Environmental factors and incidence of dengue fever and dengue haemorrhagic fever in an urban area, Southern Thailand

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Abstract
SUMMARY: Using the enumeration district (ED) block level this study looked at the incidence of dengue fever and dengue haemorrhagic fever (DF/DHF) within the Songkhla municipality in Thailand. Each of the 146 blocks in this area were considered as study units and surveyed for their environmental characteristics. A total of 287 cases of DH/DHF occurring in the year 1998 were selected for this study and the location of their homes mapped. Clustering analysis showed point clustering of the homes (PP=0·32). DF/DHF incidence for each block was strongly associated with the percentages of shop-houses, brick-made houses and houses with poor garbage disposal (all P<0·01). DF/DHF control should be emphasized for the areas which have a predominance of these housing types.

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