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The Organization, Implementation, and Functioning of Dengue Surveillance in India—A Systematic Scoping Review
Dengue´s re-emerging epidemiology poses a major global health threat. In India, dengue contributes significantly to the global communicable disease burden, and has been declared highly endemic. This study aims to identify and critically appraise India’s dengue surveillance system. We conducted a sys...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407027/ https://www.ncbi.nlm.nih.gov/pubmed/30813470 http://dx.doi.org/10.3390/ijerph16040661 |
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author | Pilot, Eva Nittas, Vasileios Murthy, Gudlavalleti Venkata S |
author_facet | Pilot, Eva Nittas, Vasileios Murthy, Gudlavalleti Venkata S |
author_sort | Pilot, Eva |
collection | PubMed |
description | Dengue´s re-emerging epidemiology poses a major global health threat. In India, dengue contributes significantly to the global communicable disease burden, and has been declared highly endemic. This study aims to identify and critically appraise India’s dengue surveillance system. We conducted a systematic literature review, searching Medline, Web of Sciences, Global Health, and Indian Journals. We conducted a narrative synthesis and thematic analysis. Eighteen studies fulfilled eligibility. Organizationally, most studies referred to the National Vector Borne Disease Control Programme, primarily responsible for overall vector and disease control, as well as the Integrated Disease Surveillance Programme, responsible for reporting, outbreak identification, and integration. Surveillance implementation was mostly framed as passive, sentinel, and hospital-based. Reporting varies from weekly to monthly, flowing from primary healthcare centres to district and national authorities. Dengue confirmation is only recognized if conducted with government-distributed MAC-ELISA tests. The surveillance system predominantly relies on public reporting units. In terms of functioning, current surveillance seems to have improved dengue reporting as well the system’s detection capacities. Emergency and outbreak responses are often described as timely; however, they are challenged by underreporting, weak data reliability, lack of private reporting, and system fragmentation. Concluding, India’s dengue surveillance structure remains weak. Efforts to create an infrastructure of communication, cooperation, and integration are evident, however, not achieved yet. |
format | Online Article Text |
id | pubmed-6407027 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-64070272019-03-21 The Organization, Implementation, and Functioning of Dengue Surveillance in India—A Systematic Scoping Review Pilot, Eva Nittas, Vasileios Murthy, Gudlavalleti Venkata S Int J Environ Res Public Health Review Dengue´s re-emerging epidemiology poses a major global health threat. In India, dengue contributes significantly to the global communicable disease burden, and has been declared highly endemic. This study aims to identify and critically appraise India’s dengue surveillance system. We conducted a systematic literature review, searching Medline, Web of Sciences, Global Health, and Indian Journals. We conducted a narrative synthesis and thematic analysis. Eighteen studies fulfilled eligibility. Organizationally, most studies referred to the National Vector Borne Disease Control Programme, primarily responsible for overall vector and disease control, as well as the Integrated Disease Surveillance Programme, responsible for reporting, outbreak identification, and integration. Surveillance implementation was mostly framed as passive, sentinel, and hospital-based. Reporting varies from weekly to monthly, flowing from primary healthcare centres to district and national authorities. Dengue confirmation is only recognized if conducted with government-distributed MAC-ELISA tests. The surveillance system predominantly relies on public reporting units. In terms of functioning, current surveillance seems to have improved dengue reporting as well the system’s detection capacities. Emergency and outbreak responses are often described as timely; however, they are challenged by underreporting, weak data reliability, lack of private reporting, and system fragmentation. Concluding, India’s dengue surveillance structure remains weak. Efforts to create an infrastructure of communication, cooperation, and integration are evident, however, not achieved yet. MDPI 2019-02-24 2019-02 /pmc/articles/PMC6407027/ /pubmed/30813470 http://dx.doi.org/10.3390/ijerph16040661 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Pilot, Eva Nittas, Vasileios Murthy, Gudlavalleti Venkata S The Organization, Implementation, and Functioning of Dengue Surveillance in India—A Systematic Scoping Review |
title | The Organization, Implementation, and Functioning of Dengue Surveillance in India—A Systematic Scoping Review |
title_full | The Organization, Implementation, and Functioning of Dengue Surveillance in India—A Systematic Scoping Review |
title_fullStr | The Organization, Implementation, and Functioning of Dengue Surveillance in India—A Systematic Scoping Review |
title_full_unstemmed | The Organization, Implementation, and Functioning of Dengue Surveillance in India—A Systematic Scoping Review |
title_short | The Organization, Implementation, and Functioning of Dengue Surveillance in India—A Systematic Scoping Review |
title_sort | organization, implementation, and functioning of dengue surveillance in india—a systematic scoping review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407027/ https://www.ncbi.nlm.nih.gov/pubmed/30813470 http://dx.doi.org/10.3390/ijerph16040661 |
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