Health Governance and Dengue in Southeast Asia
Research Report
Health Governance and Dengue in Southeast Asia
Mely Caballero-Anthony
Alistair D. B. Cook
Gianna Gayle Herrera Amul
Akanksha Sharma
Copyright Date: May. 1, 2015
Published by: S. Rajaratnam School of International Studies
Pages: 49
OPEN ACCESS
https://www.jstor.org/stable/resrep05931
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  1. Front Matter
    Front Matter (pp. None)
  2. Table of Contents
    Table of Contents (pp. None)
  3. Executive Summary and Policy Recommendations
    Executive Summary and Policy Recommendations (pp. i-iii)
  4. Health Governance and Dengue in Southeast Asia
    Health Governance and Dengue in Southeast Asia (pp. 1-8)

    Dengue is one of the most common vector-borne diseases in Southeast Asia, and has been ranked as the most important mosquito-borne viral disease with epidemic potential in the world (WHO, 2014). Among all the vector-borne viral diseases, the dengue transmission rate is the fastest in the world. It is concerning that dengue epidemic cycles in the region have reduced to three to five years from the average ten year cycle. A well-integrated dengue prevention and control programme across all levels, sectors and among stakeholders is essential. This Report first assesses regional health security frameworks and the state of the regional...

  5. Health Governance and Dengue in Indonesia
    Health Governance and Dengue in Indonesia (pp. 9-22)

    Dengue is hyperendemic in Indonesia and all four serotypes are co-circulating in all of its 34 provinces (See Annex A). It ranks as the most vulnerable in Asia among dengue-endemic countries, followed by Vietnam, Thailand, the Philippines and Malaysia (Fullerton et al. 2014). Dengue is the most common cause of febrile illness requiring hospitalisation in Indonesia but hospital diagnostic testing still needs improvement (AFIRE Study Team 2014). Since the first dengue cases were reported in Jakarta and Surabaya in 1968, it has been included in the national disease surveillance system and is reported in the form of cases, outbreaks or...

  6. Health Governance and Dengue in Malaysia
    Health Governance and Dengue in Malaysia (pp. 23-31)

    Cheah et al. (2014) argue that it is possible to identify all of the four serotypes of dengue (DENV 1, 2, 3 and 4) in Malaysia. This circulation of all serotypes implies that Malaysia suffers from dengue hyperendemicity. According to the WHO (2015) the cumulative number of dengue cases in Malaysia in 2015 is 58% greater at 18,351 than those reported in the country during the same period in 2014. In the past, different serotypes have dominated the country during different periods such as DEN 4 from 1967 – 1969 and DEN 3 from 2008 – 2009 (Cheah et. al,...

  7. Policy Recommendations
    Policy Recommendations (pp. 32-32)

    This NTS Report assessed interventions to prevent and control dengue in Indonesia and Malaysia. From a broader perspective, regional arrangements can trigger the appropriate responses to emerging communicable diseases and their potential accelerated spread as a result of urbanisation, migration and climate change. The future prospects appear daunting with local health systems under constant strain and increased migration posing significant challenges. Existing dengue prevention and control mechanisms are necessary for a region that houses several transport and commercial hubs. Below are policy recommendations for the post-2015 ASEAN dengue strategy:

    Reinforce established APSED and APT mechanisms to achieve IHR core capacities....

  8. References
    References (pp. 33-42)
  9. ANNEX
    ANNEX (pp. 43-44)