Pakistan: 2019 Dengue

[Shiloh]

Source: https://www.pakistantoday.com.pk/201...-dengue-fever/

190 more patients test positive for dengue fever
by Staff Report , (Last Updated 3 hours ago)

KARACHI: Dengue fever remains uncontrollably in parts of the country as 190 more patients have been tested positive for the disease in Karachi in past 24 hours.

At least 34 dengue patients have died in the metropolis this year and 12,471 cases were reported across Sindh in 2019.

23 people in Rawalpindi suffered from the disease during last 24 hours and total number of patients has surged to 14,253. 78 persons died in the city in 2019...

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Source: https://arynews.tv/en/dengue-cases-detected-lahore/


11 new dengue cases detected in Lahore during 24 hours
Web Desk On Nov 14, 2019

LAHORE: As many as 11 new cases of mosquito-borne dengue fever were detected during the last 24 hours in Lahore on Thursday, ARY News reported.

According to Dengue Response Unit (DRU), the number of dengue positive cases in Lahore has jumped to 601 with the confirmation of 11 new patients.

Earlier on November 13, Punjab Health Minister Dr. Yasmeen Rashid had said that the provincial government was taking all-out measures to cope with the menace of dengue...

[Ronan Kelly]

Countrywide dengue cases nearing 50,000

Ikram JunaidiUpdated November 18, 2019

ISLAMABAD: Dengue outbreak has set a new record with the number of reported cases surging to 49,587 in the country during the current year, taking a leap of over 5,000 cases in less than two weeks.

It’s nearly double of the maximum number of Pakistanis infected with dengue in a year over the past decade, as prev iously the highest number of cases was reported eight years ago. In 2011, 27,000 people had been infected with dengue.

However, the previous death toll was 370, over four times of this year’s 79 mortalities.
...

https://www.dawn.com/news/1517320/countrywide-dengue-cases-nearing-50000

[Shiloh]

Source: https://www.who.int/csr/don/19-novem...e-pakistan/en/
Dengue fever – Pakistan

Disease outbreak news
19 November 2019



Health authorities in Pakistan are responding to an ongoing outbreak of dengue fever. This outbreak was first reported on 8 July 2019 by the Khyber Teaching Hospital in Peshawar, Khyber Pakhtunkhwa (KP) province. Since then, three other provinces (Punjab, Balochistan, and Sindh), as well as Islamabad Capital Territory (ICT), and Azad Jammu and Kashmir (AJK; one of the two autonomous territories) have also reported cases of dengue fever.

From 8 July to 12 November 2019, a total of 47,120 confirmed cases of dengue fever, including 75 deaths, were reported from the four provinces (KP, Punjab, Balochistan, and Sindh), Islamabad, and AJK.

The following is a brief update on the dengue fever situation in each of these areas: Khyber Pakhtunkhwa (KP):

From 8 July through 12 November 2019, a total of 7,641 confirmed cases of dengue fever were reported from KP and KP Tribal Districts. The male to female ratio was 1. Samples were sent for serotyping and were found positive for dengue virus serotype 1 (DENV-1) and dengue virus serotype 2 (DENV-2) in KP. Punjab:

From 1 August through 12 November 2019, a total of 9,676 confirmed dengue fever cases, including 16 deaths, have been reported. Nine positive samples from Rawalpindi confirmed the circulation of DENV-2 in the province. Azad Jammu and Kashmir (AJK):

From 1 August through 12 November 2019, a total of 1,689 confirmed cases of dengue fever, with one death, were reported. Islamabad Capital Territory (ICT):

From 6 August through 12 November 2019, 12,986 confirmed cases of dengue fever, including 22 deaths, have been reported from eight major hospitals in Islamabad. A total of 17 new samples were tested at the National Institute of Health (NIH) laboratory in Islamabad. Dengue virus serotype 1 (DENV-1) and dengue virus serotype 2 (DENV-2) were isolated from 3 and 14 samples respectively, indicating an ongoing circulation for both serotypes. Sindh:

From 1 September through 12 November 2019, a total of 12,053 confirmed cases of dengue fever, including 33 deaths, have been reported. Balochistan:

From 18 September through 12 November 2019, a total of 3,075 confirmed cases of dengue fever were reported with three deaths. Serotyping of five positive samples confirmed the circulation of DENV-1. Vector surveillance conducted in the province showed the presence of Aedes aegypti. Public health response

WHO country office (WCO) is supporting the government of Pakistan in the following response activities:

• Developing a comprehensive dengue response plan to the ongoing dengue outbreaks. The plan covers case management, dengue surveillance, vector control, and community mobilization and coordination.
• Supporting social mobilization activities at the Holy Family Hospital in Rawalpindi, Pakistan Institute of Medical Sciences (PIMS) hospital in Islamabad, and in Rawalpindi Central Railway Station.
• Donation of mosquito fogging equipment, along with thousands of dengue awareness flyers, posters, banners and brochures, which were distributed in schools, railway stations and other public places to provide information on the dengue virus.

