Challenges In Against DHF In The Tropical Area

Budi Joko Santosa


Morbidity of Dengue Hemorrhagic Fever is the interaction between viruses, vulnerable hosts and mosquitoes in risky environments, what about rational management in the tropics? DHF agents are dengue virus, family Flaviridae, genus Flavivirus, serotypes Den-1, Den-2, Den3 and Den-4. Virulence of four virus serotypes has been found in fatal cases. The extrinsic incubation period of 8-10 days, intrinsic in humans 4-6 days, is transmitted from male mosquitoes to female mosquitoes through marriage, transovarial transmission from parent mosquitoes to their offspring. Highest transmission through mosquito bites Ae. Aegypti. Hosts 95% aged 15-44 years. Host immunity is influenced by age, nutritional status, density, population mobility, housing quality, distance between houses, education, work, life attitudes, age group, ethnicity, and vulnerability. Aedes mosquitoes originating from Brazil and Ethiopia, have two subspecies; Ae aegypti queenslandensis and Ae. aegypti formosus, including Stegomya subgenus, Aedes aegypti and Ae mosquitoes. albopictus as the main vector and Ae. polynesiensis, Ae.scutellaris and Ae (Finlaya) niveus as secondary vectors. Transmission factors are rapid urban population growth, population mobilization, poverty, garbage disposal, drying and closing, and recycling, the habit of hanging clothes. In the tropics, incidence is correlated with rainfall and humidity. Tropical and subtropical characteristics allow DHF to be endemic.
Keywords: Management, DHF, tropical.




WHO. Dengue Guidelines for Diagnosis, Treatment, Prevention and Control. New editio. Geneva: World Health Organization; 2009. 3–5 p.

Knowlton K, Solomon G, Rotkin-Ellman M PF. Mosquito-Borne Dengue Fever Threat Spreading in the Americas. Nat Resour Def Counc Issue Pap. 2009;(Natural Resources Defense Council).

Soegijanto S. Patogenesa dan Perubahan Patofisiologi Infeksi Virus Dengue. www.pediatrikcom/ buletin/20060220-8ma2gi-buletindoc [Internet]. 2002; Available from: www.pediatrikcom/buletin/200602208ma2gi-buletindoc.

Candra Aryu. Demam Berdarah Dengue: Epidemiologi, Patogenesis, dan Faktor Risiko Penularan. Aspirator. 2010;2(2):110–9.

Weissenbock H, Hubalek Z, Bakonyi T NK. Zoonotic Mosquito-borne Flaviviruses: Worldwide Presence of Agent with Proven Pathogenesis and Potential candidates of Future Emerging Diseases. Vet Microbiol. Vet Microbiol. 2010;140(27180).

R. Noor. Nyamuk Aedes aegypti [Internet]. 2009 [cited 1BC Dec 24]. Available from:

P. Ratna Maya; J. Mukono. Hubungan Kelembaban Udara Dan Curah Hujan Dengan Kejadin Demam Berdarah Dengue Di Puskesmas Gunung Anyar 2010-2016. Indones J Public Heal [Internet]. 2017;12(2). Available from: In: Wikipedia_bahasa_Indonesia [Internet]. Wikipedia_bahasa_Indonesia; 2019. Available from: In: [Internet]. 2019. Available from:

Santosa BJ. Rational Efforts to Reduce Death Case from Dengue Hemorrhagic Fever. Dama Int J Res [Internet]. 2017;2(8):77–9. Available from:

Akbar, Hairil & Syaputra E. Faktor Risiko Kejadian Demam Berdarah Dengue (DBD) di Kabupaten Indramayu. Indones J Heal Promot. 2019;2:159-164. 10.31934/mppki.v2i3.626.

Sirisena P, Noordeen F, Kurukulasuriya H, Romesh TALAR FL. Effect of Climatic Factors and Population Density on the Distribution of Dengue in Sri Lanka: A GIS Based Evaluation for Prediction of Outbreaks. PLoS ONE 12(1) e0166806. 2017;12(1):e0166806.


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