Collaborative efforts must for dengue control

Dengue is an infectious disease transmitted through mosquito bites. It is transmitted by female Aedes Aegypti mosquitoes carrying the dengue virus. In the previous year, there was a significant increase in dengue cases during the July-August period. Consequently, disease control and prevention have become a major concern for us this year. As we approach the next two months, which are particularly worrisome, it is crucial for all agencies to remain alert.

While dengue has not yet reached epidemic levels, there have been approximately 1,400 reported cases of the disease this year. The primary symptom of dengue is fever. Therefore, when you have a fever, you should go to the hospital instead of staying at home. Dengue is diagnosed based on symptoms, and unfortunately, there is no cure for this disease. Resting at home is the primary treatment, although approximately one percent of patients may develop more severe infections requiring hospitalization. We have already disseminated instructions, emphasizing the importance of specialized treatment for such cases.

The main concerning issue is that patients often delay seeking medical attention until symptoms manifest. Moreover, there are also cases where patients do not exhibit any symptoms at all. This resulted in approximately 54,000 cases recorded last year. Therefore, it is imperative to take necessary measures to prevent a recurrence of last year's situation, and we are actively engaged in addressing this concern.

The federal, provincial, and local governments have different responsibilities. However, by working in harmony, as we did during the covid pandemic, we can effectively manage dengue. Discussions have been held with officials and health workers in the Kathmandu Valley, wherein we have agreed to promptly implement programs aimed at controlling dengue. The local units have committed to organizing clean-up campaigns every Friday. Dengue testing kits have already been distributed to the relevant agencies.

We have come to realize that coordinating with local authorities is essential for successful dengue control measures. Hence, last year, we initiated dengue control efforts in collaboration with local authorities. This year, we have requested the local units to continue their participation in these initiatives, and our expectations have been conveyed to them through the health ministry.

There are no weaknesses in the state's policy system. During an epidemic, the central government assumes a leading role, and the policies formulated in this regard are robust. However, if there is a consensus that these policies are insufficient or require modifications, we are open to discussions. It is crucial for everyone to come together to effectively control dengue.

The author is secretary at Ministry of Health and Population