Dengue finds its voice

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Image courtesy of the IFRC

A few days before World Health Day, the International Federation of Red Cross and Red Crescent Societies (IFRC) launched a new advocacy strategy and paper: Dengue: Turning up the volume on a silent disaster. We spoke to Amanda McClelland, Emergency Health Senior Officer at the IFRC, about the strategy, the publication and, of course, about how World Health Day helped with the campaign. “The advocacy was driven from the field where we were seeing the dengue burden increasing,” Amanda revealed. “The cost of dengue is high. People in the villages get dengue regularly, meaning they lose wages but have to spend money on treatment.” The IFRC has seen carrier mosquitos reaching some parts of Europe and returning to the United States and Australia, but dengue really grabbed the federation’s attention after a large-scale five-country outbreak in the Americas last year.
Image courtesy of the IFRC

Image courtesy of the IFRC

The focus of World Health Day 2014 was on raising awareness of vector-borne diseases such as dengue and leishmaniasis. With the slogan “Small bite, big threat,” the World Health Organization’s campaign provided insight into the diseases, their vectors, and the steps we need to take to protect ourselves and our families. vector-borne-diseases The campaign confirmed that dengue is the fastest growing vector-borne disease today. 50 years ago it was only found in nine countries; today it can be found in 100. Already over 40 percent of the world’s population is at risk.
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Image courtesy of the IFRC

The IFRC has already seen World Health Day as having a significant impact on dengue with more people talking to them about it. Amanda told us: “World Health Day has really amplified our message. We’re really pleased about the number of people that are interested in talking to us about dengue now.”
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Image courtesy of the IFRC

A number of the federation’s 189 National Societies across the world used the day to launch their dengue programs. The national Society in Timor-Leste, for example, ran a cleanup day where they mobilized hundreds of volunteers and community members to do environmental sanitation projects. In addition, they also had meetings with the WHO and the Ministry of Health to look at what they can be doing about dengue in their country today and how they can move things forward in the future. Besides this, volunteers also have a key role to play as they assist communities in adopting the necessary behavior change, which impacts the transmission of the disease; they are also the link between local health facilities as they aid in data collection.
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Volunteers reaching out to locals. Image courtesy of the IFRC

The IFRC is confident it will see similar programs from other National Societies. “We’re advocating for our National Societies to sit with partners in their countries and look at what they are doing now, how they could improve and how they need to move forward,” shared Amanda. At Break Dengue, we anticipate many more conversations derived from World Health Day 2014 and the IFRC advocacy, conversations that will help us all understand how big the problem really is and how big an impact it is really having… conversations that will see governments, partners, health workers, communities, and donors working together to combat this easily preventable – yet extremely painful, costly and disruptive – disease. From the interest that’s already been generated, we know great things can happen.

Manu Toigo: Naked, afraid & battling dengue:

Manu Toigo from Discovery Channel's, Naked and Afraid image

Manu Toigo knows that celebrity status is no protector against dengue fever or the diseases spread by Aedes aegypti mosquitoes. Dengue and other vector-borne diseases do not pick their victims. Present in so many parts of the world, these diseases are among the greatest contributors to human mortality. As today marks World Health Day and the World Health Organization focuses on how such a small bite can be a big threat, We want to share with you just how debilitating dengue can be.

Read why communities are key to dengue vaccine effectiveness

Special operations and survival training came in handy when Manu Toigo joined Discovery Channel’s Naked and Afraid. In the Panamanian Jungle she dealt with a lot of things, but nothing could have prepared her for the effects of dengue. Click below to hear her story.

http://cowbird.com/story/90676/

Join Dengue Track and boost the effort to map dengue fever.

Dengue Track

Dengue detection: the quicker the better

173779270One of the problems with dengue is that in the early stages, it’s easy to confuse its symptoms with those of other illnesses. High temperatures, headaches, a loss of appetite, or a sore throat might make a sufferer think that they have the flu, and it is not until the fever begins that the more serious symptoms can kick in. That’s when patients need medical attention, and fast.

The successful treatment of dengue hinges on quick diagnosis. Now researchers from the University of Hawaii have found that an existing dengue test works much quicker than standard tests. It’s a breakthrough in dengue detection.

The test searches for anti-dengue virus IgM antibodies, produced a few days after the beginning of dengue fever. This approach can cut diagnosis time to less than five hours. (In-house tests searching for similar antibodies traditionally take two to three days.) InBios, the manufacturer, received FDA approval for its dengue test back in 2011.

But while a faster test is a positive development, it only represents one part of the dengue problem. There are other issues – social, environmental, and economic – that need longer than five hours to get fixed.

And then there were five… Another dengue serotype emerges

Sarawak, Malaysia had a distinct dengue outbreak in 2007

Sarawak, Malaysia had a distinct dengue outbreak in 2007

Research published in mid-2013 shows that there could be five, not four, dengue serotypes. A dengue outbreak in Malaysia’s Sarawak province in 2007 was genetically distinct from the other four serotypes, according to research conducted by Nikos Vasilakis from the University of Texas. While this fifth serotype has only been linked to humans in this part of Malaysia, it is still significant, as it makes the first new dengue virus in 50 years. At the Third International Conference on Dengue and Dengue Fever, held in Bangkok in October 2013, Vasilakis claimed that while this fifth dengue serotype has not been identified outside of this Malaysian region, he suspects that it is present among macaques. It’s too early to tell whether or not this is an isolated outbreak, or whether the fifth serotype is present elsewhere.

