This presentation was given as a part of the partial fulfillment of my master's degree.

1. Dhaka Dengue Situation
2019
Prepared by
Md Asif Hasan
Md Rokibul Islam
Md Abdul Ahad
Sonjita Singh

2. Introduction
 Dengue is a viral disease
 Dengue Fever is a severe, flu-like illness
 It is transmitted by the infective bite of
Aedes Aegypti mosquito
 Man develops disease after 5-6 days of
being bitten by an infective mosquito
named Aedes.
Fig: Aedes Mosquito

3. Dengue occurs in two forms:
 Dengue Fever
 Dengue Haemorrhagic Fever(DHF)
Dengue Haemorrhagic Fever (DHF) is a more severe form of
disease, which may cause death. In 2019 , more people are affected
by DHF in Dhaka city which is the main reason for the breakthrough

4. Fig: % of breeding sources of Dengue in Dhaka

5. Monsoon Aedes Survey 2019
• 100 sites of 98 wards in 2 city
corporations surveyed and the
following Density map of the
potential breeding sources of
Aedes mosquitos in Dhaka City
was produced

6.  57% & 64% of total wards in
DNCC & DSCC have BI>=20
 75% & 83% of total wards in
DNCC & DSCC have HI>=5
Breteau index (BI): number of
positive containers per 100 houses
inspected.
***As there is huge population
movement around, the lower BI in
any place doesn't necessarily
mean lower risk of getting affected
in that place.
Extended Aedes survey in public places

8. Latest Dengue Situation in Dhaka City

10.  76% of total admitted patients released to home
 Downtrend in new admission observed at the end of this week
 Ratio of new admission and released patients 54:46 in this week
 Huge population movement caused case uptrend outside Dhaka
 However, 66% of total outside Dhaka cases released to home

11. Frontliner in combating Dengue:
A high-profile meeting was called on 1st August 2019 in the Ministry of
Health & Family Welfare (MOHFW) to overview the current dengue
situation and activities undertaken. Mr. Zahid Maleque MP, Hon’ble
Health Minister presided over the meeting. Mayors of both city
corporations, Chief Coordinator for SDG Affairs, PMO, Secretaries of
health and other ministries, DG, DGHS were present among others. Dr.
Nagpal, Sr. Entomologist, WHO SEARO briefed the meeting on vector
control management.

12. • Fixed fees of basic dengue tests for private sector
• Open One-stop Dengue Helpdesk at all hospitals
• Extend dengue service / beds in all hospitals
• Prepare 3 govt. hospitals in Dhaka for emergency dengue response
• Distribution of more than 42,000 dengue kit to all districts, DSCC
• Monitoring cell opened in the ministry
• Workshop on national treatment guideline review
• Discussion on feasibility / prospect of dengue vaccine in Bangladesh
• Stand against misleading viralposts in social media
• Involve medical college students awareness campaign at schools
Here are some proposals of actions to
control dengue made in the meeting-

13. Dengue diagnosis fees in private
sector fixed across the country
As directed by the honorable health minister,
Director General of Health Services called on
a meeting with private hospitals and clinics
and provided following instructions for
immediate implementation:
Fixed fees for basic dengue tests
- NS1 Antigen – BDT 500
- IgG & IgM (together) – BDT 500
- CBC – BDT 400
Open One-stop Dengue Helpdesk Increase
bed for dengue patient management
Follow National guideline strictly 10 medical
teams formed to monitor dengue service
management in all hospitals.

14. Capacity building & Knowledge sharing
 With technical support from MIS, doctors of 51
districts trained on dengue management through
video conference on 07-08 Aug 2019
 Doctors of other 13 districts trained in person on 5th
Aug, 2019
 Management training for child specialists organized
in 2 big private hospitals on 10th Aug, 2019
 Bangladesh Pediatric Association and Bangladesh
Society of Medicine collaborated for these trainings
 Sr. Entomologist, WHO SEARO conducted a training
session for all entomologists of DGHS on 6th Aug,
2019
 Knowledge sharing session with WHO Sri Lanka
through video call on 6th Aug, 2019

15. Dengue awareness campaign in educational institutes
Disease Control Division, DGHS organized dengue awareness campaigns in 240
primary and secondary schools at Dhaka city on 1st Aug’19. 1,67000
students and 2,500 teachers actively participated in this campaign. 1600 doctors
and students of medical colleges and representatives of “Platform of
Medical & Dental Society” volunteered the campaign. Employees of CDC, DGHS
also took part in the program.

16. While ensuring proper treatment is the core moto, equally best to raise
community awareness through mass media are also given.
 Media briefing for journalists to disseminate information on preventive
measures to mass population
 Awareness messages in print and electronic media
 Active collaboration with media and share all relevant information in
daily basis
Role of Mass Media

17. Government Awareness Campaign

22. References
 Bangladesh Dengue Situation 2019 Health Bulletin - volume: 1, 27 July 2019
 Bangladesh Dengue Situation 2019 Health Bulletin - volume: 2, 03 August, 2019
 Bangladesh Dengue Situation 2019 Health Bulletin - volume: 3, 10 August, 2019
 Bangladesh - Dengue outbreak (DGHS, Media) (ECHO Daily Flash of 8 August 2019)
 icddr,b’s rapid response to the growing Dengue outbreak in Dhaka, Bangladesh 01
Aug 2019