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Health
05 December 2024

Bangladesh Faces Severe Dengue Fever And Chikungunya Crisis

Ongoing outbreaks lead to rising hospitalizations and deaths amid growing health concerns

Bangladesh is currently grappling with its most severe dengue fever outbreak to date, with alarming statistics reflecting the crisis. Just within the last 24 hours, five additional deaths have been reported due to the mosquito-borne illness, and 570 new patients have been admitted to hospitals across the country. This brings the total number of dengue patients hospitalized this year to nearly 94,884, with 514 fatalities recorded so far, according to the Directorate General of Health Services (DGHS).

The situation is particularly dire in Dhaka, where 208 new dengue patients were hospitalized as the outbreak continues to spread. Other areas reported significant numbers as well: 127 patients came from the Dhaka Division, 47 from Chattogram, and several more from other regions, including Khulna and Rajshahi. Currently, there are about 2,369 patients receiving treatment for dengue throughout the country, with 958 of those located in the capital city.

This year has been unprecedented for dengue cases; the DGHS noted it has kept records of dengue hospitalizations and fatalities since 2000 and reported this year had the highest number recorded to date. Just last year, 321,179 individuals were hospitalized, marking another record high, with 1,705 deaths attributed to the disease.

Expanding the narrative from dengue, the current health climate also presents concerns over chikungunya, which has resurfaced after years of dormancy. This follows the 2017 outbreak when over 13,800 cases were reported within months. This year has confirmed 67 chikungunya cases and 11 cases of the Zika virus, predominantly detected among dengue patients. Medical professionals express worry about the dual outbreak exacerbated by the vector mosquito, Aedes, which transmits both diseases.

Medical experts highlight significant symptoms seen among chikungunya patients, primarily severe joint pain, which can hinder normal activities. The pain usually subsides within a week but can linger for up to six months, affecting patients' quality of life and productivity. Hospitals have reported more cases of chikungunya than dengue recently, with hundreds of chikungunya patients treated at various facilities.

Leading health officials urge the need for continuous mosquito control efforts to mitigate both dengue and chikungunya outbreaks. Dr. Fazle Shamsul Kabir, acting chief health officer of Dhaka South City Corporation, emphasizes the proactive measures being taken to tackle mosquito populations, which include creating year-round plans informed by previous outbreaks and recommendations from experts. Mir Khairul Alam, the Chief Executive Officer of Dhaka North City Corporation, echoed these sentiments, noting the importance of adapting anti-mosquito strategies annually based on current health data and outbreaks.

Interestingly, the increasing incidence of chikungunya raises the stakes. International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) scientists predict greater outbreaks could occur if chikungunya's momentum continues. They linked the resurgence directly to Aedes mosquitoes, as all these viral diseases are transmitted by this common vector. Emphasis falls heavily on the necessity to improve mosquito control throughout Dhaka and beyond, as it is seen as the only way to prevent future outbreaks.

Health authorities are monitoring the situation closely, focusing on improving strategies to manage the mosquito population effectively. Virologist Professor Dr. Nazrul Islam pointed out the urgent need for coordinated efforts to address both dengue and chikungunya outbreaks. Without intensified action against Aedes mosquitoes, the risk of more extensive health crises looms.

This year has certainly highlighted the vulnerabilities within Bangladesh's public health systems, providing lessons on preparedness for not just dengue but potentially other vector-borne diseases like chikungunya and Zika. The Ministry of Health and city corporations are encouraged to forge stronger collaborations aimed at eradicative measures for Aedes mosquitoes.

Throughout all this, citizens are advised to remain vigilant, taking precautions against mosquito bites and reporting any suspicious symptoms to healthcare providers timely. The response from government agencies so far signals intent to control the situation, but challenges persist. With expertise from health professionals, the hope remains to navigate this public health challenge effectively, emphasizing the necessity for community support and public cooperation.

While the battle against dengue continues, the risk of chikungunya and Zika only adds complexity to the health crisis facing Bangladesh. Only through concerted efforts to control mosquito populations can the country hope to combat the dual threats of these debilitating diseases.