Página 1 dos resultados de 24073 itens digitais encontrados em 0.025 segundos

Influência de programas de prevenção da doença cardiovascular na concepção e prática de docentes em escolas públicas de ensino fundamental do ciclo II; The influence of cardiovascular disease prevention programs in the conception and practices of teachers from public elementary schools of cicle II

Bortolozzo, Maria Silvia Sanchez
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 30/03/2009 Português
Relevância na Pesquisa
56.985938%
Trata-se de investigação qualitativa para conhecer a Concepção e Prática de Docentes, da cidade de São Paulo, sob a Influência de Programas de Prevenção da Doença Cardiovascular. Foram comparados grupos de professores que passaram pela formação e outros que não passaram, para verificar o que sabiam e como ensinavam o tema transversal saúde, quanto aos fatores de risco à doença cardiovascular, nos aspectos, alimentação, sedentarismo, tabagismo e uso do álcool. A entrevista como diagnóstico inicial demonstrou que existiam professores receptivos a participações inovadoras e outros resistentes a mudanças de qualquer natureza. O grupo focal confirmou esse resultado, pois, mesmo não tendo participado dos Programas, um número significativo de professores destacou-se como inovador e preocupado com as questões de saúde. A vantagem desta técnica sobre a anterior é ter permitido evidenciar na reflexão conjunta, os professores que passaram pela formação demonstraram avanço nas formas de intervenção em relação à prática de saúde em sala de aula e em todos os espaços escolares. A análise documental reforçou os resultados e identificou obstáculos internos e externos apresentados pelos professores. Os dois grupos apresentaram diferentes níveis de informações conceituais e de práticas em prevenção de doenças crônico-degenerativas...

Análise da percepção e registro das medidas de prevenção de doenças por profissionais da atenção primária; Analysis of the Perception among and Documentation of Disease Prevention Measures by Healthcare Workers in Primary Care.

Santos, Luciane Loures dos
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 26/11/2010 Português
Relevância na Pesquisa
56.754927%
A aplicação das medidas preventivas, principalmente das doenças crônicas não transmissíveis (DCNT), tem sido debatida mundialmente, já que poucos fatores de risco respondem pela maioria das mortes por DCNT, como o tabagismo, alcoolismo, obesidade e dislipidemias. A sistematização das medidas de promoção de saúde e prevenção de doenças (PSPD) pode contribuir para o trabalho das equipes de Saúde da Família, potencializando as suas ações e fortalecendo a Atenção Primária à Saúde (APS). Face ao baixo registro das medidas de prevenção das DCNTs no Brasil e à ausência de parâmetros na literatura nacional, comparamos a percepção dos profissionais e o registro das medidas de PSPD dos centros de saúde brasileiros com os serviços espanhóis, considerados referência no assunto. Realizamos um estudo descritivo e quantitativo, por meio da aplicação de um questionário aos profissionais e da análise dos prontuários dos serviços de APS de municípios de pequeno, médio e grande porte do Brasil e da Espanha. Entrevistamos 82 profissionais entre médicos (50%) e enfermeiros (50%), com elevado grau de especialização (77,5%). A maioria dos espanhóis tinha mais de 10 anos de formado (73%), e 54% atuavam na APS há mais de 10 anos...

Chagas disease prevention through improved housing using an ecosystem approach to health

Rojas-de-Arias,Antonieta
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2001 Português
Relevância na Pesquisa
56.714414%
This Chagas disease prevention project via housing improvement aims to determine the efficiencyof different interventions in vector control. The following study describes the target communities, disease magnitude, and housing improvements. Transmission levels are analysed from an ecological and socioeconomic perspective. Special interest was focused on the peridomicile as the origin of domiciliary reinfestation. In the original project, three intervention programs were proposed, one for each of the three communities: (a) an insecticide spraying program; (b) a housing improvement program; and (c) a combined program of spraying and housing improvement. The three communities currently have different risks of exposure to triatominae reinfestation as a consequence of the type of intervention carried out. A new multidisciplinary approach which integrates participatory, community-based research and socioeconomic dimensions will allow to determine the efficiency of models for territorial ordering, community education, and environmental interventions in Chagas disease control.