The following response measures have been taken by the Ministry of Health in Pakistan:

• The National Institute of Health Emergency Operation Center (NIH EOC) has been activated since 16 September 2019 to monitor the disease situation in constant liaison with the provincial health departments.
• Vector surveillance and control activities have been initiated in Islamabad and Punjab. In Islamabad, Aedes aegypti larvae were present in 28 samples (39%) out of 71 samples collected.
• Most public and private hospitals are registered on the Punjab Information Technology Board (PITB) for case reporting; a dashboard has been created for case mapping.
• Rapid response teams are in place to conduct active response at household level and in infected areas.
• All provinces have arranged free of charge diagnostic and clinical management services for the cases
• Daily situation report is being disseminated to federal and provincial health departments.
• The Seasonal Awareness & Alert Letter (SAAL) and Advisory on Prevention and Control of Dengue has been widely disseminated along with information, education and communication materials.
• Dengue Control & Operations Cell has been set up in the Ministry with 24/7 access to the public. The Cell is also seeking feedback from households covered in the dengue response plan.

WHO risk assessment

Dengue is a mosquito-borne viral infection, caused by four dengue virus serotypes (DENV -1, DENV- 2, DENV -3, DENV- 4). Infection with one serotype provides long term immunity to the homologous serotype but not to the other serotypes. Sequential infections put people at greater risk for severe dengue and dengue shock syndrome (DSS). In Pakistan, dengue fever is endemic with reports of seasonal surges of cases and circulation of the different serotypes (DENV-1, DENV-2, DENV-3) in various parts of the country.

The overall risk at the national level is high. Although initiatives for the dengue outbreak response were introduced in Pakistan during the 2017 outbreak in Peshawar, these were never brought into current practice. In the absence of a robust surveillance system for dengue in affected provinces, the evolution of outbreaks may be difficult to track. The current outbreak highlights the need for sensitization of health care providers on dengue detection and case management, as well as improved surveillance of acute febrile illness in Pakistan to better define the burden of disease and trends in seasonality.

The overall regional risk is assessed as moderate. Aedes albopictus is known to be present in the Balochistan province bordering Iran and was detected in Afghanistan in 2018 from an area bordering the KP province. This border has cross-border movement of approximately 2,000 people per day. Afghanistan needs further support to monitor and respond to vector-borne diseases like dengue. Should the outbreak spread to Afghanistan, the regional resources will be challenged. Dengue cases have been reported in the Sindh and Punjab provinces bordering India.

The risk at the global level is assessed as low. WHO advice

The proximity of mosquito vector breeding sites to human habitations is a significant risk factor for dengue virus infection. There is no specific treatment for dengue infection, but early detection and access to proper medical care lowers mortality. In addition, dengue prevention and control depends on effective vector control measures.

WHO promotes the strategic approach known as Integrated Vector Management (IVM) to control mosquito vectors, including Aedes spp . (the vector for dengue). IVM activities should be enhanced to remove potential breeding sites, reduce vector density, and minimize individual exposures. This should include both larval and adult vector control strategies (i.e. environmental management, source reduction, and chemical control measures), as well as strategies to protect individuals and households. Vector control activities should target all settings where human–vector contact occurs (including place of residence, workplaces, schools, and hospitals).

Vector control activities may include covering, emptying, and cleaning of all domestic water storage containers on a weekly basis. In addition, recommended insecticides at exact dosage can be used in outdoor water storage containers.

Where indoor biting occurs, household aerosol products, mosquito coils, or other insecticide vaporizers may reduce biting activity and should be used based on the instructions on its label. Household fixtures such as windows, door screens, and air conditioning units can also reduce biting. Since Aedes mosquitoes (the primary vector for transmission) are day-biting mosquitoes, personal protective measures such as use of clothing that minimizes skin exposure during daylight hours is recommended. Repellents may be applied to exposed skin or to clothing. Insecticide-treated mosquito nets afford good protection for those who sleep during the day (e.g. infants, people confined to beds due to illness or age, dengue patients, and night-shift workers) as well as during the night to prevent mosquito bites.

In addition, surveillance (vector and case tracking) should continue to be strengthened within all affected areas and at the national level. Vector surveillance should provide guidance to control efforts and assess impact.