 

Macaques are among the 10 Monkey species in Malaysia

Macaques are among the 10 Monkey species in Malaysia

This discovery adds a new challenge to the development of a dengue vaccine. Results from clinical trials showed that the vaccine proved effective in some dengue serotypes, but not all. And this is something that researchers, such as these academics, have attempted to explain. A fifth serotype means that – if transmitted – there could be a need for a specialized vaccine. It also means that we can’t sit still in our efforts to break dengue and that these developments intensify the need for global action against dengue fever.

Telling children about dengue

stopdengueOld or young, there’s plenty people can do to help stop the spread of dengue. But for a prevention campaign to be really effective, people need to have a full understanding of what to do, and why.

Singapore’s National Environment Agency put together a cartoon to tell children about dengue in a language they understand, which lets them know what they can do to stop it from spreading. The result is not only entertaining but informative too.

Break Dengue – Over 150,000 & Growing

From its inception, Break Dengue has been supported by an outstanding community that shares our goal of wiping out dengue fever, together. At Break Dengue, we think big and that means using technology to link stakeholders, enabling actors of the fight against dengue to share ideas, offer funding and support, and ask for help.

We will continue to create an open platform, one where researchers, patients and their relatives, journalists, and anyone else can share their views. As we roll out ideas, data, and findings, all participants will be able to track our progress from the outset, having a window to our progress and setbacks as we combat the suffering caused by #Dengue.

None of this is possible without you. Break Dengue is proud to be part of such an outstanding community. We thank you all for your support!

An unwelcome souvenir – when dengue comes home with you

80710968To many of us, dengue seems like a distant disease, something that affects other people, in other places. But that’s not true.

We travel more than we ever have before. Whether we’re sent across the globe for business or we jump on a plane in search of some winter sunshine, the world has become a much smaller place.

Dengue is present in over 100 countries. And as long-distance travel becomes easier, it also becomes easier for tourists to bring an unwanted souvenir home with them: a dengue infection.

Research in Australia has found that the number of dengue patients who catch the pokies online disease when abroad is escalating. In 2005-2006, infections of dengue acquired overseas stood at 156; by 2009-2010 this figure had climbed to 581. The researchers expected that 2012 would see the largest number on record of cases of dengue acquired overseas. Imported cases of dengue – of all four serotypes – represented 23% of all cases between 1991 and 1999; by 2000-2012, this figure reached 64%.

And it’s not just in Australia. In the UK, Public Health England has called for travelers to take extra care when abroad. It reported that imported cases of dengue in 2012 were up more than 50% on 2011. What’s more, cases reported in the first four months of 2013 are three times as many as in the same period in 2012.

These figures are a reminder that dengue is a global disease and demands a global response.

Using technology to forecast dengue’s tracks

71264384Epidemiologists know about the importance of mapping a disease to understand it better. And when it comes to a disease like dengue – that’s spreading, expanding, and evolving – mapping really helps people understand what’s changing. More importantly, it helps experts forecast what dengue is likely to do next, and where.

Geographic Information Systems, or GIS, is one tool that epidemiologists are working with to map dengue and understand its movements. GIS combines mapping techniques with statistics to find trends in places that have previously suffered from dengue epidemics, and to work out where else could be at risk.

One study in an area just outside Kuala Lumpur, Malaysia, put together information about topographical factors, population density, temperature, and land use. Combining these data, researchers were better equipped to pinpoint which parts of the suburb were especially vulnerable to dengue outbreaks. More recently, Malaysia’s government launched its iDengue platform, which uses GIS. It informs the public, and also aims to help the government mobilize its efforts against dengue in remote areas.

Click to learn more about Dengue Track

Another study in Taiwan used GIS to help determine the best locations for insecticide spraying in an attempt to prevent the spread of dengue. Although the project is limited in scope, the researchers believe that GIS can help contribute to a more cost-effective dengue prevention strategy. Taiwan’s authorities have evidently paid attention to this research: in early 2013, the Center for Disease Control announced it would add GIS to its existing disease management system.

Elsewhere, researchers in the Philippines discovered in 2011 that the use of GIS could help work out which habitats dengue-carrying mosquitoes prefer. This knowledge makes it easier to predict dengue’s movements, which helps authorities make the best use of their funds for dengue prevention campaigns.

Knowing dengue’s movements is crucial if we’re going to combat the disease. GIS is just one of the tools that can help us keep a closer eye on where dengue’s been, and where it might be headed.

Begin improving public health from your smartphone. Join Dengue Track!

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Live stories from the ground: welcoming Alejandra Laiton

1456109_10153592385720385_548754737_nTo capture local initiatives that combat dengue on the ground, we are supporting Alejandra Laiton – an independent travel blogger and grad student – who will be sharing her discoveries and insights with all of us.

Hailing from Bogotá, Colombia, Alejandra will be documenting stories from Southeast Asia and Latin America for BreakDengue.org and readers like you. She has a degree in Social Communication & Journalism with extensive professional experience from 4 countries in the communications field. As part of her master’s degree, she is casino researching online activism and its impact in developing countries. Her focus is on local dengue initiatives.

Passionate about travelling, photography, sustainable development, and education, her current mission is to find local initiatives that are fighting and minimizing the effects of dengue every day. She will find those local actors and their stories, sharing how tangible differences are being made.

Follow Alejandra’s journey as she blogs about it and track her progress on her Twitter account.