COVID-19 Response and Lessons Learned on Dengue Control in Bhutan

Tsheten, Tsheten; Wangchuk, Sonam; Wangmo, Dechen; Clements, Archie C. A.; Gray, Darren J.; Wangdi, Kinley

doi:10.1093/jme/tjaa225

Cited by 14 publications

(13 citation statements)

References 16 publications

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“…Additionally, many people move across the land border into Thailand every day, posing an immediate threat to the local population through transmission of COVID-19 [ 43 ]. In Bhutan and Indonesia, there are mounting reports of cases associated with the non-stop repatriation of migrant workers from the worst affected countries [ 42 , 44 ]. India was one of the most hard hit countries by COVID-19 globally and ranks second in terms of cumulative cases and third in terms of cumulative deaths [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…The region now bears a high burden of dengue with 1.8 billion people living at risk of dengue infection [37]. In addition, all countries in the region also faced the deadly rampage of COVID-19, causing considerable disease burden and socio-economic disruptions [38][39][40][41][42]. Thailand was the first country outside China to identify SARS-CoV-2, probably because it is a popular destination for international tourists, especially from China [39].…”

Section: Clinical Outcomesmentioning

confidence: 99%

“…The delayed diagnosis of COVID-19 and non-compliance with COVID-19 prevention protocols led to hospital-acquired SARS-CoV-2 infection in a healthcare provider [24]. The nonspecific clinical symptoms of COVID-19 and dengue calls for including both the diseases in the differential diagnosis of acute febrile illness patients at the current time [42].…”

Section: Knowledge Of the Clinical And Laboratory Features Of Sars-cov-2 And Dengue Virus Co-infection Is Critical Formentioning

confidence: 99%

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Clinical features and outcomes of COVID-19 and dengue co-infection: a systematic review

et al. 2021

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Background Dengue is the most common arboviral disease in the tropical and sub-tropical regions of the world. Like other regions, dengue-endemic areas have faced the additional public health and socio-economic impact of the ongoing coronavirus disease 2019 (COVID-19) pandemic. COVID-19 and dengue co-infections have been reported, with complicated patient management and care requirements. This review aimed to collate and synthesise current knowledge on the clinical features and outcomes of COVID-19 and dengue virus co-infection, a potentially important new dimension to be considered in public health management of the COVID-19 pandemic. Methods A systematic literature review was conducted using PubMed, Web of Science and Scopus databases from 1st January to 21st November 2020. The key search terms used were “dengue” and “coronavirus”. Descriptive analysis with graphical illustrations were used to present the clinical and laboratory parameters of the co-infection. Results Thirteen published papers and four news articles were included in the review. Most studies were case reports with a detailed description of the clinical and laboratory characteristics of the co-infection. All cases were in adults with the exception of a six-year old child. The common symptoms of co-infection were fever, dyspnea, headache, and cough. Common laboratory results included thrombocytopenia, lymphocytopenia, elevated transaminases, and leukopenia. Serious outcomes of co-infection included septic shock, acute respiratory disease syndrome and multi-organ failure, leading to death in some patients. Conclusions COVID-19 and dengue co-infection was associated with severe disease and fatal outcomes. The correct diagnosis and treatment of co-infection poses a substantial challenge due to the overlapping clinical and laboratory parameters. Therefore, confirmative diagnostic tests are necessary for accurate and timely diagnosis and patient management.

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Section: Discussionmentioning

confidence: 99%

Section: Clinical Outcomesmentioning

confidence: 99%

Section: Knowledge Of the Clinical And Laboratory Features Of Sars-cov-2 And Dengue Virus Co-infection Is Critical Formentioning

confidence: 99%

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Clinical features and outcomes of COVID-19 and dengue co-infection: a systematic review

et al. 2021

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“…As a result, it is one of the serious public health problems worldwide in the Twenty first century ( 1 , 2 ). The first case of COVID-19 in Bhutan was reported on March 5, 2020 ( 3 , 4 ) and the current record stands (7 June 2021) at 1,687 cases with one death ( 5 ). As in other countries around the world, the COVID-19 pandemic has brought communities to a standstill due to the lockdowns to prevent outbreaks.…”

Section: Introductionmentioning

confidence: 99%

“…It was later extended to 3 weeks upon the recommendation from the National COVID Task Force. In addition, the international borders were sealed from March 23, 2020 except for the supply of essential goods ( 3 , 4 ), which was done under the strict COVID-19 prevention protocols, such as disinfection of vehicles and strict social distancing between delivery and trans-shipping personals. Further, the government has undertaken various preventive measures to stop the spread of the disease, such as hand washing, social distancing, and the use of face mask in public places ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude, and Practice Toward COVID-19 Among Sherubtse College Students in Bhutan: A Web-Based Cross-Sectional Study

Dorji¹,

Wangmo²,

Yezer

et al. 2021

Front. Public Health

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Bhutan has reopened schools and colleges after an initial closure to contain coronavirus disease 2019 (COVID-19) transmission. However, the risk of transmissions is higher in the schools and colleges due to crowding. Therefore, this study aimed to assess the level of knowledge, attitude, and practice (KAP) toward COVID-19 among the students of Sherubtse College in Bhutan. A cross-sectional study using a questionnaire was conducted in September 2020 among the students of Sherubtse College, Bhutan. The questionnaire was made in the Google Forms and administered through a social forum WeChat app. The KAP scores were calculated that include mean scores. The association between the KAP was assessed using the Pearson's correlation coefficient. A total of 613 students participated in the survey. The majority of the participants (57%) were female and 56% were from the third year. The mean knowledge score was 10.7 (SD = 1.7; range 0–14), mean attitude score of 3.67 (SD = 1.0; range: 0–5), and mean practice score of 5.19 (SD = range: 0–6). A majority of the students had good knowledge (98%) and practice (93.5%) scores, and a positive attitude (86.6%) toward COVID-19. A positive but weak correlation between good knowledge and practice (r = 0.1, p = 0.0126) was observed. Having a positive attitude led to practicing appropriately most of the time (r = 0.1866, p < 0.001). The students had good KAP scores and followed the COVID-19 prevention protocols advocated by the government. Good knowledge and a positive attitude were translated into good practice. Therefore, the education campaign of the Bhutan government seems to be effective in the students.

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What Is the Impact of Lockdowns on Dengue?

Brady

Wilder‐Smith

2021

Curr Infect Dis Rep

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COVID-19 Response and Lessons Learned on Dengue Control in Bhutan

Cited by 14 publications

References 16 publications

Clinical features and outcomes of COVID-19 and dengue co-infection: a systematic review

Clinical features and outcomes of COVID-19 and dengue co-infection: a systematic review

Knowledge, Attitude, and Practice Toward COVID-19 Among Sherubtse College Students in Bhutan: A Web-Based Cross-Sectional Study

What Is the Impact of Lockdowns on Dengue?

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