Published Date: 2007-06-13 23:50:00
Subject: PRO/MBDS> Dengue - Cambodia: RFI
Archive Number: 20070613.1920
DENGUE - CAMBODIA: REQUEST FOR INFORMATION
A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
Date: Wed 13 Jun 2007
Source: Earthtimes.org [edited]
Officials in a Cambodian province close to the capital said Wednesday
[13 Jun 2007], that 7 children had died of dengue fever in one
village in recent weeks and they were bracing for more deaths as the
rainy season set in. Meng Sothy, deputy director of Kampong Speu
[Spoe] district hospital, 40 km (25 mi) southwest of the capital,
said the 7, whose ages were not given, had all come from the remote
Borset village and had died despite being transferred to children's
hospitals in Phnom Penh. "We have 7 children dead so far, but these
are just the ones who have been reported and we have no idea how many
have contracted the disease," he said.
He said officials were mounting an education campaign to try to
educate villagers on how to contain the mosquito-borne virus, which
kills mostly the very young and the elderly, and whose symptoms
include high fever and intense muscle and joint pain. The virus often
kills by destroying blood platelets, resulting in massive hemorrhaging.
Kampong Speu hospital director, Huot Thorn, said the disease was a
sad fact of life for rural Cambodians, especially during the monsoon
season when the mosquitoes breed prolifically.
On Wednesday [13 Jun 2007], Dr Beat Richner, a Swiss national who
runs 4 Kantha Bopha hospitals in Cambodia, which provide free health
care to children, placed a full-page advertisement in the
English-language Cambodia Daily newspaper, calling dengue fever "an
epidemic." Richner said his hospitals had treated 1254 cases of
severe dengue fever in children in the 1st week of June  alone
and appealed to the Cambodian government and international donors for
aid to assist his hospitals to cope with the problem.
Date: Mon 4 Jun 2007
Source: People's Daily online, Xinhua News Agency report [edited]
Cambodian government officials fear that dengue fever could strike
hard this rainy season in both urban and rural areas of Cambodia,
local media said on Tuesday [4 Jun 2007].
Although this year's  rainy season just began, 84 have died due
to the mosquito-borne disease, more than half of last year's 
total number of 156, Ngan Chantha, deputy director of the National
Malaria Center of the Health Ministry, was quoted by English
newspaper the Cambodian Daily as saying.
It is raining more this year and water has started to gather around
houses, which becomes the environment for the disease to spread, the
paper quoted local doctors as saying.
Dengue fever, which is passed throughout a community in a cycle from
mosquito to human and back again, spreads easily in Phnom Penh,
Kandal province, and Kompong Cham province, as the rise in urban
population brings more people in contact with the virus, said the paper.
Over 6000 people have died of the disease this year  all over
the world, according to statistics from the World Health Organization (WHO).
[While the newswires above provide information on numbers of deaths
attributable to dengue, information on the total numbers of cases
reported this year (2007) is not provided. In Cambodia,
responsibility for dengue control program activities falls under the
jurisdiction of the National Malaria Center. Information on the
program goals and activities can be found at
<http://www.cnm.gov.kh/programs.htm> (scroll down below the
information provided on malaria control program activities). The
graph in Fig. 1 shows the mean number of dengue fever and dengue
hemorrhagic fever cases by month of report for the 5-year period
1997-2001. According to this graph, dengue activity begins to
increase in the months of May and June, with continued increases
until a peak in August, returning to lower levels in November and
December. That being said, the early reports of the network of
children's hospitals (Kantha Bopha hospitals) treating 1254 cases of
dengue fever in their hospitals during the 1st week in June 2007,
suggests that this year is starting out with significant dengue
activity -- similar to that seen in Thailand and Viet Nam (see
PRO/MBDS prior postings listed below).
According to the graph in Fig.1, the mean number of cases reported
during the month of June over the 5-year period was approximately
2000 cases. Hence, reports of 1254 cases in one week suggest a major
increase in dengue activity.
More information on the epidemiology of dengue fever in Cambodia this
year from knowledgeable sources would be greatly appreciated.
A good map of Cambodia can be found at
Kampong Spoe can be seen to the southwest of Phnom Penh. - Mod.MPP]