Underestimating Dengue: A Qualitative Study of Risk Perception in Dhaka, Bangladesh
Dengue, a mosquito-borne viral infection, is endemic in Bangladesh. This qualitative case study, drawing on interviews and focus groups, examines a low SES ward, seeking to deepen the exploration of community perceptions of dengue risk and its embeddedness with the socioeconomic and political context in Dhaka. The analysis identifies six overarching themes connected with the underestimation of dengue risk. The underestimation of risk becomes apparent in a reduced concern for dengue and dengue vector control, even despite a notable recent epidemic in 2000 and the ongoing circulation of dengue virus in the population.
beyewickreme, W., A.R. Wickremasinghe, K. Karunatilake, Johannes Sommerfeld, and Axel Kroeger (2012) Community Mobilization and Household Level Waste Management for Dengue Vector Control in Gampaha District of Sri Lanka; An Intervention Study. Pathogens and Global Health 106(8): 479-487.
Ahmed, F. U., C.B. Mahmood, J.D. Sharma et al. (2001) “Dengue and Dengue Haemorrhagic Fever in Children during the 2000 Outbreak in Chittagong, Bangladesh” in Dengue Bulletin Vol. 25, Issue, 2, pp 33-39.
Ahmed, Sohel J., Kh. Md. Nahiduzzaman, and Glen Bramley (2014) From a Town to a Megacity: 400 Years of Growth. In: Dhaka Megacity: Geospatial Perspectives on Urbanisation, Environment and Health (A. Dewan and R. Corner, Eds) Dordrecht: Sprinter Science+Business Media. Pp.23-43.
Ahmed, Tauhid U., G.M. Saifur Rahman, Kabirul Bashar, Mohammed Shamsuzzaman, et al. (2007) Seasonal Prevalence of Dengue Vector Mosquitoes in Dhaka City, Bangladesh. Bangladesh Journal of Zoology 35(2): 205-212.
Ali, M., Y. Wagatsuma, M. Emch et al. (2003) “ Use of a geographic information system for defining spatial risk for dengue transmission in Bangladesh: role for Aedes albopictus in an urban outbreak” in The American journal of tropical medicine and hygiene, vol. 69, issue 6, pp 634-40.
Arunachalam, Natarajan, Brij Kishore Tyagi, Miriam Samuel, R. Krishnamoorthi, et al. (2012) Community-based Control of Aedes aegypti by Adoption of Eco-health Methods in Chennai City, India. Pathogens and Global Health 106(8): 488-496.
Azad, Md. Abul Kalam, Hanif Mohammad, Md. Billal Alam, Anup Kumar Saha, and Tofayel Ahmed (2006) Clinical Presentation of Dengue in 150 Admitted Cases in Dhaka Medical College Hospital. Journal of Medicine 7:3-9.
Aziz, M.A., R.R. Graham, and M.B. Gregg (1967) ‘Dacca fever’ – An Outbreak of Dengue. Pakistan Journal of Medical Research 6: 83-92.
Banu, Shahera, Wenbiao Hu, Yuming Guo, Cameron Hurst, and Shilu Tong (2014) Projecting the Impact of Climate Change on Dengue Transmission in Dhaka, Bangladesh. Environment International 63:137-142.
Boischio, Ana, Andres Sanchez, Zsofia Orosz, and Dominique Charron (2009) Health and sustainable development: challenges and opportunities of ecosystem approaches in the prevention and control of dengue and Chagas disease. Cad. Saude Publica, Rio de Janeiro 25(Supp 1): S149-S154.
Caprara, Andrea, Jose Wellington de Oliveira Lima, Alice Correia Pequeno Marinho et al. (2009) Irregular Water Supply, Household Usage and Dengue: A Bio-Social Study in the Brazilian Northeast. Cad. Saude Publica, Rio de Janeiro 25 (Supp 1): S125-S136.
Chowdhury, Rajib, Vashkar Chowdhury, Shyla Faria, et al. (2014) How Dengue Vector Aedes albopictus (Diptera: Cullicidae) Survive during the Dry Season in Dhaka City, Bangladesh? Journal of Vector Borne Disease 51: 179-187.
