2006 dengue outbreak in Pakistan

Last updated
2011 Dengue Outbreak in Pakistan
Location Lahore, Punjab, Pakistan
DateSummer 2011
Confirmed cases14,000+
Deaths
300+

The 2006 dengue outbreak in Pakistan was at the time the worst on record. [1] There were 1931 lab-confirmed cases, and 41 confirmed deaths, according to the World Health Organization Regional Office for the Eastern Mediterranean. [2] Other sources report a death toll of 52. [3]

Since 2006, studies indicate that dengue fever is on the rise in Pakistan. [4] It is noted throughout the year, peaking at post-monsoon season. [5] Many factors have been cited, including a surge in the principal mosquito vectors Aedes aegypti. and Aedes albopictus [6] [7] However, in 2006, an additional factor may have been the lack of patient management standards, since dengue was a relatively new public health challenge for the country. [6]

See also

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References

  1. Ghani, MH (May–August 2008). "Dengue virus outbreak in the year 2006 at a tertiary care centre in Sindh" (PDF). Journal of the Liaquat University of Medical & Health Sciences. 7 (2): 71–74. doi: 10.22442/jlumhs.08720147 .
  2. World Health Organization Regional Office for the Eastern Mediterranean (15 September 2013). "Dengue fever in Pakistan" (PDF). Weekly Epidemiological Record. 6 (37): 1.
  3. Rasheed, SB (January 2013). "A review of dengue as an emerging disease in Pakistan". Public Health. 127 (1): 11–17. doi:10.1016/j.puhe.2012.09.006. PMID   23219263.
  4. Khan, Jehangir (2018). "Epidemiological trends and risk factors associated with dengue disease in Pakistan (1980–2014): a systematic literature search and analysis". BMC Public Health. 18 (1): 745. doi: 10.1186/s12889-018-5676-2 . PMC   6003098 . PMID   29907109.
  5. Khan, E (2010). "Demographic and Clinical Features of Dengue Fever in Pakistan from 2003–2007: A Retrospective Cross-Sectional Study". PLOS ONE. 5 (9): 12505. Bibcode:2010PLoSO...512505K. doi: 10.1371/journal.pone.0012505 . PMC   2938342 . PMID   20856935.
  6. 1 2 Riaz, MM (June 2009). "Outbreak of dengue fever in Karachi 2006: a clinical perspective". Journal of the Pakistan Medical Association. 59 (6): 339–44. PMID   19534364.
  7. Mukhtar, Muhammad (2011). "Entomological investigations of dengue vectors in epidemic-prone districts of Pakistan during 2006–2010". Dengue Bulletin. 35: 99–115. hdl:10665/171002 via WHO IRIS.