OUTBREAK OF DENGUE FEVER IN LAHORE: STUDY OF RISK FACTORS
Abstract
Background: Dengue fever is a rapidly emerging arthropod born viral disease threatening to becomean international public health problem. Approximately 500,000 people suffer from dengue
haemorrhagic fever and dengue shock syndrome with 20,000 deaths annually. Objective of this study
was to look into the risk factors associated with the development of dengue fever. Methods: This crosssectional descriptive study was conducted on patients admitted in various hospitals of Lahore with
suspected Dengue fever. Data was collected on a questionnaire from 109 conveniently selected patients.
Results: Mean age of the patients was 34±16.5 years, and majority (80, 73.4%) were male.
Seropositivity for dengue was found in 78 (71.5%). The study did not find significant statistical
association of seropositivity with demographic variables. However, source of water supply was found
associated with dengue seropositivity (p=0.002). Conclusion: Source of water is a determinant of
contracting dengue fever owing to it a breeding media for mosquitoes. All other phenomena associated
with use of water and sanitation needs to be part of long term control of dengue that will also contribute
to controlling other diseases with the same determinants.
Keywords: Dengue fever, dengue haemorrhagic fever, dengue shock syndrome, water sources, epidemic
References
Dengue Fever World Health Organization Fact Sheet No.117.
Available from: http://www.who.int/mediacentre/
factsheets/fs117/en/.
Lloyd LS. Environmental health project: Best practices for dengue
prevention and control in the Americas. Strategic report
Washington DC: Organizacion Panamericano de la salud; 2003.
Jahan F. Dengue fever in Pakistan. Asia Pac Fam Med
;10:1. doi: 10.1186/1447-056X-10-1.
Khan E, Hasan R. Dengue Infection in Asia; A Regional
Concern. J Postgrad Med Inst 2011;26:1-6.
Khan H. Wake-up: dengue epidemic is at the door step. Gomal J
Med Sci 2011;9:143-4.
Erlanger TE, Keiser J, Utzinger J. Effect of dengue vector control
interventions on entomological parameters in developing
countries: a systematic review and meta-analysis. Med Vet
Entomol 2008;22:203-21.
World Health Organization. Dengue: Guidelines for diagnosis,
treatment, prevention and control. Geneva: WHO and Tropical
Disease Research; 2009.
Khormi HM, Kumar L. Modelling dengue fever risk based on
socioeconomic parameters, nationality and age groups: GIS and
remote sensing based case study. Sci Total Environ
;409(22):4713-9.
Braga C, Luna CF, Martelli CM, De Souza WV, Cordeiro MT,
Alexender N, et al. Seroprevalence and risk factors for dengue
infection in socio-economically distinct areas of Recife, Brazil.
Acta Trop 2010;113:234-0.
Duncombe J, Lau C, Weinstein P, Aaskov J, Rourke M, Grant R,
et al. Seroprevalence of dengue in American Samoa, 2010
[letter]. Emerg Infect Dis 2013;19:324-6.
Montenegro D, Lacerda HR, Lira TM, Oliveira DS, Lima AA,
Guimarães MJ, et al. [Clinical and epidemiological aspects of the
dengue epidemic in Recife, PE, 2002]. [Article in Portuguese].
Rev Soc Bras Med Trop 2006,39:9-13.
Schmidt WP, Suzuki M, Thiem VD, White RG, Tsuzuki A, et al.
Population density, water supply, and the risk of dengue fever in
Vietnam: cohort study and spatial analysis. PLoS Med
;8(8):e1001082.
Phoung HL, De Vries PJ, Bhooshuyar C, Binh TQ, Nam NV,
Kager PA. Dengue risk factors and community participation in
Binh Thuan Province, Vietnam, a household survey. Southeast
Asian J Trop Med Public Health 2008;39:79-89.
Ashford DA, Savage HM, Hajjeh RA, Mcready J, Bartholomew
DM, Spiegel RA, et al. Outbreak of dengue fever in Palau,
western Pacific: risk factors for infection. Am J Trop Med Hyg
:69(2):135-40.
Figueiredo MA, Rodrigues LC, Barreto ML, Lima JW, Costa
MC, Morato V, et al. Allergies and diabetes as risk factors for
dengue hemorrhagic fever: results of a case control study. PLoS
Negl Trop Dis 2010;4(6):e699.
Pang J, Salim A, Lee VJ, Hibberd ML, Chia KS, Leo YS, et al.
Diabetes with hypertension as risk factors for adult dengue
hemorrhagic fever in a predominantly dengue serotype 2 epidemic:
a case control study. PLoS Negl Trop Dis 2012;6(5):e1641.
Downloads
Published
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.