ArticleInternational journal of environmental research and public health2021
Epidemiological Analysis of the 2019 Dengue Epidemic in Bhutan.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Leveraging geographic information system for dengue surveillance: a scoping review.Tropical medicine and health · 2025Review
- Efforts toward the Elimination of Visceral Leishmaniasis in South Asia: A Review of Progress in Bhutan.The American journal of tropical medicine and hygiene · 2024Review
- National dengue surveillance, Cambodia 2002-2020.Bulletin of the World Health Organization · 2023Article
- The epidemiology and evolutionary dynamics of massive dengue outbreak in China, 2019.Frontiers in microbiology · 2023Article
- Componential usage patterns in dengue 4 viruses reveal their better evolutionary adaptation to humans.Frontiers in microbiology · 2022Article
- Survival Analysis of Symptomatic COVID-19 in Phuentsholing Municipality, Bhutan.International journal of environmental research and public health · 2021Article
- Spatio-Temporal Patterns of Dengue Incidence in Medan City, North Sumatera, Indonesia.Tropical medicine and infectious disease · 2021Article
- Outbreak prone communicable diseases of public health importance in the northern districts of West Bengal - Current status & the way forward.The Indian journal of medical research · 2021Review
- Medical practitioner's knowledge on dengue management and clinical practices in Bhutan.PloS one · 2021Article
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Authors and funding
7 authors.
Funding
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Abstract
Bhutan experienced its largest and first nation-wide dengue epidemic in 2019. The cases in 2019 were greater than the total number of cases in all the previous years. This study aimed to characterize the spatiotemporal patterns and effective reproduction number of this explosive epidemic. Weekly notified dengue cases were extracted from the National Early Warning, Alert, Response and Surveillance (NEWARS) database to describe the spatial and temporal patterns of the epidemic. The time-varying, temperature-adjusted cohort effective reproduction number was estimated over the course of the epidemic. The dengue epidemic occurred between 29 April and 8 December 2019 over 32 weeks, and included 5935 cases. During the epidemic, dengue expanded from six to 44 subdistricts. The effective reproduction number was <3 for most of the epidemic period, except for a ≈1 month period of explosive growth, coinciding with the monsoon season and school vacations, when the effective reproduction number peaked >30 and after which the effective reproduction number declined steadily. Interventions were only initiated 6 weeks after the end of the period of explosive growth. This finding highlights the need to reinforce the national preparedness plan for outbreak response, and to enable the early detection of cases and timely response.
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