2023-12-31 08:24:08
The Ministry of Public Health summarizes the top 3 epidemics in 2023: ‘Dengue Fever’ is the leading cause of illness. Ready to predict the trend of the epidemic in 2024, ‘COVID-Influenza’ is still there, emphasizing the need to be careful of infectious diseases from insects.
Issara News Agency (www.isranews.org) Reported that Dr. Thongchai Keeratihatthayakorn Acting Director-General of the Department of Disease Control The Ministry of Public Health said that the Department of Disease Control has summarized the top 3 communicable diseases that have outbreaks and had the highest number of patients in 2023, namely 1. Dengue Fever, 2. Influenza, and 3. COVID-19.
Dengue fever
Every year that has an El Niño is an outbreak year, with 2023 being the first year and there will be an outbreak for 2 consecutive years, and in 2024 the outbreak may be more or less than in 2023, depending on the people taking care of it. Able to control mosquito larvae To have the least amount of mosquitoes possible. The chance of an outbreak will be less. Therefore, please apply mosquito repellent to protect yourself.
Dr. Thongchai further said that from January 1 – December 13, 2023, there were 147,412 reported cases, with an illness rate of 222.91 per 100,000 people. Patients were 3.4 times higher than last year, spread throughout the country. and found a deceased patient who had been confirmed by medical examination Laboratory, a total of 174 cases from 57 provinces, morbidity and mortality rate 0.12%, with the highest morbidity and mortality rate in the 25-34 year age group, most of them being at-risk groups with chronic diseases and obesity. Laboratory test results in the deceased found dengue virus. of all 4 strains, with DENV-2 found the most, followed by DENV-1, DENV-3, and DENV-4, respectively.
“The World Health Organization (WHO) is now paying attention to the increasing dengue fever situation. Both in hot and cold cities From global warming and One Health, which doesn’t just look at humans themselves. But it also looks like the environment and animals are related. All over the world, therefore, the importance of the world being one must take care of each other. When the environment is destroyed, it can affect people. Animals can transmit disease to people. People can transmit diseases to animals,” Dr. Thongchai said.
influenza
Dr. Thongchai stated that it was due to a respiratory disease. When the weather is cold, cold or the weather has changed. The body’s immune system will be lower. The chance of getting infected and getting sick is higher. It happens every year. In 2023, the number of patients was more than in the past 2-3 years when there was a COVID-19 outbreak. The transmission of these 2 diseases is the same when protecting yourself from COVID-19. Thus preventing influenza infection as well. But when people began to relax into their defenses The number of cases of influenza is increasing.
Therefore, patients with respiratory symptoms, including mucus, coughing, and sneezing should wear a face mask. For those who normally carry a hygienic mask. If you are in an uncertain area, such as a crowded public place, you can wear a hygienic mask. And washing hands frequently is also important in controlling and preventing disease because we don’t know where someone coughed or sneezed and our hands touched it. Come pick up food and put it in your mouth or rub your eyes. Therefore, people are also advised to carry masks and alcohol for washing their hands at all times. When necessary, it can be picked up and used immediately.
January 1 – December 16, 2023, there were 460,325 reported cases of influenza, 29 deaths, 0.006% mortality rate. The highest rate of illness was found in children aged 0 – 4 years, numbering 2,414.02 per 100,000 people, followed by age group 5. -14 years old, number 2,401.64 per 100,000 people and 15-24 years old, number 716.10 per 100,000 people.
COVID-19
Dr. Thongchai said that there are still patients, but not to the point of an epidemic like in the past 2-3 years, less than before. Violence has not increased. and death having to stay in the hospital Not being able to put on a ventilator has increased. Due to having immunity Part of it comes from vaccines. Some of them have already been infected. However, it was found that the deceased and those who were seriously ill It also occurs in vulnerable groups, such as the elderly, those with underlying medical conditions who have not received the vaccine at all.
From 1 January – 23 December 2023, there were reports of a total of 37,863 patients hospitalized, 114 cases of pneumonia, and a total of 845 deaths. A widespread outbreak was found in early 2023, continuing from 2022 and found A large outbreak occurred in the middle of the year. April-July 2023, with the highest number of reported patients in week 22, 3,085 cases, and the highest number of deaths reported in week 23, 69 cases.
“As for other diseases There was no general outbreak. There is surveillance and we don’t want it to happen. For example, smallpox has an outbreak only among gay men, among HIV patients who are not taking medication. Found dead Not due to smallpox But I had AIDS and didn’t take medicine and became infected with smallpox as well. What causes death is another disease. Including whooping cough outbreaks only in the 3 southern border provinces. Because it is an area with a low vaccination coverage rate, when there is an infection, there is a chance of it spreading and a chance of being infected. Therefore it is not an overall outbreak. As for the southern region, there was not much of an outbreak. But it has increased from last year and is a disease that must be monitored,” Dr. Thongchai said.
Forecast of infectious diseases There is likely to be an outbreak in 2024 of ‘influenza, dengue fever, chikungunya and Zika’.
On December 27, 2023, the National Communicable Disease Committee Meeting No. 7/2023 was informed of the communicable disease situation and the forecast of communicable diseases that are likely to occur in outbreaks in 2024. The details are as follows.
Respiratory diseases include COVID-19 and influenza.
COVID-19 disease: Preventive measures focus on 608 risk groups to reduce the risk of severe pneumonia. By giving annual vaccinations to 608 high-risk groups, get ATK tests when sick. If the results are positive, see a doctor immediately. and wear a mask when sick or close to young children and groups 608
Influenza Recommend that people receive annual vaccinations to reduce infection and reduce the risk of pneumonia. By expanding the vaccination to children from 6 months – 5 years, if you have a high fever, are short of breath, and see a doctor immediately. and wear a mask when sick or close to young children or the elderly People with chronic diseases
Insect-borne diseases include dengue fever. Zika virus disease and chikungunya disease
for disease prevention and control measures Patients who come to the hospital and are diagnosed with these 3 diseases have their doctors prescribe mosquito repellent. Organize activities to eliminate breeding grounds for Aedes mosquitoes continuously. Including emphasis on public relations communications If you suspect dengue fever Especially adults, hurry to see a doctor and refrain from taking NSAIDs to reduce the risk of insertion. For areas with outbreaks of Zika virus disease Emphasize that pregnant women must prevent mosquito bites. and eliminate breeding grounds for mosquito larvae.
In addition, we continue to monitor and provide advice on prevention and control of diseases in high-risk groups, including smallpox and HIV/AIDS. and sexually transmitted diseases By emphasizing that at-risk groups reduce close contact with strangers. or having sex that is at risk If you suspect you are sick, see a doctor immediately for examination and treatment. which currently has antiviral drugs For patients who are immunocompromised or at risk of severe illness, for measles, emphasis is placed on communicating to parents to take their children to get 2 complete doses of the MMR vaccine for children aged 9 months (dose 1) and those aged 2 and a half years – 4 Year (2nd needle)
Whooping cough found in 3 more southern border provinces
As for the increasing whooping cough situation in the three southern border provinces: Pattani, Yala, Narathiwat, a total of 229 confirmed cases were found. Whooping cough vaccination will be expedited for children aged 2 months – under 7 years who have not yet received the vaccine. or not fully vaccinated and in pregnant women To transfer immunity to the fetus Give your baby immunity to whooping cough before the time they can get the vaccine.
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