Dengue in Southeast Asia: epidemiological characteristics and strategic challenges in disease prevention

Ooi,Eng-Eong; Gubler,Duane J.
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2009 Português
Relevância na Pesquisa
66.93024%
Dengue emerged as a public health burden in Southeast Asia during and following the Second World War and has become increasingly important, with progressively longer and more frequent cyclical epidemics of dengue fever/dengue hemorrhagic fever. Despite this trend, surveillance for this vector-borne viral disease remains largely passive in most Southeast Asian countries, without adequate laboratory support. We review here the factors that may have contributed to the changing epidemiology of dengue in Southeast Asia as well as challenges of disease prevention. We also discuss a regional approach to active dengue virus surveillance, focusing on urban areas where the viruses are maintained, which may be a solution to limited financial resources since most of the countries in the region have developing economies. A regional approach would also result in a greater likelihood of success in disease prevention since the large volume of human travel is a major factor contributing to the geographical spread of dengue viruses.

The Evolution of the Steps Program, 2003-2010: Transforming the Federal Public Health Practice of Chronic Disease Prevention

Nichols, Phyllis; Ussery-Hall, Ann; Griffin-Blake, Shannon; Easton, Alyssa
Fonte: Centers for Disease Control and Prevention Publicador: Centers for Disease Control and Prevention
Tipo: Artigo de Revista Científica
Publicado em 02/02/2012 Português
Relevância na Pesquisa
56.985938%
The Steps program, formerly known as Steps to a HealthierUS, was the first Centers for Disease Control and Prevention (CDC) program to support a community-based, integrated approach to chronic disease prevention. Steps interventions addressed both diseases and risk factors, focusing on the 3 leading causes of preventable deaths in the United States — tobacco use, poor nutrition, and physical inactivity — and the associated chronic conditions of asthma, diabetes, and obesity. When Steps shifted from interventions focused on individual health-risk behaviors to the implementation of policy, systems, and environmental changes, the program became an integral part of changing the way CDC addressed chronic disease prevention. In this article, we describe the shift in intervention strategies that occurred among Steps communities, the model that was developed as Steps evolved, common interventions implemented before and after the shift in approach, challenges experienced by Steps communities, and CDC programs that were modeled after Steps.

Strengthening Chronic Disease Prevention Programming: The Toward Evidence-Informed Practice (TEIP) Program Evidence Tool

Albert, Dayna; Fortin, Rebecca; Herrera, Christine; Riley, Barbara; Hanning, Rhona; Lessio, Anne; Rush, Brian
Fonte: Centers for Disease Control and Prevention Publicador: Centers for Disease Control and Prevention
Tipo: Artigo de Revista Científica
Publicado em 30/05/2013 Português
Relevância na Pesquisa
56.985938%
In public health and chronic disease prevention there is increasing priority for effective use of evidence in practice. In Ontario, Canada, despite various models being advanced, public health practitioners are seeking ways to identify and apply evidence in their work in practical and meaningful ways. In a companion article, “Strengthening Chronic Disease Prevention Programming: The Toward Evidence-Informed Practice (TEIP) Program Assessment Tool,” we describe use of a tool to assess and strengthen program planning and implementation processes using 19 criteria derived from best and promising practices literature. In this article, we describe use of a complementary Program Evidence Tool to identify, synthesize, and apply a range of evidence sources to strengthen the content of chronic disease prevention programming.

