Document Detail


Policymakers' views on dengue fever/dengue haemorrhagic fever and the need for dengue vaccines in four southeast Asian countries.
MedLine Citation:
PMID:  14604579     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A survey of policymakers and other influential professionals in four southeast Asian countries (Cambodia, Indonesia, Philippines and Vietnam) was conducted to determine policymakers' views on the public health importance of dengue fever and dengue haemorrhagic fever (DHF), the need for a vaccine and the determinants influencing its potential introduction. The survey, which involved face-to-face interviews with policymakers, health programme managers, researchers, opinion leaders and other key informants, revealed an almost uniformly high level of concern about dengue fever/DHF and a high perceived need for a dengue vaccine. Several characteristics of the disease contribute to this high sense of priority, including its geographic spread, occurrence in outbreaks, the recurrent risk of infection each dengue season, its severity and the difficulty in diagnosis and management, its urban predominance, its burden on hospitals, and its economic toll on governments and families. Research felt to be key to future decision-making regarding dengue vaccine introduction include: disease surveillance studies, in-country vaccine trials or pilot projects, and studies on the economic burden of dengue and the cost-effectiveness of dengue vaccines. The results suggest favourable conditions for public and private sector markets for dengue vaccines and the need for creative financing strategies to ensure their accessibility to poor children in dengue-endemic countries.
Authors:
Denise DeRoeck; Jacqueline Deen; John D Clemens
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Vaccine     Volume:  22     ISSN:  0264-410X     ISO Abbreviation:  Vaccine     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-11-07     Completed Date:  2004-04-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8406899     Medline TA:  Vaccine     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  121-9     Citation Subset:  IM    
Affiliation:
International Vaccine Institute, P.O. Box 14, Kwanak, 151-600 Seoul, South Korea. denise_deroeck@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Asia, Southeastern / epidemiology
Cost-Benefit Analysis
Data Collection
Dengue / epidemiology,  mortality,  prevention & control*
Health Policy*
Hospitalization
Humans
Immunization Programs / economics,  legislation & jurisprudence
Infection Control Practitioners
Public Health
Research
Rural Population
Urban Population
Viral Vaccines* / economics
Chemical
Reg. No./Substance:
0/Viral Vaccines

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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