<abstract xmlns="http://www.w3.org/1999/xhtml"><p>The current study is a retrospective epidemic report regarding dengue fever (DF) virus infection cases (2017) from fifteen districts of KPK, Pakistan. Medical records of 120 948 patients were reviewed retrospectively for demographic, clinical and laboratory data. The presence of dengue infection was confirmed by NS1-ELISA and RT-PCR, respectively. The total positive cases (of suspected DF samples) were 24 938 (20.6%), whereas seventy cases (0.28%) had a fatal outcome. Mean age ± SD of the dengue patients was 26 ± 19.8 years, while; the most affected age group was from 16 to 30 years (Chi-square: 12 820.125, p: 0.00). The infected males were 65.3%, and that of the female was 34.7%. All the dengue-infected patients were observed with symptoms of severe fever (100%), body aches (95%), gums and nose bleeding (5%), skin rashes (30%), vomiting (70%). The highest infection rate was found in district Peshawar and that of the lowest was in Bannu, Hungu and Luki Marwat. A high rate of dengue infection was found in post-monsoon months i.e. October (41%) and September (32%) of the year. The results proved that if the dengue outbreaks reveal further in KPK, it could alarmingly increase the mortality rate. Therefore, the Department of Public Health in KPK, Pakistan may take proper measures to avoid and control dengue epidemics in the future.</p></abstract>

The current study is a retrospective epidemic report regarding dengue fever (DF) virus infection cases (2017) from fifteen districts of KPK, Pakistan. Medical records of 120 948 patients were reviewed retrospectively for demographic, clinical and laboratory data. The presence of dengue infection was confirmed by NS1-ELISA and RT-PCR, respectively. The total positive cases (of suspected DF samples) were 24 938 (20.6%), whereas seventy cases (0.28%) had a fatal outcome. Mean age ± SD of the dengue patients was 26 ± 19.8 years, while; the most affected age group was from 16 to 30 years (Chi-square: 12 820.125, p: 0.00). The infected males were 65.3%, and that of the female was 34.7%. All the dengue-infected patients were observed with symptoms of severe fever (100%), body aches (95%), gums and nose bleeding (5%), skin rashes (30%), vomiting (70%). The highest infection rate was found in district Peshawar and that of the lowest was in Bannu, Hungu and Luki Marwat. A high rate of dengue infection was found in post-monsoon months i.e. October (41%) and September (32%) of the year. The results proved that if the dengue outbreaks reveal further in KPK, it could alarmingly increase the mortality rate. Therefore, the Department of Public Health in KPK, Pakistan may take proper measures to avoid and control dengue epidemics in the future.

Dengue Outbreaks in Khyber Pakhtunkhwa (KPK), Pakistan in 2017: An Integrated Disease Surveillance and Response System (IDSRS)-Based Report

Polish Journal of Microbiology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

The current study is a retrospective epidemic report regarding dengue fever (DF) virus infection cases (2017) from fifteen districts of KPK, Pakistan. Medical...

Characteristics	DF(n = 24938)
Sociodemographic
Age (years) (Means ± SD)	26 ±19.8
Male	16294 (95.3%)
Female	8664 (34.7%)
Clinical presentation
Fever	24938 (100%)
Body aches	23691 (95%)
Vomiting/ Nausea	17457(70%)
Skin rashes	7481(30%)
Bleeding	1247 (5%)
Outcome
Death	70 (0.28%)

District	Suspected cases	Positive cases	Male	Female	No. of deaths
Abbottabad	205	142	114	28	4
Banu	6	1	1	0	0
Buner	1102	143	104	39	0
Dir lower	6	6	5	1	0
Hangu	3	1	1	0	0
Haripur	211	64	42	42	0
Karak	12	9	6	3	0
Kohat	99	17	13	4	0
Laki Marwat	278	1	1	0	0
Malakand	667	240	165	75	0
Mansehra	782	72	49	23	0
Mardan	4295	369	260	109	1
Nowshehra	825	199	138	61	0
Peshawar	111979	23541	15302	8239	65
Swabi	478	133	93	40	0
Total	120948	24938	16294	8664	70

Age Group	Frequencies (% age)	Test Statistics
1 to 15	4987 (20%)	Chi Square	12820.125^a
16 to 30	11222(45%)	Degree of freedom	4
31 to 45	5735 (23%)	Asymptotic significant value	0
45 to 60	1748 (7%)
Above 60	1246 (5%)
Total	24938(100%)

Dengue Outbreaks in Khyber Pakhtunkhwa (KPK), Pakistan in 2017: An Integrated Disease Surveillance and Response System (IDSRS)-Based Report

Article Category: original-paper

Published Online: Apr 09, 2019

Page range: 115 - 119

DOI: https://doi.org/10.21307/pjm-2019-013

Keywords
Dengue fever, infection, IDSRS, KPK, patients, symptoms, climate

© 2019 Abdullah et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig. 1.

Sociodemographic and clinical presentation of dengue.

District-wise geographical distribution of dengue cases in the population.

Age-based statistical analysis of dengue patients.

Dengue Outbreaks in Khyber Pakhtunkhwa (KPK), Pakistan in 2017: An Integrated Disease Surveillance and Response System (IDSRS)-Based Report

Article Category: original-paper

Published Online: Apr 09, 2019

Page range: 115 - 119

DOI: https://doi.org/10.21307/pjm-2019-013

KeywordsDengue fever, infection, IDSRS, KPK, patients, symptoms, climate

© 2019 Abdullah et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig. 1.

Sociodemographic and clinical presentation of dengue.

District-wise geographical distribution of dengue cases in the population.

Age-based statistical analysis of dengue patients.

Keywords
Dengue fever, infection, IDSRS, KPK, patients, symptoms, climate