The simultaneous crises of dengue and COVID-19 in Pakistan: a double hazard for the country’s debilitated healthcare system

Tropical Medicine and Health - Tập 50 Số 1 - 2022
Govinda Khatri1, Mohammad Mehedi Hasan2, Somina Shaikh1, Syeda Lamiya Mir1, Abdul Moiz Sahito1, . Priya1, Ian Christopher N. Rocha3, Osman Kamal Osman Elmahi4
1Dow University of Health Sciences, Karachi, Pakistan
2Department of Biochemistry and Molecular Biology, Faculty of Life Science, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh
3School of Medicine, Centro Escolar University, Manila, Philippines
4Faculty of Medicine, Ibn Sina University, Khartoum, Sudan

Tóm tắt

AbstractDengue fever is an arthropod-borne viral illness caused by four dengue virus serotypes (DENV 1–4), spread by Aedes mosquitos. Common symptoms of dengue include high peak temperature, headache, myalgia, and malaise following infection, with a rash emerging after 3 to 4 days. More than half of the world's population lives in dengue-endemic areas. Every year, around 100 million dengue cases are reported, with Southeast Asia comprising the majority. Nearly every day, there is a breakout of dengue infections in many areas of Pakistan, in addition to the ongoing COVID-19 pandemic. As a result, combating the dual burden of dengue and COVID-19 is difficult for the nation's healthcare system. Misdiagnosis owing to overlapping symptoms with COVID-19, overburdening of the healthcare system, and a lack of appropriate vaccination are some of the obstacles for dengue infection management. The government of Pakistan is pursuing a variety of measures to combat dengue fever outbreaks, including, The Pakistan Red Crescent Society was asked by the Department of Malaria Control Program to aid in promoting awareness and organizing clean-up campaigns in polluted regions and stagnant water for vector control.

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Tài liệu tham khảo

Guzman MG, Harris E. Dengue. Lancet. 2015;385:453–65. https://doi.org/10.1016/S0140-6736(14)60572-9.

World Health Organization. Regional Office for South-East Asia. Comprehensive Guideline for Prevention and Control of Dengue and Dengue Haemorrhagic Fever. Revised and expanded edition, (2011). https://apps.who.int/iris/handle/10665/204894. Accessed 2 Feb 2022.

Wiwanitkit V. Dengue fever: diagnosis and treatment. Expert Rev Anti Infect Ther. 2014;8:841–5. https://doi.org/10.1586/ERI.10.53.

Thomas SJ, Yoon I-K. A review of Dengvaxia®: development to deployment. Hum Vaccin Immunother. 2019;15:2295–314. https://doi.org/10.1080/21645515.2019.1658503.

Wiyono L, Rocha IC, Cedeño TD, Miranda AV, Lucero-Prisno DE. Dengue and COVID-19 infections in the ASEAN region: a concurrent outbreak of viral diseases. Epidemiol Health. 2021. https://doi.org/10.4178/EPIH.E2021070.

Yousaf A, Khan FMA, Hasan MM, Ullah I, Bardhan M. Dengue, measles, and COVID-19: A threefold challenge to public health security in Pakistan, Ethics. Med Public Heal. 2021;19: 100704. https://doi.org/10.1016/J.JEMEP.2021.100704.

Rasheed SB, Butlin RK, Boots M. A review of dengue as an emerging disease in Pakistan. Public Health. 2013;127:11–7. https://doi.org/10.1016/J.PUHE.2012.09.006.

World Health Organization. Dengue fever – Pakistan, (2021). https://www.who.int/emergencies/disease-outbreak-news/item/dengue-fever-pakistan. Accessed 2 Febr 2022.

Times of India. Pakistan hospitals run out of beds on dengue surge, (2021). https://timesofindia.indiatimes.com/world/pakistan/pakistan-hospitals-run-out-of-beds-on-dengue-surge/articleshow/86910918.cms. Accessed 2 Febr 2022.