Corner, Robert J. and Ashraf M. Dewan (2014) Introduction. In: Dhaka Megacity: Geospatial Perspectives on Urbanisation, Environment and Health (A. Dewan and R. Corner, Eds) Dordrecht: Sprinter Science+Business Media. Pp.1-22.
Crabtree, Sara Ashencaen, Christina M. Wong, and Faizah Mas’ud (2001) Community Participatory Approaches to Dengue Prevention in Sarawak, Malaysia. Human Organization 60(3): 281-287.
Dhar-Chowdhury, Parnali, C. Emdad Haque, S. Michelle Driedger, and Shakhawat Hossain (2014) Community perspectives on dengue transmission in the city of Dhaka, Bangladesh. International Health 6: 306-316.
Dhar-Chowdhury, Parnali, C. Emdad Haque, Robbin Lindsay, Abdullah Brooks, and Michael A. Drebot (2013) Dengue Transmission and Risk Factors in Dhaka, Bangladesh. GRF Davos One Health Summit, 17-20 November, 2013; Davos, Switzerland.
Dummett, Mark (2010) Dhaka: City of Construction Death Traps. BBC News: South Asia, 4 June 2010, http://www.bbc.com/news/10238855.
Endy, Timothy P., Ananda Nisalak, Supamit Chunsuttitwat, David W. Vaughn et al. (2004) Relationship of Preexisting Dengue Virus (DV) Neutralizing Antibody Levels to Viremia and Severity of Disease in a Prospective Cohort Study of DV Infection in Thailand. Journal of Infectious Diseases 189: 990-1000.
García-Betancourt, Tatiana, Catalina González-Uribe, Juliana Quintero, and Gabriel Carrasquilla (2014) Ecobiosocial Community Intervention for Improved Aedes aegypti Control using Water Container Covers to Prevent Dengue: Lessons Learned from Girardot Colombia. EcoHealth 11: 434-438.
Haq, K. A.
“Water management in Dhaka,” Water Resources Development, vol. 22, No. 2, pp 291-311.
Hlongwana, Khumbulani W., Musawenkosi L.H. Mabaso, Simon Kunene, Dayanandan Govender, and Rajendra Maharaj (2009) Community knowledge, attitudes and practices (KAP) on malaria in Swaziland: A country earmarked for malaria elimination. Malaria Journal 8:29 doi:10.1186/1475-2875-8-29.
Hossain, M. Anowar, Mahmuda Khatun, Farzana Arjumand, Ananda Nisaluk, and Robert F. Breiman (2003) Serologic Evidence of Dengue Infection before Onset of Epidemic, Bangladesh. Emerging Infectious Diseases 9(11): 1411-1414.
Islam, Mohammed Alimul, Muzahed Uddin Ahmed, Nasima Begum, Naseem Ahktar Chowdhury, et al. (2006) Molecular Characterization and Clinical Evaluation of Dengue Outbreak in 2002 in Bangladesh. Japanese Journal of Infectious Disease 59(2): 85-91.
Julhas, Alam, (2019) “ Major fire kills at least 81 in old district of Bangladesh’s capital.” Global News. https://globalnews.ca/news/4982936/dhaka-fire-bangladesh-chawkbazar/.
Karim, Md. Rezaul, Md. Muzahidul Islam, Md. Sheik Farid, Md. Abdur Rashid, Tangin Akter, Humayun Reza Khan (2013) Spatial Distribution and Seasonal Fluctuation of Mosquitoes in Dhaka City. International Journal of Fauna and Biological Studies 1(1): 42-46.
Kendall, Carl (1998) The Role of Formal Qualitative Research in Negotiating Community Acceptance: The Case of Dengue Control in El Progreso, Honduras. Human Organization 57(2): 217-221.
Khan, Md. Mobarak Hossain, Alexander Krämer, and Luise Prüfer-Krämer (2011) Climate Change and Infectious Diseases in Megacities of the Indian Subcontinent. In: Health in Megacities and Urban Areas (Alexander Krämer, Mobarak Hossain Khan, and Frauke Kraas, Eds.) Berlin, Heidelberg: Springer-Verlag. Pp. 134-152.
Lloyd, Linda S., Peter Winch, Judith Ortega-Canto, Carl Kendall (1994) The Design of a Community-Based Health Education Intervention for the Control of Aedes aegypti. American Journal of Tropical Medicine and Hygiene 50(4): 401-411.
