Denque prevention and 35 years of vector control in Singapore

被引:379
作者
Ooi, Eng-Eong [1 ]
Goh, Kee-Tai
Gubler, Duane J.
机构
[1] DSO Natl Labs, Singapore, Singapore
[2] Minist Hlth, Singapore, Singapore
[3] Univ Hawaii Manoa, Honolulu, HI 96822 USA
关键词
D O I
10.3201/eid1206.051210
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
After a 15-year period of low incidence, dengue has reemerged in Singapore in the past decade. We identify potential causes of this resurgence. A combination of lowered herd immunity, virus transmission outside the home, an increase in the age of infection, and the adoption of a case-reactive approach to vector control contribute to the increased dengue incidence. Singapore's experience with dengue indicates that prevention efforts may not be sustainable. For renewed success, Singapore needs to return to a vector control program that is based on carefully collected entomologic and epidemiologic data. Singapore's taking on a leadership role in strengthening disease surveillance and control in Southeast Asia may also be useful in reducing virus importation.
引用
收藏
页码:887 / 893
页数:7
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