Key public health communication messages on reducing the risk of transmission of dengue in the population should continue to be provided through the mass media, health centers, and other avenues.

WHO does not recommend any general travel or trade restrictions to Pakistan based on the currently available information.

For more information on Dengue fever in Pakistan:

• Global Strategy for dengue prevention and control, 2012–2020
• Dengue fact sheet
• WHO dengue control
• WHO scales up response to global surge in dengue
• Strong country capacity, improved tools and community engagement critical to enhancing dengue prevention and control

[Shiloh]

Source: https://www.thenews.com.pk/latest/57...-last-24-hours

More than 150 contract dengue virus in Sindh over last 24 hours
Web Desk
November 20, 2019

KARACHIengue virus seems to be on the rise again in Sindh as 178 more people contracted the virus over the last 24 hours, it was learned on Wednesday.

As many as 13800 people have contracted dengue virus this year. Throughout Sindh, 35 people have died from the virus this year...

[Shiloh]

Source: https://arynews.tv/en/kp-dengue-feve...ocket-to-7039/


KP dengue fever cases skyrocket to 7039
Web Desk On Nov 20, 2019

PESHAWAR: The number of dengue cases in Khyber Pakhtunkhwa skyrocketed to 7,039 as more people diagnosed with dengue fever today (Wednesday) in the province, ARY News reported.

According to a press release of the Dengue Response Unit issued here, the total number of dengue cases in Peshawar has reached 2,677.

Meanwhile, 178 people have been diagnosed with the dengue virus within a span of 24 hours in Sindh province...

[Shiloh]

Source: https://arynews.tv/en/dengue-fever-c...lives-karachi/


Dengue fever claims two more lives in Karachi, toll jumps to 37
Web Desk On Nov 23, 2019


KARACHI: Dengue fever on Saturday claimed two more lives in Karachi, taking the death toll from the mosquito-borne disease to 37, this year so far, ARY News reported.

The deceased were identified as Shehzad, 40-year old, resident of Korangi and Abdul Rafay, 60, resident of Shah Faisal Colony. Both were undergoing treatment at a private hospital of Karachi where they breathed their last, today.

With the recent deaths, the tally has jumped to 37 this year so far, while the number of dengue patients in Sindh has soared to 14,317...

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Source: https://www.thenews.com.pk/print/572...g-a-new-record

Dengue fever outbreak setting a new record
Muhammad Qasim
November 23, 2019

Rawalpindi :The three teaching hospitals in town have already tested over 11,940 patients positive for dengue fever so far this year that has set a new record as the number of confirmed cases reported in one year alone, in 2019 at allied hospitals has almost equalled the number of patients confirmed positive in previous 13 years, from 2006 to 2018.

The allied hospitals in town are still receiving 10 to 20 confirmed cases of dengue fever daily on average despite a significant fall in temperature and the infection has already claimed 41 lives at the three hospitals and the number of deaths caused by the infection in 2019 has also crossed the total number of deaths due to dengue fever reported in last 13 years at the allied hospitals...

[Shiloh]

Source: https://www.pakistantoday.com.pk/201...41-in-karachi/

Woman dies of dengue, death toll reaches 41 in Karachi
by Staff Report , (Last Updated 9 hours ago)

KARACHI: A woman suffering from dengue fever in the Nazimabad neighborhood died on Wednesday.

She had been admitted to a private hospital and was being treated for the infection, according to hospital authorities. She was 26 years old.

So far this year, 41 people have died of dengue in Sindh. In the last 24 hours, more than 151 people have been diagnosed with the disease in Karachi.

This country-wide toll has exceeded 50,000...

[Shiloh]

Source: https://arynews.tv/en/dengue-virus-across-sindh/


15,058 people affected with dengue virus across Sindh
Web Desk On Nov 29, 2019

KARACHI: The number of patients affected with a mosquito-borne dengue virus has reached up to 15,058 across Sindh, whereas, the toll stood at 14,011 in Karachi, ARY News reported on Friday.

The latest statistics were released by Dengue Surveillance Cell after the emergence of 107 new cases of the virus in Karachi, 8 in other districts of the province.

The surveillance cell confirmed 40 deaths in Karachi due to dengue virus.

Karachi, the metropolis has the biggest number of dengue victims within the province with the current affectees exceeding the figure of 14,011.

On November 24, it emerged that dengue cases in Pakistan exceed 50,000 as 229 people have been diagnosed with the dangerous virus primarily carried by female mosquitoes on last Sunday...