Strengthening Chronic Disease Prevention Programming: the Toward Evidence-Informed Practice (TEIP) Program Assessment Tool

Albert, Dayna; Fortin, Rebecca; Lessio, Anne; Herrera, Christine; Riley, Barbara; Hanning, Rhona; Rush, Brian
Fonte: Centers for Disease Control and Prevention Publicador: Centers for Disease Control and Prevention
Tipo: Artigo de Revista Científica
Publicado em 30/05/2013 Português
Relevância na Pesquisa
56.985938%
Best practices identified solely on the strength of research evidence may not be entirely relevant or practical for use in community-based public health and the practice of chronic disease prevention. Aiming to bridge the gap between best practices literature and local knowledge and expertise, the Ontario Public Health Association, through the Toward Evidence-Informed Practice initiative, developed a set of resources to strengthen evidence-informed decision making in chronic disease prevention programs. A Program Assessment Tool, described in this article, emphasizes better processes by incorporating review criteria into the program planning and implementation process. In a companion paper, “Strengthening Chronic Disease Prevention Programming: The Toward Evidence-Informed Practice (TEIP) Program Evidence Tool,” we describe another tool, which emphasizes better evidence by providing guidelines and worksheets to identify, synthesize, and incorporate evidence from a range of sources (eg, peer-reviewed literature, gray literature, local expertise) to strengthen local programs.

Information–Seeking Among Chronic Disease Prevention Staff in State Health Departments: Use of Academic Journals

Harris, Jenine K.; Allen, Peg; Jacob, Rebekah R.; Elliott, Lindsay; Brownson, Ross C.
Fonte: Centers for Disease Control and Prevention Publicador: Centers for Disease Control and Prevention
Tipo: Artigo de Revista Científica
Publicado em 14/08/2014 Português
Relevância na Pesquisa
56.758975%
Use of scientific evidence aids in ensuring that public health interventions have the best possible health and economic return on investment. We describe use of academic journals by state health department chronic disease prevention staff to find public health evidence. We surveyed more than 900 state health department staff from all states and the District of Columbia. Participants identified top journals or barriers to journal use. We used descriptive statistics to examine individual and aggregate state health department responses. On average, 45.7% of staff per state health department use journals. Common barriers to use included lack of time, lack of access, and expense. Strategies for increasing journal use are provided.

People, Pathogens and Our Planet : The Economics of One Health

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Português
Relevância na Pesquisa
47.193604%
This study aims to build on the findings from the previously mentioned studies, and seeks to provide more detailed information on the costs of the various functions and categories of expenditure involved in the establishment and operation of system for the prevention and control of emerging zoonotic diseases at country and global level. It will also seek to provide information on efficiency and effectiveness gains that will result from the introduction of a One Health approach. With these aims, the study has two target audiences: (a) project planners, who will benefit from the information of the costs of setting up surveillance and control systems to be used as benchmarks when planning preparedness and control operations; and (b) policy planners at the decision-making level, who would use the information on the efficiency and effectiveness gains to guide them in the decision-making process regarding the eventual introduction of One Health. This report disaggregates costs by task, making explicit those activities that are critical for effectiveness and identifying scope for efficiencies. The analysis draws on a range of data sources and earlier work...

Policies for disease prevention in Germany in the European context: a comparative analysis

Gericke, C.; Busse, R.
Fonte: Oxford University Press Publicador: Oxford University Press
Tipo: Artigo de Revista Científica
Publicado em //2004 Português
Relevância na Pesquisa
57.102188%
Background In Europe important differences exist concerning policies for the prevention of common diseases. In most cases these cannot be explained by the underlying epidemiology. However, successful policies should have a measurable effect on disease epidemiology. There has been little research comparing the effect of national preventive policies on disease-specific mortality. Objectives To describe the mortality trends for three health problems representing the three levels of prevention in Germany and in selected European countries, which are of interest for the disease under question. To relate epidemiological trends to preventive policies at the national level and at the level of the European Union (EU). Methods Comparison of age-standardized mortality rates for road traffic accidents, cervical cancer and diabetes mellitus in the period 1970–2002, using routine data. Analysis of disease-specific prevention policies in countries that deviate from the general trend in the EU, with a special focus on developments in Germany. Results The development of mortality rates during the last 30 years for road traffic accidents, cervical cancer and diabetes mellitus varied substantially across Europe. Although the evidence linking specific public policies to epidemiological trends is sparse and often limited to ecological studies...

