Comportamiento de la mortalidad por dengue en Colombia entre 1985 y 2012

Abstract

Recibido: 30/07/15; aceptado: 10/02/16 Contribución de los autores:Todos los autores participaron en el diseño del estudio, el análisis estadístico, la discusión de resultados y la redacción del manuscrito. Comportamiento de la mortalidad por dengue en Colombia entre 1985 y 2012Pablo Chaparro-Narváez, Willian León-Quevedo, Carlos Andrés Castañeda-Orjuela Introduction: Dengue in Colombia is an important public health problem due to the huge economic and social costs it has caused, especially during the disease outbreaks. Objective: To describe the behavior of dengue mortality in Colombia between 1985 and 2012. Materials and methods:We conducted a descriptive study. Information was obtained from mortality and population projection databases provided by the Departamento Administrativo Nacional de Estadística (DANE) for the 1985-2012 period. Mortality rates, rate ratios, and case fatality rates were estimated. Results: A total of 1,990 dengue deaths were registered during this period in Colombia. Dengue mortality rates presented an increasing trend with statistical significance between 1985 and 1998. Higher mortality rates were reported in men both younger than 5 years and older than 65 years. Between 1995 and 2012, category 1 to 4 municipalities reported the highest mortality rates. Case fatality rates varied during the period between 0.01% and 0.39%. Conclusion:Dengue is an avoidable disease that should disappear from mortality statistics as a cause of death. The event is avoidable if the proposed activities from the Estrategia de Gestión Integrada (EGI)-Dengue are implemented and evaluated. We recommend encouraging the development of an informational culture to contribute to decision making and prioritizing resource allocation.

Dengue Infections in Colombia: Epidemiological Trends of a Hyperendemic Country

“…During those years, Colombians migrated from the countryside to the city at a higher rate leading overcrowding in cities with insufficient basic infrastructure and poor housing conditions. As a result, the likelihood of dengue infections increases due to subsequent improper practices for disposal of solid waste, and lack of waste and sewage collection services [9,43,44]. Finally, it is possible that intraserotype strain-specific antigenic variations occur over time in the dengue genetic evolution process, leading to a difference in the binding avidity of the existent antibodies, increasing the infection susceptibility of a person and the odds to progress to severe forms of dengue [45].…”

Ecoepidemiology of Alphaviruses and Flaviviruses

“…Wild DENV cycles have been well documented in West Africa and Southeast Asia, but not in the Americas (Vasilakis et al, 2011). The majority of the Colombian territory is considered endemic for DENV as 74% of the municipal capitals are below 1800 masl and have climatic conditions with temperatures ranging between 15 C and 40 C, with an average of 27 C, relative humidity of moderate to high and variable rainfall (Chaparro-Narváez et al, 2016). In the Cordoba Department (Colombia), temperature and humidity, as well as the state of vegetation, were significantly related to the appearance of DENV (Meza-Ballesta and Gó nima, 2014).…”

Costos de un programa de control del vector Aedes aegypti en municipios de Colombia: el caso de Girón y Guadalajara de Buga, 2016

“…El dengue se ha caracterizado por presentar un comportamiento cíclico de epidemias que se repite de cada tres a cuatro años 4 . Cerca del 55% de la población colombiana se encuentra en riesgo de contraer la enfermedad o morir a causa de ella 5 .…”

“…De acuerdo a indicadores, como la población e ingresos corrientes de libre destinación de los entes territoriales, las estrategias pueden ser ejecutadas y planeadas por los municipios o departamentos. En los municipios de mayor categoría, las competencias de control de las enfermedades transmitidas por vectores (ETV) recaen sobre ellos, mientras que para los de menor categoría la responsabilidad recae sobre el departamento 5 . Los municipios ejecutan y planean las estrategias del control del vector, siguiendo las guías del Instituto Nacional de Salud (INS) Colombiano, que a su vez se basa en los lineamientos dados por la Organización Mundial de la Salud y la Organización Panamericana de la Salud 10 .…”