ICMR Submission of Concept Proposals on “Dengue Viral Disease”

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INDIAN COUNCIL OF MEDICAL RESEARCH DIVISION OF EPIDEMIOLOGY & COMMUNICABLE DISEASES

Call for Submission of Concept Proposals on “Dengue Viral Disease” I.

Background:

The incidence of dengue has grown dramatically around the world in recent decades. Over 2.5 billion people i.e. 40% of the world's population are now at risk from dengue. WHO currently estimates there may be 50–100 million dengue infections worldwide every year. Before 1970, only nine countries had experienced severe dengue epidemics. The disease is now endemic in more than 100 countries in Africa, the Americas, the Eastern Mediterranean, South-east Asia and the Western Pacific. In India, the first epidemic of clinical dengue-like illness was recorded in Chennai in 1780 and the first virologically proven epidemic of dengue fever (DF) occurred in Kolkata and Eastern Coast of India in 1963-1964. The DHF started simmering in various parts of India since 1988. The first major wide spread epidemic of DHF/DSS occurred in Northern India in 1996 involving areas around Delhi and Lucknow and then it spread to all over the country. As of now, seasonal outbreaks of Dengue are widespread and occur in almost all parts of the country. There is ambiguity in all spheres of diagnosis and clinical management of dengue patients’ due to several reasons: lack of well-defined diagnostic algorithm for Acute Febrile Illness (AFI); unsurmountable diagnostic dilemmas due to variation in types of dengue diagnostic kits to be used as per duration of onset of illness; rampant mushrooming of rapid diagnostic kits with unknown sensitivity and specificity; lack of reliable point of care test for diagnosis of dengue; lack of clarity on maintaining appropriate hydration status of the patient often leading to over-hydration and cardiac failure etc. It is critical to identify research gaps related to clinical and laboratory identification as well as management of patients of dengue and prioritizing research to address various issues which could eventually lead to improved patient outcomes.

II.

Interested Investigators are invited to submit a two - three page (A4 size) Concept Proposals pertaining to the following research areas: 1.

Epidemiological research questions:

a. Proportion of asymptomatic dengue responsible for disease transmission. b. Correlation of various dengue serotypes and genotypes with disease severity. c. Establish incidence of dengue disease through cohort based studies in outbreak prone areas. 2. a. b. c. d.

Clinical research questions: Corroborate the severity of disease with viral load. Develop age specific guidelines for use of fluids in dengue patients. Develop explicit guidelines for platelet transfusion in DHF/DSS. Role of endothelium stabilizing agents in decelerating vascular leakage and haemo-concentration. 1


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