Point-of-care testing in Aboriginal hands-A model for chronic disease prevention and management in Indigenous Australia

Shephard, M.; Mazzachi, B.; Shephard, A.; Burgoyne, T.; Dufek, A.; Ah Kit, J.; Mills, P.
Fonte: Lippincott Williams & Wilkins Publicador: Lippincott Williams & Wilkins
Tipo: Artigo de Revista Científica
Publicado em //2006 Português
Relevância na Pesquisa
56.81206%
Point-of-care testing (POCT) has a critical niche in rural and remote indigenous Australia where geographic isolation from laboratory services is common, the resultant turnaround of laboratory results is often slow, and the burden of chronic disease is very high. This paper describes a POCT program called Point-of-Care in Aboriginal Hands, which delivers POCT services for chronic disease prevention and management to 4 rural and remote Aboriginal medical services in Australia. Aboriginal health workers were trained as POCT operators of the DCA 2000 (Bayer Diagnostics, Tarrytown, NY) and the Cholestech LDX lipid analyzer (Cholestech, Hayward, Calif). Prevalence rates in the general community for diabetes (17%), microalbuminuria (20%), and obesity (48%) were between 2 to 3 times the national average. Statistically significant reductions in hemoglobin A1c (HbA1c) of 0.7% and 1.2% (paired t test, P < 0.05) in type 2 diabetes patients (n = 45 and 24) after the introduction of POCT at 2 services confirmed that POCT had been an effective tool in improving clinical outcomes. Community acceptance of POCT was extremely high among key stakeholder groups (doctors, Aboriginal POCT operators and diabetes patients) interviewed and surveyed in the program. The percentage of patients who were satisfied with their diabetes service after the introduction of POCT rose significantly from 64% to 88%...

Utilização de ácido acetilsalicílico (AAS) na prevenção de doenças cardiovasculares: um estudo de base populacional; Utilizacao de acido acetilsalicilico (AAS) na prevencao de doencas cardiovasculares: um estudo de base populacional

Vianna, C.A.; González, D.A.; Matijasevich, A.
Fonte: Cadernos de Saúde Pública Publicador: Cadernos de Saúde Pública
Tipo: Artigo de Revista Científica
Publicado em //2012 Português
Relevância na Pesquisa
47.09241%
O objetivo foi estimar a prevalência de uso de ácido acetilsalicílico (AAS) na prevenção das doenças cardiovasculares (DCV). Estudo transversal de base populacional, realizado em Pelotas, Rio Grande do Sul, Brasil, em 2010. Dois desfechos foram considerados: uso de AAS na prevenção primária (indivíduos > 40 anos com pelo menos dois fatores de risco (hipertensão arterial sistêmica, diabetes mellitus e/ou dislipidemia) e uso de AAS na prevenção secundária (história de angina/infarto e/ou acidente vascular encefálico). Os desfechos foram analisados de acordo com variáveis demográficas, socioeconômicas e de estilo de vida. A prevalência de uso de AAS foi de 24,8% na prevenção primária e 34,3% na prevenção secundária. Na prevenção primária o uso de AAS foi maior nos indivíduos de cor não branca, maior faixa etária e com pior autopercepção de saúde. Na prevenção secundária, a prevalência de uso foi maior nos indivíduos com maior faixa etária, maior classe social e ex-fumantes. As prevalências de uso de AAS encontradas estão muito abaixo do recomendado para prevenção das DCV. = Aspirin use in cardiovascular disease prevention: a population-based study', The objective of this study was to estimate the prevalence of aspirin use in primary and secondary prevention of cardiovascular disease. A population-based cross-sectional study was conducted in Pelotas...

Advancing Cervical Cancer Prevention in India : Insights from Research and Programs

Krishnan, Suneeta; Madson, Emily; Porterfield, Deborah; Varghese, Beena
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
Português
Relevância na Pesquisa
47.103564%
Cervical cancer is the leading cause of cancer mortality in India, accounting for 17 percent of all cancer deaths among women age 30 to 69 years. At current incidence rates, the World Health Organization (WHO) estimates that the annual burden of new cases in India will increase to nearly 225,000 by 2025. Despite the considerable burden of cervical cancer morbidity and mortality in India, there are few large-scale, organized cervical cancer prevention programs in the country. We reviewed the research literature and conducted interviews with individuals engaged in research and public health program implementation to identify important elements of cervical cancer prevention efforts in India and implementation issues that merit further investigation. Although primary prevention through HPV vaccination has been endorsed by WHO, under certain conditions, in low- and middle-income countries (LMICs), its cost, partial efficacy and safety have been intensely debated in India. Further research and advocacy efforts are needed to determine the optimal strategies for its introduction and sustained use in the country. However...

