Dengue haemorrhagic fever in Thailand : geomedical observations on developments over the period 1970-1979
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Bibliographic Information
Dengue haemorrhagic fever in Thailand : geomedical observations on developments over the period 1970-1979
（Veröffentlichungen aus der Geomedizinischen Forschungsstelle der Heidelberger Akademie der Wissenschaften）
Springer-Verlag, 1983
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Note
"Submitted to the meeting of 12 December, 1981 by Richard Haas."
"Supplement zu den Sitzungsberichten der Mathematisch-Naturwissenschaftlichen Klasse, Jahrgang 1983"--Added t.p.
Bibliography: p. [36]-37
Description and Table of Contents
Description
On the occasion of a research visit to Thailand in my capacity as a member of the governing board of the South Asia Institute of the University of Heidelberg, I saw for the first time the severe clinical picture of dengue with haemorrhagic symptoms among Thai children. This visit had been made possible by Profes- sor Dr. med. Dr. rer. nat. Ouay Ketusinh of Bangkok, to whom I wish to express my sincere thanks in this place. In 1972 the German medical literature - the periodical Medizinische Klinik, vol. 87, pp. 152-56, to be precise - had drawn attention to this new phenomenon in the disease panorama of South East Asia, indicating a change in dengue fever from being a relatively benign tropical dis- ease to a form having serious clinical and epidemiological ramifications. During the ten years following my first publication the new clinical picture, described as "dengue haemorrhagic fever", has become a standard component in the Thailand's system of notifiable diseases. So too, the World Health Orga- nization publishes regular reports in its Weekly Records.
On March 30/31, 1981, its Regional Office for South East Asia convened a special conference in New Delhi, thus emphasizing the significance of the diffusion of this new clini- cal picture in the states of South East Asia.
Table of Contents
1 Introduction.- 1.1 The Virus.- 1.2 The Clinical Picture.- 1.3 Therapy and Prophylaxis.- 2 Thailand.- 2.1 Natural Regionalization.- 2.1.1 Central Plain.- 2.1.2 Western Highlands.- 2.1.3 Northern Mountain Ranges.- 2.1.4 Korat Plateau.- 2.1.5 South-Eastern Littoral.- 2.1.6 Southern Peninsula.- 2.2 The Climate.- 2.3 Vector Ecology and Human Settlement.- 3 The Dengue Haemorrhagic Fever Situation in Thailand until 1970..- 4 Study Findings.- 4.1 Material and Methods.- 4.2 The Incidence.- 4.3 The Endemic Area.- 4.4 Dengue Haemorrhagic Fever and the Main Transport Routes.- 4.5 Dengue Haemorrhagic Fever and the Urban Population.- 4.6 Density of Physicians and Incidence.- 4.7 Seasonality.- 5 Conclusions.- Acknowledgement.- References.- Appendix: Morbidity Notification Card.- Notification Changing Card.- Text Map 1. Dengue haemorrhagic fever, 1954-1981.- Text Map 2. Thailand. Natural regions (According to Asanachinda, P.: Economic Geography of Thailand. Bangkok 1971 (in Thai) and other authors).- Text Map 3. Dengue haemorrhagic fever hospitalization 1962-1964 in 9 health districts (According to Avril, 1972, cit. after Halstead, 1969).- Text Map 4. Railways and onset of epidemic spread of dengue haemorrhagic fever.- Text Map 5. Urban population and dengue haemorrhagic fever (Population after Sternstein 1976).
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