Dengue case management : Report of an informal expert consultation, Colombo, SRL,12-14 August 2013
AbstractDengue is the fastest-growing arborvirus infection with a rapidly evolving epidemiology. During the past 50 years, the worldwide incidence of dengue has risen 30-fold. The World Health Organization estimates that 50 100 million dengue infections occur each year in 100 tropical and subtropical countries where almost half the world's population lives. Approximately 1.8 billion (more than 70%) of the population at risk for dengue worldwide live in Member States of the WHO South-East Asia and Western Pacific regions, which bear nearly 75% of the current global disease burden due to dengue. Except for the Democratic People's Republic of Korea, all 10 countries including India are endemic for dengue. Incidence of dengue is increasing as the disease spreads and explosive outbreaks are occurring in newer geographical areas. Mortality is the highest during the initial period of the outbreak or epidemic. Children in particular are at high risk of mortality as a result of complications and lack of access to prompt treatment. The interventions that are currently available have been relatively effective for more than two decades, but there is clearly a need for the development of new and improved diagnostic, preventive and therapeutic tools. In contribution to ongoing efforts to manage the dengue cases effectively in the Region, a three-day informal expert consultation on case management of DF/DHF was held in Colombo, Sri Lanka, from 12 to 14 August 2013. The experts recommended harmonization and synchronization of the dengue case classification of WHO guidelines 2011 with TDR guidelines 2009.
World Health Organization, Regional Office for South-East Asia. (2014). Dengue case management : Report of an informal expert consultation, Colombo, SRL,12-14 August 2013. WHO Regional Office for South-East Asia. http://www.who.int/iris/handle/10665/204949