ArticleJournal of family medicine and primary care2021
Social, health system and clinical determinants of fever mortality during an outbreak of dengue fever in Kerala, India.
Article in Journal of family medicine and primary care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Assessing the Relationship between Annual Surface Temperature Changes and the Burden of Dengue: Implications for Climate Change and Global Health Outcomes.Tropical medicine and infectious disease · 2023Article
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7 authors.
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Abstract
BACKGROUND AND
objectivesThe morbidity and mortality spectrum of the south Indian state of Kerala is dominated by chronic non-communicable diseases, yet febrile illnesses because of neglected tropical diseases and emerging viral infections are often reported. As fever deaths are mostly avoidable, understanding the determinants of mortality is essential for implementing preventive measures.
methodsA case-control study was done during an ongoing dengue outbreak in Thiruvananthapuram district, Kerala during 2017-18. Cases included all fever deaths from the line list of Integrated Disease Surveillance Program (IDSP). Data were obtained from hospital case records and by interviewing patients or care givers. The theoretical model for determinants of mortality was constructed at three levels namely sociodemographic factors, access to health care and health seeking behavior, and clinical determinants.
resultsThis study confirmed association of mortality with age above 40 years (
conclusionAlong with biological and clinical factors, distal determinants like social factors, health seeking behavior, and health system factors are associated with fever mortality.
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