Lupton, Deborah (1999) Risk. London and New York: Routledge.
Lupton, Deborah (2013) Risk and Emotion: Towards an Alternative Theoretical Perspective. Health, Risk and Society 15(8):634-647.
Maciel-de-Freitas, Rafael and Denise Valle (2014) Challenges Encountered using Standard Vector Control Measures for Dengue in Boa Vista, Brazil. Bulletin of the World Health Organization 92: 685-689.
Mahbub, KR., A. Nahar, MM. Ahmed, and A. Chakraborti (2011) “Quality Analysis of Dhaka WASA Drinking Water,” Journal of Environmental Science and Natural Resources, Vol.4, No. 2.
Mahmud, Abu Hayat (2013) Mosquito menace on the rise in city. Dhaka Tribune, 4 December 2013.
Mieulet, Elise and Cécilia Claeys (2014) The Implementation and Reception of Policies for Preventing Dengue Fever Epidemics: A Comparative Study of Martinique and French Guyana. Health, Risk & Society 16(7-8): 581-599.
Mizumoto, Kenji, Keisuke Ejima, Taro Yamamoto, and Hiroshi Nishiura (2014) On the Risk of Severe Dengue During Secondary Infection: A Systematic Review Coupled with Mathematical Modeling. Journal of Vector Borne Disease 51: 153-164.
Monath, Thomas P. (1994) Dengue: The Risk to Developed and Developing Countries. Proceedings of the National Academy of Science USA 91: 2395-2400.
Moncayo, Abelardo C., Zoraida Fernandez, Diana Ortiz, Mawlouth Diallo et al. (2004) Dengue Emergence and Adaptation to Peridomestic Mosquitoes. Emerging Infectious Diseases 10(10): 1790-1796.
Paul, Kishor Kumar (2014) Seroprevalence of dengue virus infection in Dhaka, Bangladesh, 2012. icddr,b Health and Sciences Bulletin 12(2): 1-6.
Paul, Bimal Kanti and Rejuan Hossain Bhuiyan (2010) Urban Earthquake Hazard: Perceived Seismic Risk and Preparedness in Dhaka City, Bangladesh. Disasters 34(2): 337-359.
Perez-Guerra, C.L. E., Zielinski-Gutierrez, D. Vargas-Torres et al. (2009) Community Beliefs and Practices about Dengue in Puerto Rico. Public Health 25(3): 218-225.
Pylypa, Jen (2009) Local Perceptions of Dengue Fever in Northeast Thailand and their Implications for Adherence to Prevention Campaigns. Anthropology & Medicine 16(1): 73-83.
Rahman, Mahbubur, Khalilur Rahman, A.K. Siddque, Shereen Shoma, et al. (2002) First Outbreak of Dengue Hemorrhagic Fever, Bangladesh. Emerging Infectious Diseases 8(7): 738-740.
Suarez, Roberto, Catalina Gonzalez, Gabriel Carrasquilla, Juliana Quintero (2009) An Ecosystem Perspective in the Socio-Cultural Evaluation of Dengue in Two Colombian Towns. Cad. Saude Publica, Rio de Janeiro 25(Supp 1): S104-S114.
Tuiten, Wieteke, Constantianus J.M. Koenraadt, Katherine McComas, Laura C. Harrington (2009) The Effect of West Nile Virus Perceptions and Knowledge on Protective Behavior and Mosquito Breeding in Residential Yards in Upstate New York. EcoHealth 6(1): 42-51.
Tulloch, John and Deborah Lupton (2003) Risk and Everyday Life. London: Sage Publications.
Velasco-Salas, Zoraida I., Gloria M. Sierra, Diamelis M. Guzmán et al. (2014) Dengue Seroprevalence and Risk Factors for Past and Recent Viral Transmission in Venezuela: A Comprehensive Community-Based Study. American Journal of Tropical Medicine and Hygiene 91(5): 1039-1048.
Whiteford, L.M. (1997) The Ethnoecology of Dengue Fever. Medical Anthropology Quarterly 11(2): 202-223.
Yunus E. B., A.M. Bangali, M.A.H. Mahmood et al. (2001) “Dengue Outbreak 2000 in Bangladesh: From Speculation to Reality and Exercise” Dengue Bulletin Vol. 25, Issue, December, pp 33-39.
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