Prevention and Control of Selected Chronic NCDs in Sri Lanka : Policy Options and Action

Engelgau, Michael; Okamoto, Kyoko; Navaratne, Kumari Vinodhani; Gopalan, Sundararajan
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
Português
Relevância na Pesquisa
47.172847%
Strategic decisions to reorient population-based prevention and clinic- and hospital-based care policies toward non-communicable diseases (NCDs) will enable healthier aging and reduce loss of productivity among the working-age population in Sri Lanka. This report aims to stimulate policy dialogue for NCDs and to provide an evidence base to facilitate decisions. Its focus is mainly on chronic NCDs-that is, cardiovascular disease (CVD), diabetes, and asthma/chronic obstructive pulmonary disease (COPD), and to a lesser extent cancer-and their major modifiable risk factors (tobacco use, unhealthy diet, lack of exercise, and harmful alcohol use). This is not to detract, though, from the importance of injuries and mental health since both are major issues that carry a huge burden, as supported by evidence in this report. Several major areas for policies and actions emerged from the analysis of Sri Lanka's health sector organization and capacity as well as its NCD orientation. Some areas are not specific to NCDs but...

Governance of Communicable Disease Control Services : A Case Study and Lessons from India

Das Gupta, Monica; Khaleghian, Peyvand; Sarwal, Rakesh
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Policy Research Working Paper; Publications & Research
Português
Relevância na Pesquisa
56.991216%
The authors study the impact of governance and administrative factors on communicable disease prevention in the Indian state of Karnataka using survey data from administrators, frontline workers, and elected local representatives. They identify a number of key constraints to the effective management of disease control in India, in misaligned incentives, and the institutional arrangements for service delivery. The authors discuss these under five headings: administrative issues; human resource management; horizontal coordination; decentralization, community involvement, and public accountability; and implementation of public health laws and regulations. They find that India's public health system is configured to be highly effective at top-down reactive work, such as bringing disease outbreaks under control, but not for the more routine collaborations required for proactive disease prevention. The authors conclude with policy recommendations that take into account the complexity of India's system of public administration and the need for simple reforms that can be easily implemented.

A Logic Model for the Integration of Mental Health Into Chronic Disease Prevention and Health Promotion

Lando, James; Marshall Williams, Sheree; Sturgis, Stephanie; Williams, Branalyn
Fonte: Centers for Disease Control and Prevention Publicador: Centers for Disease Control and Prevention
Tipo: Artigo de Revista Científica
Publicado em 15/03/2006 Português
Relevância na Pesquisa
56.758975%
Mental illnesses such as depression or anxiety affect an individual's ability to undertake health-promoting behaviors. Chronic diseases can have a profound impact on an individual's mental health; in turn, mental health status affects an individual's ability to participate in treatment and recovery. A group of mental health and public health professionals convened to develop a logic model for addressing mental health as it relates to chronic disease prevention and health promotion. The model provides details on inputs, activities, and desired outcomes, and the designers of the model welcome input from other mental health and public health practitioners.