[Shiloh]

Source: https://www.pakistantoday.com.pk/201...er-in-karachi/


Two more succumb to dengue fever in Karachi
by Staff Report , (Last Updated 20 hours ago)

KARACHI: Two more people diagnosed with dengue fever succumbs to the disease in Karachi on Saturday.

As per details, a woman, resident of North Nazimabad and a three-month-old baby of Gulshan-e-Malir passed away in a private hospital of the metropolis due to dengue fever.

According to the Dengue Surveillance Cell Sindh, the tally of those who have fallen to the dangerous virus has climbed to 42 in the province.

As many as 15,304 individuals have been diagnosed with the dengue fever in the province in the ongoing year, revealed the Sindh Dengue Surveillance Cell report...

[Shiloh]

Source: https://www.pakistantoday.com.pk/201...ge-in-karachi/

87 new dengue cases emerge in Karachi
by PPI , (Last Updated about 1 hour ago)

KARACHI: As many as 87 more dengue fever cases were reported across Karachi city in the last 24 hours, taking the reported cases toll to 14,768 since 1st Jan 2019.

Spokesman for Prevention and Control Program for Dengue (PCPD) Sindh, while talking to PPI, confirmed that at least 97 more dengue fever cases surfaced throughout the Sindh province in a day, out of which 87 were in Karachi and 10 in other districts.

A total of 43 people have died across the Sindh province out of which 41 were from Karachi city and one each from Hyderabad and Ghotki, respectively...

[Shiloh]

Source: https://arynews.tv/en/dengue-fever-c...eported-sindh/


Most Dengue fever cases now being reported in Sindh: health officials
Web Desk On Dec 7, 2019 Last updated Dec 7, 2019
Dengue, Sindh, Karachi

KARACHI: The dengue fever cases were reportedly dropped by 93 percent but the situation in Sindh disappointing as two more dengue patients died in Karachi hospitals, ARY News reported.

As per details, a woman resident of North Nazimabad and a three-month-old baby of Gulshan-e-Malir passed away in hospitals of the metropolis due to dengue fever.

This year a total of 15,963 dengue cases were detected in Sindh province so far out of which, 14,837 were reported in Karachi and remaining in other districts of the province.

According to the Ministry of National Health, no cases of dengue fever reported in Balochistan, Azad Kashmir and Islamabad, while the number of the cases in Punjab goes down by 97 percent...

[Ronan Kelly]

Dengue toll in Sindh rises to 45 as two more die in Karachi
The Newspaper's Staff ReporterDecember 08, 2019Facebook Count

KARACHI: Dengue haemorrhagic fever claimed two more lives in the city, bringing the toll of the mosquito-borne disease in Sindh so far this year to 45, officials said on Saturday.

A private hospital reported the death of a 32-year-old woman due to the lethal infection.
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Another dengue patient, a 16-year-old boy, was brought to the same hospital from Usmanabad locality in a critical condition and he too died during treatment of septic shock and multi-organ dysfunction syndrome.
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https://www.dawn.com/news/1520982

[Ronan Kelly]

Death toll rises to 46 this year as dengue claims woman’s life
People in Karachi are not having any respite from the dengue fever despite the weather turning relatively cold in the port city as another woman became victim of the vector-borne illness, officials said on Monday.


“A 38-year-old woman, resident of North Karachi, died due to complications of the dengue fever at Aga Khan University Hospital on Monday,” an official of the Sindh Dengue Prevention and Control Programme said.

With the latest death, the number of deaths due to dengue in the current year rose to 46 in Karachi, officials said, adding that so far over 15,000 people had been infected with the virus in the city.
...

https://www.thenews.com.pk/print/581016-death-toll-rises-to-46-this-year-as-dengue-claims-woman-s-life

[Ronan Kelly]

Death toll from dengue in 2019 is 95: report
Samaa Digital
December 18, 2019

As the dengue season in Pakistan draws to a close, Sindh still keeps recording more cases. Last week, 341 new cases surfaced in the province, according to the Emergency Operations Centre NIH, Islamabad.

For the first time, no deaths have been reported during the week. During last week, December 9 to 15, a total of 373 new cases were reported raising the year’s tally to 53,600, says the official report.
...

https://www.samaa.tv/news/2019/12/death-toll-from-dengue-in-2019-is-95-report/

[Shiloh]

Source: https://www.pakistantoday.com.pk/201...ce-in-karachi/


26 more dengue fever cases surface in Karachi
by Staff Report , (Last Updated 7 hours ago)

KARACHI: As many as 26 more dengue fever cases were reported across the megacity in last 24-hours, taking the reported cases’ toll to 15,558 since 1st Jan 2019...