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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...

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Detalles Bibliográficos
Autores principales: Pilot, Eva, Nittas, Vasileios, Murthy, Gudlavalleti Venkata S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
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.
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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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