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[보건] Dengue in the urban slums of Pakistan: health costs, adaptation practices, and the role of dengue-diagnosis and surveillance in controlling the epidemic

파키스탄 국외연구자료 연구보고서 - GeoJournal 발간일 : 2024-03-21 등록일 : 2024-04-04 원문링크

Dengue virus (DENV) infection is a public health issue in tropical and sub-tropical climates, including in Pakistan. A significant population in Pakistan lives in urban slums, where residents are highly susceptible to the risk of DENV transmission. We examine health costs of DENV infection, determinants of adaptation practices and the role of surveillance to control DENV infection using cross-sectional data from urban slums of Pakistan. Information from respondents with and without dengue history indicated that slum dwellers have very little knowledge of dengue mosquitoes and viral transmissions. Practices adopted by the slum dwellers to avoid DENV infection risk appeared to be unsatisfactory. We employed a health belief model to examine factors affecting control practices. Participation in dengue awareness sessions, information from media, and dengue-diagnosis and surveillance team visits are found to be important determinants of high adaptation practices to avoid DENV infection. Dengue surveillance system for controlling DENV infection in urban Pakistani slums needs improvements. Rigorous and continuous monitoring should be vigilantly performed in areas where DENV infection cases originate. Regular presentation of dengue awareness sessions at a union council level and providing timely and appropriate healthcare education to the slum communities could improve household adaptation practices and lower DENV infection rates.

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