Are there any changes in burden and management of communicable diseases in areas affected by Cyclone Nargis?
Background: This study aims to assess the situation of communicable diseases under national surveillance in the Cyclone Nargis-affected areas in Myanmar (Burma) before and after the incident. Methods. Monthly data during 2007, 2008 and 2009 from the routine reporting system for disease surveillance...
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th-mahidol.124142018-05-03T15:45:28Z Are there any changes in burden and management of communicable diseases in areas affected by Cyclone Nargis? Nyan Win Myint Jaranit Kaewkungwal Pratap Singhasivanon Kamron Chaisiri Pornpet Panjapiyakul Pichit Siriwan Arun K. Mallik Soe Lwin Nyein Thet Thet Mu Ministry of Health Mahidol University Thailand Ministry of Public Health Red Cross Society Inter-Agency Coordination and Emergency and Humanitrian Action Medicine Social Sciences Background: This study aims to assess the situation of communicable diseases under national surveillance in the Cyclone Nargis-affected areas in Myanmar (Burma) before and after the incident. Methods. Monthly data during 2007, 2008 and 2009 from the routine reporting system for disease surveillance of the Myanmar Ministry of Health (MMOH) were reviewed and compared with weekly reporting from the Early Warning and Rapid Response (EWAR) system. Data from some UN agencies, NGOs and Tri-Partite Core Group (TCG) periodic reviews were also extracted for comparisons with indicators from Sphere and the Inter-Agency Standing Committee. Results: Compared to 2007 and 2009, large and atypical increases in diarrheal disease and especially dysentery cases occurred in 2008 following Cyclone Nargis. A seasonal increase in ARI reached levels highe r than usual in the months of 2008 post-Nargis. The number of malaria cases post-Nargis also increased, but it was less clear if this reflected normal seasonal patterns or was specifically associated with the disaster event. There was no significant change in the occurrence of other communicable diseases in Nargis-affected areas. Except for a small decrease in mortality for diarrheal diseases and ARI in 2008 in Nargis-affected areas, population-based mortality rates for all other communicable diseases showed no significant change in 2008 in these areas, compared to 2007 and 2009. Tuberculosis control programs reached their targets of 70% case detection and 85% treatment success rates in 2007 and 2008. Vaccination coverage rates for DPT 3 rd dose and measles remained at high though measles coverage still did not reach the Sphere target of 95% even by 2009. Sanitary latrine coverage in the Nargis-affected area dropped sharply to 50% in the months of 2008 following the incident but then rose to 72% in 2009. Conclusion: While the incidence of diarrhea, dysentery and ARI increased post-Nargis in areas affected by the incident, the incidence rate for other diseases and mortality rates did not increase, and normal disease patterns resumed by 2009. This suggests that health services as well as prevention and control measures provided to the Nargis-affected population mitigated what could have been a far more severe health impact. © 2011 Myint et al; licensee BioMed Central Ltd. 2018-05-03T08:28:54Z 2018-05-03T08:28:54Z 2011-07-20 Article Conflict and Health. Vol.5, No.1 (2011) 10.1186/1752-1505-5-9 17521505 2-s2.0-79960345416 https://repository.li.mahidol.ac.th/handle/123456789/12414 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=79960345416&origin=inward |
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Medicine Social Sciences Nyan Win Myint Jaranit Kaewkungwal Pratap Singhasivanon Kamron Chaisiri Pornpet Panjapiyakul Pichit Siriwan Arun K. Mallik Soe Lwin Nyein Thet Thet Mu Are there any changes in burden and management of communicable diseases in areas affected by Cyclone Nargis? |
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Background: This study aims to assess the situation of communicable diseases under national surveillance in the Cyclone Nargis-affected areas in Myanmar (Burma) before and after the incident. Methods. Monthly data during 2007, 2008 and 2009 from the routine reporting system for disease surveillance of the Myanmar Ministry of Health (MMOH) were reviewed and compared with weekly reporting from the Early Warning and Rapid Response (EWAR) system. Data from some UN agencies, NGOs and Tri-Partite Core Group (TCG) periodic reviews were also extracted for comparisons with indicators from Sphere and the Inter-Agency Standing Committee. Results: Compared to 2007 and 2009, large and atypical increases in diarrheal disease and especially dysentery cases occurred in 2008 following Cyclone Nargis. A seasonal increase in ARI reached levels highe r than usual in the months of 2008 post-Nargis. The number of malaria cases post-Nargis also increased, but it was less clear if this reflected normal seasonal patterns or was specifically associated with the disaster event. There was no significant change in the occurrence of other communicable diseases in Nargis-affected areas. Except for a small decrease in mortality for diarrheal diseases and ARI in 2008 in Nargis-affected areas, population-based mortality rates for all other communicable diseases showed no significant change in 2008 in these areas, compared to 2007 and 2009. Tuberculosis control programs reached their targets of 70% case detection and 85% treatment success rates in 2007 and 2008. Vaccination coverage rates for DPT 3 rd dose and measles remained at high though measles coverage still did not reach the Sphere target of 95% even by 2009. Sanitary latrine coverage in the Nargis-affected area dropped sharply to 50% in the months of 2008 following the incident but then rose to 72% in 2009. Conclusion: While the incidence of diarrhea, dysentery and ARI increased post-Nargis in areas affected by the incident, the incidence rate for other diseases and mortality rates did not increase, and normal disease patterns resumed by 2009. This suggests that health services as well as prevention and control measures provided to the Nargis-affected population mitigated what could have been a far more severe health impact. © 2011 Myint et al; licensee BioMed Central Ltd. |
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Ministry of Health |
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Ministry of Health Nyan Win Myint Jaranit Kaewkungwal Pratap Singhasivanon Kamron Chaisiri Pornpet Panjapiyakul Pichit Siriwan Arun K. Mallik Soe Lwin Nyein Thet Thet Mu |
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Article |
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Nyan Win Myint Jaranit Kaewkungwal Pratap Singhasivanon Kamron Chaisiri Pornpet Panjapiyakul Pichit Siriwan Arun K. Mallik Soe Lwin Nyein Thet Thet Mu |
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Nyan Win Myint |
title |
Are there any changes in burden and management of communicable diseases in areas affected by Cyclone Nargis? |
title_short |
Are there any changes in burden and management of communicable diseases in areas affected by Cyclone Nargis? |
title_full |
Are there any changes in burden and management of communicable diseases in areas affected by Cyclone Nargis? |
title_fullStr |
Are there any changes in burden and management of communicable diseases in areas affected by Cyclone Nargis? |
title_full_unstemmed |
Are there any changes in burden and management of communicable diseases in areas affected by Cyclone Nargis? |
title_sort |
are there any changes in burden and management of communicable diseases in areas affected by cyclone nargis? |
publishDate |
2018 |
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https://repository.li.mahidol.ac.th/handle/123456789/12414 |
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1763489429932998656 |