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Spatial and temporal trends of Dengue hemorrhagic fever in Mayanmar from 2004 to 2014

Vineyard, Ashley (2016) Spatial and temporal trends of Dengue hemorrhagic fever in Mayanmar from 2004 to 2014. Master Essay, University of Pittsburgh.

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Abstract

Dengue fever is a mosquito-transmitted disease affecting millions of people worldwide, with a particularly large burden in Southeast Asia. Myanmar, a developing country with a subtropical climate and poor health infrastructure is among the countries immensely impacted by dengue fever, and the more severe infection, dengue hemorrhagic fever (DHF). In this study, we analyzed national surveillance data collected between 2004 and 2014 by the Ministry of Health was utilized to compare DHF case counts and fatalities across different years and geographical regions of Myanmar. The timing of dengue epidemics within each year was also compared across provinces to determine if latitude correlates to the month of peak cases during an epidemic. Annual reported DHF incidence rates fluctuated, ranging from 4 to 47 per 100,000 population during the huge epidemic in 2009. Case fatality rates were higher in earlier years than more recent years. Geographically, states or regions located in central and southern Myanmar reported the highest number of DHF cases overall. An exploration of the impact of latitude on regional peak epidemic timing revealed that southern states or regions of Myanmar reached their maximum number of cases reported approximately one month earlier than northern areas each year. These findings are of great importance to public health because they can inform future vector control interventions as well as vaccine programs against dengue. In the face of climate change, increasing urbanization and international trade, improved dengue control should be a priority in Myanmar.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Vineyard, Ashley
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairBunker, Clareann Hbunkerc@pitt.eduBUNKERCUNSPECIFIED
Committee MemberVan Panhuis, Willem Gwav10@pitt.eduWAV10UNSPECIFIED
Committee MemberVeldkamp, Peter Jveldkampp@dom.pitt.eduPJV4UNSPECIFIED
Date: 27 April 2016
Date Type: Publication
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Epidemiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 08 Sep 2016 14:22
Last Modified: 30 Oct 2018 14:01
URI: http://d-scholarship.pitt.edu/id/eprint/27491

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