Review of Dengue Death in Epidemiological Surveillance Report, 2012

Abstract

In 2012, 78,063 Dengue cases were reported in Thailand, mortality rate was 121.63 per 100,000 population, of which eighty eight died. Mortality rate was 0.13 per 100,000 population, with the highest among 25-34 years old (0.88 per 100,000 pop.), and case fatality rate was 0.11%. Bureau of Epidemiology was informed about 45 dengue deaths through investigation reports. Twenty four were female, and most of them were treated in private clinics or hospitals. Duration between onset of illness and first visit to physician was mostly 1 – 2 days (57.78%) while duration from onset of illness until death was mostly 7 days or less (48.89%). Most doctors diagnosed as dengue infection at 4 – 7 days after onset of illness (64.44%). However, only 22.22% had been diagnosed as dengue infection since the first visit. All of cases presented with high-grade fever. In conclusion, to reduce the fatality, people should visit physicians as early as when they develop highgrade fever. Complete Blood Count (CBC) should be monitored for early diagnosis and treatment of dengue.