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Scrub typhus in Bhutan: a synthesis of data from 2009 to 2014 / Tshokey Tshokey;Tashi Choden;Ragunath Sharma

Tác giả : Tshokey Tshokey;Tashi Choden;Ragunath Sharma

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

Năm xuất bản : 2016

Chủ đề : 1. Bhutan. 2. Gedu. 3. Orientia tsutsugamushi. 4. scrub typhus. 5. Journal / periodical articles.

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Scrub typhus is an acute, febrile illness, caused by the bacterium Orientiatsutsugamushi, that affects millions annually in the endemic Asia-Pacific region.In untreated cases, the case-fatality rates range from 6% to 35%. In Bhutan,there was a probable outbreak in Gedu in 2009, which resulted in heightenedawareness of the disease. Nevertheless, information on scrub typhus in Bhutan islimited and scattered and the epidemiology has yet to be established. To report thecurrent picture of scrub typhus in Bhutan, this review gathered data from scholarlydatabases, surveillance reports, the Annual health bulletin, research publicationsand laboratory test reports from hospitals. The weight of evidence indicates anincreasing burden of scrub typhus since the Gedu incident, coupled with increasedawareness and testing. Another outbreak in a rural primary school in 2014 resultedin two deaths. More hospitals now have testing facilities and laboratory-confirmedcases have been increasing since 2009, with seasonal trends. This reviewhighlights the need for in-depth surveillance and reporting, increased awarenessamong health-care workers, and initiation of prevention and control programmesin the country
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https://iris.who.int/handle/10665/329658