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Dengue in Suriname: Implications for...

Hamer, Diana.

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Dengue in Suriname: Implications for prevention, risk reduction and clinical trajectory.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Dengue in Suriname: Implications for prevention, risk reduction and clinical trajectory./
Author:	Hamer, Diana.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2015,
Description:	165 p.
Notes:	Source: Dissertation Abstracts International, Volume: 77-04(E), Section: B.
Contained By:	Dissertation Abstracts International77-04B(E).
Subject:	Environmental health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3734416
ISBN:	9781339230085

Dengue in Suriname: Implications for prevention, risk reduction and clinical trajectory.
Hamer, Diana.

Dengue in Suriname: Implications for prevention, risk reduction and clinical trajectory. - Ann Arbor : ProQuest Dissertations & Theses, 2015 - 165 p.

Source: Dissertation Abstracts International, Volume: 77-04(E), Section: B.

Thesis (Ph.D.)--Tulane University, School of Public Health and Tropical Medicine, 2015.

The dengue virus (DENV) is a flavivirus capable of causing severe disease in infected humans. DENV is most commonly transmitted by the Aedes aegypti (genus Aedes, subgenus Stegomyia) mosquito, which is uniquely domestic and thrives in urban settings. Upon infection with DENV, humans can develop mild disease, known as dengue fever (DF), or progress into the severe forms of the disease, known as dengue hemorrhagic fever (DHF) or dengue shock syndrome (DSS). High levels of urbanization and tropical climate conditions have facilitated the rapid emergence of dengue in Suriname, where dengue has become hyperendemic. The last confirmed dengue outbreak in 2012 exhausted national healthcare capabilities and prompted the Ministry of Health to open up an emergency hospital and implement citywide vector control measures in Paramaribo. These practices however were in general not preventive in nature. This research focuses on assessing the relative contribution and the relationship of environmental and demographic risk factors that potentially contribute to the development of DHF in Suriname in at risk populations. Epidemiological data were utilized to map historically high transmission areas of DF and DHF. Collection and integration of environmental entomological data allowed for determining how influential such factors are to transmission. The results obtained were used to inform best surveillance practices and shift the focus of dengue transmission from an ad hoc intervention to a more prevention-oriented approach.

ISBN: 9781339230085Subjects--Topical Terms:

543032
Environmental health.

Dengue in Suriname: Implications for prevention, risk reduction and clinical trajectory.
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