Risk factors associated with an outbreak of dengue fever/dengue haemorrhagic fever in Hanoi, Vietnam

Epidemiol Infect. 2015 Jun;143(8):1594-8. doi: 10.1017/S0950268814002647. Epub 2014 Oct 13.

Abstract

Dengue fever/dengue haemorrhagic fever (DF/DHF) appears to be emerging in Hanoi in recent years. A case-control study was performed to investigate risk factors for the development of DF/DHF in Hanoi. A total of 73 patients with DF/DHF and 73 control patients were included in the study. The risk factor analysis indicated that living in rented housing, living near uncovered sewers, and living in a house discharging sewage directly into to ponds were all significantly associated with DF/DHF. People living in rented houses were 2·2 times more at risk of DF/DHF than those living in their own homes [adjusted odds ratio (aOR) 2·2, 95% confidence interval (CI) 1·1-4·6]. People living in an unhygienic house, or in a house discharging sewage directly to the ponds were 3·4 times and 4·3 times, respectively, more likely to be associated with DF/DHF (aOR 3·4, 95% CI 1-11·7; aOR 4·3, 95% CI 1·1-16·9). These results contribute to the understanding of the dynamics of dengue transmission in Hanoi, which is needed to implement dengue prevention and control programmes effectively and efficiently.

Keywords: Hanoi.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Case-Control Studies
  • Dengue / epidemiology
  • Disease Outbreaks*
  • Female
  • Housing / statistics & numerical data*
  • Humans
  • Male
  • Middle Aged
  • Odds Ratio
  • Risk Factors
  • Sanitation / statistics & numerical data*
  • Severe Dengue / epidemiology*
  • Sewage / statistics & numerical data*
  • Vietnam / epidemiology
  • Young Adult

Substances

  • Sewage