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)
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Status: |
Unpublished |
Creators/Authors: |
Creators | Email | Pitt Username | ORCID |
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Vineyard, Ashley | | | |
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Contributors: |
Contribution | Contributors Name | Email | Pitt Username | ORCID |
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Committee Chair | Bunker, Clareann H | bunkerc@pitt.edu | BUNKERC | UNSPECIFIED | Committee Member | Van Panhuis, Willem G | wav10@pitt.edu | WAV10 | UNSPECIFIED | Committee Member | Veldkamp, Peter J | veldkampp@dom.pitt.edu | PJV4 | UNSPECIFIED |
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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: |
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 Mar 2022 11:56 |
URI: |
http://d-scholarship.pitt.edu/id/eprint/27491 |
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