Journal of Epidemiology and Global Health

Volume 10, Issue 1, March 2020, Pages 74 - 81

Dengue Outbreak Response and Control in Khyber Pakhtunkhwa, Pakistan: A Mixed Methods Study

Authors
Mohamed Ali Mohamud1, Umair Qazi1, Abdul Latif1, *, Iftikhar Uddin Khan2, Saeed Anwar1, 3
1Department of Postgraduate Program, Prime Institute of Public Health, Riphah International University, Islamabad, Pakistan
2Bacha Khan Medical College, Mardan, Khyber Pakhtunkhwa, Pakistan
3Peshawar Medical College, Riphah International University Islamabad, Pakistan
*Corresponding author. Email: latifafzalkhan@gmail.com
Corresponding Author
Abdul Latif
Received 1 July 2019, Accepted 21 November 2019, Available Online 31 December 2019.
DOI
https://doi.org/10.2991/jegh.k.191125.001How to use a DOI?
Keywords
Dengue fever, dengue control strategies, dengue mortality and morbidity in KP, Pakistan, mixed method study, dengue outbreaks in KP
Abstract

Background: Since 2008, dengue fever outbreaks had occurred repeatedly in various districts of Khyber Pakhtunkhwa (KP) province of Pakistan. Most importantly the outbreak of 2017 caused 70 deaths, about 121,083 suspected and 24,938 confirmed cases in 23 districts of KP. In 2018, an abrupt decline in suspected and confirmed dengue cases was observed and 2018 was declared as dengue outbreak free. This study characterizes and explores the control and response measure activities of the outbreak. In addition, we explored the challenges faced and lessons learned for control of future dengue outbreaks from the perspectives of health authorities and dengue response staff in the KP province of Pakistan.

Methods: This was a mixed methods study with quantitative data on dengue outbreaks obtained from health department in KP followed by qualitative study to explore activities and responses that enabled the Dengue Response Unit (DRU) for a successful dengue outbreak control in 2018. In-depth interviews were conducted with the key informants from the department of health and the dengue response unit.

Results: The quantitative data analysis revealed a huge decline of suspected and confirmed dengue cases in comparison with the previous year in most of the KP districts. A similar decline in dengue reported cases was also observed from previously high dengue burden 14 union counsels of Peshawar district. Among the 70 verified deaths in 2017, 44 (63%) were males and 26 (37%) were females. The cases were about 20% each from age groups of 21–30, 41–50, and 51–60 years. The qualitative study findings showed four prominent major themes for successful control: (1) control and response strategy; (2) organizing specific dengue control and response intervention activities; (3) addressing dengue control and response challenges; and (4) generating lesson for future dengue control and response.

Copyright
© 2019 Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
10 - 1
Pages
74 - 81
Publication Date
2019/12/31
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
https://doi.org/10.2991/jegh.k.191125.001How to use a DOI?
Copyright
© 2019 Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

TY  - JOUR
AU  - Mohamed Ali Mohamud
AU  - Umair Qazi
AU  - Abdul Latif
AU  - Iftikhar Uddin Khan
AU  - Saeed Anwar
PY  - 2019
DA  - 2019/12/31
TI  - Dengue Outbreak Response and Control in Khyber Pakhtunkhwa, Pakistan: A Mixed Methods Study
JO  - Journal of Epidemiology and Global Health
SP  - 74
EP  - 81
VL  - 10
IS  - 1
SN  - 2210-6014
UR  - https://doi.org/10.2991/jegh.k.191125.001
DO  - https://doi.org/10.2991/jegh.k.191125.001
ID  - Mohamud2019
ER  -