Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported cases

Objective: This paper aims to describe the epidemiological characteristics and clinical manifestations of the first 15 dengue fever cases reported in Afghanistan. Methods: A retrospective descriptive analysis of the data on confirmed dengue cases detected by the national disease surveillance system...

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Main Author: Mohammad Nadir Sahak
Format: Article
Language:English
Published: Elsevier 2020-10-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971220305774
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author Mohammad Nadir Sahak
author_facet Mohammad Nadir Sahak
author_sort Mohammad Nadir Sahak
collection DOAJ
description Objective: This paper aims to describe the epidemiological characteristics and clinical manifestations of the first 15 dengue fever cases reported in Afghanistan. Methods: A retrospective descriptive analysis of the data on confirmed dengue cases detected by the national disease surveillance system was conducted. Epidemiological, socio-demographic, clinical, laboratory and outcome data from the cases were analyzed. Results: Between May and December 2019, 62 samples were tested for DENV, among which 15 (24.2%) were positive. Seven of the cases were probable autochthonous with no travel history, the other seven cases had a travel history to dengue-endemic countries (five Pakistan, two India) and the travel history for one of the cases was not known. The 15 confirmed cases were reported from six provinces, seven cases (46.7%) were reported from Nangarhar Province, two (13%) from Paktya, and one (6.7%) from Paktika province, bordering with Pakistan, three (20%) were reported from Kabul, and one each (each 6.7%) from Faryab and Laghman provinces. All of the cases manifested fever, headache, myalgia, and arthralgia. Other clinical features were low platelet count (50%), pain behind eyes (36%), rash, and nausea/vomiting (each 21%). Conclusion: For the first time, the surveillance system detected and reported locally acquired DENV cases in Afghanistan, mostly in provinces bordering with Pakistan. Population movements between Afghanistan and Pakistan facilitate the cross-border spread of DENV between two countries.
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spelling doaj.art-0a066e121b564fd48acc49dd86cf2e9e2022-12-21T23:15:32ZengElsevierInternational Journal of Infectious Diseases1201-97122020-10-01992327Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported casesMohammad Nadir Sahak0World Health Organization (WHO), Kabul, AfghanistanObjective: This paper aims to describe the epidemiological characteristics and clinical manifestations of the first 15 dengue fever cases reported in Afghanistan. Methods: A retrospective descriptive analysis of the data on confirmed dengue cases detected by the national disease surveillance system was conducted. Epidemiological, socio-demographic, clinical, laboratory and outcome data from the cases were analyzed. Results: Between May and December 2019, 62 samples were tested for DENV, among which 15 (24.2%) were positive. Seven of the cases were probable autochthonous with no travel history, the other seven cases had a travel history to dengue-endemic countries (five Pakistan, two India) and the travel history for one of the cases was not known. The 15 confirmed cases were reported from six provinces, seven cases (46.7%) were reported from Nangarhar Province, two (13%) from Paktya, and one (6.7%) from Paktika province, bordering with Pakistan, three (20%) were reported from Kabul, and one each (each 6.7%) from Faryab and Laghman provinces. All of the cases manifested fever, headache, myalgia, and arthralgia. Other clinical features were low platelet count (50%), pain behind eyes (36%), rash, and nausea/vomiting (each 21%). Conclusion: For the first time, the surveillance system detected and reported locally acquired DENV cases in Afghanistan, mostly in provinces bordering with Pakistan. Population movements between Afghanistan and Pakistan facilitate the cross-border spread of DENV between two countries.http://www.sciencedirect.com/science/article/pii/S1201971220305774DengueDengue virus (DENV)SurveillanceDengue feverArboviral disease
spellingShingle Mohammad Nadir Sahak
Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported cases
International Journal of Infectious Diseases
Dengue
Dengue virus (DENV)
Surveillance
Dengue fever
Arboviral disease
title Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported cases
title_full Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported cases
title_fullStr Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported cases
title_full_unstemmed Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported cases
title_short Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported cases
title_sort dengue fever as an emerging disease in afghanistan epidemiology of the first reported cases
topic Dengue
Dengue virus (DENV)
Surveillance
Dengue fever
Arboviral disease
url http://www.sciencedirect.com/science/article/pii/S1201971220305774
work_keys_str_mv AT mohammadnadirsahak denguefeverasanemergingdiseaseinafghanistanepidemiologyofthefirstreportedcases