Slide1: 1 APEC Workshop for the Control Practice of Dengue Fever Centers for Disease Control Chinese Taipei APEC HWG, Lima, Peru, Feb 21,2008


Outline : 2 Outline Epidemics & Disease Burden Project Proposal Application of Information Technology in Disease Control Review APEC Dengue Projects


Epidemics: 3 Epidemics Dengue fever has rapidly emerged as one of the most important public health problems in many countries of Asia-Pacific Region. Between 1991 and 2004, ten countries and areas — Cambodia, China, French Polynesia, Fiji, Malaysia, the Lao People's Democratic Republic, New Caledonia, the Philippines, Singapore and Viet Nam — accounted for 98.4% of all dengue cases and 99.7% of all deaths in the Western Pacific Region. (WPRO)


Slide4: 4 2007/1/1-2008/1/4


Annual Average Global Surface Temperature Anomalies 1880-2006: 5 Annual Average Global Surface Temperature Anomalies 1880-2006


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Disease Burden: 8 Disease Burden Dengue is now endemic in at least 100 countries. About 40% of the world's population, or about 2.5 billion people, are at risk throughout the tropics and subtropics. Over 50 million dengue infections, including about 400 000 cases of dengue haemorrhagic fever, are estimated to occur annually.


WHO alarmed about the spread of dengue : 9 WHO alarmed about the spread of dengue Manila, 23 July 2007 -- The WHO has warned that the Western Pacific Region may be heading for a major dengue outbreak unless concerted effort and cooperation are undertaken quickly. The major obstacles to preventing dengue epidemics in the Region effectively are low preparedness, inadequate surveillance, lack of funding and poor data. (WPRO)


Project Objectives: 10 Project Objectives Improve skills and knowledge among participants about the practice of vector control, risk communication and community mobilization. Build the networking, capacities of and the cooperation among APEC member economies by sharing the application of information technologies in surveillance and improve data quality of dengue control.


Content of Project (1/2): 11 Content of Project (1/2) 2-day workshop Topics discussed: Vector control Risk communication Community mobilization The application of new information technology Interdepartmental cooperation.


Slide12: 12 Format Lectures Site visiting Demonstration Practice Discussion Date : May-June 2008 Venue : Kaohsiung, Chinese Taipei Content of Project (2/2)


Slide13: 13 Google Maps Other related data Database Example: applying information technology in source control (mosquito breeding sites) (DF confirmed cases in past two weeks) Data Upload Interface Data Manage interface GPS Data including location, description, date,… Edit each record, email to designated workers; Remove record from watch list


Slide14: 14 Vector breeding sources are visualized on the map 2. 3. 1. GPS data acquired process Dopod P800W houses a digital camera and an embedded GPS receiver Take pictures at vector breeding source latitudes and longitudes acquired


Slide15: 15 System screenshot Vector mosquito breeding sites Confirmed cases in recent 2 weeks Cleared breeding sites


Slide16: 16 GPS navigation Vector breeding sites Rechecked System send email or MMS to PDA Follow-up data report 1. 2. 3. 4. GPS PDA Photo Navigation


 Participants : 17 Participants Approximately 50 Each member economy will be invited to send 2 delegates The health workers, policy makers, the community leaders as well as epidemiologists are welcome.


Project Output: 18 Project Output A report including workshop training materials, assessment, recommendations and their policy implications in APEC economies will be developed. All workshop documents will be accessible on internet and in CD-Rom.


Targets Beneficiaries (1/2): 19 Targets Beneficiaries (1/2) Directly benefit to health workers, policy makers and community leaders of the workshop participants. Vulnerable people among member economies will be indirectly benefited if the participating economies can apply what they learned in the workshop.


Targets Beneficiaries (2/2): 20 Targets Beneficiaries (2/2) The project will help to reduce the social and economic damage caused by dengue fever. The people living in the dengue-affected areas are expected to eventually suffer less from dengue virus infection.


Budget: 21 Budget Total cost of proposal : US$ 78,620 APEC funding : US $43,600 Airfare for travel-eligible economies: $30,800 Per diem for travel-eligible economies : $12,800 Chinese Taipei financing US$: 35,020 Airfare for speakers: $12,800 Per diem for speakers : $5,400 Direct labors : $4,820 Workshop cost : $12,000


Project Directly Responses to the Priority of APEC : 22 Mr. Trang Tuan Tran, Ambassador to APEC The Organization supports networking approach in the prevention and control of dengue and promotes higher levels of cooperation amongst countries in Asia and Pacific Region. The 2007 Sydney Leaders’ Declaration Leaders agreed on “the need to further strengthen APEC’s efforts to build community resilience and preparedness for emergencies and natural disasters. “ The Priorities of the APEC HTF Work Plan To improve health outcomes through advances in health information technology. Project Directly Responses to the Priority of APEC


Molecular epidemiology of dengue viruses training course in 2002: 23 Partial APEC Funding Proposing APEC Economy: United States Participants: from 7 economies: Hong Kong, Japan, Malaysia, Philippines, Singapore, Thailand, Vietnam. Molecular epidemiology of dengue viruses training course in 2002


APEC control of dengue outbreaks: regional cooperation workshop in 2003: 24 APEC control of dengue outbreaks: regional cooperation workshop in 2003 Partial APEC Funding Proposing APEC economy: Chinese Taipei Co-sponsors: Canada and United States of America Participants: 11 economies from West Pacific region and Peru.


Virological surveillance, diagnosis, and molecular epidemiology of dengue conference and workshop in 2005: 25 Virological surveillance, diagnosis, and molecular epidemiology of dengue conference and workshop in 2005 Funding: Chinese Taipei Co-sponsored by: Brunei Darussalam, Korea, Hong Kong, Malaysia, Vietnam Participants: 9 economies, including Canada, Japan, Mexico, Philippines, Singapore, Thailand, USA, Vietnam, Chinese Taipei and non-APEC economy.


Thank you for Attention!!: 26 Thank you for Attention!!


Slide27: 27 Vector breeding source reduction is still the main emphasis in the control of Dengue Fever. Householders are advised to remove potential habitats (e.g. flower pot plates, roof gutters, ground depressions) Background 2007/1/1 - 11/25　


Disease prevention teams: 28 Disease prevention teams They will Put the regular vector breeding source inspection operation mechanism into practice by vacating empty houses, places and other potential vector breeding sources and by keeping a record of these places For future inspection.


Slide29: 29 Develop a web-based management system by using PHP and MySQL database. Embedded with an interactive map using the Google Maps API (Application Programming Interface). Methods