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Cabo Verde Dengue Outbreak: DREF Operational Update

 


The Cabo Verde archipelago, located off the west coast of Africa, has been grappling with a dengue outbreak that has placed significant pressure on its public health infrastructure. The situation calls for coordinated and timely interventions to mitigate the impact of the disease on affected communities. Provides an operational update on the Disaster Relief Emergency Fund (DREF) response to the outbreak, detailing key actions, challenges, and progress made so far.

Understanding Dengue Fever and Its Risks

Dengue fever is a mosquito-borne viral disease caused by the dengue virus, which is transmitted primarily by the Aedes aegypti mosquito. The symptoms range from mild fever and headache to severe complications, including dengue hemorrhagic fever and dengue shock syndrome, which can be fatal without prompt medical intervention. Dengue outbreaks are often exacerbated by factors such as high population density, inadequate waste management, and climatic conditions favorable for mosquito breeding.


Cabo Verde’s tropical climate and urbanization have created ideal conditions for the proliferation of Aedes aegypti mosquitoes. This makes the archipelago vulnerable to periodic dengue outbreaks, which pose a serious public health challenge for its population of approximately 560,000.

Outbreak Overview

The ongoing dengue outbreak in Cabo Verde began to escalate in mid-2024, with confirmed cases reported across multiple islands. The outbreak has placed immense strain on local healthcare systems, which are struggling to manage the surge in patients. While the Cabo Verdean government has activated its emergency response mechanisms, additional resources and support are required to curb the spread of the disease and provide care for those affected.

Key statistics as of January 2025:

·         Total reported cases: 7,400

·         Severe cases requiring hospitalization: 1,150

·         Reported fatalities: 23

·         Most affected regions: Santiago, Boa Vista, and São Vicente

DREF Intervention: Objectives and Strategies

The International Federation of Red Cross and Red Crescent Societies (IFRC), in collaboration with the Cabo Verde Red Cross (CVRC), has launched a DREF operation to address the outbreak. The essential targets of the activity are to:

1. Reduce Transmission: Implement vector control measures, including mosquito habitat destruction and fumigation, to limit the spread of the virus.

2.  Enhance Community Awareness: Educate communities about dengue prevention, early detection, and treatment to reduce the disease’s impact.

3.    Strengthen Health Services: Support healthcare facilities with additional resources, including medical supplies, equipment, and personnel.

4.  Provide Psychosocial Support: Address the emotional and psychological needs of affected individuals and their families.

Key Actions Undertaken

1.      Vector Control Efforts:

o      The CVRC has mobilized volunteers to conduct community clean-up campaigns aimed  at eliminating mosquito breeding sites, such as stagnant water pools and improperly discarded containers.

o   Fumigation drives have been carried out in high-risk areas, targeting mosquito populations to reduce transmission rates.

2.      Health Education and Community Engagement:

o    Public awareness campaigns have been launched through radio, television, and social media to inform residents about preventive measures such as using insect repellents, wearing protective clothing, and installing mosquito nets.

o    Educational workshops have been organized in schools, workplaces, and community centers to disseminate accurate information about dengue symptoms and the importance of early treatment.

3.      Healthcare System Support:

o    Medical supplies, including intravenous fluids, diagnostic kits, and protective gear, have been distributed to healthcare facilities.

o  Temporary treatment centers have been established in severely affected areas to accommodate the influx of patients.

o    Training sessions have been conducted for healthcare workers to enhance their capacity for diagnosing and managing dengue cases.

4.      Psychosocial Support:

o    Trained counselors and volunteers are providing emotional support to families who have lost loved ones or are dealing with severe cases.

o  Group therapy sessions and community gatherings have been organized to foster resilience and solidarity among affected populations.

Challenges Faced

Despite significant progress, the DREF operation has encountered several challenges:

1.      Logistical Constraints:

o    Transporting medical supplies and fumigation equipment to remote islands is a time-consuming and costly process.

o    Limited infrastructure in rural areas has hindered the efficient implementation of vector control measures.

2.      Community Hesitancy:

o    Misinformation about dengue and its transmission has led to resistance from some community members regarding fumigation and other interventions.

o    Cultural beliefs and practices have sometimes conflicted with recommended preventive measures.

3.      Resource Limitations:

o    The scale of the outbreak has outstripped the available resources, creating gaps in     medical supplies and personnel.

o       Sustained funding is required to ensure the continuity of response efforts.

4.      Climatic and Environmental Factors:

o    Unpredictable weather patterns, including heavy rains, have created new breeding     grounds for mosquitoes, complicating vector control efforts.

o    Rising temperatures have accelerated mosquito reproduction, increasing the risk of further transmission.

Community Involvement: A Cornerstone of Success

One of the defining features of the DREF operation is its emphasis on community involvement. The active participation of local residents has been instrumental in achieving significant milestones. Volunteers have played a crucial role in:

·         Conducting door-to-door awareness campaigns to educate families about dengue prevention.

·         Assisting with the distribution of mosquito nets and repellents.

·         Reporting potential breeding sites to authorities for timely action.

Community leaders and influencers have also been engaged to advocate for compliance with public health guidelines, thereby addressing hesitancy and misinformation.

Lessons Learned and Next Steps

The ongoing dengue outbreak in Cabo Verde has underscored the importance of preparedness and rapid response in managing public health emergencies. Key lessons from the DREF operation include:

1.   Integrated Approaches Work Best: Combining vector control, community education, and healthcare support has proven effective in reducing transmission rates.

2.   Communication is Key: Transparent and culturally sensitive communication strategies are essential for gaining community trust and participation.

3.   Preparedness Saves Lives: Investing in early warning systems and stockpiling essential supplies can significantly improve response efficiency during outbreaks.

Looking ahead, the IFRC and CVRC plan to:

·         Expand vector control measures to cover additional high-risk areas.

·     Strengthen partnerships with local and international stakeholders to secure additional funding and technical support.

·    Develop a long-term dengue prevention strategy, including improved waste management and urban planning to reduce mosquito breeding grounds.

·       Enhance surveillance systems to detect and respond to future outbreaks more effectively.

Conclusion

The dengue outbreak in Cabo Verde is a stark reminder of the vulnerabilities faced by communities in the face of vector-borne diseases. However, the coordinated efforts of the IFRC, CVRC, and local communities have demonstrated that timely and targeted interventions can save lives and reduce suffering.

While challenges remain, the progress achieved through the DREF operation is a testament to the resilience and solidarity of the Cabo Verdean people. By building on these efforts and addressing the underlying factors contributing to dengue outbreaks, Cabo Verde can move toward a future where such health crises are less frequent and less severe.


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