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26 - 81% dengue cases in RP unreported - study

Snowy Owl

Retired in 2010, In Memoriam
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26 - 81% dengue cases in RP unreported - study

</td> <td class="story-title" align="right" nowrap="nowrap" width="5%"> </td> </tr> <tr> <td class="story-box" colspan="2"><table border="0" cellpadding="3" cellspacing="0" width="100%"><tbody><tr><td class="story-information" width="100%">Tuesday, September 26 2006 @ 03:29 PM BST

Health </td></tr> <tr> <td> A new study revealed that a number of reported dengue incidence in the Philippines constitutes only a fraction of the actual cases.

The study entitled the "Burden of Disease and Economic Impact of Dengue" conducted by the University of the Philippines? College of Public Health, bared that 81 percent of dengue cases in the country are unreported, while those monitored have logical inconsistencies in reports from various sources of health data.

The study reviewed monitoring results of the National Epidemic Sentinel Surveillance System (NESSS) from 248 sentinel hospitals and the data from the Field Health Surveillance Information System (FHIS), both by the Department of Health?s National Epidemiological Center (NEC); likewise data from the serologic confirmatory tests done by the St. Lukes Hospital on blood specimens from 4,367 suspected dengue cases and various documents pertinent to the dengue prevention and control program of LGUs, and at the national level.

It cited NEC's FHSIS and NESSS 2004 report which revealed some inconsistencies. The FHSIS reported a total of 19,067 cases while the NESSS reported 22,828 hospitalized cases.

?Logically, the number of cases should be more than the hospitalized cases,? the study pointed out.

The study also cited that many cases are cinically diagnosed without the benefit of confirmatory tests.

The same study disclosed that even the serological test that is commonly used has relatively low sensitivity (77 percent) and specificity (76 percent) and takes an average of four days before the results are available.

NEC Director Dr. Eric Tayag, however, maintained that this is not the reason why dengue cases are lower this year.

He added that dengue shows a white spectrum of ailments, some of which are asymptomatic so many cases go unnoticed or undiagnosed, partly because many patients choose to ignore the ?innocent? symptoms of dengue ? some which could be a mild fever, or locally known as ?lagnat laki?.

He said that the UP study is a review from consultations in hospitals wherein they found out that, for example, only 19 in 100 dengue cases were reported.

?We are only seeing the tip of the iceberg," he said.

For example, Tayag said, if there are 16,000 dengue cases at any given time, there are actually hundreds of thousands dengue cases left unreported.

Proponents of the study, meanwhile, has called on the government to enhance the country?s health information system.

?If indeed the key to action is early detection and valid reporting, then there is no need to improve and harmonize the health information system perhaps through actual implementation of the DoH comprehensive surveillance system that covers clinical, laboratory, epidemiolgic and vector surveillace,? Dr. Fely Marilyn Lorenzo, a professor from the University of the Philippines-Manila said. (PNA)

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