Asri S, Akram MR, Hasan MM, Khan FMA, Hashmi N, Wajid F, Ullah I. The risk of cutaneous mucormycosis associated with COVID-19: A perspective from Pakistan. Int J Health Plann Manage. 2021. https://doi.org/10.1002/HPM.3311.

Pakistan: Dengue fever outbreak continues in Sindh and Balochistan provinces in June, (2021). https://www.garda.com/crisis24/news-alerts/493656/pakistan-dengue-fever-outbreak-continues-in-sindh-and-balochistan-provinces-in-june-update-4. Accessed 26 Oct 2021.

E.J. Kweka, V. Baraka, L. Mathias, B. Mwang’onde, G. Baraka, L. Lyaruu, A.M. Mahande, Ecology of Aedes Mosquitoes, the Major Vectors of Arboviruses in Human Population, Dengue Fever - a Resilient Threat Face Innov. (2018). doi: https://doi.org/10.5772/INTECHOPEN.81439.

Khan J, Khan I, Ghaffar A, Khalid B. Epidemiological trends and risk factors associated with dengue disease in Pakistan (1980–2014): a systematic literature search and analysis. BMC Public Health. 2018;18:1–13. https://doi.org/10.1186/S12889-018-5676-2.

Harapan H, Ryan M, Yohan B, et al. Covid-19 and dengue: Double punches for dengue-endemic countries in Asia. Rev Med Virol. 2021;31:e2161. https://doi.org/10.1002/RMV.2161.

Pakistan: WHO Coronavirus Disease (COVID-19) Dashboard With Vaccination Data, (2022). https://covid19.who.int/region/emro/country/pk. Accessed 2 Feb 2022.

Joob B, Wiwanitkit V. COVID-19 can present with a rash and be mistaken for dengue. J Am Acad Dermatol. 2020;82: e177. https://doi.org/10.1016/J.JAAD.2020.03.036.

In Pakistan, ICU occupancy reaches breaking point as virus cases surge, (2021). https://www.arabnews.pk/node/1665371/pakistan. Accessed 2 Feb 2022.

DAWN.COM. Sindh working on increasing hospitals’ capacity for Covid-19 patients in Karachi as space running out - Pakistan, (2020). https://www.dawn.com/news/1559955. Accessed 2 Febr 2022.

Google News. Coronavirus (COVID-19) - Pakistan, (2022). https://news.google.com/covid19/map?hl=en-PK&state=7&mid=%2Fm%2F05sb1&gl=PK&ceid=PK%3Aen. Accessed 2 Feb 2022.

Akhtar H, Afridi M, Akhtar S, Ahmad H, Ali S, Khalid S, Awan SM, Jahangiri S, Khader YS. Pakistan’s Response to COVID-19: Overcoming National and International Hypes to Fight the Pandemic. JMIR Public Heal Surveill. 2021. https://doi.org/10.2196/28517.

Al Jazeera. Pakistan hospitals struggle as coronavirus cases explode, (2020). https://www.aljazeera.com/features/2020/6/12/pakistan-hospitals-struggle-as-coronavirus-cases-explode. Accessed 2 Feb 2022.

ReliefWeb. Pakistan: Dengue Outbreak Emergency Plan of Action (EPoA) DREF Operation n° MDRPK017 - Pakistan, (2021). https://reliefweb.int/report/pakistan/pakistan-dengue-outbreak-emergency-plan-action-epoa-dref-operation-n-mdrpk017. Accessed 2 Feb 2022.

National Institute of Health Islamabad. New App Launched: Mosquitoes Alert in Pakistan, (2021). https://www.nih.org.pk/new-app-launched-mosquitoes-alert-in-pakistan/. Accessed 2 Feb 2022.

Daily Times. Is Pakistan on its way to developing a permanent cure for dengue?, (2021). https://dailytimes.com.pk/346428/is-pakistan-on-its-way-to-developing-a-permanent-cure-for-dengue/. Accessed 2 Feb 2022.