A Marketing Perspective on Disseminating Evidence-based Approaches to Disease Prevention and Health Promotion

Maibach, Edward W; Van Duyn, Mary Ann S.; Bloodgood, Bonny
Fonte: Centers for Disease Control and Prevention Publicador: Centers for Disease Control and Prevention
Tipo: Artigo de Revista Científica
Publicado em 15/06/2006 Português
Relevância na Pesquisa
56.96753%
Evidence-based disease prevention practice guidelines can provide a rationale for health programming decisions, which should, in turn, lead to improved public health outcomes. This logic has stimulated the creation of a growing number of evidence-based prevention practice guidelines, including the Guide to Community Preventive Services. Few systematic efforts have been made to document the degree of adoption and implementation of these approaches, although the evidence on translation of research into practice in other health fields indicates that the adoption and implementation rate is low. Drawing on the marketing literature, we suggest three approaches to enhance the adoption and implementation of evidence-based approaches: 1) conducting consumer research with prospective adopters to identify their perspectives on how evidence-based prevention programs can advance their organization's mission, 2) building sustainable distribution channels to promote and deliver evidence-based programs to prospective adopters, and 3) improving access to easily implemented programs that are consistent with evidence-based guidelines. Newly emerging paradigms of prevention research (e.g., RE-AIM) that are more attuned to the needs of the marketplace will likely yield a new generation of evidence-based preventive approaches that can be more effectively disseminated. We suggest that the public health community prioritize the dissemination of evidence-based prevention approaches...

Chronic disease prevention and health promotion. Public policies and social network analysis of the hospitals services and oyhers health and social organizations to support joint action for children with diabetes

Asensio, Maria; Silva, Carlos; Silva, Mafalda; Costa, Raquel; Fialho, Joaquim; Saragoça, José
Fonte: Direção Geral da Qualificação dos Trabalhadores em Funções Públicas Publicador: Direção Geral da Qualificação dos Trabalhadores em Funções Públicas
Tipo: Conferência ou Objeto de Conferência
Português
Relevância na Pesquisa
56.67845%
Comunicação apresentada na 18th Conference International of Health Promotion Hospitals & Health Services "Tackling causes and consequences of inequalities in health: contributions of health services and the HPH network", em Manchester de 14-16 de april de 2010; In this paper, we would like to present a focus for comprehensive action on diabetes in Portugal. Based on an applied approach of social network, we would like to discuss and analyze the dynamics of formal networks between hospitals services and others health and social organizations to support joint actions for reducing causes and consequences of health inequalities in children with chronic disease, and to develop core strategies and standards in health promotion and the quality of care for children with diabetes type I in Portugal, focusing our attention in the case of Barreiro

Chagas disease prevention through improved housing using an ecosystem approach to health

Rojas-de-Arias,Antonieta
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2001 Português
Relevância na Pesquisa
56.714414%
This Chagas disease prevention project via housing improvement aims to determine the efficiencyof different interventions in vector control. The following study describes the target communities, disease magnitude, and housing improvements. Transmission levels are analysed from an ecological and socioeconomic perspective. Special interest was focused on the peridomicile as the origin of domiciliary reinfestation. In the original project, three intervention programs were proposed, one for each of the three communities: (a) an insecticide spraying program; (b) a housing improvement program; and (c) a combined program of spraying and housing improvement. The three communities currently have different risks of exposure to triatominae reinfestation as a consequence of the type of intervention carried out. A new multidisciplinary approach which integrates participatory, community-based research and socioeconomic dimensions will allow to determine the efficiency of models for territorial ordering, community education, and environmental interventions in Chagas disease control.

Dengue in Southeast Asia: epidemiological characteristics and strategic challenges in disease prevention

Ooi,Eng-Eong; Gubler,Duane J.
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2009 Português
Relevância na Pesquisa
66.93024%
Dengue emerged as a public health burden in Southeast Asia during and following the Second World War and has become increasingly important, with progressively longer and more frequent cyclical epidemics of dengue fever/dengue hemorrhagic fever. Despite this trend, surveillance for this vector-borne viral disease remains largely passive in most Southeast Asian countries, without adequate laboratory support. We review here the factors that may have contributed to the changing epidemiology of dengue in Southeast Asia as well as challenges of disease prevention. We also discuss a regional approach to active dengue virus surveillance, focusing on urban areas where the viruses are maintained, which may be a solution to limited financial resources since most of the countries in the region have developing economies. A regional approach would also result in a greater likelihood of success in disease prevention since the large volume of human travel is a major factor contributing to the geographical spread of dengue viruses.