Photo Caption: Insecticide fogging of open drains, a common breeding site for mosquitoes in urban areas, looks impressive

but has not controlled dengue in Malaysia over the last 15 years, as the following graph shows.

Reported Dengue Cases in Malaysia
Reported Dengue Cases
60000 50000 40000 30000 20000 10000 0 1994 1996 1998 2000 2002 2004 2006 2008

Year

Graph Caption: Reported Dengue cases in Malaysia.

Except for a sudden and so far unexplained drop in 1999 and 2000, the number of dengue cases has risen every year from 3133 in 1994 to 49335 in 2008, a 15 fold increase. Dengue continues in increase. In the first 6 months of 2009 (January 1 to June 13) the reported cases increased 28% compared to the same period in 2008. Alarmingly, the 2009 dengue cases in Selangor, the most urbanized state of Malaysia, increased 62%. Clearly, the outdoor fogging campaign supervised by the Ministry of Health has failed. A new strategy is urgently needed in the Malaysian ‘war against dengue’ which has caused 57 deaths in the first half of 2009.

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