The results of Dengue Fever and Dengue Hemorrhagic Fever (DF/DHF) Prevention and Control in Maung District, Mae Hong Son Province, 2004-2006

Abstract

          This study is a descriptive study. The purpose of the study is to evaluate the progression and direct impact of DF/DHF prevention and control in order to improve the efficacy of this mission. The data was analyzed by frequency, percentage and average. The study shows that DF/DHF are still significant public health problems in Maung district, Mae Hong Son. In fiscal year 2004 there was a higher Morbidity Rate (MR) than standard levels in Pang Mhoo subdistrict, Jong Khum subdistrict and Pha Bong subdistrict. The MR are 450.03, 312.96 and 77.59 per 100,000 people respectively. In fiscal year 2005 there was a higher MR than standard level in Pha Bong subdistrict, Jong Khum subdistrict, Hauy Pha subdistrict, Pang Mhoo subdistrict and Hauy Pong subdistrict. The MR are 508.66, 170.13, 111.36, 109.41 and 60.20 per 100,000 people respectively. In fiscal year 2006 there was a lower MR than standard level in Jong Khum subdistrict and Pang Mhoo subdistrict. The MR are 48.97 and 26.15 per 100,000 people respectively. Most of the high MR occur in urban and sub urban areas. The high incidence period is from around May to August. The high incidence group of ages are 25-44 and 15-24 year old followed by 45-59, 10-14 and 5-9 year old respectively. The discovery and elimination of breeding places by Voluntary public health service villagers in the last 3 years reached 60-80 percent in May-July, and less than 50 percent in September-December. We found a high level of Hose hold Index (HI) in the village in May-July and a high level of Container Index (CI) in the school, temple, kidder garden and public health office in the same period. Discovery and eradication of breeding places by home owners over 3 years is highest in Mhog Chum Pae subdistrict followed by Hauy Pha subdistrict, Pha Bong subdistrict and Pang Mhoo subdistrict respectively. DF/DHF prevention and control are important because of the high MR in urban and sub urban areas. Therefore, it is necessary to continue surveillance and integrate efforts with the local administration. In order to successfully control future outbreaks of DF/DHF.