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Published on: November 10, 2023
The Double Burden of COVID-19 and Dengue in Nepal: The challenges ahead
K Pandey1, S P Dumre2, M Dhimal3
1Central Department of Zoology, Tribhuvan University, Kirtipur, Nepal.
Insights
Nepal faces a dual health threat from COVID-19 and dengue fever. This co-circulation risks severe illness and misdiagnosis, straining healthcare resources during peak dengue season.
Area of Science:
- Public Health
- Infectious Diseases
- Epidemiology
Background:
- The COVID-19 pandemic has significantly impacted global healthcare systems.
- Vector-borne diseases, such as dengue, have been affected in diagnosis and treatment.
- Nepal is experiencing a surge in COVID-19 cases, diverting resources from other health priorities.
Purpose of the Study:
- To describe the concurrent burden of COVID-19 and dengue in Nepal.
- To highlight the co-circulation and potential coinfections of these two viral diseases.
- To assess the implications for disease severity, case management, and resource allocation.
Main Methods:
- This paper presents a descriptive analysis of the epidemiological situation.
- It reviews the impact of COVID-19 on dengue surveillance and control programs in Nepal.
- The study discusses the challenges posed by co-circulation and coinfection.
Main Results:
- Dengue is a significant vector-borne disease in Nepal, potentially overlooked due to COVID-19.
- Co-circulation of COVID-19 and dengue increases the risk of severe disease and mortality.
- Misdiagnosis can lead to delayed treatment and inefficient resource allocation.
Conclusions:
- Nepal faces a "double burden" of COVID-19 and dengue, posing a substantial public health challenge.
- The co-circulation necessitates integrated surveillance and management strategies.
- Urgent attention is required to prevent increased morbidity and mortality from both diseases.
Abstract:
Coronavirus disease 2019 (COVID-19) pandemic has caused significant impact on the health care system. As a consequence, diagnosis and treatment of vector borne diseases including dengue has been equally affected. Nepal is no exception to this, where COVID-19 cases is exponentially increased and all resources are concentrated on its prevention, control and management. Dengue, one of the major vector-borne diseases in Nepal, is apparently overlooked despite approaching the peak season of the disease. The aim of this paper is to describe the double burden of COVID-19 and dengue in Nepal, particularly highlighting the co-circulation and possible coinfections. This has posed higher risk of increased severity, more severe cases and deaths in Nepal. Moreover, potential misdiagnosis of these viral diseases may lead to delayed or, inappropriate treatment and poor allocation of resources.
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