Unrelenting rains and savage winds, which accompany hurricanes, produce devastating mudslides and sustained flooding. In the wake of hurricanes, thousands of inhabitants face the plight of a greatly diminished capacity to go about their daily lives as a result of destroyed or severely-damaged homes, deteriorated living conditions, and increased health risks. Hurricanes inevitably aggravate the frail health of an already vulnerable segment of the population living both in and outside its destructive path. Repeated epidemics of dengue and dengue hemorrhagic fever afflicting millions of individuals occur annually in tropical and subtropical areas of the world, including The Caribbean and Central America, inhabited by the Aedes aegypti mosquito. This study also depicted an arguable approach to dengue surveillance as well as described existing efforts to prevent, control and eradicate dengue (Aedes aegypti) with the aim of detailing potential problems that must be addressed to prevent further dengue fever outbreaks. Virologic surveillance should be consider the most important element in any such early warning system. Dengue virus transmission should be monitored to determine which serotypes are present, their distribution, and the type of illnesses associated with each. Effective dengue surveillance can provide an early warning capability permitting emergency mosquito control measures to be implemented and major epidemics to be averted following a hurricane. A surveillance system must be simple, yet comprehensive, in its structure and in its operation and flexible enough to allow the incorporation of new data. Dengue prevention and control programs must be in line with more effective surveillance as an early warning system that can predict epidemic dengue, and combining this with mosquito control measures - including community-based measures - to reduce Aedes aegypti densities . An effective dengue surveillance system must address the disease from both a clinical and an entomological perspective as well as consider the virologic, epidemiologic, and serologic aspects that are useful in an active surveillance system.
- Aedes aegypti,
- Hurricane Reconstruction,
- The Caribbean and Central America Prevention and Control,
- Natural Disaster,
- Dengue Lectures
Available at: http://works.bepress.com/frank_cortezflores/4/