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Sustainable dengue prevention and control through a comprehensive integrated approach: the Sri Lankan perspective / Hasitha Tissera;Nimalka Pannila-Hetti;Preshila Samaraweera;Jayantha Weeraman;Paba Palihawadana;Ananda Amarasinghe

Tác giả : Hasitha Tissera;Nimalka Pannila-Hetti;Preshila Samaraweera;Jayantha Weeraman;Paba Palihawadana;Ananda Amarasinghe

Nhà xuất bản : World Health Organization. Regional Office for South-East Asia

Năm xuất bản : 2016

Chủ đề : 1. dengue. 2. dengue epidemic. 3. dengue prevention and control strategies. 4. Sri Lanka. 5. sustainable integrated dengue control. 6. Journal / periodical articles.

Thông tin chi tiết

Tóm tắt :

Dengue is a leading public health problem in Sri Lanka. All 26 districts and allage groups are affected, with high disease transmission; the estimated averageannual incidence is 175/100 000 population. Harnessing the World HealthOrganization Global strategy for dengue prevention and control, 2012–2020, SriLanka has pledged in its National Strategic Framework to achieve a mortality fromdengue below 0.1% and to reduce morbidity by 50% (from the average of thelast 5 years) by 2020. Turning points in the country’s dengue-control programmehave been the restructuring and restrategizing of the core functions; this hasinvolved establishment of a separate dengue-control unit to coordinate integratedvector management, and creation of a presidential task force. There has beengreat progress in disease surveillance, clinical management and vector control.Enhanced real-time surveillance for early warning allows ample preparednessfor an outbreak. National guidelines with enhanced diagnostics have significantlyimproved clinical management of dengue, reducing the case-fatality rate to 0.2%.Proactive integrated vector management, with multisector partnership, has createda positive vector-control environment; however, sustaining this momentum is achallenge. Robust surveillance, evidence-based clinical management, sustainablevector control and effective communication are key strategies that will beimplemented to achieve set targets. Improved early detection and a standardizedtreatment protocol with enhanced diagnostics at all medical care institutions willlead to further reduction in mortality. Making the maximum effort to minimizeoutbreaks through sustainable vector control in the three dimensions of riskmapping, innovation and risk modification will enable a reduction in morbidity

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https://iris.who.int/handle/10665/329657