Abstract
Introduction: Dengue is endemic in Malaysia. Until now, no effective and sustainable dengue prevention and control measure have been found in combatting dengue. An ecosystem approach was introduced in Kuantan District in September 2020 following an epidemic surge of dengue. The ecosystem approach is a method for strategizing dengue prevention and control activities according to specific localities with multidisciplinary analysis and integrated vector management. The aim of this study is to evaluate the impact of ecosystem approach implementation for dengue prevention and control in Kuantan District.
Methods: Using an interrupted times series design with Quasi-Poisson Regression model, we evaluated the impact of ecosystem approach intervention from 1 January 2019 to 30 April 2022. The dengue incidence data were obtained from the routine National Surveillance System, edengue, Ministry of Health Malaysia. Results: A total of 4,116 dengue cases were notified from January 2019 until April 2022. The mean cumulative incidence before ecosystem approach was 31 per 100,000 population and 8 per 100 000 population after ecosystem approach with a decrease of 84.5% [relative risk (RR) 0.155; 95% confidence interval (CI) 0.071,0.338. p=0.001].
Conclusion: A risk-based approach with well-coordinated interagency and community involvement in the ecosystem approach is an effective method for dengue prevention and control. Further action is needed in order to ensure the sustainability of this approach.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-O-17.pdf
- https://apcph.cphm.my/events/oral-session-8-ballroom-B/
BibTeX (Download)
@proceedings{APCPH2022-O-17,
title = {Ecosystem Approach for Dengue Prevention And Control In Kuantan, Pahang},
author = {Wan Rosmawati Wan Ismail and Abdul Muntaqim Abu Bakar and Roslaili Khairuddin and Mohd Rahim Sulong and Suzana Mohd Hashim and Nor Azimi Yunus and Husnina Ibrahim},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-O-17.pdf
https://apcph.cphm.my/events/oral-session-8-ballroom-B/},
year = {2022},
date = {2022-08-01},
urldate = {2022-08-02},
issue = {7},
abstract = {Introduction: Dengue is endemic in Malaysia. Until now, no effective and sustainable dengue prevention and control measure have been found in combatting dengue. An ecosystem approach was introduced in Kuantan District in September 2020 following an epidemic surge of dengue. The ecosystem approach is a method for strategizing dengue prevention and control activities according to specific localities with multidisciplinary analysis and integrated vector management. The aim of this study is to evaluate the impact of ecosystem approach implementation for dengue prevention and control in Kuantan District.
Methods: Using an interrupted times series design with Quasi-Poisson Regression model, we evaluated the impact of ecosystem approach intervention from 1 January 2019 to 30 April 2022. The dengue incidence data were obtained from the routine National Surveillance System, edengue, Ministry of Health Malaysia. Results: A total of 4,116 dengue cases were notified from January 2019 until April 2022. The mean cumulative incidence before ecosystem approach was 31 per 100,000 population and 8 per 100 000 population after ecosystem approach with a decrease of 84.5% [relative risk (RR) 0.155; 95% confidence interval (CI) 0.071,0.338. p=0.001].
Conclusion: A risk-based approach with well-coordinated interagency and community involvement in the ecosystem approach is an effective method for dengue prevention and control. Further action is needed in order to ensure the sustainability of this approach.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: ORAL PRESENTATION; Organisation: Pahang State Health Office; Kuantan District Health Office},
keywords = {Dengue, ecosystem approach, prevention and control, risk-based approach},
pubstate = {published},
tppubtype = {proceedings}
}