Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported cases

Dengue fever as an emerging disease in Afghanistan: Epidemiology of the first reported cases

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Objective: This paper aims to describe the epidemiological characteristics and clinical manifestations of the first 15 dengue fever cases reported in Afghanistan.Methods: A retrospective descriptive analysis of the data on confirmed dengue cases detected by the national disease surveillance system was conducted.Epidemiological, socio-demographic, clinical, laboratory and outcome data from the cases were analyzed.Results: Between May and December 2019, 62 samples were tested for DENV, among which 15 (24.

2%) VIT A GLYCOLIC CLEANSER were positive.Seven of the cases were probable autochthonous with no travel history, the other seven cases had a travel history to dengue-endemic countries (five Pakistan, two India) and the travel history for one of the cases was not known.The 15 confirmed cases were reported from six provinces, seven cases (46.7%) were reported from Nangarhar Province, two (13%) from Paktya, and one (6.

7%) from Paktika province, Spa Masks bordering with Pakistan, three (20%) were reported from Kabul, and one each (each 6.7%) from Faryab and Laghman provinces.All of the cases manifested fever, headache, myalgia, and arthralgia.Other clinical features were low platelet count (50%), pain behind eyes (36%), rash, and nausea/vomiting (each 21%).

Conclusion: For the first time, the surveillance system detected and reported locally acquired DENV cases in Afghanistan, mostly in provinces bordering with Pakistan.Population movements between Afghanistan and Pakistan facilitate the cross-border spread of DENV between two countries.