Abstract

Background: The number of dengue cases reported to WHO increased over 8-fold over the last two decades, from 505,430 cases in 2000, to over 2.4 million in 2010, and 5.2 million in 2019. The disease is now endemic in more than 128 countries with Asia representing ~70% of the global burden of disease. The transmission of dengue is dependent on various environmental factors and socio-demographic and economic factors. This study aimed to describe the climatic factors and vector Indices in the occurrence of dengue fever cases in Northern Kerala. Objectives: 1) To describe the epidemiological factors for occurrence of dengue cases in Northern Kerala. 2) Serological typing of Dengue confirmed cases admitted in a tertiary care Centre in Northern Kerala. Methodology: Data of dengue fever cases admitted to a tertiary care centre in Northern Kerala for a period of one year were collected from Regional Prevention of Epidemics and Infectious Diseases Cell (R-PEID CELL). Vector indices data obtained from District vector control unit. Serology details were collected from Microbiology lab of the tertiary centre and Regional Virus Research and Diagnostic Laboratory (RVRDL). Geographical mapping and analysis of occurrence of dengue cases with rainfall done. Results: Total 518 cases were admitted to the tertiary centre during January 23-October 23. 68% Male and 32% female.77.7% Cases were reported from Kozhikode district.25 % cases were belonging to age group 20-29. Admission of cases were more during October followed by August. Serological typing of sub sample showed DEN2 as the predominant serotype. DEN1 and DEN3 serotypes were also identified. Conclusion: There is increased case transmission occurred during rainy season i.e. in North East and South West Monsoon which is in accordance with district vector indices data. DEN2 was the predominant serotype followed by DEN1.

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