Dengue Virus, Nepal
2008

Dengue Virus in Nepal

Sample size: 11 publication Evidence: moderate

Author Information

Author(s): Pandey Basu Dev, Morita Kouichi, Khanal Santa Raj, Takasaki Tomohiko, Miyazaki Isao, Ogawa Tetsuro, Inoue Shingo, Kurane Ichiro

Primary Institution: Tropical and Infectious Disease Hospital, Kathmandu, Nepal

Conclusion

Dengue fever and dengue hemorrhagic fever have likely been misdiagnosed and underestimated in Nepal due to a lack of surveillance and awareness among health professionals.

Supporting Evidence

  • Dengue virus has emerged in southern Asia, with epidemics reported in neighboring countries.
  • The first DF case in Nepal was reported in 2004.
  • Dengue virus antibody prevalence was reported to be 10.4% in southwestern Nepal.
  • The Aedes mosquito, which spreads dengue, is known to persist in the Terai region.

Takeaway

Dengue fever is a serious illness caused by a virus spread by mosquitoes, and it has been affecting people in Nepal more than we thought.

Methodology

Blood specimens were collected from patients, and dengue virus-specific IgM was detected using immunoglobulin M–capture ELISA.

Potential Biases

Health professionals do not usually consider dengue as a differential diagnosis, leading to potential misdiagnosis.

Limitations

Sample collection was delayed, and the samples were transported in a deteriorated condition, which may have affected the results.

Participant Demographics

Patients admitted to hospitals in the Terai region of Nepal with febrile symptoms.

Digital Object Identifier (DOI)

10.3201/eid1403.070473

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