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Role of Primary Care Providers in Dengue Prevention and Control in the Community

Ang, K.T., and Rohani I., and Look, C.H., (2010) Role of Primary Care Providers in Dengue Prevention and Control in the Community. Medical Journal of Malaysia, 65 (1). pp. 58-62. ISSN 0300-5283

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Official URL: http://www.e-mjm.org/2010/v65n1/Dengue_Prevention.pdf

Affiliations

Ministry of Health, Malaysia
Ministry of Health, Malaysia
Ministry of Health, Malaysia

Abstract

Dengue fever is a major public health threat in Malaysia,
especially in the highly urbanized states of Selangor and the Federal Territory of Kuala Lumpur. It is believed that many seek treatment at the primary care clinics and are not
admitted. This study aims at establishing the fact that
primary care practitioners, as the first point of patient
contacts, play a crucial role in advising patients suspected of having dengue to take early preventive measures to break the chain of dengue transmission. A total of 236 patients admitted to two government hospitals for suspected dengue fever were interviewed using a structured questionnaire over a one week period in December 2008. I t was found that 83.9% of the patients had sought treatment at a Primary Care (PC) facility before admission to the hospital, with 68.7% of them seeking treatment on two or more occasions. The mean time period for seeking treatment at primary care clinic was one and a half (1.4) days of fever, compared to almost five (4.9) days for admission. The majority of patients (96-98%) reported that primary care practitioners had not given them any advice on preventive measures to be taken even though 51.9% of the patients had been told they could be having dengue fever. This study showed the need for primary care providers to be more involved in the control and prevention of dengue in the community, as these patients were seen very early in their illness compared to when they were admitted..

Item Type:Journal
Keywords:Dengue transmission, Dengue case control, Dengue prevention, Primary care, Dengue education
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:11327

1. Director General of Health, Ministry of Health Malaysia. Press Release, Perang habis-habisan memerangi denggi dan chikungunya (War on dengue and chikungunya), http://www.moh.gov.my/ (accessed on 24 Mar 2009).

2. Ministry of Health Malaysia. Weekly dengue situation update, week 52/2008. http://www.moh.gov.my/ (accessed on 24 Mar 2009).

3. Ministry of Health Malaysia. Weekly returns, pvb 301 (Den A) week 52/ 2007, Vector-borne Disease Control Branch, Disease Control Division.

4. Guzman MG, Kouri G. Dengue : An update. Lancet Infectious Diseases 2002; 2(1): 36.

5. Scott A R, Jeffrey N H, Susan L H et al. Dengue control in north queensland, australia : case recognition and selective indoor residual spraying. Dengue Bulletin 2002; 26: 7-13.

6. Lolekha R, Chokephaibulkit K, Yoksan S, Vanprapar N et al. Diagnosis of dengue infection using various diagnostic tests in early stage of illness. Southeast Asian J Trop Med Public Health 2004; 35(2): 391-5.

7. Kao C L, King C C, Chao D Y et al. Laboratory diagnosis of dengue virus infection: current and future perspectives in clinical diagnosis and public health. J Microbiol Immunol Infect 2005; 38: 5-16.

8. McBride WJ, Mullner H, La Brooy JT, Wronski I. The 1993 Dengue-2 epidemic in Charters Towers, North Queensland : clinical features and public health impact. Epidemiol Infect 1998; 121(1): 151-6.

9. Charmagne G B, Kosasih H, Faisal I et al. Early detection of dengue infections using cluster sampling around index cases. Am J Trop Med Hyg, 2005; 2(6): 777-82.

10. Kevin R. Porter et al. Epidemiology of dengue and dengue haemorrhagic fever in a cohort of adults living in Bandung, West Java, Indonesia. Am J Trop Med Hyg 2005; 72 (1): 60-66.

11. Timothy P E, Chunsuttiwat S, Nisalak A et al. Epidemiology of inapparent and symptomatic acute virus infection : a prospective study of primary school children in Kamphaeng Phet, Thailand. Am J Epidemiol 2002; 15:

40-51.

12. Ministry of Health Malaysia. Dengue control in Malaysia. Malaysia’s Health 2005; 129-138.

13. Ministry of Health Malaysia, Academy of Medicine Malaysia. Clinical practice guidelines - dengue management in adults (2nd Edition) 2008.

14. KT Ang, Dengue cluster outbreak in Gombak. Journal of Health Management. 2008; 5: 55-61.

15. Institute for Public Health, Ministry of Health Malaysia. Health utilisation - report of the 3rd National Health and Morbidity Survey 2006 (NHMS III) 2008; pp 74.

16. Naing L, Winn T and Rusli BN. Sample size calculator for estimations, version 1.0.02. http://www.kck.usm.my/ppsg/stats_resources.htm (accessed in Nov 2008).

17. Ministry of Health, Singapore. Report of the expert panel on dengue. Chapter 3- control operations in Singapore, and chapter 4 - critique of present situation and strategies in dengue control; Oct 2005: 8-16.

18. Tanner L, Schreiber M, Low GH et al. Decision tree algorithms predict the diagnosis and outcome of dengue fever in early phase of illness. PLoS Negl Trop Dec 2008; 12; 2(3): 196-207.

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