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An examination of the epidemiology of dengue fever outbreaks in Kogi State

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Background of the Study

Dengue fever is a vector-borne viral disease that has increasingly become a public health concern across the globe, with tropical and subtropical regions being particularly vulnerable. The disease, caused by the dengue virus and transmitted primarily by Aedes mosquitoes, has led to numerous outbreaks worldwide. In recent years, sub-Saharan Africa, including Nigeria, has seen an upsurge in dengue fever cases (Ajayi et al., 2023). The rising trend of outbreaks in Nigeria is not only a significant public health challenge but also an economic burden due to increased healthcare costs, loss of productivity, and other socio-economic impacts. Kogi State, located in the central region of Nigeria, has been identified as one of the states where dengue fever outbreaks have occurred, though comprehensive epidemiological studies on the disease in the region remain scarce.

The epidemiology of dengue fever in Kogi State is influenced by various environmental, socio-economic, and biological factors, including inadequate public health infrastructure, climate change, urbanization, and increased human-mosquito interactions (Oluwadare et al., 2023). Kogi State’s growing population and inadequate vector control measures have contributed to an environment conducive to the proliferation of Aedes mosquitoes, the primary vector of the dengue virus. Consequently, the state has witnessed a rise in dengue fever cases in both rural and urban areas, which are further exacerbated by limited access to healthcare and early diagnostic tools (Ogunleye & Olatunji, 2024).

Moreover, the interplay of climate factors, such as temperature, rainfall, and humidity, has been found to directly affect the mosquito population, with seasonal variations influencing the timing and intensity of outbreaks. Understanding the epidemiology of dengue fever in Kogi State is critical for designing appropriate intervention strategies that can mitigate the disease's impact. Several factors, including a lack of detailed local data on the epidemiology of the disease, hinder effective preparedness and response to outbreaks in the state. Therefore, this study seeks to examine the epidemiology of dengue fever outbreaks in Kogi State, focusing on the trends, risk factors, and public health implications of the disease.

Statement of the Problem

The occurrence of dengue fever outbreaks in Kogi State has raised concerns about the region’s preparedness and response to the disease. While the national surveillance system has reported periodic outbreaks in different regions, there is limited epidemiological data specific to Kogi State. The lack of comprehensive data on the incidence, transmission patterns, and risk factors associated with dengue fever hampers the development of targeted interventions and effective vector control strategies (Okoro et al., 2024). Furthermore, the absence of strong healthcare infrastructure in rural areas poses significant challenges to early detection, diagnosis, and treatment of the disease, contributing to increased morbidity and mortality.

Although the link between climate factors and the prevalence of dengue fever is well-documented globally, there is insufficient research on how environmental factors interact with socio-economic conditions in Kogi State to influence the spread of the disease. Additionally, the state's underdeveloped healthcare system, especially in rural areas, lacks adequate resources for the control and prevention of vector-borne diseases like dengue. This study, therefore, seeks to address these gaps by conducting a thorough investigation into the epidemiology of dengue fever in Kogi State, providing evidence-based insights to inform public health strategies and policy.

Objectives of the Study

1. To assess the incidence and prevalence of dengue fever outbreaks in Kogi State.

2. To identify the socio-economic, environmental, and biological risk factors associated with dengue fever in Kogi State.

3. To evaluate the effectiveness of current public health interventions and recommend improvements in vector control strategies.

Research Questions

1. What is the incidence and prevalence of dengue fever outbreaks in Kogi State over the past decade?

2. What are the key socio-economic, environmental, and biological factors influencing the transmission of dengue fever in Kogi State?

3. How effective are the existing public health measures in controlling the spread of dengue fever in Kogi State?

Research Hypotheses

1. There is a significant relationship between climate factors and the incidence of dengue fever outbreaks in Kogi State.

2. Socio-economic factors, such as income levels and access to healthcare, significantly influence the prevalence of dengue fever in Kogi State.

3. Public health interventions currently in place in Kogi State are not effective in significantly reducing the incidence of dengue fever outbreaks.

Scope and Limitations of the Study

The scope of this study is limited to Kogi State, focusing on both urban and rural areas within the state. The study will examine the incidence, risk factors, and public health interventions associated with dengue fever outbreaks over the past five years. However, the study may face limitations such as incomplete or inconsistent outbreak data, difficulties in accessing remote regions for data collection, and the inability to account for all variables influencing disease transmission. Additionally, due to resource constraints, the study will not include laboratory-based diagnostic confirmation of cases, relying instead on reported cases from healthcare facilities and public health surveillance systems.

Definitions of Terms

• Dengue Fever: A viral illness transmitted by Aedes mosquitoes, characterized by high fever, severe headache, pain behind the eyes, joint pain, and rash.

• Epidemiology: The study of the distribution and determinants of health-related events in populations.

• Vector Control: Measures aimed at controlling or eradicating the vectors responsible for the transmission of diseases, in this case, Aedes mosquitoes.

• Incidence: The number of new cases of a disease occurring within a specific time frame in a given population.

• Prevalence: The total number of cases of a disease present in a population at a given time.

 





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