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

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.


How to cite this article:
Tissera H, Pannila-Hetti N, Samaraweera P, Weeraman J, Palihawadana P, Amarasinghe A. Sustainable dengue prevention and control through a comprehensive integrated approach: the Sri Lankan perspective.WHO South-East Asia J Public Health 2016;5:106-112


How to cite this URL:
Tissera H, Pannila-Hetti N, Samaraweera P, Weeraman J, Palihawadana P, Amarasinghe A. Sustainable dengue prevention and control through a comprehensive integrated approach: the Sri Lankan perspective. WHO South-East Asia J Public Health [serial online] 2016 [cited 2020 Apr 1 ];5:106-112
Available from: http://www.who-seajph.org/article.asp?issn=2224-3151;year=2016;volume=5;issue=2;spage=106;epage=112;aulast=Tissera;type=0