The current surge in dengue instances globally, together with in new areas has been alarming and poses important international well being challenges. The World Health Organization (WHO) forecasts the likelihood of record-level instances this 12 months attributable to international warming favouring disease-transmitting mosquitoes.
Dengue fever, brought on by the dengue virus (DENV), is a extremely prevalent infectious illness estimated to be infecting over 400 million folks every year as per the WHO. DENV is an RNA virus of the Flaviviridae household with 4 serotypes (DENV-1 to 4). Infection with one serotype gives lifelong immunity to that kind, however subsequent infections with completely different serotypes can result in extreme, life-threatening kinds of the illness. There isn’t any particular antiviral therapy for dengue, so prevention depends on controlling mosquito populations and elevating public consciousness. Despite international efforts, dengue instances proceed to rise, with thousands and thousands reported yearly worldwide.
Outbreaks in 2023
Since the start of 2023, a number of areas in America have witnessed important dengue outbreaks, reporting over two million instances until July, with Brazil, Peru, and Bolivia having recorded the very best quantity of instances this 12 months. Although instances have been reported throughout all subregions of the Americas, a majority of instances stem from the Southern Cone, encompassing nations equivalent to Argentina, Brazil, Chile, Uruguay, and Paraguay. Several nations within the Americas have reported a co-circulation of all 4 DENV serotypes, thus presenting a number of challenges for public well being authorities in controlling and managing the outbreaks.
Changing weather conditions in Europe, equivalent to elevated warmth waves, floods, and extended scorching summers, have created favorable environments for dengue-causing mosquito species. The European Centre for Disease Prevention and Control (ECDC) has warned of a rise in DENV infections throughout the area. In 2022, Europe noticed a major rise in domestically acquired dengue instances.
More dengue instances
This month, there was an outbreak of dengue fever reported in Egypt’s Qena province after a number of optimistic instances. Prior to this, Sudan recorded its first-ever dengue case in February, regardless that it isn’t thought-about endemic within the Middle East attributable to unfavorable local weather circumstances. While the Middle East has skilled some outbreaks, they’ve been comparatively small in scale in comparison with nations in Asia. Bangladesh, Thailand, Malaysia, Cambodia, and India, particularly, have reported increased case numbers in comparison with earlier years.
Dengue instances have soared in India, principally attributable to heavy rains and insufficient management measures, which create the best breeding setting for mosquitoes. States like Kerala, Odisha, Assam, Tamil Nadu, Maharashtra, West Bengal, and Karnataka are reporting massive numbers of dengue instances.
The current surge in dengue instances worldwide together with India thus calls for fast consideration and motion. While public well being measures are being carried out to manage the unfold of the illness, particular person consciousness and accountability play an important position in curbing dengue transmission. Recently, Takeda launched the primary vaccine for the illness, which has been permitted in just a few nations. The vaccine has modest efficacy in stopping extreme illness however nonetheless has a lot floor to cowl in phrases of stopping an infection, offering uniform safety in opposition to all serotypes, and making certain long-term immunity.
Continued analysis and collaboration, together with genomic surveillance of the virus, are important to understanding the evolution and adaptation of the virus, growing efficient methods to fight dengue and different mosquito-borne illnesses and safeguarding international well being and well-being.
(Bani Jolly and Vinod Scaria are researchers at CSIR Institute of Genomics and Integrative Biology (CSIR-IGIB), Delhi)