APEC Workshop for the Control Practice of Dengue Fever

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APEC Workshop for the Control Practice of Dengue
Fever
Centers for Disease Control Chinese Taipei
APEC HWG, Lima, Peru, Feb 21,2008
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Outline

• Epidemics Disease Burden
• Project Proposal
• Application of Information Technology in
  Disease Control
• Review APEC Dengue Projects

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Epidemics

• Dengue fever has rapidly emerged as one of the
  most important public health problems in many
  countries of Asia-Pacific Region.
• Between 1991 and 2004, ten countries and areas
  Cambodia, China, French Polynesia, Fiji,
  Malaysia, the Lao People's Democratic Republic,
  New Caledonia, the Philippines, Singapore and
  Viet Nam accounted for 98.4 of all dengue
  cases and 99.7 of all deaths in the Western
  Pacific Region. (WPRO)

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2007/1/1-2008/1/4
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Annual Average Global Surface Temperature
Anomalies 1880-2006
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(No Transcript)
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Disease Burden

• Dengue is now endemic in at least 100
  countries. About 40 of the world's population,
  or about 2.5 billion people, are at risk
  throughout the tropics and subtropics. Over 50
  million dengue infections, including about 400
  000 cases of dengue haemorrhagic fever, are
  estimated to occur annually.

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WHO alarmed about the spread of dengue

• Manila, 23 July 2007 -- The WHO has warned that
  the Western Pacific Region may be heading for a
  major dengue outbreak unless concerted effort and
  cooperation are undertaken quickly.
• The major obstacles to preventing dengue
  epidemics in the Region effectively are low
  preparedness, inadequate surveillance, lack of
  funding and poor data. (WPRO)

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Project Objectives

• Improve skills and knowledge among participants
  about the practice of vector control, risk
  communication and community mobilization.
• Build the networking, capacities of and the
  cooperation among APEC member economies by
  sharing the application of information
  technologies in surveillance and improve data
  quality of dengue control.

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Content of Project (1/2)

• 2-day workshop
• Topics discussed
• Vector control
• Risk communication
• Community mobilization
• The application of new information technology
• Interdepartmental cooperation.

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Content of Project (2/2)

• Format
• Lectures
• Site visiting
• Demonstration
• Practice
• Discussion
• Date May-June 2008
• Venue Kaohsiung, Chinese Taipei

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Example applying information technology in
source control (mosquito breeding sites)
Google Maps
Database
Data Manageinterface
Data Upload Interface
GPS Data including location, description, date,
Edit each record,email to designated
workersRemove record from watch list
Other related data
(DF confirmedcases in past two weeks)
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GPS data acquired process
1.
latitudes and longitudes acquired
Take pictures at vectorbreeding source
2.
Dopod P800W houses a digital camera and an
embedded GPS receiver
3.
Vector breeding sources are visualized on the map
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System screenshot
Vector mosquito breeding sites
Confirmed cases in recent 2 weeks
Clearedbreeding sites
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GPS PDA Photo Navigation
2.
GPS navigation
Vector breeding sites Rechecked
3.
1.
System send email or MMS to PDA
4.
Follow-up data report
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Participants

• Approximately 50
• Each member economy will be invited to send 2
  delegates
• The health workers, policy makers, the community
  leaders as well as epidemiologists are welcome.

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Project Output

• A report including workshop training materials,
  assessment, recommendations and their policy
  implications in APEC economies will be developed.
• All workshop documents will be accessible on
  internet and in CD-Rom.

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Targets Beneficiaries (1/2)

• Directly benefit to health workers, policy makers
  and community leaders of the workshop
  participants.
• Vulnerable people among member economies will be
  indirectly benefited if the participating
  economies can apply what they learned in the
  workshop.

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Targets Beneficiaries (2/2)

• The project will help to reduce the social and
  economic damage caused by dengue fever.
• The people living in the dengue-affected areas
  are expected to eventually suffer less from
  dengue virus infection.

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Budget

• Total cost of proposal US 78,620
• APEC funding US 43,600
• Airfare for travel-eligible economies 30,800
• Per diem for travel-eligible economies 12,800
• Chinese Taipei financing US 35,020
• Airfare for speakers 12,800
• Per diem for speakers 5,400
• Direct labors 4,820
• Workshop cost 12,000

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Project Directly Responses to the Priority of
APEC

• Mr. Trang Tuan Tran, Ambassador to APEC
  The Organization
  supports networking approach in the prevention
  and control of dengue and promotes higher levels
  of cooperation amongst countries in Asia and
  Pacific Region.
• The 2007 Sydney Leaders Declaration
  Leaders agreed on
  the need to further strengthen APECs efforts to
  build community resilience and preparedness for
  emergencies and natural disasters.
• The Priorities of the APEC HTF Work Plan
  To improve
  health outcomes through advances in health
  information technology.

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Molecular epidemiology of dengue viruses training
course in 2002

• Partial APEC Funding
• Proposing APEC Economy United States
• Participants from 7 economies Hong Kong, Japan,
  Malaysia, Philippines, Singapore, Thailand,
  Vietnam.

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APEC control of dengue outbreaks regional
cooperation workshop in 2003

• Partial APEC Funding
• Proposing APEC economy Chinese Taipei
• Co-sponsors Canada and United States of America
• Participants 11 economies from West Pacific
  region and Peru.

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Virological surveillance, diagnosis, and
molecular epidemiology of dengue conference and
workshop in 2005

• Funding Chinese Taipei
• Co-sponsored by Brunei Darussalam, Korea, Hong
  Kong, Malaysia, Vietnam
• Participants 9 economies, including Canada,
  Japan, Mexico, Philippines, Singapore, Thailand,
  USA, Vietnam, Chinese Taipei and non-APEC economy.

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Thank you for Attention!!
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Background

• Vector breeding source reduction is still the
  main emphasis in the control of Dengue Fever.
• Householders are advised to remove potential
  habitats (e.g. flower pot plates, roof gutters,
  ground depressions)

2007/1/1 - 11/25
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Disease prevention teams

• They will Put the regular vector breeding source
  inspection operation mechanism into practice by
  vacating empty houses, places and other potential
  vector breeding sources and by keeping a record
  of these places For future inspection.

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Methods

• Develop a web-based management system by using
  PHP and MySQL database.
• Embedded with an interactive map using the Google
  Maps API (Application Programming Interface).