PMID: 15361960Sep 14, 2004Paper

Endemic dengue: surveillance strategy challenges

Revista Da Sociedade Brasileira De Medicina Tropical
Keyla Belizia Feldman Marzochi

Abstract

Interaction between clinical infection, vector, and population serotype immunity defines dengue epidemic risk. An endemic-sporadic epidemiological situation is an acceptable control target in metropolitan regions deficient in urban upgrading, sanitation, and health agents' access to residences, besides low residual power of biological insecticides and social mobilization problems. Surveillance requires continued action by government and society (particularly when incidence decreases) and adequate proposals. To establish a sensitive and specific surveillance system for endemic periods, the authors propose the sentinel clinical component as part of emergency care (detecting serious tip-of-the-iceberg cases) and reference services for acute febrile diseases, defining clinical forms and providing diagnostic confirmation. Although complex, sample serotype surveys should be conducted in strategic areas, evaluating: immunity and susceptibility of age groups to circulating serotypes; estimation of sub-clinical cases; and Surveillance and Control System reach.

References

Apr 1, 1994·Memórias do Instituto Oswaldo Cruz·K B Marzochi
Oct 19, 2000·The American Journal of Tropical Medicine and Hygiene·R J PontesA Spielman
Mar 15, 2001·Lancet·E E OoiS H Chan

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Citations

Jan 18, 2008·Revista Da Sociedade Brasileira De Medicina Tropical·Marli Tenório CordeiroEduardo Freese de Carvalho
Jun 3, 2009·Cadernos de saúde pública·Juliana Pires MachadoReinaldo Souza-Santos
Dec 11, 2007·Revista de saúde pública·Adriano Mondini, Francisco Chiaravalloti Neto
Jul 1, 2019·Environmental Monitoring and Assessment·José Francisco de Oliveira-JúniorCarlos Antonio Silva Junior
Nov 26, 2013·Revista Da Sociedade Brasileira De Medicina Tropical·Creuza Rachel VicenteCrispim Cerutti
May 18, 2013·Revista brasileira de enfermagem·Cassia Barbosa ReisRivaldo Venâncio da Cunha

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