Health system for dengue control: Early case detection and focal control

T. Umenai, M. Nishigaki, K. Osaka, H. Miura, K. Ishii

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Aedes aegypti and dengue virus infection continue to spread in the tropical and subtropical world. Since there is no effective dengue vaccine, mosquito control and dengue patient treatment are the most important and practical way for dengue control. Many attempts have been made to control Aedes aegypti (adultcidal and larvicidal) to prevent dengue epidemic by large vertically-organized teams of workers. However, most of these methods have not been successful in the aspect of continuation of the effective dengue control. By reviewing several dengue control activities, one possible approach for Dengue Fever (DF)/Dengue Hemorrhagic Fever (DHF) control is presented: 1) development of early case detection by using simple IgM detection methods at the level of health centers, 2) quick fogging of the house and the area of detected case, and 3) development of active community participation in the above activities.

Original languageEnglish
Pages (from-to)297-302
Number of pages6
JournalTropical Medicine
Issue number4
Publication statusPublished - 1993


  • community health care system
  • dengue hemorrhagic fever
  • focal control
  • health cost
  • vector control


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